To see the other types of publications on this topic, follow the link: Urinary incontinence in man.
Journal articles on the topic 'Urinary incontinence in man'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 journal articles for your research on the topic 'Urinary incontinence in man.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.
1
Gregg, Lauren H., and Ryan M. Barnes. "Man With Nocturnal Urinary Incontinence." Annals of Emergency Medicine 76, no. 2 (August 2020): e7-e8. http://dx.doi.org/10.1016/j.annemergmed.2020.02.003.
Full text
2
Johnson, Theodore M., and Joseph G. Ouslander. "URINARY INCONTINENCE IN THE OLDER MAN." Medical Clinics of North America 83, no. 5 (September 1999): 1247–66. http://dx.doi.org/10.1016/s0025-7125(05)70161-9.
Full text
3
Hannestad, Yngvild S., Rolv Terje Lie, Guri Rortveit, and Steinar Hunskaar. "Familial risk of urinary incontinence in women: population based cross sectional study." BMJ 329, no. 7471 (October 14, 2004): 889–91. http://dx.doi.org/10.1136/bmj.329.7471.889.
Full textAbstract:
Abstract Objective To determine whether there is an increased risk of urinary incontinence in daughters and sisters of incontinent women. Design Population based cross sectional study. Setting EPINCONT (the epidemiology of incontinence in the county of Nord-Trøndelag study), a substudy of HUNT 2 (the Norwegian Nord-Trøndelag health survey 2), 1995-7. Participants 6021 mothers, 7629 daughters, 332 granddaughters, and 2104 older sisters of 2426 sisters. Main outcome measures Adjusted relative risks for urinary incontinence. Results The daughters of mothers with urinary incontinence had an increased risk for urinary incontinence (1.3, 95% confidence interval 1.2 to 1.4; absolute risk 23.3%), stress incontinence (1.5, 1.3 to 1.8; 14.6%), mixed incontinence (1.6, 1.2 to 2.0; 8.3%), and urge incontinence (1.8, 0.8 to 3.9; 2.6%). If mothers had severe symptoms then their daughters were likely to have such symptoms (1.9, 1.3 to 3.0; 4.0%). The younger sisters of female siblings with urinary incontinence, stress incontinence, or mixed incontinence had increased relative risks of, respectively, 1.6 (1.3 to 1.9; absolute risk 29.6%), 1.8 (1.3 to 2.3; 18.3%), and 1.7 (1.1 to 2.8; 10.8%). Conclusion Women are more likely to develop urinary incontinence if their mother or older sisters are incontinent.
4
Bogolyubov, V. "A new method of sphincteroplasty for urinary incontinence." Kazan medical journal 20, no. 2 (August 11, 2021): 215. http://dx.doi.org/10.17816/kazmj76325.
Full textAbstract:
Prof. Brzhozovsky (New. Khir. Arch., Vol. 3, book. 2) reports a case where he underwent an operation of sphincteroplasty of the urethra in a young man with urinary incontinence after a median stonecutting he had done in childhood, and the material for plastics, ed. served as a muscle that lifts the anus (levatorаnі).
5
Turusheva, Anna V. "The prevalence of urinary incontinence and its relationship with physical and cognitive status in older adults: Results of the Crystal and the Eucalyptus studies." Russian Family Doctor 25, no. 2 (July 19, 2021): 29–37. http://dx.doi.org/10.17816/rfd71196.
Full textAbstract:
BACKGROUND: Urinary incontinence worsens the psychological state of older adults, increases the risk of developing anxiety, depression, falls-related injuries, leads to a decrease in the quality of life, and a decrease in the level of physical activity in old age.
AIM: To assess the prevalence of urinary incontinence according to the data of the Crystal and Eucalyptus studies, to identify factors associated with the development of urinary incontinence, as well as factors that reduce the risk of urinary incontinence in old age.
MATERIALS AND METHODS: A random sample of 1007 people aged 65 and older. The main parameters: urinary incontinence, frailty, nutritional status, anemia, CRP, functional status, depression, dementia, chronic diseases, grip strength, level of physical functioning, falls. The observation time is 2.5 years.
RESULTS: According to the Eucalyptus study, urinary incontinence syndrome was detected in 48.0%, in the Crystal study in 41.2%. In 62.4% cases urinary incontinence was diagnosed for the first time. Urinary incontinence was associated with a higher prevalence of COPD, history of stroke, sensory deficits, frailty and other geriatric syndromes. Improved nutrition and increased protein intake led to the disappearance of urinary incontinence complaints in 47.7% of cases. The disappearance of complaints of urinary incontinence was associated with an improvement in the emotional status. A decline in cognitive function has been associated with an increased risk of urinary incontinence in old age.
CONCLUSIONS: Despite the high prevalence of urinary incontinence, it often remains undiagnosed. The correct wording of the question in the conversation with the patient allows to identify 30% more cases of urinary incontinence. Given the high prevalence of urinary incontinence among patients with COPD, stroke, sensory deficits, frailty and other geriatric syndromes, all patients in these groups should be purposefully asked about the presence of symptoms of urinary incontinence. Improved nutrition and increased protein intake are associated with the disappearance of urinary incontinence complaints.
6
Shrestha, Alka. "Clinical profile of Female Urinary Incontinence: A Hospital Based Study." Nepal Journal of Obstetrics and Gynaecology 16, no. 1 (June 19, 2021): 120–23. http://dx.doi.org/10.3126/njog.v16i1.37917.
Full textAbstract:
Aim: To determine the prevalence of urinary incontinence of women attending gynae outdoor patient department.
Method: It is a prospective cross sectional study conducted at Paropakar Maternity and Women’s Hospital for three months. Types of incontinence, their presentation, associated factors, age and parity were the variables studied. Data were analyzed by descriptive statistics.
Results: Out of 950 gynaecological out-patients, 97 had urinary incontinence(10.2%); 34.1% were in 50- 59 years and 37.2% were multipara. Stressurinary incontinence (SUI) was the most common incontinence (56.7%) followed by mixed urinary incontinence (22.7%) and urge urinary incontinence (20.6%). Common complaints were leakage during coughing (63.6%) and sneezing(18.2%) in SUI;urgency and frequency were main problem in mixed and urge urinary incontinence. Three-fourth cases had associated medical conditions and rest had gynecological factors.
Conclusions: Urinary incontinence is common in the fifth decade of life of women and more than half had stress incontinence.
7
Ingargiola, G. B., M. Lamartina, and A. Di Girolamo. "Urodynamics in urinary incontinence." Urologia Journal 65, no. 1 (February 1998): 28–32. http://dx.doi.org/10.1177/039156039806500104.
Full textAbstract:
This study outlines the main urethral-bladder disorders responsible, on a neurological basis, for incontinence. It also defines the forms of detrusorial and urethral origin, due to hyper- or hypoactivity of the detrusor and urethra respectively. Brief reference is made to clinical aspects.
8
Okeahialam, Nicola A., Ranee Thakar, Andrei Ilczyszyn, and Abdul H. Sultan. "Anal and urinary incontinence in nulliparous women – Prevalence and associated risk factors." Post Reproductive Health 27, no. 2 (March 27, 2021): 89–97. http://dx.doi.org/10.1177/20533691211005313.
Full textAbstract:
Objective To establish the prevalence and risk factors of urinary and anal incontinence in nulliparous women. Study design Thirty-one catholic convents were sent a validated questionnaire to determine the prevalence and severity of urinary incontinence, and a similarly structured questionnaire to assess anal incontinence. Multivariable regression models were used to determine independent risk factors associated with the likelihood of urinary incontinence or anal incontinence. Main outcome measures Urine/faecal/flatal incontinence and symptom severity. Results Of 202 nuns, 167 (83%) returned the questionnaire. Twenty-two women were excluded due to history of childbirth. Of 145 nulliparous women, 56.2% reported urinary incontinence and 53.8% reported anal incontinence. Women aged 66–76 years had significantly increased odds of experiencing urinary incontinence in comparison to women aged 40–65 years: OR: 2.35 (95% CI: 1.02–5.45) ( p = 0.04). The risk of urinary incontinence was increased in women with a body mass index ≥ 30 in comparison to those with a body mass index < 19: OR: 6.25 (95% CI: 1.03–38.08) ( p = 0.04). With regards to anal incontinence, although none of the differences with age and body mass index groups reached statistical significance, there was a trend towards women in higher body mass index groups having an increased prevalence of anal incontinence. Current/previous hormonal replacement therapy was also associated with significantly increased odds of experiencing urinary incontinence: OR: 2.53 (95% CI: 1.01–6.36), ( p = 0.04). However, when adjusting for age and body mass index, there was no significant association with urinary incontinence. Conclusions This study highlights that while childbirth is an important risk factor, urinary incontinence and anal incontinence also occur in over 50% of nulliparous women. Additional studies are required to identify other risk factors that may be associated with incontinence in this population.
9
Amirov, A. R., O. A. Lobkarev, and R. A. Bodrova. "Risk factors AND Ecology of uRiNARY iNOoNTINENOE." Aspirantskiy Vestnik Povolzhiya 19, no. 1-2 (March 15, 2019): 140–48. http://dx.doi.org/10.17816/2072-2354.2019.19.1.140-148.
Full textAbstract:
Urinary incontinence is an unsolved problem in urology. Awareness of the predisposing risk factors and the etiology of urinary incontinence contributes to its prevention, to facilitate timely diagnosis and the choice of the correct tactics for the correction of urinary disorders. The main causes of incontinence may be dysfunction of the detrusor, its hyperactivity, hyperreflexia, low elasticity, disruption of the sphincter apparatus, paradoxical ishuria, and extraurethral incontinence. In the treatment of incontinence, it was originally recommended to use conservative therapy; in the absence of effect, one can think of surgical methods of treatment depending on the degree of the disorder. This review considers literature data on the identification of risk factors and etiology in the development of urinary incontinence.
10
Park, Seong-Hi, and Chang-Bum Kang. "Effect of Kegel Exercises on the Management of Female Stress Urinary Incontinence: A Systematic Review of Randomized Controlled Trials." Advances in Nursing 2014 (December 30, 2014): 1–10. http://dx.doi.org/10.1155/2014/640262.
