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Evans CNB, Badenhorst A, Van Wijk FJ. The impact of pharmacotherapy on sexual function in female patients being treated for idiopathic overactive bladder: a systematic review. BMC Womens Health 2024; 24:290. [PMID: 38755593 PMCID: PMC11097459 DOI: 10.1186/s12905-024-03103-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Accepted: 04/19/2024] [Indexed: 05/18/2024] Open
Abstract
BACKGROUND Overactive bladder (OAB) is a condition defined by urgency with or without incontinence which disproportionately affects female patients and has a negative impact on sexual enjoyment and avoidance behaviour. Pharmacotherapy can be considered one of the main options for treating OAB. This research set out to determine the impact of pharmacotherapy on sexual function in females with OAB. METHODS This research used the robust methodology of a systematic review. The clinical question was formulated using the PICO (population, intervention, control, and outcomes) format to include females being treated with pharmacotherapy (anticholinergics or beta-3 adrenergic agonists) for idiopathic OAB with the use of a validated questionnaire assessing self-reported sexual function at baseline and post-treatment. The review incorporated the MEDLINE, PubMed and EMBASE databases. The AMSTAR 2 (A Measurement Tool to Assess Systematic Reviews) appraisal tool was used to guide the review process. Two reviewers worked independently in screening abstracts, deciding on the inclusion of full-texts, data extraction and risk of bias assessment. RESULTS In female patients with OAB, pharmacotherapy does seem to offer at least partial improvement in self-reported sexual function outcomes after 12 weeks of therapy. Still, the value of this finding is limited by an overall poor quality of evidence. Patients with a higher degree of bother at baseline stand to benefit the most from treatment when an improvement within this health-related quality of life domain is sought. CONCLUSION This research should form the basis for a well-conducted randomized controlled study to accurately assess sexual function improvements in females being treated with pharmacotherapy for OAB.
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Affiliation(s)
- Christopher Neal Bruce Evans
- Surgery Masters in Urology, the University of Edinburgh (Edinburgh Surgery Online, Deanery of Clinical Sciences) and Life Groenkloof Hospital, Suite 209, Life Groenkloof Hospital, 50 George Storrar Drive, Groenkloof, Pretoria, 0181, South Africa.
| | - Anja Badenhorst
- General Practitioner, University of Pretoria, Pretoria, South Africa
| | - Frans Jacob Van Wijk
- Private Uro-Gynaecologist/Urologist, Pelvic Wellness Unit, The Urology Hospital, Pretoria, South Africa
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2
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Qian X, Ren D, Gu L, Ye C. Incidence and risk factors of stress urinary incontinence after laparoscopic hysterectomy. BMC Womens Health 2024; 24:105. [PMID: 38331777 PMCID: PMC10851496 DOI: 10.1186/s12905-024-02942-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Accepted: 01/30/2024] [Indexed: 02/10/2024] Open
Abstract
OBJECTIVE To observe the long-term effects of total hysterectomy on urinary function, evaluate the effects of preoperative nutritional status, urinary occult infection, and surgical factors on the induction of postoperative stress urinary incontinence (SUI), and explore the incidence and risk factors of SUI. STUDY DESIGN From January 2017 to December 2017, 164 patients with benign non-prolapsing diseases who underwent a laparoscopic total hysterectomy in the First People's Hospital of Taicang were selected as the analysis objects. The International Incontinence Standard Questionnaire for Female Lower Urinary Tract Symptoms (ICIQ-FLUTS) and Pelvic Floor Impact Questionnaire-short version 20 (PFDI-20) were used for telephone follow-up to subjectively assess the urinary function of patients, collect their medical records, and statistically analyze the number of postoperative SUI cases. Logistic multivariate analysis was used to analyze the influencing factors of postoperative female SUI, presented as adjusted odds ratios with 95% confidence intervals. RESULTS Only 97 out of 164 patients completed the ICIQ-FLUTS and PFDI-20 questionnaires. Among these participants, 28 patients (28.86%) were diagnosed with SUI (study group), while 69 patients (71.13%) were classified as women without SUI (control group). The age, menopause, parity ≥ 2 times, Body mass index (BMI) ≥ 28 kg/m2, neonatal weight ≥ 4000 g, history of chronic cough, preoperative hemoglobin ≤ 100 g/L, preoperative urine bacteria ≥ 100u/L, preoperative uterine volume ≥ 90 cm3, intraoperative blood loss, and operation time of the study group were compared with those of the control group. The differences were statistically significant (P < 0.05). Further Logistic multivariate analysis showed that menopause, preoperative hemoglobin ≤ 100 g/L, preoperative urine bacteria ≥ 100u/L, uterine volume ≥ 90 cm3, history of chronic cough, BMI ≥ 28 kg/m2 were risk factors for postoperative SUI in patients undergoing hysterectomy (P < 0.05). CONCLUSIONS Hysterectomy for benign non-prolapse diseases has a long-term potential impact on the urinary system of patients, and the risk of postoperative SUI increases. The main risk factors of SUI are parity, menopausal status, obesity, preoperative nutritional status, and occult infection of the urinary system.
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Affiliation(s)
- XiaoHong Qian
- Department of Gynecology, Taicang Affiliated Hospital of Soochow University (The First People's Hospital of Taicang), Taicang, Jiangsu Province, 215400, China
| | - DongFang Ren
- Department of Gynecology, Taicang Affiliated Hospital of Soochow University (The First People's Hospital of Taicang), Taicang, Jiangsu Province, 215400, China
| | - liJuan Gu
- Department of Obstetrics, Taicang Affiliated Hospital of Soochow University (The First People's Hospital of Taicang), Taicang, Jiangsu Province, 215400, China
| | - Cong Ye
- Department of Gynecology, Taicang Affiliated Hospital of Soochow University (The First People's Hospital of Taicang), Taicang, Jiangsu Province, 215400, China.
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Leite AMC, de Araújo RC, Santos AVRD, Barbosa SAM, Amorim DA, da Sena Fraga CD, Pitangui ACR. Efficacy of educational instructions on pelvic floor muscle training in the treatment of urinary incontinence: Systematic review and meta-analysis. Neurourol Urodyn 2024; 43:219-235. [PMID: 37712496 DOI: 10.1002/nau.25287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2023] [Revised: 09/01/2023] [Accepted: 09/04/2023] [Indexed: 09/16/2023]
Abstract
OBJECTIVE The present study aimed to investigate the efficacy of educational interventions on pelvic floor (PF) muscle training in the treatment of urinary incontinence (UI). METHODS This is a systematic review of literature with meta-analysis, performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). To do so, randomized clinical trials that performed educational interventions of PF, UI, and developed the training of PF muscles (TPFM) for incontinent women, performing group or individual comparisons, with control and experimental groups or with two or more experimental groups were selected. The search for papers was performed in the following databases: PubMed, Scopus, Embase, Web of Science, and SciELO, no specific publication date was chosen. The risk of bias was performed using the PEDro scale and the quality of the evidence was performed using GRADE. RESULTS The review included six studies with 1003 participants. Most studies presented 5-8 points regarding risk of bias. Most of the studies were performed in the last 5 years, with women of various ages, high educational level and prevalence of UI of effort. The present study showed that offering educational instructions and guiding women on TPFM was capable of reducing urinary symptoms. When compared to control, significant between-group differences were found in the studies, in which the control group did not receive any kind of instructions or treatment (p < 0.05). The use of technologies through mobile apps was efficient in the treatment of incontinent women (p < 0.05). Performing TPFM individually or in groups did not present differences in the results, with both improving urinary symptoms. The meta-analysis presented a mean effect and a clinically important difference in three studies. CONCLUSION The interventions involving instructions to TPFM associated to health education brought improvements to urinary symptoms.
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Affiliation(s)
- Alana Mirelle Coelho Leite
- Universidade de Pernambuco e Universidade Estadual da Paraíba, Programa Associado de Pós-Graduação em Enfermagem da Universidade de Pernambuco, Rua Arnóbio Marques, Recife, Pernambuco, Brasil
| | | | | | | | - Danielly Alves Amorim
- Universidade de Pernambuco, Departamento de Fisioterapia, Petrolina, Pernambuco, Brasil
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Güleryüz A, Altay B. Relationship between sexual quality of life and life satisfaction in women with urinary incontinence: A cross-sectional survey. Urologia 2023; 90:741-747. [PMID: 37421246 DOI: 10.1177/03915603231184088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/10/2023]
Abstract
PURPOSE This study aims to investigate the relationship between the sexual quality of life and life satisfaction in women with urinary incontinence. METHODS This research is Correlational-descriptive research. Sample of the study consisted of 210 women with urinary incontinence. The data of the study were collected using "The Patient Information Form," "The Sexual Quality of Life Questionnaire" and "The Satisfaction with Life Scale." In analyzing; Mann-Whitney U tests, Kruskal Wallis variance analysis were used. RESULTS It has been found that educational status, income status, menopause status, and frequency of urinary incontinence affect the sexual quality of life. A statistically significant positive moderate linear relationship was found between the mean SWLS scores and the mean SQOL scores (p < 0.05). CONCLUSION In this study, it was found that the sexual quality of life increased as The Life Satisfaction Of Women With Urinary Incontinence Increased.
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Affiliation(s)
| | - Birsen Altay
- Faculty of Health Science, Ondokuz Mayıs University, Samsun, Turkey
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5
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Biyikoglu M, Kettas E, Sesli M, Senel S, Cayan S, Akbay E. The effect of duloxetine on female sexual functions in the treatment of stress incontinence. Arch Gynecol Obstet 2023; 308:1037-1042. [PMID: 37386151 DOI: 10.1007/s00404-023-07123-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2023] [Accepted: 06/21/2023] [Indexed: 07/01/2023]
Abstract
OBJECTIVES Stress urinary incontinence (SUI) is defined as urinary incontinence that occurs with coughing, sneezing, and physical exercise. It is frequently observed in women after middle age and has a negative impact on their sexual function. Duloxetine as one of the Serotonin-noradrenaline reuptake inhibitors (SNRIs) is commonly used in the non-surgical treatment of SUI. The aim of our study is to investigate the effect of duloxetine, which is used in the treatment of SUI, on sexual functions in female patients. METHODS The study included 40 sexually active patients who received duloxetine 40 mg twice a day for the treatment of SUI. All patients had female sexual function index (FSFI), Beck's depression inventory (BDI), and incontinence quality of life score (I-QOL) applied before and 2 months after starting duloxetine treatment. RESULTS FSFI total score significantly increased from 19.9 to 25.7 (p < 0.001). In addition, significant improvement was observed in all sub-parameters of FSFI, including arousal, lubrication, orgasm, satisfaction, and pain/discomfort (p < 0.001, for each FSFI subtotal score). BDI significantly decreased from 4.5 to 1.5 (p < 0.001). I-QOL score significantly increased from 57.6 to 92.7 after the duloxetine treatment. CONCLUSIONS Although SNRIs carry a high risk of sexual dysfunction, duloxetine may have an indirect positive effect on female sexual activity, both through its stress incontinence treatment and its antidepressant effect. In our study, Duloxetine, one of the treatment options for stress urinary incontinence and an SNRI, has a positive effect on stress urinary incontinence, mental health, and sexual activity in patients with SUI.
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Affiliation(s)
- Melih Biyikoglu
- Department of Urology, University of Mersin School of Medicine, Mersin, Turkey.
| | - Elife Kettas
- Department of Urology, University of Mersin School of Medicine, Mersin, Turkey
| | - Mustafa Sesli
- Department of Urology, University of Mersin School of Medicine, Mersin, Turkey
| | - Samet Senel
- Department of Urology, Ankara City Hospital, Ankara, Turkey
| | - Selahittin Cayan
- Department of Urology, University of Mersin School of Medicine, Mersin, Turkey
| | - Erdem Akbay
- Department of Urology, University of Mersin School of Medicine, Mersin, Turkey
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Parra NS, Jaramillo AP, Zambrano J, Segovia D, Castells J, Revilla JC. The Effectiveness of Pelvic Floor Muscle Exercise in Urinary Incontinence: A Systematic Literature Review and Meta-Analysis. Cureus 2023; 15:e45011. [PMID: 37720131 PMCID: PMC10501848 DOI: 10.7759/cureus.45011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/11/2023] [Indexed: 09/19/2023] Open
Abstract
Urinary incontinence (UI) is a prevalent health concern in females over 60, but it is prevalent in a smaller percentage of males. The medical and social elements of UI are crucial. This disorder may cause embarrassment and low self-esteem, reducing social and physical activities. Consequently, this may impair healthy aging. Researchers have shown that pelvic floor muscle training (PFMT) may improve UI symptoms in middle-aged, older, and young people. Clinical practice highlights the importance of PFMT for UI due to its low cost-effectiveness. To assess PFMT's overall efficacy, we conducted a systematic review of the literature (SRL) and a meta-analysis (MA) of randomized clinical trials (RCTs). The previous 10 years of published material were combed using the online databases the Cochrane Library, PubMed, and Google Scholar. Eligible total studies were RCTs referring to the effectiveness of PFMT. The pooled incidence, risk ratio, and 95% confidence interval (CI) of the effectiveness of PFMT were calculated using the fixed effects model. Given the possibility of a between-study variance, we used the fixed effects model rather than the random effects model.
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Affiliation(s)
- Nicole S Parra
- Internal Medicine, Pontificia Universidad Católica del Ecuador, Quito, ECU
| | | | - Jhon Zambrano
- Emergency, Universidad Tech, Santa Cruz de Tenerife, ESP
| | - Diego Segovia
- Internal Medicine, Pontificia Universidad Católica del Ecuador, Quito, ECU
| | - Javier Castells
- Medicine, Universidad Católica de Santiago de Guayaquil, Guayaquil, ECU
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Călinescu BC, Neacșu A, Martiniuc AE, Dumitrescu D, Stănică CD, Roșu GA, Chivu LI, Ioan RG. Surgical Treatments for Women with Stress Urinary Incontinence: A Systematic Review. Life (Basel) 2023; 13:1480. [PMID: 37511855 PMCID: PMC10381666 DOI: 10.3390/life13071480] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Revised: 06/07/2023] [Accepted: 06/26/2023] [Indexed: 07/30/2023] Open
Abstract
Stress urinary incontinence affects a large proportion of women in their lifetime. The objective of this review was to describe and compare the latest surgical trends in urinary incontinence and focus on the literature advantages, disadvantages, complications and efficacy of surgical procedures regarding this pathology. Using network meta-analysis, we have identified the most frequently used procedures (Burch surgery, midurethral sling and pubovaginal sling), and we have described and characterized them in terms of effectiveness and safety. Midurethral procedures remain the gold standard for surgical treatment of stress urinary incontinence, although the potential of serious complications following this procedure should be taken into consideration always. There is a clear need for a much more unified evaluation of possible complications and postoperative evolution. This process will help practitioners to adapt and individualize their strategy for each patient.
