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Neurourology and Urodynamics

Pauline Dewaele, Xavier Deffieux, Anne Villot, Gérard Amarenco, Sylvie Billecocq, Thibault Thubert
AIMS: Our purpose was to explore the involvement of cognition in voluntary and involuntary pelvic floor muscle (PFM) contraction in stress urinary incontinent women. METHODS: PFM contraction monitored by surface electromyography (EMG) was measured without a mental distraction task (DT), and with a DT called "paced auditory serial additional test" (PASAT). Forty stress incontinent women performed voluntary contractions of the external anal sphincter (EAS), and reflex EAS contractions induced by means of coughing were studied using the external intercostal muscle (EIC) EMG pattern...
February 19, 2019: Neurourology and Urodynamics
Karel Everaert, Francois Hervé, Ruud Bosch, Roger Dmochowski, Marcus Drake, Hashim Hashim, Christopher Chapple, Philip Van Kerrebroeck, Sherif Mourad, Paul Abrams, Alan Wein
INTRODUCTION: Patients with nocturia have to face many hurdles before being diagnosed and treated properly. The aim of this paper is to: summarize the nocturia patient pathway, explore how nocturia is diagnosed and treated in the real world and use the Delphi method to develop a practical algorithm with a focus on what steps need to be taken before prescribing desmopressin. METHODS: Evidence comes from existing guidelines (Google, PubMed), International Consultation on Incontinence-Research Society (ICI-RS) 2017, prescribing information and a Delphi panel (3 rounds)...
February 19, 2019: Neurourology and Urodynamics
Pamela Duran, Samuel Ward, Karen L Christman, Marianna Alperin
AIMS: To define the operational resting sarcomere length (Ls ) of the female rat external urethral sphincter (EUS) and external anal sphincter (EAS) and to determine the mechanism of parturition-related injury of EUS and EAS using a simulated birth injury (SBI) vaginal distention model. METHODS: EUS and EAS of 3-month-old Sprague-Dawley control and injured rats were fixed in situ, harvested, and microdissected for Ls measurements and assessment of ultrastructure...
February 19, 2019: Neurourology and Urodynamics
Yoshihisa Matsukawa, Shun Takai, Tsuyoshi Majima, Yasuhito Funahashi, Naoto Sassa, Masashi Kato, Tokunori Yamamoto, Momokazu Gotoh
AIMS: To compare the efficacy of fesoterodine or mirabegron add-on therapy for persistent overactive bladder (OAB) symptoms despite silodosin monotherapy in men with lower urinary tract symptoms suggestive of benign prostatic hyperplasia, in both subjective and objective aspects. METHODS: A total of 120 patients with persistent OAB symptoms despite silodosin monotherapy were randomized to receive add-on therapy with fesoterodine (4 mg/day) or mirabegron (50 mg/day) for 12 weeks...
February 19, 2019: Neurourology and Urodynamics
Nancy Mirto-Aguilar, José L Palacios, Alvaro Munoz, Margarita Juárez, Yolanda Cruz
AIMS: To analyze, in female rats, the anatomical and histological features of the urethra and its relationship with the vagina and clitoris, and its innervation. METHODS: Seventeen adult female Wistar rats were used. Gross anatomy and acetylcholinesterase (AchE) histochemistry were performed to describe the urethral features, adjacent structures, and innervation. The histomorphometric characteristics of the urethra were determined in transversal, longitudinal, or coronal sections stained with Masson's Trichrome...
February 19, 2019: Neurourology and Urodynamics
Umit Gul
No abstract text is available yet for this article.
February 14, 2019: Neurourology and Urodynamics
Javier Jerez-Roig, Francisca Sueli Monte Moreira, Saionara Maria Aires da Câmara, Lidiane Maria de Brito Macedo Ferreira, Kenio Costa Lima
AIMS: To verify the incidence of urinary continence decline and the probability of maintaining urinary continence, as well as identify the prognostic factors of urinary continence decline in institutionalized older people. METHODS: A 2-year longitudinal study (with five 6-month waves) was conducted with subjects ≥60 years old who lived in 10 nursing homes in the city of Natal-RN (Brazil). Urinary incontinence was assessed by the Minimum Data Set version 3.0. Sociodemographic, institution-related and health-related variables were considered to establish the baseline...