Full textAbstract:
Objective. The purpose of this study was to evaluate the effect of Kegel exercises on reducing urinary incontinence symptoms in women with stress urinary incontinence. Methods. Randomized controlled trials (RCTs) were conducted on females with stress urinary incontinence who had done Kegel exercises and met inclusion criteria in articles published between 1966 and 2012. The articles from periodicals indexed in KoreaMed, NDSL, Ovid Medline, Embase, Scopus, and other databases were selected, using key terms such as “Kegel” or “pelvic floor exercise.” Cochrane’s risk of bias was applied to assess the internal validity of the RCTs. Eleven selected studies were analyzed by meta-analysis using RevMan 5.1. Results. Eleven trials involving 510 women met the inclusion criteria. All trials contributed data to one or more of the main or secondary outcomes. They indicated that Kegel exercises significantly reduced the urinary incontinence symptoms of female stress urinary incontinence. There was no heterogeneity in the selected studies except the standardized bladder volumes of the pad test. Conclusion. There is some evidence that, for women with stress urinary incontinence, Kegel exercises may help manage urinary incontinence. However, while these results are helpful for understanding how to treat or cure stress urinary incontinence, further research is still required.
11
Geary, Rebecca S., Ipek Gurol-Urganci, Jil B. Mamza, Rebecca Lynch, Dina El-Hamamsy, Andrew Wilson, Simon Cohn, Douglas Tincello, and Jan van der Meulen. "Variation in availability and use of surgical care for female urinary incontinence: a mixed-methods study." Health Services and Delivery Research 9, no. 7 (March 2021): 1–94. http://dx.doi.org/10.3310/hsdr09070.
Full textAbstract:
Background Urinary incontinence affects between 25% and 45% of women. The availability and quality of services is variable and inequitable, but our understanding of the drivers is incomplete. Objectives The objectives of the study were to model patient, specialist clinician, primary and secondary care, and geographical factors associated with referral and surgery for urinary incontinence, and to explore women’s experiences of urinary incontinence and expectations of treatments. Design This was a mixed-methods study. Setting The setting was NHS England. Participants Data were collected from all women with a urinary incontinence diagnosis in primary care data, and all women undergoing mid-urethral mesh tape surgery for stress urinary incontinence were included. Interviews were also carried out with 28 women from four urogynaecology clinics who were deciding whether or not to have surgery, and surveys were completed by 245 members of the Royal College of Obstetricians and Gynaecologists with a specialist interest in urinary incontinence. Data sources The sources were patient-level data from Hospital Episode Statistics, the Clinical Practice Research Datalink and the Office for National Statistics mortality data linked to Hospital Episode Statistics. Interviews were conducted with women. An online vignette survey was conducted with members of the Royal College of Obstetricians and Gynaecologists. Main outcome measures The main outcome measures were the rates of referral from primary to secondary care and surgery after referral, the rates of stress urinary incontinence surgery by geographical area, the risk of mid-urethral mesh tape removal and reoperation after mid-urethral mesh tape insertion. Results Almost half (45.8%) of women with a new urinary incontinence diagnosis in primary care were referred to a urinary incontinence specialist: 59.5% of these referrals were within 30 days of diagnosis. In total, 14.2% of women referred to a specialist underwent a urinary incontinence procedure (94.5% of women underwent a stress urinary incontinence procedure and 5.5% underwent an urgency urinary incontinence procedure) during a follow-up period of up to 10 years. Not all women were equally likely to be referred or receive surgery. Both referral and surgery were less likely for older women, those who were obese and those from minority ethnic backgrounds. The stress urinary incontinence surgery rate was 40 procedures per 100,000 women per year, with substantial geographical variation. Among women undergoing mid-urethral mesh tape insertion for stress urinary incontinence, the 9-year mesh tape removal rate was 3.3%. Women’s decision-making about urinary incontinence surgery centred on perceptions of their urinary incontinence severity and the seriousness/risk of surgery. Women judged urinary incontinence severity in relation to their daily lives and other women’s experiences, rather than frequency or quantity of leakage, as is often recorded and used by clinicians. Five groups of UK gynaecologists could be distinguished who differed mainly in their average inclination to recommend surgery to hypothetical urinary incontinence patients. The gynaecologists’ recommendations were also influenced by urinary incontinence subtype and the patient’s history of previous surgery. Limitations The primary and secondary care data lacked information on the severity of urinary incontinence. Conclusions There was substantial variation in rates of referrals, surgery, and mesh tape removals, both geographically and between women of different ages and women from different ethnic backgrounds. The variation persisted after adjustment for factors that were likely to affect women’s preferences. Growing safety concerns over mid-urethral mesh tape surgery for stress urinary incontinence during the period from which the data are drawn are likely to have introduced more uncertainty to women’s and clinicians’ treatment decision-making. Future work Future work should capture outcomes relevant to women, including ongoing urinary incontinence and pain that is reported by women themselves, both before and after mesh and non-mesh procedures, as well as following conservative treatments. Future research should examine long-term patient-reported outcomes of treatment, including for women who do not seek further health care or surgery, and the extent to which urinary incontinence severity explains observed variation in referrals and surgery. Funding This project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full in Health Services and Delivery Research; Vol. 9, No. 7. See the NIHR Journals Library website for further project information.
12
Kolgaeva, D. I., E. S. Koneva, T. V. Shapovalenko, E. N. Zhumanova, K. V. Lyadov, and K. V. Kotenko. "Experience of application of the method of high-intensity focused electromagnetic therapy in the complex treatment of stress urine continuity in women." Russian Journal of Physiotherapy, Balneology and Rehabilitation 17, no. 6 (November 2, 2018): 305–11. http://dx.doi.org/10.17816/1681-3456-2018-17-6-305-311.
Full textAbstract:
Background. The article presents the results of applying the method of high-intensity focused electromagnetic therapy in the complex treatment of stress urinary incontinence in women.
Aim. To study and scientifically use the method of high-intensity focused electromagnetic therapy in the complex treatment of stress urinary incontinence in women. Research Objective: To study the effect of high-intensity focused electromagnetic therapy on the manifestations of urinary incontinence by assessing the ability of urinary retention (by the number of absorbent pads used) and quality of life according to the questionnaire of the International Council of Urinary Incontinence (ICIQ-SF) in women with stress urinary incontinence.
Methods. The study included 40 women whose average age was 53.6 4.8 years with stress incontinence; the disease duration was 5.6 1.1 years, which were divided into 2 groups comparable by clinical and functional characteristics, the main 20 patients who underwent a course of WIFEM therapy, consisting of 67 procedures, which were carried out 23 once a week, the duration of each procedure was 28 minutes and the control ― 20 patients who underwent a course of exercises according to Kegel, daily, for a course of
20 lessons.
Results. As a result of the study, it was shown that high-intensity focused electromagnetic therapy has a pronounced myostimulating effect on the pelvic floor muscles in women with stress urinary incontinence, which helps to strengthen control over urinary retention, a significant reduction and even complete disappearance of symptoms of urinary incontinence, and an increase in the psycho-emotional background and quality of life in general, as evidenced by a test to determine the amount of absorbent pads used and questionnaire data and for urinary incontinence (ICIQ-SF).
Conclusion. High-intensity focused electromagnetic therapy has a pronounced myostimulating effect on the pelvic floor muscles in women with stress urinary incontinence, which contributes to increased control over urinary retention, a significant decrease or even complete disappearance of symptoms of incontinence, as well as an increase in psycho-emotional background and quality of life in general.
13
Osipova, N. A., D. A. Niauri, A. M. Gzgzyan, and W. L. Emanuel. "ANALYSIS OF KIDNEY FUNCTIONAL STATUS AT URINARY INCONTINENCE IN WOMEN." Nephrology (Saint-Petersburg) 21, no. 1 (March 3, 2017): 73–79. http://dx.doi.org/10.24884/1561-6274-2017-21-1-73-79.
Full textAbstract:
AIM: to analyze functional state of kidneys in women with urinary incontinence. PATIENTS AND METHODS: 277 women with complaints on urinary incontinence and 14 healthy women aged 18 to 55 years were examined. 143 women was diagnosed stress urinary incontinence, 43 – urge urinary incontinence and 91 – mixed urine incontinence. Nycturia was revealed in 24 women and polyuria – in 60 women with urine incontinence. The increased diuresis, water reabsorption in collecting ducts, ion excretion including Na and Mg ion were higher during the night in patients with nycturia and during the day in patients with polyuria in comparison with healthy patients. Use of desmopressin (minirin) in a dose of 100 mcg reduced diuresis and ion excretion to normal levels. It is suggested that the main role in the pathogenesis of kidney functions in patients with polyuria and nycturia is played by a decrease of ion reabsorption in the thick ascending Henle loop, which results in higher load of collecting ducts by liquid, increase of diuresis and electrolytes excretion. Use of desmopressin in these patients is pathogenetically proved because it removes main tubular defect.
14
Krzysztoszek, Katarzyna, and Aleksandra Truszczyńska-Baszak. "Physical therapy in stress urinary incontinence among women – a review of the literature and a suggested treatment protocol." Rehabilitacja Medyczna 21, no. 4 (April 25, 2018): 60–67. http://dx.doi.org/10.5604/01.3001.0011.8078.