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Affiliation(s)
- Bogdan Cristian Călinescu
- Department of Obstetrics-Gynecology, INSMC Alessandrescu Russescu, 38-52 Gheorghe Polizu Str., 127715 Bucharest, Romania; (B.C.C.); (R.G.I.)
| | - Adrian Neacșu
- Department of Obstetrics-Gynecology and Neonatology, University of Medicine and Pharmacy “Carol Davila”, 37 Dionisie Lupu Str., 020021 Bucharest, Romania; (A.N.); (A.E.M.); (C.D.S.)
| | - Ana Elena Martiniuc
- Department of Obstetrics-Gynecology and Neonatology, University of Medicine and Pharmacy “Carol Davila”, 37 Dionisie Lupu Str., 020021 Bucharest, Romania; (A.N.); (A.E.M.); (C.D.S.)
| | - Dan Dumitrescu
- Department of General Surgery, Emergency University Hospital, University of Medicine and Pharmacy “Carol Davila”, 168 Splaiul Independentei Str., 050098 Bucharest, Romania;
| | - Catalina Diana Stănică
- Department of Obstetrics-Gynecology and Neonatology, University of Medicine and Pharmacy “Carol Davila”, 37 Dionisie Lupu Str., 020021 Bucharest, Romania; (A.N.); (A.E.M.); (C.D.S.)
| | - George-Alexandru Roșu
- Department of Obstetrics-Gynecology and Neonatology, Saint Pantelimon Emergency Hospital, University of Medicine and Pharmacy “Carol Davila”, 340-342 Pantelimon Str., 021659 Bucharest, Romania;
| | - Laura Ioana Chivu
- Department of Pathophysiology, University of Medicine and Pharmacy “Carol Davila”, 050474 Bucharest, Romania
| | - Raluca Gabriela Ioan
- Department of Obstetrics-Gynecology, INSMC Alessandrescu Russescu, 38-52 Gheorghe Polizu Str., 127715 Bucharest, Romania; (B.C.C.); (R.G.I.)
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8
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Shabani F, Montazeri M, Alizadeh A, Bani S, Hassanpour S, Nabighadim M, Mirghafourvand M. The relationship between urinary incontinence with sexual function and quality of life in postmenopausal women. Post Reprod Health 2023; 29:15-23. [PMID: 36749321 DOI: 10.1177/20533691231155734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
BACKGROUND Urinary incontinence has a significant impact on the psychosocial well-being of postmenopausal women. This study aimed to determine the relationship between urinary incontinence with sexual function and quality of life. METHOD It was a cross-sectional study using cluster sampling on 433 postmenopausal women in Tabriz-Iran, 2021-2022. Data were collected using questionnaires of socio-demographic and obstetrics characteristics, female sexual function index (FSFI), Menopause-Specific Quality of Life (MENQOL), and Urinary Incontinence Diagnosis (UIDQ). Independent sample t-test and general linear model (GLM) were used to compare the quality of life and sexual function score between the two groups of women with and without stress, urgency, and mixed urinary incontinence. RESULTS Independent sample t-test showed a significant difference in the quality of life and sexual function between women with and without stress, urgency, and mixed urinary incontinence (p < 0.05). Based on the GLM with adjusting the socio-demographic and obstetrics characteristics, women without stress incontinence reported a lower mean score of MENQOL (B = - 23.38; 95% CI = -30.1 to -16.6; p < 0.001) and a higher mean score of sexual function (B = 4.5; 95% CI = 2.1-7.0; p < 0.001) compared to women with stress incontinence; a lower MENQOL score and a higher sexual function score indicate better condition. However, there was no significant relationship between urgency and mixed incontinence with quality of life and sexual function (p > 0.05). CONCLUSION As urinary incontinence remarkably affects sexual function and quality of life of postmenopausal women, health care providers should consider better solutions for this issue in their work program.
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Affiliation(s)
- Fatemeh Shabani
- Midwifery Department, Faculty of Nursing and Midwifery, 48432Tabriz University of Medical Sciences, Tabriz, Iran
| | - Maryam Montazeri
- Midwifery Department, Faculty of Nursing and Midwifery, 48432Tabriz University of Medical Sciences, Tabriz, Iran
| | - Afsaneh Alizadeh
- Midwifery Department, Faculty of Nursing and Midwifery, 48432Tabriz University of Medical Sciences, Tabriz, Iran
| | - Soheila Bani
- Physical Medicine and Rehabilitation Research Center, 48432Tabriz University of Medical Sciences, Tabriz, Iran
| | - Shirin Hassanpour
- Women's Reproductive Health Research Center, 48432Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mahsan Nabighadim
- Department of Medicine, Faculty of Medicine, 48413Ardabil University of Medical Sciences, Ardabil, Iran
| | - Mojgan Mirghafourvand
- Social Determinants of Health Research Center, Faculty of Nursing and Midwifery, 48432Tabriz University of Medical Sciences, Tabriz, Iran
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Ferreira CRG, Soares WM, da Costa Priante CH, de Souza Duarte N, Soares CO, Bittencourt KC, Melo GS, Nunes EFC, de Campos Gomes F, De Melo Neto JS, Rodrigues CNC. Strength and Bioelectrical Activity of the Pelvic Floor Muscles and Sexual Function in Women with and without Stress Urinary Incontinence: An Observational Cross-Sectional Study. Healthcare (Basel) 2023; 11:healthcare11020181. [PMID: 36673549 PMCID: PMC9859585 DOI: 10.3390/healthcare11020181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2022] [Revised: 11/30/2022] [Accepted: 12/05/2022] [Indexed: 01/11/2023] Open
Abstract
Stress urinary incontinence (SUI) results from an increase in intravesical pressure, which exceeds the pressure at which the urethra remains closed. Symptoms cause social and sexual intercourse discomfort directly or indirectly, which affect health-related quality of life and are associated with pelvic floor muscle (PFM) dysfunction. We aimed to verify the variation in strength and PFM bioelectrical activity and sexual function in women with SUI. Additionally, we analyzed the impact of this dysfunction on quality of life. This was an observational cross-sectional study. Women aged 25−55 years with frequent sexual intercourse were included. Women with SUI were included in a study group (G2, n = 17), and those without any type of incontinence were included in a control group (G1, n = 16). Primary outcomes were level of strength and PFM bioelectrical activity and sexual function as determinants of worse SUI in the control group. Secondary outcomes were associated between the primary outcomes and severity of urinary loss, impact on daily life, and quality of life in women with SUI. In the domains evaluated in the Female Sexual Function Index (FSFI), only sexual desire was lower in women with SUI (G2) than in the controls (p = 0.033). During analysis of G1 variables, a positive and moderate correlation was observed between power/myoeletric activation and maximum voluntary contraction (MVC) (p < 0.01), peak (p < 0.01), and mean amplitudes (p = 0.017). There was a high positive correlation between sexual arousal and other variables, including vaginal lubrication, sexual orgasm, and total FSFI value (p < 0.001 for all analyses). During evaluation of G2 variables, the MVC was positively correlated with the peak and mean amplitudes (p < 0.0001). Additionally, there was a high and positive correlation between the mean amplitudes (%MVC) and personal relationships (KHQ) (p = 0.001); the same was observed between the total (ICIQ) and activities of daily living (ICIQ) (p < 0.0001). Therefore, women with SUI presented with lower sexual desire and bioelectric activity but were not related to PFM strength. Additionally, the domains of sexual function and certain variables of quality of life are aggravated by SUI.
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Affiliation(s)
- Clicia Raiane Galvão Ferreira
- Clinical and Experimental Research Unit of the Urogenital System (UPCEURG), Institute of Health Sciences, Federal University of Pará (UFPA), Belém 66075110, PA, Brazil
| | - Wenderk Martins Soares
- Clinical and Experimental Research Unit of the Urogenital System (UPCEURG), Institute of Health Sciences, Federal University of Pará (UFPA), Belém 66075110, PA, Brazil
| | | | - Natália de Souza Duarte
- Clinical and Experimental Research Unit of the Urogenital System (UPCEURG), Institute of Health Sciences, Federal University of Pará (UFPA), Belém 66075110, PA, Brazil
| | - Cleuma Oliveira Soares
- Clinical and Experimental Research Unit of the Urogenital System (UPCEURG), Institute of Health Sciences, Federal University of Pará (UFPA), Belém 66075110, PA, Brazil
| | - Kayonne Campos Bittencourt
- Clinical and Experimental Research Unit of the Urogenital System (UPCEURG), Institute of Health Sciences, Federal University of Pará (UFPA), Belém 66075110, PA, Brazil
| | - Giovana Salomão Melo
- Clinical and Experimental Research Unit of the Urogenital System (UPCEURG), Institute of Health Sciences, Federal University of Pará (UFPA), Belém 66075110, PA, Brazil
| | | | | | - João Simão De Melo Neto
- Clinical and Experimental Research Unit of the Urogenital System (UPCEURG), Institute of Health Sciences, Federal University of Pará (UFPA), Belém 66075110, PA, Brazil
| | - Cibele Nazaré Câmara Rodrigues
- Clinical and Experimental Research Unit of the Urogenital System (UPCEURG), Institute of Health Sciences, Federal University of Pará (UFPA), Belém 66075110, PA, Brazil
- Correspondence:
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10
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Kegel Exercise Training Program among Women with Urinary Incontinence. Healthcare (Basel) 2022; 10:healthcare10122359. [PMID: 36553882 PMCID: PMC9777910 DOI: 10.3390/healthcare10122359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2022] [Revised: 11/16/2022] [Accepted: 11/22/2022] [Indexed: 11/25/2022] Open
Abstract
A common condition with a large global prevalence and a persistent medical taboo for many people is urinary incontinence. Around one in three women globally are impacted by it. The most frequently suggested physical therapy treatment for women with stress incontinence or urge incontinence is Kegel exercise (also called pelvic floor muscle training). This study aims to assess the effects of a Kegel exercise training program among women with urinary incontinence. The study was conducted at three government hospitals in Egypt's Port Said city's outpatient gynecological clinic. The intervention design was quasi-experimental. In total, 292 women with urine incontinence who visited the research sites made up the subjects. The necessary data were gathered using an interview questionnaire. Improvements in urinary incontinence and quality of life were positively correlated with daily Kegel exercise practice. Urinary incontinence has statistically significant positive correlations with age (p = 0.026), respiratory rate (p = 0.007), and body mass index (p = 0.026) as women grow older. Urinary incontinence, being single, and increasing pulse, however, had adversely significant negative correlations (p = 0.031 and 0.020, respectively). Urinary incontinence affects women's overall wellbeing, particularly in the emotional and social spheres, as well as their quality of life and their ability to participate in normal everyday activities. Following the adoption of the Kegel exercise training program, there was a substantial improvement in both urine incontinence and quality of life.
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11
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Frigerio M, Barba M, Marino G, Volontè S, Melocchi T, De Vicari D, Torella M, Salvatore S, Braga A, Serati M, Manodoro S, Cola A. Coexistent Detrusor Overactivity-Underactivity in Patients with Pelvic Floor Disorders. Healthcare (Basel) 2022; 10:healthcare10091720. [PMID: 36141332 PMCID: PMC9498318 DOI: 10.3390/healthcare10091720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2022] [Revised: 09/05/2022] [Accepted: 09/06/2022] [Indexed: 11/30/2022] Open
Abstract
Introduction and Hypothesis: Pelvic floor disorders represent a series of conditions that share, in part, the same etiological mechanisms, so they tend to be concomitant. Recently, awareness of a new lower urinary tract clinical syndrome has risen, namely the coexisting overactive–underactive bladder (COUB). The etiopathogenetic process, prevalence, and related instrumental findings of COUB are not well-established. We aimed to evaluate the prevalence, clinical features, and urodynamic findings of patients with COUB in a large cohort of patients with pelvic floor disorders. Methods: A cohort of 2092 women was retrospectively analyzed. A clinical interview, urogenital examination, and urodynamic assessment were performed by a trained urogynecologist. Based on baseline symptoms, patients were divided into COUB and non-COUB groups, and the degree of concordance between COUB and urodynamic findings, and other parameters related to the clinical aspects of these patients were measured and analyzed. Results: 18.8% of patients were classified as COUB. The association between COUB and patients with coexisting detrusor overactivity–underactivity (DOU) was statistically significant and there were substantial similarities in terms of population characteristics, symptoms, and urodynamic findings. Conclusions: Our study showed a high prevalence of COUB, and a link between this clinical syndrome and DOU was demonstrated. They showed substantial similarities in terms of clinical and urodynamics correlates. Based on these findings, we do think that urodynamic tests can be useful to improve knowledge on COUB and may be of help in the management of this condition.
