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The aim of this study was to investigate the effectiveness of pelvic floor muscle and abdominal training in reproductive-age patients with stress urinary incontinence. This prospective randomized controlled design study included 64 female patients aged 18-49 years with stress urinary incontinence. The patients were divided into 2 groups (32 PFMT "Pelvic Floor Muscle Training" and 32 PFMT+AT "Abdominal Training") by computer-based randomization. The stress urinary incontinence type was assessed by a stress test, and the pelvic floor muscle strength was measured with a home biofeedback device. Voiding functions were assessed by a 3-day voiding diary and uroflowmetric test. The UDI-6 scale was used to assess the urinary symptoms, and the IIQ-7 scale was used to assess the quality of life. The follow-up measurements of both groups were obtained in the 0th, 4th, and 8th weeks.
This study will explore the safety, tolerability and efficacy of litoxetine in men and women who suffer from urinary incontinence
Urodynamic testing can be associated with mild discomfort, particularly at the time of insertion, repositioning, and removal of the bladder catheter (a tube inserted into the bladder via the urethra). Few studies have investigated ways to improve patient comfort during this procedure. In this study, the investigators want to see if applying external lidocaine (a numbing gel) prior to the procedure can help to minimize patient discomfort.
The aim of this study is to investigate the importance of clinical characterization of children with monosymptomatic nocturnal enuresis (MNE) in order to improve treatment efficacy. The hypothesis is that clinical characterization by measurement of nocturnal urine production and maximal voided volumes in children with MNE and subsequent treatment tailoring improves the response to first-line treatment approach.
To determine the effect of a bilateral pudendal block on voiding dysfunction following midurethral slings.
To our knowledge, no studies in Nepal have reported the feasibility of performing the Pelvic Floor Muscle Training (PFMT) in Nepalese women. The aim of the study is to develop and implement a Pelvic Floor Muscle(PFM) physiotherapy program based on information, education and exercise in order to prevent or reduce Pelvic organ prolapse(POP) and Urinary Incontinence (UI) in pregnant Nepalese women The women will receive information (leaflet, video, posters) and instruction/guidance on PFM exercise. Following this, the women are advised to perform daily home PFM exercise Women will record their home PFM exercises using an exercise diary. Further, pre and post study design will be conducted to assess the change in PFM activation.
Objective: To report the prevalence and risk factors of stress urinary incontinence (SUI) and the prevalence of intrinsic sphincter deficiency in women with multiple sclerosis (MS). Methods: A retrospective study was conducted among Female patients with MS, followed for lower urinary tract symptoms (LUTS) during a 15-year period. Demographic data, MS history, expanded disability status scale (EDSS) score at the urodynamic visit, obstetrical past, birth weight, LUTS, and urodynamic findings were collected. SUI was defined as incontinence during cough, or any effort. A maximum urethral closure pressure less than 30 cm H2O defined intrinsic sphincter deficiency. Results: In total 363 women with a mean age of 46.7±10.8 years and a mean disease duration of 12.9±8.7 years were included. The incidence of relapsing remitting MS, a secondary progressive form, and a primary progressive form was 60.6%, 32.8%, and 6.6%, respectively. The prevalence of SUI was 31.4%. The prevalence of intrinsic sphincter deficiency was 1.4% and 0.8% of these patients had a SUI (P=0.300). In a multivariate analysis, women with a SUI had significantly higher birth weight (P=0.030), a pelvic organ prolapse (P=0.021), urgent urinary incontinence (P=0.006), a lower EDSS score (P=0.019), and a weaker containing effort (P<0.001). Conclusions: The prevalence of SUI in women with MS was 31.4%. This symptom could affect the quality of life of women with MS.
The ARTISAN-SNM study is designed to evaluate the safety and effectiveness of the Axonics Sacral Neuromodulation System as an aid in the treatment of the symptoms of urinary urgency incontinence (UUI) in patients who have failed or could not tolerate more conservative treatments.
Background: Urinary incontinence is common in men following prostate cancer surgery. Conservative treatment incorporates pelvic floor muscle exercises, biofeedback, electrical stimulation, lifestyle changes, or a blend of strategies. Little is thought about the physiologic impacts of entire body vibration practice on people body. The aim of the current study is to determine the effect of the whole body vibration and pelvic floor exercises on urinary incontinence following prostate cancer surgery. Methods: 61 patients were divided randomly into two groups. Group (1) included 30 patients participated in synchronous whole-body vibrations, 3 times weekly for 4 consecutive weeks; the frequency and peak-to-peak displacement of vibration were 2 mm/20 Hz for the first week for 5 minutes, 3mm/25 Hz, 10 minutes for the second week and 4 mm/30 Hz, 15 minutes for the last two weeks. Group (2) included 31 patients received only pelvic floor exercises. The intervention in both groups was for three times per week for four weeks. The outcome measures were urodynamic measurements for pressure at maximum flow rate and maximum flow rate. Also, patients were instructed to complete 2 questionnaires; incontinence visual analogue scale (I- VAS) and the international consultation of incontinence-short form. Results: When comparing between pre- treatment and post treatment for group 1 the results revealed that there were significant differences including all test parameters, while the results of group 2 showed non- significant differences including all test parameters except for the pressure at maximum flow rate which showed a significant difference from the baseline data (P> 0.05. It was revealed that there were significant differences when comparing the results of all test parameters after the treatment protocol in favor of group 2 (P> 0.05). Conclusion: It can be concluded that the whole body vibration is a simple training and has a good effect in treating the patients with urinary incontinence after radical prostatectomy.
The pelvic floor muscle training (PFMT) is a conservative treatment, currently considered as first line for women with stress urinary incontinence (SUI). However, in practice, about 30 to 50% of women are unable to perform the correct contraction of the pelvic floor muscles (PFMs). When requested to perform the muscle contraction, the contraction of the gluteal muscles, hip adductors, or abdominal muscles is observed initially, rather of contraction of the levator anus muscle. Some factors make it difficult to perform the contraction of the PFM, such as its location on the pelvic floor, and its small size, followed by a lack of knowledge of the pelvic region, as well as its functions. Associated with these factors is the use of the muscles adjacent to the PFM, as previously mentioned. In order for women to benefit from a PFMT program for the treatment of SUI, the awareness phase of PFM can't be omitted, since the literature is unanimous in stating that pelvic exercises improve the recruitment capacity of the musculature, its tone and reflex coordination during the effort activities.