Full textAbstract:
Introduction: Stress urinary incontinence is an increasingly common problem among women. The disorder affects every third woman, regardless of age. To make treatment of these women more effective, the therapeutic treatment path should be regulated. Important elements are cooperation between specialists, prevention and conservative treatment. This paper is a systematic review of current literature concerning physiotherapy in the treatment of stress urinary incontinence in women. Aim of the study: The main aim of the study was to develop a physiotherapy protocol for this particular group of patients. Material and methods: The following databases: Pubmed, Google Scholar, Cochrane Library, Scopus were searched using the following keywords: stress urinary incontinence therapy/ physiotherapy/manual therapy, pelvic floor muscle training/ diagnostic/ investigation, pelvic floor dysfunction, diaphragm. The information available on the websites of the Polish Urogynecological Association, Przegląd Urologiczny (Urological Review) and the UroConti Association was also used. Results: On the basis of the collected literature, the Polish medical care system for patients with stress urinary incontinence in Poland was presented, the effectiveness of physiotherapeutic methods was determined and elements of therapy worthy of further attention were marked. On the basis of the collected information, a physiotherapeutic protocol was proposed in stress urinary incontinence. Conclusions: 1. Physiotherapy as a form of treatment of stress urinary incontinence should always constitute a part of the therapeutic process. Used as the first in some cases, it helps avoid surgical intervention. It can also reduce the risk of complications after surgical intervention. 2. The therapeutic treatment path should also include diagnostics and physiotherapeutic treatment. 3. In the treatment of a patient with stress urinary incontinence, the following elements should be taken into account: body posture, breathing method, patient’s habits, pelvic floor muscle work. 4. For physiotherapy in stress urinary incontinence to be more accessible and widespread, it should be refunded. 5. Physiotherapy in stress urinary incontinence requires further systematic research. Article received: 04.01.2018; Accepted: 15.04.2018 null
15
Lee, Hsiang-Ying, Ching-Chia Li, Yung-Shun Juan, Yu-Han Chang, Hsin-Chih Yeh, Chia-Chun Tsai, Kuang-Shun Chueh, Wen-Jeng Wu, and Yuan-Han Yang. "Urinary Incontinence in Alzheimer’s Disease." American Journal of Alzheimer's Disease & Other Dementiasr 32, no. 1 (December 18, 2016): 51–55. http://dx.doi.org/10.1177/1533317516680900.
Full textAbstract:
Objectives: Urinary incontinence (UI) is more prevalent in the elderly populations with dementia than without dementia, and Alzheimer’s disease (AD) is the most common cause of dementia. Urinary incontinence may complicate AD morbidity and mortality. Therefore, this study aimed to evaluate the prevalence and annual incidence and determine the risk possibility of UI, which is the main type of incontinence in patients with AD in Taiwan. Methods: A total of 933 patients with AD were included in the study cohort, and a total of 2799 patients without AD by 1:3 proportion compared to the study cohort were used as a matched cohort. All participants were selected from the National Health Insurance Research Database in 2000 sample population. We utilize Cox proportional hazard regression to evaluate the risk of UI and cumulative incidence ratio curve to analyze the cumulative incidence function. Prevalence and annual incidence rate are calculated in individual medication including rivastigmine, donepezil, galantamine, and memantine only being initiated in patients with AD. Results: The risk of UI is higher in AD cohort (hazard ratio: 1.54, 95% confidence interval: 1.13-2.09). The cumulative incidence ratio of UI event between AD cohort and matched cohort presents statistical significance ( P < .001). Annual incidence and prevalence of UI in patients with AD are 6.2% and 4.2%, respectively. Conclusion: The present results suggest that the risk of UI is higher in patients with AD than in the general population.
16
Kotov, S. V., and I. S. Pavlov. "Correction of urinary incontinence after radical prostatectomy. Surgical technique step by step." Experimental and Сlinical Urology 13, no. 5 (December 25, 2020): 22–29. http://dx.doi.org/10.29188/2222-8543-2020-13-5-22-29.
Full textAbstract:
Introduction. The main cause of stress urinary incontinence in men is prostate surgery - radical prostatectomy, transurethral resection of the prostate (TURP), enucleation, etc. The gold standard for the surgical treatment of urinary incontinence after prostate surgery is the implantation of an artificial urinary sphincter. For the treatment of mild/moderate urinary incontinence, implantation of synthetic urethral male slings is recommended. For the treatment of severe urinary incontinence, implantation of artificial urinary sphincter recommended. According to the Decree of the Moscow Government dated 12.24.2019 N 1822-PP, surgical interventions on the organs of the genitourinary system with the implantation of synthetic complex and mesh prostheses are included in the standards for the provision of high-tech medical care. Materials and methods. The paper presents a surgical technique for implantation of an artificial urinary sphincter model AMS 800 (Boston Scientific, Boston, MA, USA) and a male urethral sling AdVance XP (Boston Scientific, Boston, MA, USA). The indications for surgical treatment of stress urinary incontinence in men are listed, the criteria for selecting patients for the implantation of an artificial bladder sphincter and the installation of a urethral sling are described, and described in detail. Conclusion. The materials presented in the lecture will help urologists in mastering the technique of implantation of an artificial bladder sphincter and urethral sling in men.
17
Lima, Mônica Cruvinel de, Gislaine Barreto Amaral Moccelin, Mayara Bogarim da Silva, and Gabriel Bogalho Nogueira. "Effect of mode of delivery and parities on the occurrence of urinary incontinence during pregnancy." Fisioterapia em Movimento 28, no. 1 (March 2015): 107–16. http://dx.doi.org/10.1590/0103-5150.028.001.ao11.
Full textAbstract:
Introduction The urinary incontinence (UI) is a common pathology among women. In the gestation period, it is even more predominant, affecting between 20% and 67%. Objective To evaluate the relation between modes of delivery and parity on the occurrence of urinary incontinence during pregnancy. Methodology 80 pregnant and postpartum women, treated at the Hospital da Mulher, in Campo Grande, MS, Brazil, were selected during September and October 2011, following the inclusion and exclusion criteria of the research. The evaluation protocol consisted of a questionnaire on the clinical history of the patients, gynecological complications, urogynecologic and obstetric information. Results For independent samples, the comparison between the main values observed for the UI was given by the Mann-Whitney test and correlations between urinary incontinence and other variables were given by the Spearman's rank correlation coefficient. The studied group consisted of 40 (50%) primiparous and 40 (50%) multiparous women. The correlation between the following variables was not significant: parity and UI (r = 0.04, p = 0.7); parity and SUI (r = -0.81, p = 0.5); and parity and urge incontinence (r = 0.14, p = 0.19). In addition, the correlation obtained between vaginal delivery and the presence of urinary incontinence in primiparous (r = 0.08, p = 0.61) and in multiparous (r = -0.05, p = 0.76) was also not significant. The same occurs when cesarean delivery is correlated to urinary incontinence in primiparous (r = -0.08, p = 0.61) and multiparous women (r = -0.10, p = 0.5). Conclusion Parity and mode of delivery were not significantly associated with the occurrence of urinary incontinence during pregnancy.
18
Beniuk, V. O., V. M. Goncharenko, M. S. Puchko, A. A. Momot, and T. V. Kovaliuk. "Assessment of the quality of life in the dynamics of treatment in women with stressful urinary incontinence." HEALTH OF WOMAN, no. 9-10(155-156) (December 30, 2020): 33–38. http://dx.doi.org/10.15574/hw.2020.155-156.33.
Full textAbstract:
The article reflects the results of a study of the quality of life in patients of perimenopausal age against the background of CO2-laser use on the eve and after complex treatment. Today in Ukraine, the number of women suffering from stress urinary incontinence is steadily growing, and the problem has moved from purely medical to the rank of medical and social. Stress urinary incontinence significantly reduces the quality of life of women, leading to discomfort, causes a woman to change her usual behavior, makes her more withdrawn, is accompanied by serious psychoemotional disorders (depression, psychological stress, depression), leads to severe physical and moral suffering, social maladaptation. That is why assessing the quality of life in women with stress urinary incontinence is considered extremely relevant. Today, conservative and surgical techniques are used to treat stress urinary incontinence. However, none of these methods contributes to the complete disappearance of symptoms of stress urinary incontinence, and the relapse rate after the disease is high, which forces a woman to long-term follow-up and treatment, significantly worsening her quality of life. The objective: to assess the quality of life before and after the use of a CO2-laser in the complex treatment of stress urinary incontinence in premenopausal patients. Materials and methods. 89 patients with stress urinary incontinence were examined. Depending on the prescribed therapy, it is divided into two groups. The main group included 44 women who were offered CO2-laser therapy in combination with local hormone therapy. The comparison group was formed by 45 women who were prescribed only topical estriol therapy. In order to assess the quality of life of women with stress urinary incontinence, a survey of patients was conducted using a specialized PFDI-20 questionnaire, and the FSFI questionnaire was used to assess the female sexuality index. The quality of life score and female sexuality index were determined before treatment and 6 and 12 months after the start of treatment. Results. According to the PFDI-20 questionnaire, 6 months after the start of treatment, there was no significant difference in the number of points in women in the study groups. After 12 months from the start of treatment, significant differences in the median scores were recorded (the main group – 18 points; the comparison group – 30 points; p<0.05). Evaluating the index of sexual function in the dynamics of treatment according to the FSFI questionnaire, a significant increase in this indicator was noted in women of the main group (median before treatment – 25 points; after 6 months from the start of treatment – 35 points; after 12 months from the start of treatment – 46 points; p<0.05). Evaluating the results of the UDI-6 questionnaire 12 months after the start of treatment, we drew attention to significant differences in the symptoms of urinary incontinence in women who received CO2-laser therapy in combination with local estriol therapy before treatment and compared to women who received only estriol locally. Conclusions. The inclusion of a CO2-laser in combination with local administration of estriol in the complex treatment of stress urinary incontinence can significantly reduce the manifestations of this complication, which is confirmed by a significant decrease in the median score from 55 to 18 in women of the main group according to the results of the PFDI-20 questionnaire (p<0.05). The index of sexual function in women who received the proposed complex based on the results of the FSFI questionnaire experienced a significant increase from 25 to 46 points (p<0.05). The results of a survey using the UDI-6 questionnaire indicate a significant reduction in the symptoms of stress urinary incontinence in women in the main group compared to women who received only local estriol therapy. Keywords: stress urinary incontinence, CO2-laser, estriol, quality of life.
19
Krotova, Natalia O., Tatiana V. Ulitko, Igor V. Kuzmin, and Salman K. Al-Shukri. "Biofeedback in the treatment of patients with urine incontinence after radical prostatectomy." Urology reports (St. - Petersburg) 11, no. 1 (May 27, 2021): 69–78. http://dx.doi.org/10.17816/uroved63508.