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Affiliation(s)
- Matteo Frigerio
- San Gerardo Hospital, ASST Monza, 20900 Monza, Italy
- Department of Obstetrics and Gynecology, Milano-Bicocca University, 20900 Monza, Italy
- Correspondence: ; Tel.: +39-2339434; Fax: +39-2339433
| | - Marta Barba
- Department of Obstetrics and Gynecology, Milano-Bicocca University, 20900 Monza, Italy
| | - Giuseppe Marino
- Department of Obstetrics and Gynecology, Milano-Bicocca University, 20900 Monza, Italy
| | - Silvia Volontè
- Department of Obstetrics and Gynecology, Milano-Bicocca University, 20900 Monza, Italy
| | - Tomaso Melocchi
- Department of Obstetrics and Gynecology, Milano-Bicocca University, 20900 Monza, Italy
| | - Desirèe De Vicari
- Department of Obstetrics and Gynecology, Milano-Bicocca University, 20900 Monza, Italy
| | - Marco Torella
- Department of Woman, Luigi Vanvitelli University of Campania, 80138 Naples, Italy
| | - Stefano Salvatore
- Obstetrics and Gynaecology Department, Vita-Salute University and IRCCS San Raffaele Hospital, 20133 Milan, Italy
| | - Andrea Braga
- EOC-Beata Vergine Hospital, 6850 Mendrisio, Switzerland
| | - Maurizio Serati
- Del Ponte Hospital, University of Insubria, 21100 Varese, Italy
| | - Stefano Manodoro
- ASST Santi Paolo e Carlo, San Paolo Hospital, 20132 Milano, Italy
| | - Alice Cola
- San Gerardo Hospital, ASST Monza, 20900 Monza, Italy
- Department of Obstetrics and Gynecology, Milano-Bicocca University, 20900 Monza, Italy
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The Role of Gap Junctions in the Generation of Smooth Muscle Cells from Bone Marrow Mesenchymal Stem Cells. DISEASE MARKERS 2022; 2022:1491327. [PMID: 35990247 PMCID: PMC9391152 DOI: 10.1155/2022/1491327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Revised: 08/02/2022] [Accepted: 08/03/2022] [Indexed: 11/17/2022]
Abstract
Background. Studies have shown that stem cell transplantation can improve smooth muscle cell (SMC) regeneration and remodelling. Gap junctions can enhance the cytoprotective effects of neighbouring cells. We investigated the effect of gap junctions on the differentiation of bone marrow mesenchymal stem cells (BMSCs) into SMCs. Materials and Methods. Rat BMSCs and SMCs were obtained from the bone marrow and bladder of Sprague-Dawley rats, respectively. Flow cytometry and multilineage differentiation were performed to assess the characteristics of these cells. BMSCs and SMCs were incubated together in cocultures in the presence and absence of heptanol, an uncoupler of gap junctions. Cocultures were divided into three groups consisting of a contact coculture, noncontact coculture, and contact coculture plus heptanol groups. The expression of BMSC-specific markers and the effect of gap junctions on the differentiation of BMSCs were evaluated by performing real-time reverse transcription-polymerase chain reaction, immunofluorescence analysis, and western blotting after cocultures. Results. CD90 and CD44 were markedly expressed, and CD31 and CD45 were weakly or not expressed in BMSCs. The cells also showed good osteogenic and adipogenic differentiation ability. Compared with the noncontact coculture group, the SMC markers such as α-SMA, calponin, and connexin43 increased in the contact coculture group. The effect of contact in the coculture group was significantly weakened by heptanol. Conclusions. The results suggested that gap junctions play an important role in the generation of SMCs from BMSCs. The formation of SMCs can potentially be used to repair the sphincter muscle of patients with stress urinary incontinence.
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Rocha Matos GS, de Souza Andrade E, de Gouveia Santos VLC, Nogueira PC. Prevalencia de incontinencia urinaria en estudiantes universitarias del interior del Amazonas. J Wound Care 2022; 31:19-26. [PMID: 36787942 DOI: 10.12968/jowc.2022.31.latam_sup_6a.19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/16/2023]
Abstract
Objetivo: Investigar la prevalencia de la incontinencia urinaria (IU) y sus factores asociados en estudiantes universitarias del interior del estado brasileño del Amazonas. Método: Estudio transversal, observacional, analítico y cuantitativo. La muestra de conveniencia fue compuesta por 72 estudiantes universitarias de entre 18 y 30 años. Un cuestionario sobre datos sociodemográficos y de salud fue aplicado. La prevalencia y caracterización de las pérdidas urinarias fueron obtenidas por el International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), en su versión adaptada y validada para Brasil. Los datos fueron analizados por estadísticas descriptivas e inferenciales. Se emplearon las pruebas Wilcoxon-Mann-Whitney, Chi-cuadrado de Pearson y Exacto de Fisher, además de regresión logística (intervalo de confianza: 95% p<0,05). Resultados: La prevalencia de IU fue de 36,11% (26/72 estudiantes), predominantemente (80,77%) de urgencia (IUU). La edad difirió (p=0,031) entre los grupos de mujeres continentes (promedio=22,72. Desviación estándar (DE)=2,93 años) e incontinentes (promedio=21,23. DE=2,72 años). La situación predominante de pérdida fue “antes de llegar al baño” (30,77%) y el impacto de la IU sobre las actividades diarias fue considerado bajo. En el modelo de regresión logística, la edad fue un factor asociado a la presencia de IU (odds ratio (0R)=0,68; p=0,006). Conclusión: La IUU fue prevalente en la muestra estudiada, con la menor edad como factor asociado. La IU en mujeres jóvenes necesita ser mejor investigada para identificar otros factores que puedan estar relacionados con la condición encontrada en el interior del Amazonas. Conflicto de interés: Ninguno.
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Affiliation(s)
| | | | | | - Paula C Nogueira
- Departamento de Enfermería Médico-quirúrgica, Escola de Enfermagem, Universidade de São Paulo, San Pablo, Brasil
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Rocha Matos GS, de Souza Andrade E, de Gouveia Santos VLC, Nogueira PC. Prevalencia de incontinencia urinaria en estudiantes universitarias del interior del Amazonas. J Wound Care 2022; 31:19-26. [PMID: 36789900 DOI: 10.12968/jowc.2022.31.latam_sup_6.19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/16/2023]
Abstract
Objetivo: Investigar la prevalencia de la incontinencia urinaria (IU) y sus factores asociados en estudiantes universitarias del interior del estado brasileño del Amazonas. Método: Estudio transversal, observacional, analítico y cuantitativo. La muestra de conveniencia fue compuesta por 72 estudiantes universitarias de entre 18 y 30 años. Un cuestionario sobre datos sociodemográficos y de salud fue aplicado. La prevalencia y caracterización de las pérdidas urinarias fueron obtenidas por el International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), en su versión adaptada y validada para Brasil. Los datos fueron analizados por estadísticas descriptivas e inferenciales. Se emplearon las pruebas Wilcoxon-Mann-Whitney, Chi-cuadrado de Pearson y Exacto de Fisher, además de regresión logística (intervalo de confianza: 95% p<0,05). Resultados: La prevalencia de IU fue de 36,11% (26/72 estudiantes), predominantemente (80,77%) de urgencia (IUU). La edad difirió (p=0,031) entre los grupos de mujeres continentes (promedio=22,72. Desviación estándar (DE)=2,93 años) e incontinentes (promedio=21,23. DE=2,72 años). La situación predominante de pérdida fue “antes de llegar al baño” (30,77%) y el impacto de la IU sobre las actividades diarias fue considerado bajo. En el modelo de regresión logística, la edad fue un factor asociado a la presencia de IU (odds ratio (0R)=0,68; p=0,006). Conclusión: La IUU fue prevalente en la muestra estudiada, con la menor edad como factor asociado. La IU en mujeres jóvenes necesita ser mejor investigada para identificar otros factores que puedan estar relacionados con la condición encontrada en el interior del Amazonas. Conflicto de interés: Ninguno.
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Affiliation(s)
| | | | | | - Paula C Nogueira
- Departamento de Enfermería Médico-quirúrgica, Escola de Enfermagem, Universidade de São Paulo, San Pablo, Brasil
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Frigerio M, Barba M, Cola A, Braga A, Celardo A, Munno GM, Schettino MT, Vagnetti P, De Simone F, Di Lucia A, Grassini G, Torella M. Quality of Life, Psychological Wellbeing, and Sexuality in Women with Urinary Incontinence—Where Are We Now: A Narrative Review. Medicina (B Aires) 2022; 58:medicina58040525. [PMID: 35454364 PMCID: PMC9025831 DOI: 10.3390/medicina58040525] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Revised: 04/02/2022] [Accepted: 04/05/2022] [Indexed: 11/16/2022] Open
Abstract
Urinary incontinence (UI) is a very common condition, negatively affecting social, occupational, domestic, and psychophysical wellbeing. In particular, a peculiar and detrimental effect of UI has been described concerning sexual function. However, the impact of UI on quality of life is not fully understood yet, and further investigation into this issue is warranted. With this narrative review, we aimed to report the current evidence from recent literature regarding the quality of life and psychological wellbeing in patients with urinary incontinence, with a special focus on sexual function and its evolution after UI treatment. There is strong evidence that urinary incontinence—in its different forms, including stress urinary incontinence, urge urinary incontinence, mixed urinary incontinence, and coital urinary incontinence—negatively affects female sexual function. Treatments aimed to cure urinary incontinence—including pelvic floor muscles training, medications, and surgery—seem to improve quality of life by recovering, at least in part, sexual function. In conclusion, there is a substantial association between involuntary urinary loss and sex life quality. However, few studies are available and more evidence is needed before consistent conclusions can be made.
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Affiliation(s)
- Matteo Frigerio
- Gynecology Department, San Gerardo Hospital, Milano Bicocca University, ASST Monza—Via Pergolesi 33, 20900 Monza, Italy; (M.B.); (A.C.)
- Correspondence: ; Tel.: +39-039-233-9434
| | - Marta Barba
- Gynecology Department, San Gerardo Hospital, Milano Bicocca University, ASST Monza—Via Pergolesi 33, 20900 Monza, Italy; (M.B.); (A.C.)
| | - Alice Cola
- Gynecology Department, San Gerardo Hospital, Milano Bicocca University, ASST Monza—Via Pergolesi 33, 20900 Monza, Italy; (M.B.); (A.C.)
| | - Andrea Braga
- Ospedale Regionale di Mendrisio Beata Vergine, 6850 Mendrisio, Switzerland;
| | - Angela Celardo
- Gynecology Department, Campania Luigi Vanvitelli University, 81100 Naples, Italy; (A.C.); (G.M.M.); (M.T.S.); (P.V.); (F.D.S.); (A.D.L.); (G.G.); (M.T.)
| | - Gaetano Maria Munno
- Gynecology Department, Campania Luigi Vanvitelli University, 81100 Naples, Italy; (A.C.); (G.M.M.); (M.T.S.); (P.V.); (F.D.S.); (A.D.L.); (G.G.); (M.T.)
| | - Maria Teresa Schettino
- Gynecology Department, Campania Luigi Vanvitelli University, 81100 Naples, Italy; (A.C.); (G.M.M.); (M.T.S.); (P.V.); (F.D.S.); (A.D.L.); (G.G.); (M.T.)
| | - Primo Vagnetti
- Gynecology Department, Campania Luigi Vanvitelli University, 81100 Naples, Italy; (A.C.); (G.M.M.); (M.T.S.); (P.V.); (F.D.S.); (A.D.L.); (G.G.); (M.T.)
| | - Fulvio De Simone
- Gynecology Department, Campania Luigi Vanvitelli University, 81100 Naples, Italy; (A.C.); (G.M.M.); (M.T.S.); (P.V.); (F.D.S.); (A.D.L.); (G.G.); (M.T.)
| | - Alessandra Di Lucia
- Gynecology Department, Campania Luigi Vanvitelli University, 81100 Naples, Italy; (A.C.); (G.M.M.); (M.T.S.); (P.V.); (F.D.S.); (A.D.L.); (G.G.); (M.T.)
| | - Giulia Grassini
- Gynecology Department, Campania Luigi Vanvitelli University, 81100 Naples, Italy; (A.C.); (G.M.M.); (M.T.S.); (P.V.); (F.D.S.); (A.D.L.); (G.G.); (M.T.)
| | - Marco Torella
- Gynecology Department, Campania Luigi Vanvitelli University, 81100 Naples, Italy; (A.C.); (G.M.M.); (M.T.S.); (P.V.); (F.D.S.); (A.D.L.); (G.G.); (M.T.)
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Horng HC, Chao WT, Chen JF, Chang CP, Wang PH, Chang PL. Home-based noninvasive pelvic floor muscle training device to assist women in performing Kegel exercise in the management of stress urinary incontinence. J Chin Med Assoc 2022; 85:484-490. [PMID: 34759210 DOI: 10.1097/jcma.0000000000000660] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Stress urinary incontinence (SUI) is a major health problem affecting approximately 50% of the female population over 45 years of age. We evaluated the therapeutic effects of a home-based non-invasive wireless sensor pelvic floor muscle training (PFMT) device with assisted Kegel exercise for SUI. METHODS We included 60 women 40 to 60 years of age who were diagnosed with urodynamic SUI (mean pad test, 10.52 g). The PFMT device applicator was clamped on the upper inner thigh, and the patients could self-train at home. The signal was recorded and delivered to a 3G/4G smartphone via Bluetooth, which also allows guided feedback via the smartphone's voice. To evaluate the therapeutic effect, all patients completed the following questionnaires: a 3-day bladder diary, the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), the Urogenital Distress Inventory-Short Form, and the Incontinence Impact Questionnaire-7 (IIQ-7). One-hour pad test measurements were performed before the test (M0) and at 1 (M1), 2 months (M2), and 3 months (M3) after the PFMT device-assisted Kegel exercise. RESULTS The 1-hour pad test and the scores of the ICIQ-SF, UDI-6, and IIQ-7 questionnaires were improved at M1, M2, and M3, compared with the M0 values. The mean value of the post-voiding residual urine (PVR) significantly decreased at M2 and M3. The subjective and objective improvement rates at M3 were 80% and 72%, respectively. CONCLUSION The data demonstrated that 3 months of Kegel exercise assisted with a home-based PFMT device improved the number and severity of episodes, PVR, and quality of life in patients with SUI, suggesting that this device might serve as an alternative non-invasive therapy for mild and moderate SUI.
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Affiliation(s)
- Huann-Cheng Horng
- Institute of BioMedical Informatics, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC
- Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC
- Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC
| | - Wei-Ting Chao
- Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC
- Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC
- Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan, ROC
- Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC
| | - Jui-Fa Chen
- Department of Information Engineering and Computer Science, Tamkang University, New Taipei City, Taiwan, ROC
| | - Chia-Pei Chang
- Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC
- Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC
| | - Peng-Hui Wang
- Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC
- Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC
- Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan, ROC
- Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC
| | - Po-Lun Chang
- Institute of BioMedical Informatics, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC
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Cheng WLS, Kam MK, Liong YY, Tang TC, Tse EHL, Tse HK, Tsao WH, Cheung KC. Factors Influencing Nursing Students' Knowledge of and Attitudes Toward Urinary Incontinence. J Wound Ostomy Continence Nurs 2022; 49:168-173. [PMID: 35255069 DOI: 10.1097/won.0000000000000851] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
PURPOSE This study aimed to determine nursing students' knowledge about and attitudes toward patients with urinary incontinence. SUBJECTS AND SETTING The sample comprised 392 nursing students from 5 educational institutions in Hong Kong; all participants were enrolled in year 4 or 5 of their undergraduate nursing program, and all had completed formal education on urinary incontinence and clinical experience caring for patients with urinary incontinence. METHODS A cross-sectional survey was conducted in February 2017. Participants completed a 55-item questionnaire that included items querying demographic and pertinent professional background information, along with 2 validated instruments: the Urinary Incontinence Knowledge Scale (UIKS) and the Urinary Incontinence Attitude Scale (UIAS). Analysis of variance was performed to compare the differences in scores among nursing students based on demographic or educational background. Pearson's correlation coefficient or χ2 was used to examine the relationships between variables and multivariate regression analyses were performed to identify the predictors of attitude toward urinary incontinence. RESULTS Urinary incontinence knowledge was moderate (mean 22.0/30, SD 4.4) and attitudes about urinary incontinence were positive (mean 41.6/60, SD 4.5). There was a significant correlation between attitudes and knowledge (r = 0.175, P = .001), institution at which the students received training (χ2 = 161.790, P = .000), and the experience of having taken a course that included instruction about urinary incontinence (χ2 = 37.707, P = .014). Regression analysis revealed that knowledge and institution were predictors of attitudes. Participants reported high level of interest in learning more about urinary incontinence (71.2%). CONCLUSIONS Nursing students residing in Hong Kong have a moderate level of knowledge and positive attitude toward urinary incontinence. This study suggests that educational institution and specific instruction about urinary incontinence play key roles in developing positive attitudes toward caring for patients with urinary incontinence.
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Affiliation(s)
- Winnie Lai-Sheung Cheng
- Winnie Lai-Sheung Cheng, PhD, School of Nursing, Tung Wah College, Kowloon, Hong Kong
- Mei Kuk Kam, BHSc, Hospital Authority, Kowloon, Hong Kong
- Yu Yan Liong, BHSc, Hospital Authority, Kowloon, Hong Kong
- Tat Cheong Tang, BHSc, Hospital Authority, Kowloon, Hong Kong
- Eleni Hiu Lam Tse, BHSc, Hospital Authority, Kowloon, Hong Kong
- Ho Kwan Tse, BHSc, Hospital Authority, Kowloon, Hong Kong
- Wing Hei Tsao, BHSc, Hospital Authority, Kowloon, Hong Kong
- Ka Chai Cheung, BHSc, Hospital Authority, Kowloon, Hong Kong
| | - Mei Kuk Kam
- Winnie Lai-Sheung Cheng, PhD, School of Nursing, Tung Wah College, Kowloon, Hong Kong
- Mei Kuk Kam, BHSc, Hospital Authority, Kowloon, Hong Kong
- Yu Yan Liong, BHSc, Hospital Authority, Kowloon, Hong Kong
- Tat Cheong Tang, BHSc, Hospital Authority, Kowloon, Hong Kong
- Eleni Hiu Lam Tse, BHSc, Hospital Authority, Kowloon, Hong Kong
- Ho Kwan Tse, BHSc, Hospital Authority, Kowloon, Hong Kong
- Wing Hei Tsao, BHSc, Hospital Authority, Kowloon, Hong Kong
- Ka Chai Cheung, BHSc, Hospital Authority, Kowloon, Hong Kong
| | - Yu Yan Liong
- Winnie Lai-Sheung Cheng, PhD, School of Nursing, Tung Wah College, Kowloon, Hong Kong
- Mei Kuk Kam, BHSc, Hospital Authority, Kowloon, Hong Kong
- Yu Yan Liong, BHSc, Hospital Authority, Kowloon, Hong Kong
- Tat Cheong Tang, BHSc, Hospital Authority, Kowloon, Hong Kong
- Eleni Hiu Lam Tse, BHSc, Hospital Authority, Kowloon, Hong Kong
- Ho Kwan Tse, BHSc, Hospital Authority, Kowloon, Hong Kong
- Wing Hei Tsao, BHSc, Hospital Authority, Kowloon, Hong Kong
- Ka Chai Cheung, BHSc, Hospital Authority, Kowloon, Hong Kong
| | - Tat Cheong Tang
- Winnie Lai-Sheung Cheng, PhD, School of Nursing, Tung Wah College, Kowloon, Hong Kong
- Mei Kuk Kam, BHSc, Hospital Authority, Kowloon, Hong Kong
- Yu Yan Liong, BHSc, Hospital Authority, Kowloon, Hong Kong
- Tat Cheong Tang, BHSc, Hospital Authority, Kowloon, Hong Kong
- Eleni Hiu Lam Tse, BHSc, Hospital Authority, Kowloon, Hong Kong
- Ho Kwan Tse, BHSc, Hospital Authority, Kowloon, Hong Kong
- Wing Hei Tsao, BHSc, Hospital Authority, Kowloon, Hong Kong
- Ka Chai Cheung, BHSc, Hospital Authority, Kowloon, Hong Kong
| | - Eleni Hiu Lam Tse
- Winnie Lai-Sheung Cheng, PhD, School of Nursing, Tung Wah College, Kowloon, Hong Kong
- Mei Kuk Kam, BHSc, Hospital Authority, Kowloon, Hong Kong
- Yu Yan Liong, BHSc, Hospital Authority, Kowloon, Hong Kong
- Tat Cheong Tang, BHSc, Hospital Authority, Kowloon, Hong Kong
- Eleni Hiu Lam Tse, BHSc, Hospital Authority, Kowloon, Hong Kong
- Ho Kwan Tse, BHSc, Hospital Authority, Kowloon, Hong Kong
- Wing Hei Tsao, BHSc, Hospital Authority, Kowloon, Hong Kong
- Ka Chai Cheung, BHSc, Hospital Authority, Kowloon, Hong Kong
| | - Ho Kwan Tse
- Winnie Lai-Sheung Cheng, PhD, School of Nursing, Tung Wah College, Kowloon, Hong Kong
- Mei Kuk Kam, BHSc, Hospital Authority, Kowloon, Hong Kong
- Yu Yan Liong, BHSc, Hospital Authority, Kowloon, Hong Kong
- Tat Cheong Tang, BHSc, Hospital Authority, Kowloon, Hong Kong
- Eleni Hiu Lam Tse, BHSc, Hospital Authority, Kowloon, Hong Kong
- Ho Kwan Tse, BHSc, Hospital Authority, Kowloon, Hong Kong
- Wing Hei Tsao, BHSc, Hospital Authority, Kowloon, Hong Kong
- Ka Chai Cheung, BHSc, Hospital Authority, Kowloon, Hong Kong
| | - Wing Hei Tsao
- Winnie Lai-Sheung Cheng, PhD, School of Nursing, Tung Wah College, Kowloon, Hong Kong
- Mei Kuk Kam, BHSc, Hospital Authority, Kowloon, Hong Kong
- Yu Yan Liong, BHSc, Hospital Authority, Kowloon, Hong Kong
- Tat Cheong Tang, BHSc, Hospital Authority, Kowloon, Hong Kong
- Eleni Hiu Lam Tse, BHSc, Hospital Authority, Kowloon, Hong Kong
- Ho Kwan Tse, BHSc, Hospital Authority, Kowloon, Hong Kong
- Wing Hei Tsao, BHSc, Hospital Authority, Kowloon, Hong Kong
- Ka Chai Cheung, BHSc, Hospital Authority, Kowloon, Hong Kong
| | - Ka Chai Cheung
- Winnie Lai-Sheung Cheng, PhD, School of Nursing, Tung Wah College, Kowloon, Hong Kong
- Mei Kuk Kam, BHSc, Hospital Authority, Kowloon, Hong Kong
- Yu Yan Liong, BHSc, Hospital Authority, Kowloon, Hong Kong
- Tat Cheong Tang, BHSc, Hospital Authority, Kowloon, Hong Kong
- Eleni Hiu Lam Tse, BHSc, Hospital Authority, Kowloon, Hong Kong
- Ho Kwan Tse, BHSc, Hospital Authority, Kowloon, Hong Kong
- Wing Hei Tsao, BHSc, Hospital Authority, Kowloon, Hong Kong
- Ka Chai Cheung, BHSc, Hospital Authority, Kowloon, Hong Kong
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Application of estrogen for the treatment of stress urinary incontinence in mice. Arch Gynecol Obstet 2022; 305:1115-1125. [PMID: 35174407 DOI: 10.1007/s00404-022-06435-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Accepted: 02/02/2022] [Indexed: 11/02/2022]
Abstract
BACKGROUND Stress urinary incontinence (SUI) is a pervasive health tissue among women, which seriously affects the quality of life. The etiology of SUI is complex and diverse in women, with past studies having demonstrated that estrogen deficiency plays an important role in pelvic floor muscle atrophy and urethral degeneration. We comprehensively investigated the effects of estrogen in the treatment of SUI in female mice at cellular and animal levels. METHODS L929 fibroblasts mechanical injury model was established by four-point bending device, and SUI mouse model was established by vaginal dilation method commonly used to simulate labor injury. After estrogen treatment, the expressions of Collagen I, Collagen III, Elastin, TIMP-1, TIMP-2, MMP-2, and MMP-9 were detected, the leak point pressure (LPP) and abdominal leak point pressure (ALPP) of mice in each group were detected, and both the effect of estrogen on extracellular matrix remodeling of mouse urethra and anterior vaginal wall was observed from the histological level. RESULTS The results revealed that an appropriate amount of estrogen can promote the expression of Collagen I, Collagen III, Elastin, TIMP-1, and TIMP-2, decrease the expression of MMP-2 and MMP-9, and maintain the dynamic balance of MMPs/TIMPs at both cellular and animal levels. Meanwhile, we determined that estrogen can increase the LPP and ALPP values of SUI mice. The collagen fibers' content in the mice treated with estrogen was significantly greater than in the control group mice. CONCLUSIONS The estrogen may alleviate the symptoms of SUI by reconstituting ECM, thus laying a solid foundation for further exploration of estrogen therapy.
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Allameh F, Zadeh Modarres S, Pooladgar P, Alahyari S, Alaedini M, Nasiri M. Sexual Function Before and After Mid-Urethral Sling Procedure for Stress Urinary Incontinence. J Obstet Gynaecol India 2021; 71:609-614. [PMID: 34898899 DOI: 10.1007/s13224-021-01485-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Accepted: 04/13/2021] [Indexed: 10/21/2022] Open
Abstract
Purpose We aimed to assess the effect of TOT procedure on sexual function and quality of life in sexually active patients. Materials and Methods Forty-one patients with SUI aged 18-70 years participated in this study during 2015-2019. Sexual function was evaluated by Female Sexual Function Index (FSFI), Incontinence Impact Questionnaire (IIQ-7) and Urogenital Distress Inventory Questionnaire (UDI-6) prior to TOT surgery and six months after surgery. Results The mean IIQ-7 and UDI-6 scores were significant lower after surgery (P < 0.001). The mean FSFI score was 22.69 ± 5.48 prior to surgery and 29.79 ± 4.12 in the sixth month after surgery (P < 0.001). We found significant changes in all FSFI domains except for pain. Two patients complained of new dyspareunia after surgery. There was also a direct significant correlation between education and sexual function improvement in terms of desire (P = 0.031). Conclusion TOT can significantly enhance sexual function with low rate of complications in patients with SUI.
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Affiliation(s)
- Farzad Allameh
- Men's Health and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Shahrzad Zadeh Modarres
- Clinical Research Development Center, Mahdiyeh Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Parham Pooladgar
- Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Sam Alahyari
- Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Melika Alaedini
- Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Malihe Nasiri
- Department of Biostatics, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Effect of a Comprehensive Rehabilitation Program for Community Women with Urinary Incontinence: A Retrospect Cohort Study. Healthcare (Basel) 2021; 9:healthcare9121686. [PMID: 34946412 PMCID: PMC8701398 DOI: 10.3390/healthcare9121686] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Revised: 12/01/2021] [Accepted: 12/03/2021] [Indexed: 11/17/2022] Open
Abstract
Urinary incontinence (UI) is a common problem affecting older adult women globally, but studies regarding combined treatments for all types of UI are still lacking. Here we evaluate the efficacy of a comprehensive rehabilitation program for women with UI. A comprehensive rehabilitation program was introduced that combines pelvic floor muscle (PFM) exercises, functional electrical stimulation, and timely biofeedback during the training process. Data of patients with stress (SUI), urgency (UUI), or mixed (MUI) urinary incontinence who participated in this program between 2016 and 2019 were reviewed retrospectively. Seventy-three subjects (mean age 59.2 ± 12.7 years) were enrolled. After 12 weeks of rehabilitation, vaginal pressure and control accuracy increased in all groups. PFM maximum recruitment increased significantly at week 12 in SUI and UUI, but not in MUI. At week 6, only the SUI group had achieved significant improvements in vaginal pressure, PFM maximum recruitment and control accuracy. The Short-form Urogenital Distress Inventory (UDI-6) and Incontinence Impact Questionnaire-7 (IIQ-7) scores declined dramatically after the program started, and significant improvements were maintained to week 48. The comprehensive rehabilitation program is effective and decreases urinary leakage episodes and improves quality of life in women with UI, especially SUI.
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Senturk Erenel A, Cicek Ozdemir S. Evaluation of features associated with urinary incontinence in women. INTERNATIONAL JOURNAL OF UROLOGICAL NURSING 2021. [DOI: 10.1111/ijun.12298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
| | - Sevil Cicek Ozdemir
- Nursing Department, Faculty of Health Sciences Kutahya Health Sciences University Kutahya Turkey
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The Effect of Urinary Incontinence Symptoms on Sexual Functions and Quality of Life in Women. SEXUALITY AND DISABILITY 2021. [DOI: 10.1007/s11195-021-09714-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Prevalence, social impact and help-seeking behaviour among women with urinary incontinence in the Gulf countries: A systematic review. Eur J Obstet Gynecol Reprod Biol 2021; 266:150-156. [PMID: 34653920 DOI: 10.1016/j.ejogrb.2021.10.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Revised: 07/06/2021] [Accepted: 10/02/2021] [Indexed: 12/18/2022]
Abstract
BACKGROUND Urinary incontinence (UI) in women is a common problem worldwide. It has a major impact on the physical and social activities and interpersonal relationships. The societies in the Gulf countries are conservative and favours large families, high parity and short inter-pregnancy intervals. Moreover, there is a high prevalence of gestational diabetes with many macrosomic babies. This study aimed to review the published literature on UI among women in this region. METHODS All published literature which investigated the prevalence, social impact and help-seeking behavior in women with UI in the Gulf countries was reviewed. RESULTS Nine studies met the criteria and were very heterogeneous. None of them was a true population-based study and all except one, investigated subjects from healthcare facilities. The prevalence of UI ranged from 20.3% to 54.5%. Stress UI was the main type reported. The main predisposing factors were chronic respiratory diseases and constipation. There was a large impact on the quality of life with major interference with prayers (34-90%) and sexual relationships (18-57%). The main reasons for not seeking medical advice were embarrassment to see doctors especially male doctors and the belief that UI is common, normal or incurable disease. CONCLUSIONS There is a need for true whole population-based studies of UI in this region with the use of validated international questionnaires. UI was shown to have a major impact on the act of prayers and sexual relationships. A large proportion of women are still embarrassed to discuss the issue with doctors especially male doctors.