Full textAbstract:
The review article is devoted to the application of the biofeedback in the treatment of patients with urinary incontinence after radical prostatectomy. The data on the mechanism of urinary continence in men and its damage during surgery are presented, the pathogenetic basis of the therapeutic effect of pelvic muscle training in this patients is highlighted. The analysis of the main russian and foreign clinical studies on the use of the biofeedback in patients with urinary incontinence after prostatectomy has been carried out. It is indicated that biofeedback increases the effectiveness of conservative treatment of urinary incontinence, however the even wider use of this method of treatment is limited by the lack of standard protocols for training pelvic muscles under the control of biofeedback.
20
Acimovic, Miodrag, Uros Babic, Aleksandar Argirovic, Mirko Jovanovic, Miodrag Stanic, Boris Kajmakovic, and Zoran Dzamic. "Retrospective evaluation of male slings for patients with urinary incontinence after radical prostatectomy - one surgeon’s experience." Acta chirurgica Iugoslavica 61, no. 1 (2014): 17–19. http://dx.doi.org/10.2298/aci1401017a.
Full textAbstract:
Introduction: Stress urinary incontinence is one of the main complications after radical prostatectomy (RP) with a significant percentage of patients reporting bothersome incontinence >1 year after surgery Objective: Assessment of one surgeon?s results in surgical treatment of urinary stress incontinence of patients with radical prostatectomy applying transobturator and suprapubic slings. Patients and methods: From February 2010. - February 2014., 20 patients, age 57 - 76, with moderate and severe stress urinary incontinence (SUI) were treated surgically. All patients previously had radical prostatectomy due to prostate cancer. Results: All 20 patients with stress urinary incontinence (PRPUI) had Argus slings placement after radical prostatectomy. Patients were followed for a longer period of time, 6 months minimum, 48 months maximum.18 patients (90%) had negative, dry PAD test after surgery, one patient (5%) had positive PAD test, and one patient (5%) who previously had Advance transobturator sling placement with no positive results, had sling removed due to an infection. 6 patients (30 %) needed additional sling adjustment, performed between 9 - 21st day after the surgery. Conclusion: We concluded that Argus sligs, suprapubic or transobturatory are an effective and safe treatment for PRPUI. This procedure is minimal invasive and our results clearly demonstrate that both heavy and moderate incontinence responds well.
21
Hagen, Suzanne, Carol Bugge, Sarah G. Dean, Andrew Elders, Jean Hay-Smith, Mary Kilonzo, Doreen McClurg, et al. "Basic versus biofeedback-mediated intensive pelvic floor muscle training for women with urinary incontinence: the OPAL RCT." Health Technology Assessment 24, no. 70 (December 2020): 1–144. http://dx.doi.org/10.3310/hta24700.
Full textAbstract:
Background Urinary incontinence affects one in three women worldwide. Pelvic floor muscle training is an effective treatment. Electromyography biofeedback (providing visual or auditory feedback of internal muscle movement) is an adjunct that may improve outcomes. Objectives To determine the clinical effectiveness and cost-effectiveness of biofeedback-mediated intensive pelvic floor muscle training (biofeedback pelvic floor muscle training) compared with basic pelvic floor muscle training for treating female stress urinary incontinence or mixed urinary incontinence. Design A multicentre, parallel-group randomised controlled trial of the clinical effectiveness and cost-effectiveness of biofeedback pelvic floor muscle training compared with basic pelvic floor muscle training, with a mixed-methods process evaluation and a longitudinal qualitative case study. Group allocation was by web-based application, with minimisation by urinary incontinence type, centre, age and baseline urinary incontinence severity. Participants, therapy providers and researchers were not blinded to group allocation. Six-month pelvic floor muscle assessments were conducted by a blinded assessor. Setting This trial was set in UK community and outpatient care settings. Participants Women aged ≥ 18 years, with new stress urinary incontinence or mixed urinary incontinence. The following women were excluded: those with urgency urinary incontinence alone, those who had received formal instruction in pelvic floor muscle training in the previous year, those unable to contract their pelvic floor muscles, those pregnant or < 6 months postnatal, those with prolapse greater than stage II, those currently having treatment for pelvic cancer, those with cognitive impairment affecting capacity to give informed consent, those with neurological disease, those with a known nickel allergy or sensitivity and those currently participating in other research relating to their urinary incontinence. Interventions Both groups were offered six appointments over 16 weeks to receive biofeedback pelvic floor muscle training or basic pelvic floor muscle training. Home biofeedback units were provided to the biofeedback pelvic floor muscle training group. Behaviour change techniques were built in to both interventions. Main outcome measures The primary outcome was urinary incontinence severity at 24 months (measured using the International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form score, range 0–21, with a higher score indicating greater severity). The secondary outcomes were urinary incontinence cure/improvement, other urinary and pelvic floor symptoms, urinary incontinence-specific quality of life, self-efficacy for pelvic floor muscle training, global impression of improvement in urinary incontinence, adherence to the exercise, uptake of other urinary incontinence treatment and pelvic floor muscle function. The primary health economic outcome was incremental cost per quality-adjusted-life-year gained at 24 months. Results A total of 300 participants were randomised per group. The primary analysis included 225 and 235 participants (biofeedback and basic pelvic floor muscle training, respectively). The mean 24-month International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form score was 8.2 (standard deviation 5.1) for biofeedback pelvic floor muscle training and 8.5 (standard deviation 4.9) for basic pelvic floor muscle training (adjusted mean difference –0.09, 95% confidence interval –0.92 to 0.75; p = 0.84). A total of 48 participants had a non-serious adverse event (34 in the biofeedback pelvic floor muscle training group and 14 in the basic pelvic floor muscle training group), of whom 23 (21 in the biofeedback pelvic floor muscle training group and 2 in the basic pelvic floor muscle training group) had an event related/possibly related to the interventions. In addition, there were eight serious adverse events (six in the biofeedback pelvic floor muscle training group and two in the basic pelvic floor muscle training group), all unrelated to the interventions. At 24 months, biofeedback pelvic floor muscle training was not significantly more expensive than basic pelvic floor muscle training, but neither was it associated with significantly more quality-adjusted life-years. The probability that biofeedback pelvic floor muscle training would be cost-effective was 48% at a £20,000 willingness to pay for a quality-adjusted life-year threshold. The process evaluation confirmed that the biofeedback pelvic floor muscle training group received an intensified intervention and both groups received basic pelvic floor muscle training core components. Women were positive about both interventions, adherence to both interventions was similar and both interventions were facilitated by desire to improve their urinary incontinence and hindered by lack of time. Limitations Women unable to contract their muscles were excluded, as biofeedback is recommended for these women. Conclusions There was no evidence of a difference between biofeedback pelvic floor muscle training and basic pelvic floor muscle training. Future work Research should investigate other ways to intensify pelvic floor muscle training to improve continence outcomes. Trial registration Current Controlled Trial ISRCTN57746448. Funding This project was funded by the NIHR Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 24, No. 70. See the NIHR Journals Library website for further project information.
22
Mitteness, Linda S., and Judith C. Barker. "Stigmatizing a "Normal" Condition: Urinary Incontinence in Late Life." Medical Anthropology Quarterly 9, no. 2 (June 1995): 188–210. http://dx.doi.org/10.1525/maq.1995.9.2.02a00050.
Full text
23
Saboia, Dayana Maia, Karine de Castro Bezerra, José Ananias Vasconcelos Neto, Leonardo Robson Pinheiro Sobreira Bezerra, Mônica Oliveira Batista Oriá, and Camila Teixeira Moreira Vasconcelos. "The effectiveness of post-partum interventions to prevent urinary incontinence: a systematic review." Revista Brasileira de Enfermagem 71, suppl 3 (2018): 1460–68. http://dx.doi.org/10.1590/0034-7167-2017-0338.
Full textAbstract:
ABSTRACT Objective: to assess the effectiveness of post-partum interventions to prevent urinary incontinence: a systematic review. Method: systematic review of randomized controlled studies conducted in the MEDLINE, Cochrane, Scopus and the Virtual Library on Health (Biblioteca Virtual em Saúde, BVS) databases. Results: six articles were included in this review. All studies used the Pelvic Floor Muscle Training as the main procedure to prevent urinary incontinence. The results pointed to a positive and effective intervention in the post-partum period. Conclusion: there is evidence that programs of exercise of the pelvic floor musculature performed both in the immediate and late post-partum result in a significant increase in muscle strength and contribute to prevent urinary incontinence.
24
Kopańska, Marta, Silvia Torices, Joanna Czech, Wiktoria Koziara, Michal Toborek, and Łukasz Dobrek. "Urinary incontinence in women: biofeedback as an innovative treatment method." Therapeutic Advances in Urology 12 (January 2020): 175628722093435. http://dx.doi.org/10.1177/1756287220934359.
Full textAbstract:
Urinary incontinence is an involuntary urination (leakage of urine). About 200 million people suffer from this condition, and 60% of cases are concealed and untreated because of shame. It is estimated that an increasing number of young women and women of menopausal age will suffer from urinary incontinence. This disease occurs during the perinatal, perimenopausal period, as a result of brain damage or an unhealthy lifestyle. There are four main types of urinary incontinence: stress, urge, overflow and mixed form. Treatment is adapted to the severity of disease, its type and includes physiotherapeutic treatment (kinesiotherapy, physiotherapy, massage), pharmacological, psychological and surgical treatment. In recent years, growing interest has been observed in the noninvasive biofeedback method. The patient learns to contract the weakened pelvic floor muscles, constantly monitoring progress in treatment. She is also motivated by visual and auditory stimuli. Growing evidence confirms the effectiveness of this method, which to a large extent eliminates urinary incontinence. Nevertheless, attention should also be paid to prevention, which reduces the risk of involuntary leakage of urine.
25
Leupolt, B., C. R. Barbieri, L. Jesus, and A. G. Pöppl. "Prevalence and risk factors for urinary incontinence in bitches five years after ovariohysterectomy." Arquivo Brasileiro de Medicina Veterinária e Zootecnia 73, no. 2 (March 2021): 327–34. http://dx.doi.org/10.1590/1678-4162-12031.
Full textAbstract:
ABSTRACT Ovariohysterectomy (OHE) is the most performed elective surgery in veterinary medicine. Although this procedure brings benefits both to the animal and public health, acquired urinary incontinence is a possible complication resultant from it. The aim of this study was to determine the prevalence of urinary incontinence and evaluate size, breed, and time of surgery as risk factors in a population of spayed female dogs in the Hospital de Clínicas Veterinárias da Universidade Federal do Rio Grande do Sul, in the year of 2013, through the use of a multiple-choice screening instrument. Identified estimated prevalence was 11.27% and main risk factors were as follows: large size (OR = 7.12 IC95% = 1.42 - 35.67), Rottweiler breed (OR = 8.92; IC95% = 5.25 - 15.15), Pit-bull breed (OR = 4.14; IC95% = 2.19 - 7.83), and Labrador breed (OR = 2.73; IC95% = 1.53 - 4.87). Time of surgery was not considered a risk factor for urinary incontinence in this population (OR = 1.45; IC95% = 0.86 - 2.40). Even though most owners reported a small impact on their relationship with the animal, urinary incontinence hazard should be addressed before spaying.
26
Melnichenko, Anna, Maryna Puchko, Tetiana Kovaliuk, and Igor Usevych. "FEATURES OF COLLAGEN METABOLISM IN PREMENOPAUSAL WOMEN WITH STRESS URINARY INCONTINENCE ON THE BACKGROUND OF CONSERVATIVE AND LASER TREATMENT." Ukrainian Scientific Medical Youth Journal, no. 2(110) (June 27, 2019): 21–30. http://dx.doi.org/10.32345/usmyj.2(110).2019.21-30.
Full textAbstract:
The article summarizes the arguments and counterarguments in the scientific discussion on the influence of undifferentiated connective tissue dysplasia on the development of stress urinary incontinence in premenopausal women and approaches to the treatment of this pathology. The main purpose of the study is to determine the characteristics of collagen metabolism in premenopausal women with stress urinary incontinence in order to improve treatment tactics and develop a differentiated approach to the prevention of this pathology in the future.
The systematization of these literature sources and the lack of a unified approach to the treatment of stress urinary incontinence in premenopausal women showed the need to find new approaches to the treatment of this disease, which will affect the etiopathogenetic links of stress urinary incontinence in this category of gynecological patients. The relevance of the study of this pathology is that stress urinary incontinence is a problem that significantly reduces the quality of life of women in premenopause, causes isolation and self-doubt, and in certain cases can lead to psychological disorders.
The methodology of the study was a prospective clinical and statistical examination, which involved 133 patients with stress urinary incontinence. Depending on the prescribed therapy observed women were divided into two groups. The main group included 57 women with premenopausal stress incontinence, which obtained laser therapy in order to correct the manifestations of the disease. A comparison group was formed by 76 premenopausal patients with stress urinary incontinence who received conservative treatment. In all patients of the examined groups, except general clinical examination we determined markers of synthesis (Total P1NP, Total P3NP) and resorption (deoxypyridinoline Pyriliks – D) of connective tissue at the initial level, immediately after treatment and after 6 months of treatment, the duration of the study was ten months.
The results of a clinical study of the content of markers of synthesis and resorption of connective tissue in premenopausal women with stress urinary incontinence, which showed that this category of patients on the background of laser therapy marked a significantly positive effect obtained as a result of treatment aimed at increasing the average level of the marker of collagen synthesis type I and reducing the average level of the marker of collagen synthesis type III, as well as normalization of the average level of the marker of connective tissue resorption. The study empirically confirms and theoretically proves that the use of laser therapy is pathogenetically, because its positive effect is realized by affecting the connective tissue of the genital diaphragm, stimulating the production of collagen and type and synergistically inhibiting the production of collagen type III and Pyriliks-D. Results of the study can be useful for gynecological hospitals, General practitioners and family medicine and doctors of antenatal clinics.
27
Hirato, Junko. "Left frontal tumor in a 46-year-old man with urinary incontinence and gait disturbance." Neuropathology 22, no. 4 (December 2002): 362–64. http://dx.doi.org/10.1046/j.1440-1789.2002.00469.x.
Full text
28
Lulko, A. O. "The main criteria for conducting surgical treatment of prolapse of pelvic organs and associated with it stress urinary incontinence." HEALTH OF WOMAN, no. 8(124) (October 30, 2017): 40–43. http://dx.doi.org/10.15574/hw.2017.124.40.
Full textAbstract:
The objective: is to determine the main criteria for the conduct of surgical treatment of prolapse of pelvic organs (POP) and associated with it stress urinary incontinence (SUI). Patients and methods. 85 women were examined with with prolapse of pelvic organs (POP) and stress urinary incontinence (SUI). They were divided into the following groups: 2nd group – 32 patients with prolapse of pelvic organs 1–2 degrees of severity and incontinence 2a, 2b types, mild and moderate severity; 3rd group (primary) – 53 patients with prolapse of pelvic organs of 3–4 degrees of severity and SUI of type 3, moderate and severe severity. The main group included: 3a group – 28 women with prolapse of pelvic organs 3–4 degrees of severity and with SUI 3 type, moderate and severe severity, without delay with urination; 3b group – 25 women with prolapse of pelvic organs 3–4 degrees of severity and with SUI 3 type, moderate and severe severity, with urinary retention (chronic or acute). The control group (group 1) consisted of 15 women without urologic and gynecological pathology. Methods: clinical-anamnestic, instrumental, radiographic, statistical. Results. It was determined that in patients with SUI there are changes in the posterior urethro-vesic angle (PUVU), bladder vesication, signs of connective tissue dysplasia (CTD), and obesity. Conclusions. The combination of such criteria as an increase in the PUVU greater than 114° and the vesiculation of bladder type 2a and above is the main criterion for conducting an operative intervention. Key words: prolapse of pelvic organs, stress urinary incontinence, diagnostics.
29
Marouf, Feyza, McKinley Glover, Bryce Wininger, and William T. Curry. "Case 10-2021: A 70-Year-Old Man with Depressed Mood, Unsteady Gait, and Urinary Incontinence." New England Journal of Medicine 384, no. 14 (April 8, 2021): 1350–58. http://dx.doi.org/10.1056/nejmcpc2027090.
Full text
30
Mukkamala, Anudeep, Jerilyn Latini, and Anne Pelletier Cameron. "Urethrocutaneous fistula after use of Tegress bulking agent: Case report and review of the literature." Canadian Urological Association Journal 7, no. 11-12 (December 5, 2013): 833. http://dx.doi.org/10.5489/cuaj.481.
Full textAbstract:
We report a case of a 68-year-old man who presented with a urethrocutaneous fistula after off-label use of Tegress (C. R. Bard, Inc., Murray Hill, NJ) Urethral Implant for post-prostatectomy incontinence. He was treated for prostate cancer with an open radical retropubic prostatectomy and adjuvant external beam radiation therapy. He was treated unsuccessfully for stress incontinence with a Tegress Urethral Implant and presented to our clinic initially with extrusion of the material urethrally. Four years later he re-presented with a large bullous skin lesion on his suprapubic area. Contrast-enhanced magnetic resonance imaging and retrograde urethral cystogram demonstrated a urethrocutaneous fistula. Subsequent cystoscopy revealed the calcified extruded material in the same location as the site of Tegress injection. The patient underwent simple cystectomy with ileal diversion. He recovered well postoperatively. This appears to be the first reported case of urethrocutaneous fistula after use of a Tegress Urethral Implant for post-prostatectomy stress urinary incontinence.
31
Yashkov, Alexander V., Tatyana A. Sivokhina, Svetlana A. Burmistrova, and Natalia G. Rybakova. "Application of comprehensive rehabilitation programs after radical treatment of prostate cancer." Russian Journal of Physiotherapy, Balneology and Rehabilitation 19, no. 4 (December 15, 2020): 234–38. http://dx.doi.org/10.17816/1681-3456-2020-19-4-5.
Full textAbstract:
Background. The main side effect of most of the methods of treating prostate cancer is incontinence of urine in varying degrees of severity. Although in most cases incontinence is a temporary phenomenon, this problem occurs in 3963% of patients during the first two years after treatment, and about 2456% of patients have to use urological pads or condoms. Incontinence of urine is also a serious psychological traumatic factor, which has аn extremely negative effect on patients quality of life.
Aim: to substantiate the effectiveness of the use of complex rehabilitation programs in the correction of urinary incontinence in men who have undergone radical treatment for prostate cancer.
Materials and methods. The study included patients with stage IIII prostate cancer, mean age 55 6 years, with complications after radical prostatectomy for at least 2 months without a tendency to improve in the form of moderate and severe urinary incontinence.
Results. The combined technique of correction of urinary incontinence, modified by us, using neuromuscular stimulation, physiotherapy exercises and psychocorrectional exercises, has demonstrated its effectiveness in improving the quality of life in this group of patients.
Conclusions. The combined technique of correction of an incontience of urine with use of neuromuscular stimulation, physiotherapy exercises and the psychocorrection of occupations is presented in this article, the assessment of efficiency of this comprehensive program of rehabilitation, and also improvement of quality of life of patients is carried out.
32
Martines, Guilherme Augusto, and José Tadeu Nunes Tamanini. "Relação entre Atividade Física e Incontinência Urinária: Informações Relevantes ao Educador Físico." Saúde e Pesquisa 8, no. 1 (June 22, 2015): 149. http://dx.doi.org/10.17765/1983-1870.2015v8n1p149-155.