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Impact of Hysterectomy on Quality of Life, Urinary Incontinence, Sexual Functions and Urethral Length. J Clin Med 2021; 10:jcm10163608. [PMID: 34441904 PMCID: PMC8396917 DOI: 10.3390/jcm10163608] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Revised: 08/12/2021] [Accepted: 08/13/2021] [Indexed: 01/01/2023] Open
Abstract
The aim of the study was to evaluate the influence of different types of hysterectomy on UI symptoms, quality of life and sexual functions using dedicated questionnaires. We investigated a correlation between the urethral length (UL), UI symptoms and the length of the cervix (left after LSH and SH) with sexual functions. The study enrolled 500 consecutive women referred for hysterectomy: 121 underwent VH, 171 underwent LSH, 96 underwent SH, 68 underwent TAH, and 44 underwent TLH. The patients filled in the UI-specific questionnaires and FSFI before and 12 months after hysterectomy. The UL was measured by introital ultrasound before and 12 months after hysterectomy. Before surgery, 137 out of 399 (34.3%) patients had UI symptoms; afterwards, 139 (34.8%) indicated the same (p > 0.05). There was no statistically significant difference in the UL in the patients before and after the procedure, and the cervix length did not differ between patients after LSH and SH. When the entire investigated population was analyzed, a significant improvement of the QoL was found on the IIQ-7. Hysterectomy performed due to benign diseases has effects on UI regardless of the surgical technique used. The UI symptoms improved only in the patients after LSH. The UL measured 12 months after hysterectomy did not change.
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Liu N, Xing L, Mao W, Chen S, Wu J, Xu B, Chen M. Relationship Between Blood Glucose and Hemoglobin A1c Levels and Urinary Incontinence in Women. Int J Gen Med 2021; 14:4105-4116. [PMID: 34366679 PMCID: PMC8336994 DOI: 10.2147/ijgm.s324332] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2021] [Accepted: 07/21/2021] [Indexed: 11/23/2022] Open
Abstract
Objective The purpose of this study was to evaluate the associations between blood glucose and hemoglobin A1c (HbA1c) levels with the degree of stress urinary incontinence (SUI) and urgency urinary incontinence (UUI) in women. Methods We conducted a cross-sectional study of female participants in the National Health and Nutrition Examination Survey (NHANES) database between 2007 and 2012. Univariate and multivariate logistic regressions were used to assess the relationship between blood glucose and HbA1c levels and the degree of SUI and UUI. Results A total of 3821 participants were enrolled in the study, of whom 2421 (63.4%) had no SUI, 1133 (29.7%) had monthly SUI, 267 (7.0%) had weekly SUI; 2883 (75.5%) had no UUI, 735 (19.2%) had monthly UUI, 203 (5.3%) had weekly UUI. The levels of blood glucose and HbA1c were positively correlated with SUI and UUI, and increased with increasing degree of UUI. Multivariate logistic regression showed that there was a positive association between blood HbA1c level and degree of SUI. Conclusion Our study found that blood glucose and HbA1c levels can be used as indicators of SUI and UUI severity in women.
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Affiliation(s)
- Ning Liu
- Department of Urology, Affiliated Zhongda Hospital of Southeast University, Nanjing, 210009, People's Republic of China
| | - Li Xing
- Department of Urology, Affiliated Zhongda Hospital of Southeast University, Nanjing, 210009, People's Republic of China
| | - Weipu Mao
- Department of Urology, Affiliated Zhongda Hospital of Southeast University, Nanjing, 210009, People's Republic of China.,Surgical Research Center, Institute of Urology, Southeast University Medical School, Nanjing, 210009, People's Republic of China.,Department of Urology, Nanjing Lishui District People's Hospital, Zhongda Hospital Lishui Branches, Southeast University, Nanjing, 211200, People's Republic of China
| | - Shuqiu Chen
- Department of Urology, Affiliated Zhongda Hospital of Southeast University, Nanjing, 210009, People's Republic of China
| | - Jianping Wu
- Department of Urology, Affiliated Zhongda Hospital of Southeast University, Nanjing, 210009, People's Republic of China
| | - Bin Xu
- Department of Urology, Affiliated Zhongda Hospital of Southeast University, Nanjing, 210009, People's Republic of China
| | - Ming Chen
- Department of Urology, Affiliated Zhongda Hospital of Southeast University, Nanjing, 210009, People's Republic of China.,Surgical Research Center, Institute of Urology, Southeast University Medical School, Nanjing, 210009, People's Republic of China.,Department of Urology, Nanjing Lishui District People's Hospital, Zhongda Hospital Lishui Branches, Southeast University, Nanjing, 211200, People's Republic of China
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Shao XH, Kong DJ, Zhang LW, Wang LL, Wang SM, Yu LJ, Dong XQ. Ultrasound analysis of the effect of second delivery on pelvic floor function in Chinese women. J OBSTET GYNAECOL 2021; 42:261-267. [PMID: 34078229 DOI: 10.1080/01443615.2021.1907554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
In our study, patients who had a second delivery were categorised into the following 4 groups. Pelvic floor ultrasound data were compared during the 6th week after the second delivery. The incidence of cystoceles was highest in group A and lowest in group D. In addition, groups A and B had a higher rate of rectoceles or perineum descent. Similarly, the areas of the levator hiatus were higher in Groups A and B during Valsalva manoeuvres. The area of the levator hiatus from the resting state to the Valsalva manoeuvre effect had the greatest change in Group A. A comparison of the PR thickening rates among the four groups did not reveal significant differences. All second delivery methods can cause varying degrees of pelvic organ prolapse and decreased pelvic floor function; however, vaginal delivery as the second delivery mode may have a more significant effect in Chinese women.Impact StatementWhat is already known on this subject? Different modes of delivery have significantly different effects on female pelvic floor function. Pregnancy beyond 35 weeks of gestation has an effect on female pelvic floor function, irrespective of the mode of delivery.What do the results of this study add? This study analysed the impact of different delivery modes on Chinese female pelvic floor function. Parous women who underwent different modes of second delivery all demonstrated different degrees of pelvic organ prolapse, as well as pelvic floor function decline.What are the implications of these findings for clinical practice and/or further research? Our study will provide basic research of Chinese female pelvic floor function after a second delivery, which will be of clinical significance around the world, as well as in China. China will keep promoting further delivery as the aging population is increasing. If the developing countries want to promote the second delivery around the women, they have basic research and data to instruct the females.
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Affiliation(s)
- Xiao-Hui Shao
- PET/CT Center, Harbin Medical University Cancer Hospital, Heilongjiang Province, Harbin, P. R. China.,Department of Ultrasonography, The Fourth Hospital of Harbin Medical University, Heilongjiang Province, Harbin, P. R. China
| | - De-Jiao Kong
- Department of Ultrasonography, The Fourth Hospital of Harbin Medical University, Heilongjiang Province, Harbin, P. R. China
| | - Li-Wei Zhang
- Department of Ultrasonography, The Fourth Hospital of Harbin Medical University, Heilongjiang Province, Harbin, P. R. China
| | - Lu-Lu Wang
- Department of Ultrasonography, The Fourth Hospital of Harbin Medical University, Heilongjiang Province, Harbin, P. R. China
| | - Si-Ming Wang
- Department of Ultrasonography, The Fourth Hospital of Harbin Medical University, Heilongjiang Province, Harbin, P. R. China
| | - Li-Juan Yu
- PET/CT Center, Harbin Medical University Cancer Hospital, Heilongjiang Province, Harbin, P. R. China.,Nuclear Medicine Department, Hainan Cancer Hospital, Hainan Province, Haikou, P. R. China
| | - Xiao-Qiu Dong
- Department of Ultrasonography, The Fourth Hospital of Harbin Medical University, Heilongjiang Province, Harbin, P. R. China
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Motta GL, Bujons A, Quiróz Y, Llorens E, Zancan M, Rosito TE. Sexuality of Female Spina Bifida Patients: Predictors of a Satisfactory Sexual Function. REVISTA BRASILEIRA DE GINECOLOGIA E OBSTETRÍCIA 2021; 43:467-473. [PMID: 34318472 PMCID: PMC10411230 DOI: 10.1055/s-0041-1732464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Accepted: 05/05/2021] [Indexed: 10/20/2022] Open
Abstract
OBJECTIVE To assess the sexual function of women with spina bifida (SB), and to verify the factors that influence their sexual function. METHODS A cross-sectional study in which a validated female-specific questionnaire was applied to 140 SB female patients from four different cities (Porto Alegre, Brazil; and Barcelona, Madrid, and Málaga, Spain) between 2019 and 2020. The questionnaires collected data on the clinical characteristics of SB, and female sexual function was assessed using the 6-item version of the Female Sexual Function Index (FSFI-6) validated to Portuguese and Spanish. RESULTS Half of the patients had had sexual activity at least once in the life, but most (57.1%) did not use any contraception method. Sexual dysfunction was present in most (84.3%) patients, and all sexual function domains were impaired compared those of non-neurogenic women. The presence of urinary and fecal incontinence significantly affected the quality of their sexual activity based on the FSFI-6. CONCLUSION The specific clinical aspects of the SB patients, such as urinary and fecal incontinence, should be properly addressed by their doctors, since they are associated with reduced sexual activity and lower FSFI-6 scores in the overall or specific domains. There is also a need to improve gynecological care among sexually-active SB patients, since most do not use any contraceptive methods and are at risk of inadvertent pregnancy.
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Affiliation(s)
- Guilherme Lang Motta
- Surgery Department, Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, RS, Brazil
- Postgraduate Program in Health Sciences: Gynecology and Obstetrics, Universidade Federal do Rio Grande do Sul, RS, Brazil
| | - Anna Bujons
- Pediatric Urology Department, Fundació Puigvert, Barcelona, Spain
| | - Yesica Quiróz
- Pediatric Urology Department, Fundació Puigvert, Barcelona, Spain
| | - Erika Llorens
- Pediatric Urology Department, Fundació Puigvert, Barcelona, Spain
| | - Maira Zancan
- Postgraduate Program in Health Sciences: Gynecology and Obstetrics, Universidade Federal do Rio Grande do Sul, RS, Brazil
- Gynecology and Obstetrics Department, Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, RS, Brazil
| | - Tiago Elias Rosito
- Postgraduate Program in Health Sciences: Gynecology and Obstetrics, Universidade Federal do Rio Grande do Sul, RS, Brazil
- Urology Department, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, RS, Brazil
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Motta GL, Quiróz Y, Llorens E, Bujons A, Rosito TE. The impact of neurogenic bladder bowel dysfunction in the sexuality of female spina bifida patients. J Pediatr Urol 2021; 17:288.e1-288.e6. [PMID: 33546979 DOI: 10.1016/j.jpurol.2021.01.016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Revised: 12/01/2020] [Accepted: 01/14/2021] [Indexed: 11/18/2022]
Abstract
INTRODUCTION The sexual life of Spina Bifida (SB) women may be affected by their physical impairments. Data has consistently associated symptoms such as urinary and fecal incontinence with negative effects on social and intimate life. OBJECTIVE To analyze the female spina bifida patient sexual life and assess which factors - including bladder bowel dysfunction and bladder augmentation - influenced in the sexual function of patients in a multi-center cross-sectional study. STUDY DESIGN A cross-sectional survey with validated female-specific questionnaire was applied in 140 spina bifida female patients from four different cities (Porto Alegre/Brazil; Barcelona, Madrid and Málaga/Spain) between 2019 and 2020. Questionnaires collected data on spina bifida clinical characteristics and sexuality, which was assessed using the 6-item version of the Female Sexual Function Index (FSFI-6) in the Portuguese and Spanish validated versions. Female sexual dysfunction was defined as a FSFI-6 total score ≤19. RESULTS Sexual dysfunction was present in most (84.3%) patients with a median overall FSFI-6 total score of 14.5 (range 4-26), being all sex domains impaired. Bladder augmentation, type of spina bifida, spinal cord level, hydrocephalus, use of wheelchair and psychological disorder were not statistically associated with differences among rates of sexual activity or female sexual dysfunction. The presence of urinary incontinence (UI) showed both significant lower sexual intercourse and higher dysfunction rates (Summary Table). Urinary and fecal incontinence were significantly associated with worst scores in all domains, except for pain. DISCUSSION Urinary incontinence status was the most relevant factor since it impaired either female sexual dysfunction and sexual activity rates, as well as the FSFI-6 overall and specific domains. These findings are consistent with previous studies who also observed that desire, arousal and lubrication domains had negative effects from urinary loss on SB patients. Fecal incontinence status did not influenced in sexual activity of female sexual dysfunction rates, nevertheless it promoted lower scores in the overall and specific sexual domains. CONCLUSION Spina bifida is a complex condition that demands proper care to achieve a satisfactory sexual life, specially regarding neurogenic bladder and bowel dysfunction. Clinical aspects in the SB patient, such as urinary and fecal incontinence, should be properly addressed by pediatric urologists since they are associated with female sexual dysfunction and reduced sexual activity, as well as lower FSFI-6 scores in the overall and specific domains. There is also a need to improve communication about sexuality, because only 18.6% of the patients considered it that had received sufficient sex information from physicians.