Full textAbstract:
A Incontinência Urinária (IU) é um grave problema de saúde, o qual se refere à queixa de qualquer perda involuntária de urina. Esta patologia acomete grande parte da população mundial, em especial as mulheres, todavia homens podem também apresentar esta disfunção no decorrer do envelhecimento. Em decorrência da falta de informação quanto a esta doença por Educadores Físicos, o objetivo deste estudo foi debater sobre quais práticas estão associadas diretamente aos episódios de IU, assim como prevenir e/ou melhorar os sinais e sintomas de indivíduos incontinentes através de atividades físicas adequadas. Recentes pesquisas têm demonstrado que atividades físicas/exercícios físicos de alto impacto parecem enfraquecer a musculatura do períneo ou do assoalho pélvico – principal músculo responsável pelo sistema de continência, resultando em afastamento das atividades físicas e de lazer. De forma inversa, outras pesquisas sugerem que a prática de atividades físicas de baixa a moderada intensidade podem ser eficazes tanto na prevenção quanto na redução das perdas urinárias através do fortalecimento de determinados grupos musculares, assim como na musculatura responsável pelo sistema de continência de forma sinérgica. Relationship Between Physical Activity and Urinary Incontinence: Useful Information to The Physical Trainer ABSTRACT: Urinary Incontinence (UI), the involuntary loss of urine, is a serious health problem. The pathology is present in a great section of people worldwide, especially women, although males may also suffer the dysfunction due to aging. Due to lack of information on the disease by Physical Educators, current paper discusses which practices are directly associated with episodes of UI and how to prevent and/or improve the symptoms of incontinent people through proper physical activities. Recent research has shown that high impact physical activities/physical exercises weaken the perineum or the pelvic muscles, or rather, the main muscle that controls the continence system, and thus tends to prevent physical and recreational activities. Contrastingly, other research works suggest that the practice of low and medium impact physical activities are efficient for the prevention and the decrease of urinary loss through the synergic strengthening of certain muscular groups and muscles responsible for the urinary continence system.
33
Kumsar, Şükrü, Hasan Salih Sağlam, Hüsniye Dilek, Osman Köse, Salih Budak, and Oztuğ Adsan. "Fibroepothelial polyp of the glans penis due to pad use for urinary incontinence." Canadian Urological Association Journal 7, no. 3-4 (April 16, 2013): e257-9. http://dx.doi.org/10.5489/cuaj.543.
Full textAbstract:
A 78 year old man was admitted to our urology polyclinic with painless penile mass. The lesion was 3,5 cm in size on the ventral aspect of the penis. He had been using a pad for urinary incontinance for ten months but he said he had the lesion increasing in size for past 3 months. He underwent a wide local excision under local anesthesia. The histopathologic diagnosis was fibroepithelial polyp. A fibroepithelial polyp of the penis is very rare and strongly linked to long-term condom catheter use. We present a case of fibroepithelial polyp of the glans which is not associated with condom catheter use.
34
Artibani, W. "Vaginal surgery in female urinary incontinence: Physiopathological concepts." Urologia Journal 59, no. 5 (October 1992): 23–25. http://dx.doi.org/10.1177/039156039205900505.
Full textAbstract:
— The theoretical advantages and disadvantages of the vaginal approach for the treatment of female urinary incontinence are outlined on the basis of a literature review and personal experience. The need for a better understanding of the influence of the anatomy and function of the pelvic floor on the anatomy and function of the female bladder neck and urethra is highlighted. The main advantage of vaginal surgery is the simultaneous correction of anterior, central and posterior defects, restoring or preserving vesicourethral, sexual and rectoanal anatomy and function.
35
Benko, Michael J., Aaron P. Danison, Eric A. Marvin, and Brian F. Saway. "Distal Cauda equina syndrome: A case report of lumbosacral disc pathology and review of literature." Surgical Neurology International 10 (May 10, 2019): 84. http://dx.doi.org/10.25259/sni-152-2019.
Full textAbstract:
Background: Cauda equina syndrome (CES) is an uncommon entity that presents acutely with all or some of the following symptoms; urinary incontinence from retention, fecal incontinence from loss of sphincter tone, saddle area hypoesthesia or anesthesia, and acute or progressive weakness in one or both lower extremities. The protean symptomatology is often mixed and is vulnerable to confounding comorbidities making the accurate and timely diagnosis of this syndrome uniquely challenging. Here, we present the case of a man who developed isolated sacral nerve dysfunction from CES in the midst of a diabetic crisis. Case Description: A 53-year-old male with a long history of uncontrolled Type 2 diabetes presented with acute-onset urinary and fecal incontinence, scrotal anesthesia, and a 3-day history of lower back pain with intermittent bilateral leg pain. This patient displayed no objective changes in leg strength, sensation, or reflexes. In addition, the patient tested positive for cocaine and had a blood glucose level of 800 mg/dL which confounded his clinical picture. The patient underwent bilateral laminectomies from L4–S1 with the removal of a large sequestered disc fragment from the S1–S2 disc space within 8 h of presentation with reasonable recovery. Conclusion: Highly variable presentations often confound the accurate and timely diagnosis of CES with severe implications on quality of life. Despite the limited functional recovery seen after surgical decompression, urgent or emergent intervention is paramount for treatment. Our patient’s presenting symptomatology and comorbidities highlight the need for practitioners to maintain a high index of suspicion in anyone with incontinence and back pain, regardless of distractors and even in the absence of other anticipated motor or sensory findings.
36
Bussey, Melanie Dawn, Daniela Aldabe, Daniel Cury Ribeiro, Stéphanie Madill, Stephanie Woodley, and Niels Hammer. "Is Pelvic Floor Dysfunction Associated With Development of Transient Low Back Pain During Prolonged Standing? A Protocol." Clinical Medicine Insights: Women's Health 12 (January 2019): 1179562X1984960. http://dx.doi.org/10.1177/1179562x19849603.
Full textAbstract:
Background: Prolonged standing has been associated with an increased prevalence of low back pain (LBP) and is recognized as a potential workplace hazard for employees such as retail staff, assembly line workers, and healthcare personnel. Low back pain is more prevalent in women than in men, and disability due to LBP is worse in women with severe urinary incontinence. However, it is unclear whether pelvic floor dysfunction observed in stress urinary incontinence is a risk factor for LBP. The main purpose of this study is to determine whether co-activation patterns between the pelvic floor and abdominal muscles during a 2-hour prolonged standing task predict transient LBP in women with and without stress urinary incontinence. Methods: In this is prospective cohort study, 60 female volunteers will stand in a confined area for 2 hours (120 minutes) while performing tasks such as, ‘computer work’ and ‘small object assembly’. The primary outcome measure is transient LBP, which will be monitored every 10 minutes using a numeric pain rating scale. Surface electromyography (EMG) will be collected from the gluteus medius and internal oblique/transverse abdominis muscles, and an intravaginal electrode will be used to monitor pelvic floor muscle activity. The EMG signals will be divided into 12 10-minute blocks to assess changes in co-activation over time. Cross-correlation analyses will be used to quantify co-activation between the muscle pairs (e.g. pelvic floor and internal oblique/transverse abdominis), and the coefficient of co-activation will be expressed as a percentage for each block. A mixed-model regression analysis will be used to determine whether co-activation patterns can predict transient LBP during the prolonged standing task. Discussion: The primary objective of this research is to improve current understanding regarding the role of pelvic floor muscles in the onset of LBP and the potential association between stress urinary incontinence and LBP. These findings have the potential to inform prevention and rehabilitation programmes for women with stress urinary incontinence and LBP. Trial registration: ACTRN12618000446268 [Protocol Version 2].
37
Zaidan, Patrícia, and Elirez Bezerra da Silva. "Pelvic floor muscle exercises with or without electric stimulation and post-prostectomy urinary incontinence: a systematic review." Fisioterapia em Movimento 29, no. 3 (September 2016): 635–49. http://dx.doi.org/10.1590/1980-5918.029.003.ao21.
Full textAbstract:
Abstract Introduction: Urinary incontinence (UI) after prostatectomy is difficult to treat and causes profound adverse impacts on the individual's quality of life. The main clinical treatments available for post-prostatectomy UI consist of behavioral techniques and physical therapy techniques, such as exercises, electrical stimulation and biofeedback for pelvic floor muscles (PFMs). Objective: To investigate the effectiveness of PFM exercises with or without electrical stimulation for reducing post-prostatectomy UI. Methods: We included only randomized controlled trials (RCTs) which used PFM exercises with or without electrical stimulation. The search was conducted in August of 2013 in the databases of the U.S. National Library of Medicine (MEDLINE), Scientific Electronic Library Online (SciELO), Physiotherapy Evidence Database (PEDro) and Virtual Health Library (VHL). We searched for RCTs published between 1999 and 2013. As keywords for our search, we used the following descriptors from the Health Sciences Descriptors (DeCS): urinary incontinence, pelvic diaphragm, prostatectomy, pelvic floor exercises, electrostimulation and electrical stimulation. We also used the following descriptors from the Medical Subject Headings (MeSH): electrical stimulation, pelvic floor, urinary incontinence, prostatectomy, physiotherapy and exercise therapy. Results: Of the 59 RCTs found, 26 were excluded as duplicates, and 28 were excluded for not displaying a minimum score of 5.0 on the PEDro Scale, which left us with five RCTs. Conclusion: PFM exercises can be effective for treating UI after radical prostatectomy, especially if begun soon after surgery. Associating electrical stimulation with PFM exercises did not show additional benefit for treating urinary incontinence. However, the selected studies presented some methodological weaknesses that may have compromised their internal validity.
38
Sharifiaghdas, Farzaneh, Mahmoodreza Nasiri, Mahboubeh Mirzaei, and Behzad Narouie. "Mini Sling (Ophira) versus Pubovaginal Sling for Treatment of Stress Urinary Incontinence: A Medium-term Follow-up." Prague Medical Report 116, no. 3 (2015): 210–18. http://dx.doi.org/10.14712/23362936.2015.60.