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Affiliation(s)
- Guilherme Lang Motta
- Surgery Department, Universidade Federal de Santa Maria, Santa Maria, Brazil; Postgraduate Program in Health Sciences: Gynecology and Obstetrics, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil.
| | - Yesica Quiróz
- Pediatric Urology Department, Fundació Puigvert, Barcelona, Spain
| | - Erika Llorens
- Pediatric Urology Department, Fundació Puigvert, Barcelona, Spain
| | - Anna Bujons
- Pediatric Urology Department, Fundació Puigvert, Barcelona, Spain
| | - Tiago Elias Rosito
- Postgraduate Program in Health Sciences: Gynecology and Obstetrics, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil; Urology Department, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
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BOSTANOGLU G, DEMİRGÖZ BAL M. The effects of continuous labor support by midwife: a randomized control trial. CLINICAL AND EXPERIMENTAL HEALTH SCIENCES 2021. [DOI: 10.33808/clinexphealthsci.736497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Schmid FA, Williams JK, Kessler TM, Stenzl A, Aicher WK, Andersson KE, Eberli D. Treatment of Stress Urinary Incontinence with Muscle Stem Cells and Stem Cell Components: Chances, Challenges and Future Prospects. Int J Mol Sci 2021; 22:3981. [PMID: 33921532 PMCID: PMC8069473 DOI: 10.3390/ijms22083981] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2021] [Revised: 04/09/2021] [Accepted: 04/10/2021] [Indexed: 02/06/2023] Open
Abstract
Urinary incontinence (UI) is a major problem in health care and more than 400 million people worldwide suffer from involuntary loss of urine. With an increase in the aging population, UI is likely to become even more prominent over the next decades and the economic burden is substantial. Among the different subtypes of UI, stress urinary incontinence (SUI) is the most prevalent and focus of this review. The main underlying causes for SUI are pregnancy and childbirth, accidents with direct trauma to the pelvis or medical treatments that affect the pelvic floor, such as surgery or irradiation. Conservative approaches for the treatment of SUI are pelvic physiotherapy, behavioral and lifestyle changes, and the use of pessaries. Current surgical treatment options include slings, colposuspensions, bulking agents and artificial urinary sphincters. These treatments have limitations with effectiveness and bear the risk of long-term side effects. Furthermore, surgical options do not treat the underlying pathophysiological causes of SUI. Thus, there is an urgent need for alternative treatments, which are effective, minimally invasive and have only a limited risk for adverse effects. Regenerative medicine is an emerging field, focusing on the repair, replacement or regeneration of human tissues and organs using precursor cells and their components. This article critically reviews recent advances in the therapeutic strategies for the management of SUI and outlines future possibilities and challenges.
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Affiliation(s)
- Florian A. Schmid
- Department of Urology, University Hospital Zurich, University of Zurich, 8091 Zurich, Switzerland;
| | - J. Koudy Williams
- Institute of Regenerative Medicine, Wake Forest University School of Medicine, Winston Salem, NC 27101, USA; (J.K.W.); (K.-E.A.)
| | - Thomas M. Kessler
- Department of Neuro-Urology, Balgrist University Hospital, University of Zurich, 8008 Zurich, Switzerland;
| | - Arnulf Stenzl
- Department of Urology, University Hospital Tubingen, University of Tubingen, 72076 Tubingen, Germany; (A.S.); (W.K.A.)
| | - Wilhelm K. Aicher
- Department of Urology, University Hospital Tubingen, University of Tubingen, 72076 Tubingen, Germany; (A.S.); (W.K.A.)
| | - Karl-Erik Andersson
- Institute of Regenerative Medicine, Wake Forest University School of Medicine, Winston Salem, NC 27101, USA; (J.K.W.); (K.-E.A.)
| | - Daniel Eberli
- Department of Urology, University Hospital Zurich, University of Zurich, 8091 Zurich, Switzerland;
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Zalewski M, Kołodyńska G, Zalewska A, Andrzejewski W. Comparative Assessment of Female Sexual Function Following Transobturator Midurethral Sling for Stress Urinary Incontinence. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18052286. [PMID: 33669050 PMCID: PMC7967668 DOI: 10.3390/ijerph18052286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/13/2021] [Revised: 02/19/2021] [Accepted: 02/20/2021] [Indexed: 11/23/2022]
Abstract
Urinary incontinence (UI) is a significant social problem. According to the World Health Organization, UI affects as much as 30% of premenopausal women and 60% of postmenopausal women. Urinary incontinence can lead to certain problems that negatively affect a woman’s sex life. They result from the fact that certain processes take place in the body during intercourse. As a result of orgasm, the intra-abdominal pressure increases, which in women with urinary incontinence can cause an uncontrolled leakage of urine. The discomfort that this causes, in turn, lowers sexual attractiveness, as well as causes embarrassment. The study involved 50 patients hospitalized in the period from February to May 2019 at the Gynecology Department of the Independent Public Healthcare Center of the Ministry of the Interior and Administration in Wrocław. All patients underwent surgical treatment of stress urinary incontinence using the transobturator tape (TOT) method. To assess sexuality, the international standardized Female Sexual Function Index (FSFI) questionnaire. Analysis of the results obtained from the FSFI questionnaire shows that the operation significantly affects the reduction in pain sensation during intercourse, a reduction in the sensation of sexual arousal, and a worsening vaginal wetness. Stress urinary incontinence significantly affects women’s sex life.
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Affiliation(s)
- Maciej Zalewski
- Department of Gynaecology and Obstetrics, Faculty of Health Sciences, Medical University of Wrocław, 50-367 Wrocław, Poland;
| | - Gabriela Kołodyńska
- Department of Massage and Physical Therapy, Faculty of Physiotherapy, University School of Physical Education, al. I. Paderewskiego 35, 51-612 Wrocław, Poland;
- Correspondence: ; Tel.: +48-608-134-579
| | - Agata Zalewska
- Department of Otolaryngology, Faculty of Medicine and Dentistry, Medical University of Wrocław, 50-367 Wrocław, Poland;
| | - Waldemar Andrzejewski
- Department of Massage and Physical Therapy, Faculty of Physiotherapy, University School of Physical Education, al. I. Paderewskiego 35, 51-612 Wrocław, Poland;
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Nissen KH, Shayo BC, Rasch V, Masenga GG, Linde DS. "I just wear it and I become normal": a qualitative study of Tanzanian women's experiences with long-term vaginal pessary use for stress urinary incontinence. BMJ Open 2021; 11:e040009. [PMID: 33472777 PMCID: PMC7818809 DOI: 10.1136/bmjopen-2020-040009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Revised: 12/04/2020] [Accepted: 01/07/2021] [Indexed: 11/03/2022] Open
Abstract
INTRODUCTION Previous research has shown that vaginal pessaries are a cost-effective treatment for women worldwide suffering from stress urinary incontinence. However, little is known about African women's experiences with vaginal pessary use. The aim of this study was to understand the experiences of vaginal pessary use among Tanzanian women who had received long-term pessary treatment for stress urinary incontinence. METHODS 15 semi-structured, individual interviews were conducted over a 2-month period in 2019 with Tanzanian women living in the Kilimanjaro Region who suffered from stress urinary incontinence and who had been using a pessary for at least 18 months. The interview transcripts were analysed using qualitative content analysis. RESULTS The primary motivation for seeking treatment were discomfort from symptoms, social consequences and low quality of life. Perceived benefits from pessary use included improved quality of life with reacquired abilities to perform daily activities, participate in social gatherings, feeling symptom relief and improved sexual relations. Further, some women saw pessary treatment as superior to other locally available treatment options. Perceived barriers for pessary use included shame, husband's disapproval, limited access to treatment and lack of knowledge among the women as well as healthcare personnel. CONCLUSION Vaginal pessaries are well-perceived as a long-term treatment method among Tanzanian women suffering from stress urinary incontinence. This method may have potential to be implemented large scale in Tanzania if combined with basic health education.
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Affiliation(s)
- Karina Holm Nissen
- Department of Clinical Research, University of Southern Denmark, Odense, Denmark
| | - Benjamin C Shayo
- Department of Obstetrics and Gynecology, Kilimanjaro Christian Medical Centre, Moshi, Kilimanjaro, Tanzania, United Republic of
- Kilimanjaro Christian Medical College, Moshi, Kilimanjaro, Tanzania, United Republic of
| | - Vibeke Rasch
- Department of Clinical Research, University of Southern Denmark, Odense, Denmark
- Department of Obstetrics and Gynaecology, Odense Universitetshospital, Odense, Denmark
| | - Gileard G Masenga
- Department of Obstetrics and Gynecology, Kilimanjaro Christian Medical Centre, Moshi, Kilimanjaro, Tanzania, United Republic of
- Kilimanjaro Christian Medical College, Moshi, Kilimanjaro, Tanzania, United Republic of
| | - Ditte Søndergaard Linde
- Department of Clinical Research, University of Southern Denmark, Odense, Denmark
- Department of Obstetrics and Gynaecology, Odense Universitetshospital, Odense, Denmark
- OPEN, Odense Patient Data Explorative Network, Odense University Hospital, Odense, Region of Southern Denmark, Denmark
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Turgut H, Hasırcı E, Atkın MS, Okutucu TM, Ileri F, Ozdemir A, Usta SS, Sarier M. Does the sexual function of the spouses change after the TOT procedure? Arch Gynecol Obstet 2021; 303:1489-1494. [PMID: 33386954 DOI: 10.1007/s00404-020-05920-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2020] [Accepted: 11/23/2020] [Indexed: 11/25/2022]
Abstract
AIM This prospective study aimed to evaluate sexual function in women who underwent transobturator tape (TOT) sling surgery and their male sexual partners compared to before the procedure. MATERIALS AND METHODS The study included a total of 202 women with stress urinary incontinence who underwent the TOT procedure between April 2018 and February 2020, and their partners. All of the women completed the Incontinence Impact Questionnaire (IIQ-7), Urogenital Distress Inventory (UDI-6), and Female Sexual Function Index (FSFI) questionnaire while their partners completed the International Index of Erectile Function (IIEF-5) questionnaire before and 6 months after the procedure. RESULTS Mean IIQ-7 and UDI-6 scores were significantly lower at postoperative month 6 compared to preoperative values (p < 0.001). Mean FSFI scores were 22.5 ± 1.7 preoperatively and 27.8 ± 1.6 at postoperative month 6 (p < 0.001). Pain score did not change significantly (p = 0.4), but there were significant increases in the other FSFI domains of desire, arousal, lubrication, and satisfaction (p < 0.001, p < 0.001, p < 0.001, p < 0.001). The partners' mean IIEF score was 50.05 ± 5.4 preoperatively and increased to 59.7 ± 6.8 postoperatively (p < 0.001). No significant differences were detected in erectile or orgasmic function (p = 0.16, p = 0.67), whereas desire, intercourse satisfaction, and overall satisfaction scores increased significantly (p < 0.001, p < 0.001, p < 0.001). CONCLUSION TOT surgery improves sexual function not only in women but also their partners.
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Affiliation(s)
- Hasan Turgut
- Faculty of Health Science, Avrasya University, Ortahisar, Trabzon, Turkey.
- Department of Urology, Medicalpark Karadeniz Hospital, 61000, Trabzon, Turkey.
| | - Eray Hasırcı
- Department of Urology, Baskent University, Ankara, Turkey
| | | | | | | | - Aylin Ozdemir
- Department of Anesthesia, Medicalpark Karadeniz Hospital, Trabzon, Turkey
| | - Sibel Surmen Usta
- Department of Obstetrics and Gynaecology, Medicalpark Hospital, Antalya, Turkey
| | - Mehmet Sarier
- Department of Urology, Medicalpark Hospital, Antalya, Turkey
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Pan J, Liang E, Cai Q, Zhang D, Wang J, Feng Y, Yang X, Yang Y, Tian W, Quan C, Han R, Niu Y, Chen Y, Xin Z. Progress in studies on pathological changes and future treatment strategies of obesity-associated female stress urinary incontinence: a narrative review. Transl Androl Urol 2021; 10:494-503. [PMID: 33532337 PMCID: PMC7844519 DOI: 10.21037/tau-20-1217] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
With the increasing prevalence of obesity worldwide, obesity-related female stress urinary incontinence (FSUI) has become a key health problem. Recent studies indicated that FSUI is primarily caused by obesity-related pathological changes, such as fat droplet deposition, and results in pelvic floor nerve, vascular, and urethral striated muscle injury. Meanwhile, treatments for obesity-associated FSUI (OA-FSUI) have garnered much attention. Although existing OA-FSUI management strategies, including weight loss, pelvic floor muscle exercise, and urethral sling operation, could play a role in symptomatic relief; they cannot reverse the pathological changes in OA-FSUI. The continued exploration of safe and reliable treatments has led to regenerative therapy becoming a particularly promising area of researches. Specifically, micro-energy, such as low-intensity pulsed ultrasound (LIPUS), low-intensity extracorporeal shock wave therapy (Li-ESWT), and pulsed electromagnetic field (PEMF), have been shown to restore the underlying pathological changes of OA-FSUI, which might be related by regulation endogenous stem cells (ESCs) to restore urine control function ultimately in animal experiments. Therefore, ESCs may be a target for repairing pathological changes of OA-FSUI. The aim of this review was to summarize the OA-FSUI-related pathogenesis, current treatments, and to discuss potential therapeutic options. In particular, this review is focused on the effects and related mechanisms of micro-energy therapy for OA-FSUI to provide a reference for future basically and clinical researches.