Full textAbstract:
To compare two different procedures, mid-urethral mini sling (Ophira) and autologous rectus fascia sling, according to their medium-term subjective and objective outcome and satisfaction rates in the treatment of stress urinary incontinence in women. One hundred women with the main complaint of stress urinary incontinence were randomized to be treated with either mini sling (Ophira) or autologous rectus facia pubovaginal sling. Preoperative evaluation consisted of: physical examination, blood biochemistry urine analysis and culture, urinary tract ultrasound scan, conventional multi-channel urodynamic study, cystourethroscopy, cough induced stress test and Incontinence Impact Questionnaire (IIQ). The patients were objectively and subjectively re-evaluated at 1, 3, 6 and 12 postoperative months and the last visit and the collected data of more than one year follow-up were compared with preoperative assessments. Seventy two out of one hundred patients were followed for a mean time of 13.8 ± 4.4 months (12–20 months range). Objective cure rate, according to cough-induced stress test was recorded in 88.6% and 89.2% of the mini sling (Ophira) and the rectus facia sling group respectively (P=1.0). Postoperative mean IIQ score decreased to 42.7 ± 11.4 and 50.2 ± 11.1 in the mini sling (Ophira) group versus rectus facia pubovaginal sling (P=0.007). Twenty eight (80%) and 23 (67%) patients in the mini sling (Ophira) and rectus facia pubovaginal sling were satisfied with the operation (P=0.23). There is no significant difference between the mini sling (Ophira) and autologous rectus fascia sling procedure in the treatment of stress urinary incontinence at medium-term follow-up.
39
Lyulko, A. A. "Complex evaluation of diagnostic criteria in women with cystocele and stress urinary incontinence." HEALTH OF WOMAN, no. 7(123) (September 30, 2017): 107–10. http://dx.doi.org/10.15574/hw.2017.123.110.
Full textAbstract:
The purpose of the study: clarification of absolute and relative criteria for the operative treatment of prolapse of the pelvic organs (POP) and stress urinary incontinence (SUI). Patients and methods. 85 patients with POP and SUI were observed. These women were divided into groups according to the stage of POP and SUI: group 2 – 32 patients with I and II stages of POP and SUI 2a, 2b types of light and moderate severity; group 3 (main) – 53 patients with III and IV stages of POP and SUI type 3 moderate and severe severity. This group of patients subsequently undergone operative treatment according to the patent for utility model No. 109201. The main group (3rd group) included: 3a group – 28 women with III and IV stages of POP and SUI type 3 moderate and severe severity without delay in urination; 3b group – 25 women with III and IV stages of POP and SUI type 3 moderate and severe severity with delay of urination (chronic or acute). 15 women were examined without complaints, who entered the control group (1st group). Results. According to the results of the study, it was recorded that, regardless of the stage of the POP and SUI, even it’s minimal manifestation significantly reduces the quality of life of patients (by 64%) due to the impact on the physical, but greater, on the psychological components of health. Conclusion. The absolute criterion for operative treatment is a set of prolapse of the pelvic organs (POP), urinary incontinence, vesicularization of the bladder type 2a and above, an increase of the posterior urethro-vascular angle of more than 114°. Treatment of stress urinary incontinence on the background of POP should necessarily include fixation of the uterine ligaments and the Berch surgery because of significant deformation of the bladder neck. Key words: pelvic organ prolapse, urinary incontinence, methods of diagnostics.
40
Horosz, Edyta, Aneta Zwierzchowska, Andrzej Pomian, Wojciech Majkusiak, Paweł Tomasik, and Ewa Barcz. "Impact of Midurethral Sling Implantation on Sexual Function in Women with Stress Urinary Incontinence." Journal of Clinical Medicine 9, no. 5 (May 20, 2020): 1538. http://dx.doi.org/10.3390/jcm9051538.
Full textAbstract:
Stress urinary incontinence (SUI) negatively influences sexual functions. However, the available data on sexual activity of patients who underwent midurethral sling (MUS) implantation are inconsistent. Our aim was to evaluate the impact of MUS implantation on sexual functions of women with SUI. We enrolled 171 patients undergoing the MUS procedure. Preoperative examination included the cough test, 1 h pad test and the Prolapse/Urinary Incontinence Sexual Questionnaire, IUGA Revised (PISQ-IR). All patients had the retropubic sling implanted. Follow-up visits were performed 6–12 months after surgery. Objective cure rate was obtained in 90.98% of patients. Coital incontinence was reported by 56% of women before the surgery, and 8.6% afterwards. Among women who gained continence, significant improvement in sexual function was observed in the majority of the domains. In women who were not objectively cured (9.02%), we did not observe improvement in sexual life. All these patients indicated fear of leaking urine during sexual activity as the main cause of avoiding sex, similarly as before operation. To conclude, successful treatment of SUI with MUS significantly improves the quality of sexual life. On the other hand, persistent incontinence appears to be the most probable cause of lack of improvement in the quality of sexual life.
41
Bezerra, Karine De Castro, Suzy Ramos Rocha, Mônica Oliveira Batista Oriá, Camila Teixeira Moreira Vasconcelos, Dayana Maia Sabóia, and Tamires Daianny Araújo de Oliveira. "Intervenções para prevenção da incontinência urinária durante o pré-natal: revisão integrativa." Online Brazilian Journal of Nursing 15, no. 1 (April 16, 2016): 73. http://dx.doi.org/10.17665/1676-4285.20165268.
Full textAbstract:
Aim: to evaluate the evidence available in literature on interventions to prevent urinary incontinence in pregnant women during prenatal care. Method: an integrative literature review (RI) conducted in October 2014 using the LILACS, MEDLINE, CINAHL, and Cochrane databases. Eleven articles were included in the sample. Results: All of the articles were published in English; seven of them were identified in the PubMed database, and four in Cochrane. Most of this work used cognitive and behavioral interventions, with the training of the musculature of the pelvic floor as a main treatment for preventing and treating urinary incontinence during pregnancy. Conclusion: the results can work jointly to improve the care of women during pregnancy and childbirth.
42
Binda, Filippo, Antonia Demarchi, Alessandro Galazzi, Gabriella Nicolò, Alberto Bisesti, Roberto Accardi, and Dario Laquintana. "A point prevalence study of catheter associated urinary tract infections among patients admitted in an university hospital." International Journal of Research in Medical Sciences 7, no. 11 (October 24, 2019): 3964. http://dx.doi.org/10.18203/2320-6012.ijrms20194966.
Full textAbstract:
Background: Urinary tract infections (UTIs) are the most common type of healthcare associated infection in acute care hospitals. Most involve urinary drainage devices, such as urinary catheter. The objective of this study was to investigate the prevalence of catheter-associated urinary tract infections in adult patients of a tertiary level university hospital.Methods: The point prevalence study was conducted in one single day and included all adult patients admitted in medical, surgical wards and intensive care units. The Centre for Disease Control (CDC) criteria were adopted to classify the different type of UTIs.Results: Out of a total of 497 adult inpatients, 94 patients had a urinary catheter for at least 48 hours. The prevalence of symptomatic urinary tract infection (SUTI) in this sample is 17%. Escherichia coli (31.2%), Enterococcus faecium (25.0%) and Enterococcus faecalis (12.5%) are the most common pathogens found.Conclusions: The main isolated uropathogens in this study are Gram-negative and Escherichia coli remains one of the most frequent cause of UTIs in human. Gram-negative pathogens have multiple virulent factors responsible for their adherence to uroepithelium and urinary catheter positioning facilitates the transmission of these pathogens to urinary tract. Urinary catheterization is frequently used as solution to facilitate continence and maintain skin integrity in elderly patients. Urinary incontinence frequently is an example of inappropriate use of urinary catheter: for that reason, urinary catheter should be considered as the last option if other solution, like incontinence pads, are not indicated.
43
Resel-Folkersma, Luis, Jesús Salinas-Casado, and Jesús Moreno-Sierra. "Post-prostatectomy stress urinary incontinence: a review of contemporary surgical treatments." Reviews in Clinical Gerontology 24, no. 3 (May 16, 2014): 191–204. http://dx.doi.org/10.1017/s0959259814000069.
Full textAbstract:
SummaryProstate cancer is the most frequent tumour diagnosed in men, especially in older people. Radical prostatectomy is the treatment of choice for this disease, but is also the main cause of stress urinary incontinence in men by iatrogenic injury. This procedure is performed far more frequently now than 10 years ago, so the incidence of post-prostatectomy incontinence (PPUI) has increased. PPUI has a detrimental impact on a patient's quality of life and is a significant problem that needs to be solved. The artificial urinary sphincter is still the gold standard treatment for PPUI. In recent years, less invasive approaches such as suburethral slings have been used with promising results. The selection criteria and most appropriate choice of device for the treatment of PPUI are not well standardized. In this review, the different forms of assessment and management of PPUI will be discussed.
44
Chiong, Fabian, Andrew R. Lloyd, and Jeffrey J. Post. "Severe Eosinophilic Meningoencephalitis Secondary to Suspected Neuroangiostrongyliasis with a Good Clinical Outcome." Case Reports in Infectious Diseases 2019 (May 26, 2019): 1–4. http://dx.doi.org/10.1155/2019/4037196.
Full textAbstract:
Angiostrongylus cantonensishas caused sporadic cases of eosinophilic meningoencephalitis in Sydney, Australia. We describe a 36-year-old man who presented subacutely with fevers, reduced level of consciousness, confusion, ophthalmoplegia, and urinary incontinence. He was diagnosed with severe eosinophilic meningoencephalitis secondary to suspectedAngiostrongylus cantonensisbased on clinical, serological, and radiological findings. The patient was treated with albendazole and prednisolone with full neurological recovery. Management of neuroangiostrongyliasis with anthelminthic is controversial as it is thought to cause worsened outcomes through inciting an inflammatory response as a result of parasite killing. We managed to successfully treat our patient using albendazole and prednisolone and achieved a good outcome.
45
Jabbour, Youness, Bilgo Abdoulazizi, Tarik Karmouni, Khalid El Khader, Abdellatif Koutani, and Ahmed Iben Attya Andaloussi. "Penile Gangrene and Necrosis Leading to Death Secondary to Strangulation by Condom Catheter." Case Reports in Urology 2018 (June 27, 2018): 1–3. http://dx.doi.org/10.1155/2018/3702412.
Full textAbstract:
Condom catheters are widely used in the management of male urinary incontinence, bedridden patients, and geriatric population. They are considered to be safe; however they are associated with serious complications in case of an incorrect use. We report a dramatic case of penile strangulation by condom catheter tardily discovered till occurrence of necrosis and gangrene leading to death in an elderly bedridden and diabetic man. Through this case we emphasize the importance of patient education for the correct use of condom catheters and remind care providers to maintain a high level of sensibility to complication generated from long-term use of condom catheters.