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Affiliation(s)
- Jiancheng Pan
- Male Reproductive and Sexual Medicine, Department of Urology, the Second Hospital of Tianjin Medical University, Tianjin, China.,Laboratory of Male Reproductive Medicine, Tianjin Urology Institute, Tianjin, China
| | - Enli Liang
- Male Reproductive and Sexual Medicine, Department of Urology, the Second Hospital of Tianjin Medical University, Tianjin, China.,Laboratory of Male Reproductive Medicine, Tianjin Urology Institute, Tianjin, China
| | - Qiliang Cai
- Male Reproductive and Sexual Medicine, Department of Urology, the Second Hospital of Tianjin Medical University, Tianjin, China.,Laboratory of Male Reproductive Medicine, Tianjin Urology Institute, Tianjin, China
| | - Dingrong Zhang
- Male Reproductive and Sexual Medicine, Department of Urology, the Second Hospital of Tianjin Medical University, Tianjin, China.,Laboratory of Male Reproductive Medicine, Tianjin Urology Institute, Tianjin, China
| | - Jiang Wang
- Male Reproductive and Sexual Medicine, Department of Urology, the Second Hospital of Tianjin Medical University, Tianjin, China.,Laboratory of Male Reproductive Medicine, Tianjin Urology Institute, Tianjin, China
| | - Yuhong Feng
- Male Reproductive and Sexual Medicine, Department of Urology, the Second Hospital of Tianjin Medical University, Tianjin, China.,Laboratory of Male Reproductive Medicine, Tianjin Urology Institute, Tianjin, China
| | - Xiaoqing Yang
- Male Reproductive and Sexual Medicine, Department of Urology, the Second Hospital of Tianjin Medical University, Tianjin, China.,Laboratory of Male Reproductive Medicine, Tianjin Urology Institute, Tianjin, China
| | - Yongjiao Yang
- Male Reproductive and Sexual Medicine, Department of Urology, the Second Hospital of Tianjin Medical University, Tianjin, China.,Laboratory of Male Reproductive Medicine, Tianjin Urology Institute, Tianjin, China
| | - Wenjie Tian
- Department of Urology, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea
| | - Changyi Quan
- Male Reproductive and Sexual Medicine, Department of Urology, the Second Hospital of Tianjin Medical University, Tianjin, China.,Laboratory of Male Reproductive Medicine, Tianjin Urology Institute, Tianjin, China
| | - Ruifa Han
- Male Reproductive and Sexual Medicine, Department of Urology, the Second Hospital of Tianjin Medical University, Tianjin, China.,Laboratory of Male Reproductive Medicine, Tianjin Urology Institute, Tianjin, China
| | - Yuanjie Niu
- Male Reproductive and Sexual Medicine, Department of Urology, the Second Hospital of Tianjin Medical University, Tianjin, China.,Laboratory of Male Reproductive Medicine, Tianjin Urology Institute, Tianjin, China
| | - Yegang Chen
- Male Reproductive and Sexual Medicine, Department of Urology, the Second Hospital of Tianjin Medical University, Tianjin, China.,Laboratory of Male Reproductive Medicine, Tianjin Urology Institute, Tianjin, China
| | - Zhongcheng Xin
- Male Reproductive and Sexual Medicine, Department of Urology, the Second Hospital of Tianjin Medical University, Tianjin, China.,Laboratory of Male Reproductive Medicine, Tianjin Urology Institute, Tianjin, China.,Andrology Center, Peking University First Hospital, Peking University, Beijing, China
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Suh J, Oh SJ, Cho SY. Comprehensive Review of Effective Application of Questionnaires for Clinical Research on Lower Urinary Tract Symptoms With Translation and Cultural Adaptation to the Korean Language. Int Neurourol J 2020; 24:313-323. [PMID: 33401352 PMCID: PMC7788330 DOI: 10.5213/inj.2040074.037] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2020] [Accepted: 05/11/2020] [Indexed: 11/08/2022] Open
Abstract
Lower urinary tract symptoms are highly prevalent and closely related to patients' quality of life. Clinical research on urologic disease is essential for accumulating evidence on patient management; however, the major obstacle is converting patients' subjective symptoms to objective parameters. The optimal application of well-developed and validated questionnaires is vital in achieving objectivity and minimizing bias in clinical research. Numerous questionnaires for measuring symptoms and quality of life in urologic diseases have been developed worldwide; however, they cannot be directly used in clinical studies without validation processes. This review aimed to explain the common procedures for translation, linguistic, and psychometric validation of developed questionnaires from other languages. Furthermore, we comprehensively reviewed currently available questionnaires for evaluating lower urinary tract symptoms in the Korean population.
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Affiliation(s)
- Jungyo Suh
- Department of Urology, Seoul National University Hospital, Seoul, Korea
| | - Seung-June Oh
- Department of Urology, Seoul National University Hospital, Seoul, Korea
| | - Sung Yong Cho
- Department of Urology, Seoul National University Hospital, Seoul, Korea
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Karsiyakali N, Sahin Y, Ates HA, Okucu E, Karabay E. Evaluation of the Sexual Functioning of Individuals Living in Turkey During the COVID-19 Pandemic: An Internet-Based Nationwide Survey Study. Sex Med 2020; 9:100279. [PMID: 33291042 PMCID: PMC7718780 DOI: 10.1016/j.esxm.2020.10.007] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2020] [Revised: 10/19/2020] [Accepted: 10/20/2020] [Indexed: 11/09/2022] Open
Abstract
Introduction Although many countries in the world prioritize self-isolation measures during the corona virus disease 2019 (COVID-19) pandemic period, the effects of this process on sexual functioning are not yet known. Aim To evaluate the effects of the COVID-19 pandemic on the sexual functioning of individuals who declared no medical history of the COVID-19 disease. Methods A total of 1,356 participants filled out an Internet-based survey between June 1 and June 20, 2020. The data from these participants were analyzed to determine sexual functioning in terms of sexual intercourse frequency and sexual desire during the COVID-19 pandemic. Subgroups analyses were also performed, wherein the subgroups were developed according to the population density of the cities in which the participants lived to examine whether population density has any effect on the sexual functions of the participants during the COVID-19 pandemic. Main Outcome Measure The study outcomes were obtained using a study-specific questionnaire to assess the changes in people's sexual functioning. Results The mean age of the participants was 33.16 ± 8.31 years. There was a statistically significant difference between the participants according to the decrease in the number of weekly sexual intercourses when they were compared in terms of smoking status, alcohol consumption, marital and parental status, being a health-care worker, having a regular sexual partner, and the working status during the COVID-19 pandemic (P < .05, for each). In the subgroup analyses, it was observed that there was a statistically significant difference between the groups for change in the number of sexual intercourses, the number of masturbations, and sexual desire during the COVID-19 pandemic (P < .05, for each). Conclusion A decline in sexual functioning was observed during the COVID-19 pandemic period. Living in a metropolitan area was associated with a decline in both sexual intercourse frequency and sexual desire during the COVID-19 pandemic. Karsiyakali N, Sahin Y, Ates HA, et al. Evaluation of the Sexual Functioning of Individuals Living in Turkey During the COVID-19 Pandemic: An Internet-Based Nationwide Survey Study. Sex Med 2021;9:100279.
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Affiliation(s)
- Nejdet Karsiyakali
- Department of Urology, Acibadem M.A. Aydinlar University, Altunizade Hospital, Istanbul, Turkey.
| | - Yusuf Sahin
- Department of Urology, University of Health Sciences, Bagcilar Training and Research Hospital, Istanbul, Turkey
| | | | - Emrah Okucu
- Department of Urology, Idil State Hospital, Sirnak, Turkey
| | - Emre Karabay
- Department of Urology, University of Health Sciences, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey
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Schmid FA, Gascho D, Zoelch N, Prange JA, Colacicco G, Eberli D. Feasibility, technique and accuracy of ultrasound-guided transurethral injections into the urinary sphincter of female cadavers: proof of concept. BMC Urol 2020; 20:167. [PMID: 33097063 PMCID: PMC7583166 DOI: 10.1186/s12894-020-00719-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Accepted: 09/14/2020] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND The injection of muscle precursor cells (MPC) into the external urinary sphincter muscle (EUS) is a promising therapeutic option for regenerative treatment of stress urinary incontinence (SUI). The objective of the present project was to conduct a pre-clinical trial to investigate the feasibility and accuracy of ultrasound (US) guided, transurethral injections into the EUS of female cadavers. METHODS This is a prospective, anatomical, interventional and radiological cadaveric laboratory investigation. Two urologists performed transurethral US-guided injections to deliver nano-iron particles into the EUS. The intervention was performed in three unfixed, fresh female cadavers. Each cadaver received MRI before and CT as well as MRI of the pelvis after the injections. RESULTS The precision and accumulation of nano-iron particles in the EUS was compared using a rating scale to evaluate left versus right and anterior versus posterior distribution in axial and sagittal orientation with US, MRI and CT. The accuracy of our US-guided injections into the anterior target region yielded 4 points on the rating scale. Adequate precision and accumulation of particles in the left versus right EUS were also demonstrated (3 vs. 3.33 points, respectively). Signal intensity in MRI revealed a mean ratio of 0.33 before and after injection. CT scans showed no relevant artefacts impairing the assessment. CONCLUSION US-guided, transurethral injection into the EUS is feasible and imaging reveals a precise accumulation in the target region. Our method provides an appropriate approach to deliver MPC in the EUS muscle for a regenerative treatment of SUI in the near future.
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Affiliation(s)
- Florian A Schmid
- Department of Urology, University Hospital of Zurich, University of Zurich, Frauenklinikstrasse 10, 8091, Zurich, Switzerland
| | - Dominic Gascho
- Institute of Forensic Medicine, University of Zurich, Zurich, Switzerland
| | - Niklaus Zoelch
- Institute of Forensic Medicine, University of Zurich, Zurich, Switzerland
| | - Jenny A Prange
- Department of Urology, University Hospital of Zurich, University of Zurich, Frauenklinikstrasse 10, 8091, Zurich, Switzerland
| | | | - Daniel Eberli
- Department of Urology, University Hospital of Zurich, University of Zurich, Frauenklinikstrasse 10, 8091, Zurich, Switzerland.
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Macêdo SR, Vasconcelos Neto JA, Tamanini JTN, Bezerra L, Castro RA. Factors Associated with Sexual Activity for Women with Pelvic Floor Dysfunction - A Cross-Sectional Study. REVISTA BRASILEIRA DE GINECOLOGIA E OBSTETRÍCIA 2020; 42:493-500. [PMID: 32898914 PMCID: PMC10309236 DOI: 10.1055/s-0040-1713805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Abstract
OBJECTIVE To examine women with pelvic floor dysfunction (PFDs) and identify factors associated with sexual activity (SA) status that impacts quality of life (QoL). METHODS We conducted a cross-sectional study that included women > 18 years old who presented with at least one PFD symptom (urinary incontinence [UI] and/or pelvic organ prolapse [POP]), in outpatient clinics specializing in urogynecology and PFD in Fortaleza, state of Ceará, Brazil, using a service evaluation form and QoL questionnaires. RESULTS The analysis of 659 women with PFD included 286 SA (43.4%) women and 373 non-sexually active (NSA) (56.6%) women, with a mean age of 54.7 (±12) years old. The results revealed that age (odds ratio [OR] = 1.07, 95% confidence interval [CI] 1.03-1.12) and post-menopausal status (OR = 2.28, 95% CI 1.08-4.8) were negatively associated with SA. Being married (OR = 0.43, 95% CI 0.21-0.88) was associated with SA. Pelvic organ prolapse (OR = 1.16, 95% CI 0.81-1.68) and UI (OR = 0.17, 95% CI 0.08-0.36) did not prevent SA. SF-36 Health Survey results indicated that only the domain functional capacity was significantly worse in NSA women (p = 0.012). Two King's Health Questionnaire domains in NSA women, impact of UI (p = 0.005) and personal relationships (p < 0.001), were significantly associated factors. Data from the Prolapse Quality-of-life Questionnaire indicated that NSA women exhibited compromised QoL. CONCLUSION Postmenopausal status and age negatively affected SA. Being married facilitated SA. Presence of POP and UI did not affect SA. However, NSA women with POP exhibited compromised QoL.
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Affiliation(s)
- Sandra Rebouças Macêdo
- Department of the Physiotherapy Course, Centro Universitário Unichristus, Fortaleza, CE, Brazil
| | | | | | - Leonardo Bezerra
- Department of Maternal and Child Health, Universidade Federal do Ceará, Fortaleza, CE, Brazil
| | - Rodrigo Aquino Castro
- Department of Gynecology, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil
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Bilgic D, Kizilkaya Beji N. How do urinary incontinence types affect sexual function and quality of life for Turkish women? Low Urin Tract Symptoms 2020; 12:253-259. [DOI: 10.1111/luts.12314] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2019] [Revised: 01/16/2020] [Accepted: 04/02/2020] [Indexed: 11/27/2022]
Affiliation(s)
- Dilek Bilgic
- Department of Obstetrics and Gynecology, Faculty of Nursing Dokuz Eylul University İzmir Turkey
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Cagnacci A, Sclauzero M, Meriggiola C, Xholli A. Lower urinary tract symptoms and their relation to vaginal atrophy in women across the menopausal age span. Results from the ANGEL multicentre observational study. Maturitas 2020; 140:8-13. [PMID: 32972638 DOI: 10.1016/j.maturitas.2020.05.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2020] [Revised: 05/12/2020] [Accepted: 05/20/2020] [Indexed: 10/24/2022]
Abstract
OBJECTIVES To evaluate the relation between lower urinary tract symptoms (LUTS) and vaginal atrophy (VA) in 518 women across the menopausal age span (40-55 years of age). STUDY DESIGN Multicentre, cross-sectional study. MAIN OUTCOME MEASURES VA was evaluated by the contemporaneous presence of a pH > 5, vaginal dryness and at least one objective sign of VA (mucosal pallor, dryness, thinning, fragility or with petechiae)., LUTS were evaluated by the Urogenital Distress Inventory (UDI-6). Sexuality was evaluated by the Female Sexual Function Index (FSFI). RESULTS Women were categorized by age: group 1, 40-45 years; group 2, 46-48 years; group 3, 49-51 years; and group 4, 52-55 years. Similar rates of recurrent urinary infection (RUI) were present in different age groups. RUI rate was related to VA (OR 1.703, 95 %CI 1.037, 2.799) and dyspareunia (OR 2.060, 95 %CI 1.199, 3.539). The rates of LUTS were also similar in the different age groups or in the presence of VA. The LUTS rate was related to dyspareunia (OR 1.971, 95 %CI 1.020, 3.808). Distress from LUTS was similar among different age groups and in the presence of VA. It was related to RUI (CR 7.187, 95 %CI 3.532, 10.841; p < 0.0001) and being an ex-smoker (CR 5.189, 95 %CI 1.425. 6.952; p < 0.007), and was inversely related to FSFI score (CR -0.314, 95 %CI -0.478, -0.149; p < 0.0002), CONCLUSIONS: In women across the menopausal age span, RUI, but not LUTS, is related to VA. The presence of LUTS is related to dyspareunia, and distress from LUTS is inversely related to sexuality. These results obtained in women across the menopausal age span are not applicable to older postmenopausal women.
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Affiliation(s)
- Angelo Cagnacci
- Obstetrics and Gynecology Clinic, University of Genova, Italy.
| | | | | | - Anjeza Xholli
- Obstetrics and Gynecology Clinic, University of Genova, Italy
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Mackova K, Van daele L, Page A, Geraerts I, Krofta L, Deprest J. Laser therapy for urinary incontinence and pelvic organ prolapse: a systematic review. BJOG 2020; 127:1338-1346. [DOI: 10.1111/1471-0528.16273] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/15/2020] [Indexed: 01/09/2023]
Affiliation(s)
- K Mackova
- Cluster Urogenital and Abdominal Surgery Department of Development and Regeneration KU Leuven Leuven Belgium
- Third Faculty of Medicine Institute for the Care of Mother and Child Charles University Prague Czech Republic
| | - L Van daele
- Faculty of Medicine KU Leuven Leuven Belgium
| | - A‐S Page
- Department Obstetrics and Gynaecology University Hospitals KU Leuven Leuven Belgium
| | - I Geraerts
- Department of Physical Medicine and Rehabilitation University Hospitals, KU Leuven Leuven Belgium
- Department Rehabilitation Sciences Group Biomedical Sciences KU Leuven Leuven Belgium
| | - L Krofta
- Third Faculty of Medicine Institute for the Care of Mother and Child Charles University Prague Czech Republic
| | - J Deprest
- Cluster Urogenital and Abdominal Surgery Department of Development and Regeneration KU Leuven Leuven Belgium
- Department Obstetrics and Gynaecology University Hospitals KU Leuven Leuven Belgium
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Jalalinia SF, Raei M, Naseri-Salahshour V, Varaei S. The Effect of Pelvic Floor Muscle Strengthening Exercise on Urinary Incontinence and Quality of Life in Patients after Prostatectomy: a Randomized Clinical Trial. J Caring Sci 2020; 9:33-38. [PMID: 32296657 PMCID: PMC7146723 DOI: 10.34172/jcs.2020.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2018] [Accepted: 09/17/2019] [Indexed: 12/20/2022] Open
Abstract
Introduction: Urinary incontinence is a common problem after Prostatectomy that affects patients' life. Nurses can assist patients in improving urinary problems. This study aimed to assess the effects of pelvic floor muscle exercises on urinary incontinence and the quality of life in patients after Prostatectomy. Methods: This randomized clinical trial was performed on 60 patients with suprapubic prostatectomy and urinary incontinence who had referred to urology department of Vali-e-Asr Hospital in Tehran. The subjects were selected and randomly divided into control and intervention groups. The control and intervention groups received standard care and pelvic floor muscles exercises after surgery, respectively. The data were gathered in the course of seven days; one, two and three months after surgery, using three questionnaires and a check list for the evaluation of urinary incontinence and assessing Quality of Life. The data were then analyzed, using SPSS ver.13, and statistical tests such as t-test, ANOVA and Chi- square. Results: The quality of life and urinary incontinence score before intervention were not significant between two groups. The findings showed that there was a statistically significant difference between two groups in the average scores of urinary incontinence and the quality of life after intervention. Conclusion: Pelvic muscles exercises reduced urinary incontinence and enhanced quality of life. It's recommended as a non-pharmacologic, non-invasive way to control urinary incontinence. Patients with adequate cognitive and mental abilities can easily be trained on pelvic floor muscle exercises.
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Affiliation(s)
- Seyedeh Fatemeh Jalalinia
- Department of Nursing, Nursing and Midwifery Faculty, Tehran University of Medical Sciences, Tehran, Iran
| | - Majid Raei
- Department of Nursing, Nursing and Midwifery Faculty, Tehran University of Medical Sciences, Tehran, Iran
| | - Vahid Naseri-Salahshour
- Department of Nursing, Nursing and Midwifery Faculty, Arak University of Medical Sciences, Arak, Iran
| | - Shokoh Varaei
- Department of Nursing, Nursing and Midwifery Faculty, Tehran University of Medical Sciences, Tehran, Iran
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Schmid F, Eberli D. [Modern Therapy of Urinary Incontinence Using Muscle Stem Cells]. PRAXIS 2020; 109:447-452. [PMID: 32345177 DOI: 10.1024/1661-8157/a003421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Modern Therapy of Urinary Incontinence Using Muscle Stem Cells Abstract. Urinary incontinence affects a large number of patients, and the cost of treatment continues to rise with the demographic change. There are various conservative and surgical therapies, which are often limited in their effect or limited in time. We are lacking long-term and sustainable solutions, whereas the treatment with a regenerative approach using stem cells forms a promising alternative. Various preclinical and clinical studies have investigated the use of precursor cells to strengthen the urinary sphincter muscle. This review discusses the issue of stress incontinence from the physiological point of view to conventional treatment and novel therapies using muscle stem cells. In addition, the authors inform about an ongoing prospective trial at the University Hospital in Zurich, which makes use of this modern and regenerative therapy form.
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Oğlak SC, Obut M. The effect of transobturator tape operation on sexual functions of a patient with stress urinary incontinence and patient's spouse. Low Urin Tract Symptoms 2020; 12:218-222. [DOI: 10.1111/luts.12307] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Revised: 02/02/2020] [Accepted: 02/24/2020] [Indexed: 11/29/2022]
Affiliation(s)
- Süleyman Cemil Oğlak
- Department of Obstetrics and Gynecology Health Sciences University, Diyarbakır Gazi Yaşargil Training and Research Hospital Diyarbakır Turkey
| | - Mehmet Obut
- Department of Obstetrics and Gynecology Etlik Zübeyde Hanım Training and Research Hospital Ankara Turkey
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Palacios S, Ramirez M. Efficacy of the use of fractional CO2RE intima laser treatment in stress and mixed urinary incontinence. Eur J Obstet Gynecol Reprod Biol 2020; 244:95-100. [DOI: 10.1016/j.ejogrb.2019.10.048] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2019] [Revised: 10/29/2019] [Accepted: 10/31/2019] [Indexed: 01/22/2023]
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Aguiar M, Farley A, Hope L, Amin A, Shah P, Manaseki-Holland S. Birth-Related Perineal Trauma in Low- and Middle-Income Countries: A Systematic Review and Meta-analysis. Matern Child Health J 2019; 23:1048-1070. [PMID: 30915627 PMCID: PMC6606670 DOI: 10.1007/s10995-019-02732-5] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Introduction Birth-related perineal trauma (BPT) is a common consequence of vaginal births. When poorly managed, BPT can result in increased morbidity and mortality due to infections, haemorrhage, and incontinence. This review aims to collect data on rates of BPT in low- and middle-income countries (LMICs), through a systematic review and meta-analysis. Methods The following databases were searched: Medline, Embase, Latin American and Caribbean Health Sciences Literature (LILACs), and the World Health Organization (WHO) regional databases, from 2004 to 2016. Cross-sectional data on the proportion of vaginal births that resulted in episiotomy, second degree tears or obstetric anal sphincter injuries (OASI) were extracted from studies carried out in LMICs by two independent reviewers. Estimates were meta-analysed using a random effects model; results were presented by type of BPT, parity, and mode of birth. Results Of the 1182 citations reviewed, 74 studies providing data on 334,054 births in 41 countries were included. Five studies reported outcomes of births in the community. In LMICs, the overall rates of BPT were 46% (95% CI 36–55%), 24% (95% CI 17–32%), and 1.4% (95% CI 1.2–1.7%) for episiotomies, second degree tears, and OASI, respectively. Studies were highly heterogeneous with respect to study design and population. The overall reporting quality was inadequate. Discussion Compared to high-income settings, episiotomy rates are high in LMIC medical facilities. There is an urgent need to improve reporting of BPT in LMICs particularly with regards to births taking in community settings.
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Affiliation(s)
- Magda Aguiar
- Institute of Applied Health Research, University of Birmingham, Birmingham, UK.,Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, BC, Canada
| | - Amanda Farley
- Institute of Applied Health Research, University of Birmingham, Birmingham, UK
| | - Lucy Hope
- Institute of Metabolism and Systems Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.,Department of Nursing and Midwifery, Institute of Health & Society, University of Worcester, Worcester, UK
| | - Adeela Amin
- Institute of Applied Health Research, University of Birmingham, Birmingham, UK
| | - Pooja Shah
- Institute of Applied Health Research, University of Birmingham, Birmingham, UK
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La Rosa VL, Ciebiera M, Lin LT, Sleiman Z, Cerentini TM, Lordelo P, Kahramanoglu I, Bruni S, Garzon S, Fichera M. Multidisciplinary management of women with pelvic organ prolapse, urinary incontinence and lower urinary tract symptoms.A clinical and psychological overview. PRZEGLAD MENOPAUZALNY = MENOPAUSE REVIEW 2019; 18:184-190. [PMID: 31975987 PMCID: PMC6970416 DOI: 10.5114/pm.2019.89496] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/10/2019] [Accepted: 08/24/2019] [Indexed: 02/05/2023]
Abstract
Although female sexual dysfunctions are common among women with urogynecological conditions, they have not been thoroughly studied and there are still many questions without an answer. The recent evidence on sexual disorders in women with urogynecological diseases shows a quite wide spectrum of therapeutic approaches, which require the physicians to take into account not only the primary symptoms, but also all the associated factors negatively affected. It has been widely underlined that gynecological diseases are often associated with high stress and have a negative impact on quality of life and psychological well-being of women affected. For this reason, a multidisciplinary approach for the management of these diseases is highly recommended. Also in the case of urogynecological disorders, it is important to take into account psychological outcomes throughout the diagnostic and therapeutic process. In the light of these considerations, the aim of this short review is to evaluate the impact of the main urogynecological diseases and the currently available therapeutic options in order to improve quality of life and sexuality of these patients and to stress the need for a multidisciplinary approach in order to minimize the negative consequences of these diseases for the sexual well-being of women and their partners.
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Affiliation(s)
- Valentina Lucia La Rosa
- Unit of Psychodiagnostics and Clinical Psychology, University of Catania, Catania, Italy
- Corresponding author: Valentina Lucia La Rosa, Unit of Psychodiagnostics and Clinical Psychology, University of Catania, Via Santa Sofia 78, 95123 Catania, Italy, e-mail:
| | - Michał Ciebiera
- Second Department of Obstetrics and Gynecology, The Center of Postgraduate Medical Education, Warsaw, Poland
| | - Li-Te Lin
- Department of Obstetrics and Gynecology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
| | - Zaki Sleiman
- Department of Obstetrics and Gynecology, Lebanese American University, Beirut, Lebanon
| | - Tais Marques Cerentini
- Postgraduate Program in Rehabilitation Sciences, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil
| | | | - Ilker Kahramanoglu
- Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Cerrahpasa Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Simone Bruni
- Department of Molecular and Developmental Medicine, Division of Obstetrics and Gynecology, University of Siena, Siena, Italy
| | - Simone Garzon
- Department of Obstetrics and Gynecology, “Filippo Del Ponte” Hospital, University of Insubria, Varese, Italy
| | - Michele Fichera
- Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy
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Quality of Life and Urinary Incontinence Symptoms in Women Undergoing Bariatric Surgery: A Combined Case-Cohort Study. Female Pelvic Med Reconstr Surg 2019; 26:e62-e67. [DOI: 10.1097/spv.0000000000000757] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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The Use of Disposable Tampons as Visual Biofeedback in Pelvic Floor Muscle Training. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16122143. [PMID: 31212987 PMCID: PMC6616577 DOI: 10.3390/ijerph16122143] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/12/2019] [Revised: 06/13/2019] [Accepted: 06/14/2019] [Indexed: 12/02/2022]
Abstract
Background: Urinary incontinence represents a complex problem which commonly affects women and influences their physical, mental and social wellbeing. The objective was to determine the effect of pelvic floor muscle training using a tampon as visual biofeedback. Methods: A non-randomized clinical trial involving 60 women >18 years of age, both with, and without, urinary incontinence. All women exercised with a program involving visual biofeedback using disposable tampons at home for three months. The compliance rate was 76.8 ± 24.1 An electromyographic assessment of the pelvic floor was performed and assessments of the impact of the exercise program. Results: 54.5% of women without incontinence and 81.6% of women incontinence reported improvements (p = 0.041). In both groups, there was increased quality life (p > 0.05). The women without incontinence experienced greater improvement in the quality of their sexual relations (Pre 6.8 ± 1.4–Post 7.2 ± 1.0). Conclusions: After the intervention, a high percentage of women showed a statistically significant improvement in their symptoms. The participants reported an increase in quality of life and the women without incontinence reported an improvement in quality of their sexual relations. Our findings suggest that visual BFB for training the PFM may be beneficial for women with or without incontinence.
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Radoja I, Degmečić D. Quality of Life and Female Sexual Dysfunction in Croatian Women with Stress-, Urgency- and Mixed Urinary Incontinence: Results of a Cross-Sectional Study. ACTA ACUST UNITED AC 2019; 55:medicina55060240. [PMID: 31163685 PMCID: PMC6631052 DOI: 10.3390/medicina55060240] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2019] [Revised: 03/03/2019] [Accepted: 05/29/2019] [Indexed: 11/16/2022]
Abstract
Background and objectives: Urinary incontinence is defined as the involuntary leakage of urine. Studies have reported that the severity of urinary incontinence symptoms can cause decreased quality of life and female sexual dysfunction in women, but the association between the duration of the incontinence and the aforementioned disturbances has not been evaluated. The objective of this study was to evaluate the differences in the occurrence of decreased quality of life and female sexual dysfunction in Croatian women with urinary incontinence, with regard to the duration and subtype of urinary incontinence. Materials and Methods: We conducted a cross-sectional study from March 2017 to July 2018 at our neurourology and urodynamics outpatient clinic, among 120 women with urinary incontinence symptoms. Based on medical history, physical exam and urodynamic assessment, participants were divided into groups with stress-, urgency- and mixed urinary incontinence. Several quality of life and female sexual dysfunction questionnaires were used for evaluation. The differences between the three UI groups were tested by the Kruskal-Wallis test. All p values were two-sided. The level of significance was set to Alpha = 0.05. Results: The mixed urinary incontinence group had a significantly inferior quality of life (p = 0.003) and lower scores on the female sexual dysfunction questionnaires (p = 0.02). The longer the duration of incontinence King's Health Questionnaire total score was worse (p = 0.003) and Female Sexual Function Index total score was worse (p < 0.001). Conclusions: Our results showed that there was a statistically significant difference in the occurrence of decreased quality of life and female sexual dysfunction considering the duration and subtype of incontinence in Croatian women.
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Affiliation(s)
- Ivan Radoja
- Department of Urology, University Hospital Centre Osijek, Faculty of medicine, The J. J. Strossmayer University of Osijek, 31000 Osijek, Croatia.
| | - Dunja Degmečić
- Faculty of medicine, The J. J. Strossmayer University of Osijek, Psychiatric Clinic, University Hospital Centre Osijek, 31000 Osijek, Croatia.
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