46
Korshunov, Mikhail Yu. "Pelvic organ prolapse in women: what are the patient expectations of the prospective treatment?" Journal of obstetrics and women's diseases 66, no. 4 (July 15, 2017): 40–45. http://dx.doi.org/10.17816/jowd66440-45.
Full textAbstract:
Background. Personalized approach to the issue of pelvic organ prolapse in women assumes a detailed analysis of the patient’s expectations from the surgical treatment ahead.
Aim: detailing the treatment goals for patients with POP.
Materials and methods: Four hundred eighty six patients (mean age 54.3 ± 9.5 years) participated in a survey designed based on content from verbal reports of women with POP seeking medical help.
Results: Out of 9 presented options patients indicated 2–7 treatment goals. The most frequently specified main goals of the treatment were: cure of urinary incontinence (48.6%), correction of vaginal wall prolapse (27.1%), and improvement of quality of sexual life (10.3%).
Conclusion. Patients with POP indicate numerous objectives of surgical treatment. Treatment of urinary incontinence is the most frequently sought out main goal.
47
Reis, Rodolfo Borges dos, Adauto Jose Cologna, Roberto Dias Machado, Marcos Tobias Machado, Lucas Nogueira, Leonardo Oliveira Reis, Gustavo Carvalhal, Antonio Antunes Rodrigues Jr, Steven Abrahan Kaplan, and Eliney Ferreira Faria. "Lack of association between the ICIQ-SF questionnaire and the urodynamic diagnosis in men with post radical prostatectomy incontinence." Acta Cirurgica Brasileira 28, suppl 1 (2013): 37–42. http://dx.doi.org/10.1590/s0102-86502013001300008.
Full textAbstract:
PURPOSE: To analyze the correlation between the "International Consultation on Incontinence Questionnaire-Short Form" (ICIQ-UISF) survey and the urodynamic findings in men with urinary incontinence (UI) following radical prostatectomy (RP). METHODS: 88 men who presented post-RP UI for a minimum of 1 year were enrolled prospectively. All answered the ICIQ-UISF survey and underwent urodynamic testing. Patients were divided in 3 Groups according to their urodynamic diagnosis: Group 1, patients with sphincteric incontinence (SI) alone; Group 2, patients with mixed UI (SI + Bladder Dysfunction (BD)); and Group 3, patients with BD alone. Data were analyzed using SPSS v16.0 software. RESULTS: There were 51 men in Group 1 (57.9%); 30 in Group 2 (34%); and 7 (7.9%) in Group 3. BD was found in 37/88 patients (42%), but it was the main cause of UI in only 14 patients (15.9%). There was no statistically significant difference among the mean ICIQ-UISFs values from groups 1, 2, or 3 (p>0.05). The symptoms of stress incontinence correlated with the urodynamic finding of SI (r = 0.59), and complaints of urinary urgency correlated with the presence of detrusor overactivity (DO) (r = 0.37), but these complaints did not predict the main cause of UI. CONCLUSION: The etiology of UI following RP cannot be predicted by the ICIQ-UISF survey. Symptoms of stress and urge incontinence predict the findings of SI and DO on urodynamic tests, but they cannot ascertain the main cause of UI. Urodynamic testing remains the gold standard to assess the etiology of post-RP UI.
48
Pinner, Gillian, Hazel Johnson, Walter P. Bouman, and Jo Isaacs. "Psychiatric Manifestations of Normal-Pressure Hydrocephalus: A Short Review and Unusual Case." International Psychogeriatrics 9, no. 4 (December 1997): 465–70. http://dx.doi.org/10.1017/s1041610297004602.
Full textAbstract:
Normal-pressure hydrocephalus (NPH) is a common cause of potentially reversible dementia. It can present with psychiatric manifestations that may hinder its diagnosis. A 68-year-old man presented with a paranoid psychosis and mild cognitive impairment, but no neurological signs or classic “triad.” Gait disturbance and urinary incontinence developed later in the course of illness after the diagnosis of NPH had already been made on computed tomographic (CT) scanning. A lumbo-peritoneal shunt was performed, followed by full remission of psychotic symptoms, as well as considerable improvement in functioning, continence, and gait. This case demonstrates the need to consider NPH when older patients present with psychotic symptoms, particularly in the presence of cognitive impairment, gait disturbance, or incontinence. The decision whether to perform a shunting operation is often difficult, because selection of patients with good prognosis is still inaccurate. CT scanning of the brain is an important investigation in older patients presenting with both functional and organic disorders.
49
Corrado, Bruno, Benedetto Giardulli, Francesco Polito, Salvatore Aprea, Mariangela Lanzano, and Concetta Dodaro. "The Impact of Urinary Incontinence on Quality of Life: A Cross-Sectional Study in the Metropolitan City of Naples." Geriatrics 5, no. 4 (November 20, 2020): 96. http://dx.doi.org/10.3390/geriatrics5040096.
Full textAbstract:
Urinary incontinence is a hygienic and psychosocial problem that often brings people to restrict their social life and to experience depression. The main aim of this study was to evaluate the impact of urinary incontinence on quality of life among residents of the Metropolitan City of Naples, Italy, using a newly designed multidimensional questionnaire. The secondary objective was to find which variables affect the quality of life and symptom severity in these patients. To do so, a sample composed of twenty-eight patients was recruited in a multicentre cross-sectional study. Most of the participants had a mild impairment (60%) concerning social life and self-perception, especially those whose education was above the primary level (p = 0.036) and those who followed a pelvic floor rehabilitation program (p = 0.002). Overflow urinary incontinence was associated with a greater deterioration in the aspirational and occupational domain (p = 0.044). Symptom severity was worse in those who had comorbidities (p = 0.038), who had a high body mass index (p = 0.008) or who used diuretics (p = 0.007). In conclusion, our results suggest that there is a significant impairment of quality of life in patients who have only primary education and who follow a pelvic floor rehabilitation program.
50
Booth, Joanne, Lorna Aucott, Seonaidh Cotton, Bridget Davis, Linda Fenocchi, Claire Goodman, Suzanne Hagen, et al. "Tibial nerve stimulation compared with sham to reduce incontinence in care home residents: ELECTRIC RCT." Health Technology Assessment 25, no. 41 (June 2021): 1–110. http://dx.doi.org/10.3310/hta25410.
Full textAbstract:
Background Urinary incontinence is prevalent in nursing and residential care homes, and has a profound impact on residents’ dignity and quality of life. Treatment options are limited in these care contexts and care homes predominantly use absorbent pads to contain incontinence, rather than actively treat it. Transcutaneous posterior tibial nerve stimulation is a non-invasive, safe, low-cost intervention that is effective in reducing urinary incontinence in adults. Objective To determine the clinical effectiveness of transcutaneous posterior tibial nerve stimulation to treat urinary incontinence in care home residents and to determine the associated costs of the treatment. Design A multicentre, pragmatic, participant and outcome assessor-blind, randomised placebo-controlled trial. Setting A total of 37 UK residential and nursing care homes. Participants Care home residents with at least weekly urinary incontinence that is contained using absorbent pads and who are able to use a toilet/toilet aid with or without assistance. Interventions Residents were randomised (1 : 1) to receive 12 30-minute sessions of transcutaneous posterior tibial nerve stimulation or sham stimulation over a 6-week period. Main outcome measures Primary outcome – change in volume of urine leaked over a 24-hour period at 6 weeks. Secondary outcomes – number of pads used, Perception of Bladder Condition, toileting skills, quality of life and resource use. Results A total of 408 residents were randomised (transcutaneous posterior tibial nerve stimulation, n = 197; sham stimulation, n = 209); two exclusions occurred post randomisation. Primary outcome data were available for 345 (85%) residents (transcutaneous posterior tibial nerve stimulation, n = 167; sham stimulation, n = 178). Adherence to the intervention protocol was as follows: 78% of the transcutaneous posterior tibial nerve stimulation group and 71% of the sham group received the correct stimulation. Primary intention-to-treat adjusted analysis indicated a mean change of –5 ml (standard deviation 362 ml) urine leakage from baseline in the transcutaneous posterior tibial nerve stimulation group and –66 ml (standard deviation 394 ml) urine leakage in the sham group, which was a statistically significant, but not clinically important, between-group difference of 68-ml urine leakage (95% confidence interval 0 to 136 ml; p = 0.05) in favour of the sham group. Sensitivity analysis supported the primary analysis. No meaningful differences were detected in any of the secondary outcomes. No serious adverse events related to transcutaneous posterior tibial nerve stimulation were reported. Economic evaluation assessed the resources used. The training and support costs for the staff to deliver the intervention were estimated at £121.03 per staff member. Estimated costs for delivery of transcutaneous posterior tibial nerve stimulation during the trial were £81.20 per participant. No significant difference was found between participants’ scores over time, or between transcutaneous posterior tibial nerve stimulation and sham groups at any time point, for resident or proxy quality-of-life measures. Conclusions The ELECTRIC (ELECtric Tibial nerve stimulation to Reduce Incontinence in Care homes) trial showed, in the care home context (with a high proportion of residents with poor cognitive capacity and limited independent mobility), that transcutaneous posterior tibial nerve stimulation was not effective in reducing urinary incontinence. No economic case for transcutaneous posterior tibial nerve stimulation was made by the cost–consequences analysis; however, the positive reception of learning about urinary incontinence for care home staff supports a case for routine education in this care context. Limitations Completing 24-hour pad collections was challenging for care home staff, resulting in some missing primary outcome data. Future work Research should investigate transcutaneous posterior tibial nerve stimulation in residents with urgency urinary incontinence to determine whether or not targeted stimulation is effective. Research should evaluate the effects of continence training for staff on continence care in care homes. Trial registration Current Controlled Trials ISRCTN98415244 and ClinicalTrials.gov NCT03248362. Funding This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 25, No. 41. See the NIHR Journals Library website for further project information.