February 14, 2019: Neurourology and Urodynamics
Benoit Peyronnet, Gérard Amarenco, Jacques Kerdraon, Jean-Nicolas Cornu, Xavier Gamé
No abstract text is available yet for this article.
February 11, 2019: Neurourology and Urodynamics
Sanjay Sinha, Daxay Lakhani, Vijay P Singh
AIMS: This is the first study that attempts to define different forms of cough associated detrusor overactivity (CADO). Current literature lacks clarity regarding the types of CADO and clinical epidemiology. METHODS: Retrospective review of all adult women who underwent urodynamics for urinary incontinence (UI) over 7 years. Patients were stratified into four types: I, leak with CADO; II, leak with cough; III, leak with both; IV, leak with neither. Cough spike immediately preceding detrusor overactivity was defined as index cough...
February 11, 2019: Neurourology and Urodynamics
Mario Preti, Pedro Vieira-Baptista, Giuseppe Alessandro Digesu, Carol Emi Bretschneider, Margot Damaser, Oktay Demirkesen, Debra S Heller, Naside Mangir, Claudia Marchitelli, Sherif Mourad, Micheline Moyal-Barracco, Sol Peremateu, Visha Tailor, Tufan Tarcan, Elise J B De, Colleen K Stockdale
BACKGROUND: The clinical role of LASER for vulvar and vaginal treatments in gynecology and female urology is controversial. AIMS: In this best practice document, we propose recommendations for the use of LASER for gynecologic and urologic conditions such as vulvovaginal atrophy, urinary incontinence, vulvodynia, and lichen sclerosus based on a thorough literature review. MATERIALS & METHODS: This project was developed between January and September 2018...
February 11, 2019: Neurourology and Urodynamics
Tomohiro Matsuo, Yasuyoshi Miyata, Hideki Sakai
AIMS: To assess the efficacy of salt reduction for improving nocturia in patients with high salt intake. METHODS: Changes in lower urinary symptoms and frequency volume chart by salt intake (men: 8 g/day; women: ≥7 g/day) were analyzed in this prospective study. Patients were instructed to use a brochure for salt intake restriction via interview once every four weeks. The daily salt intake was estimated by using spot urine samples. RESULTS: Two-hundred twenty-three (69...
February 1, 2019: Neurourology and Urodynamics
Giuseppe Alessandro Digesu, Visha Tailor, Mario Preti, Pedro Vieira-Baptista, Tufan Tarcan, Colleen Stockdale, Sherif Mourad
AIMS: Energy-based devices using radiofrequency and laser technologies have gained popularity as therapies for vaginal atrophy, urinary incontinence, and vaginal prolapse. They have been promoted by cosmetic and aesthetic industries for vaginal "laxity" and vaginal "rejuvenation," both of which are undefined conditions and terms. This article aims to review the current available literature and its quality on this emerging technology. METHODS: An international panel of gynaecologists, urogynaecologists, and urologists undertook a review of the available published literature, identifying articles, guidance, and society statements on the use vaginal energy-based devices...
January 29, 2019: Neurourology and Urodynamics
Keneta Mckellar, Nitya Abraham
AIMS: Black women may have lower rates of SUI than Whites, whereas the rate of SUI in Hispanic women varies. Most studies have been conducted in predominantly White populations, making it difficult to evaluate race and SUI. The objective of this study was to estimate the prevalence of SUI in a diverse population and examine racial/ethnic differences in risk factors and treatment. METHODS: This is a retrospective cohort study of women ≥21 years with SUI seen at our medical center from June 1, 2013 to June 30, 2016...
January 28, 2019: Neurourology and Urodynamics
Christopher K Payne, Jasmine Abdulcadir, Charlemagne Ouedraogo, Sebastien Madzou, Fasnéwindé Aristide Kabore, Elise Jb De
Female genital mutilation/cutting (FGM/C)-also known as Female Genital Cutting or Mutilation-is defined as the partial or total removal of the female external genitalia for non-therapeutic reasons. This White Paper, prepared under the auspices of the International Continence Society (ICS), is intended by the ICS as a statement promoting the abandonment of this practice. The ICS also supports the respectful and evidence-based care or treatment of women and girls already affected by FGM/C, in keeping with the World Health Organization (WHO) Guidelines on the Management of Health Complications from Female Genital Mutilation...
January 25, 2019: Neurourology and Urodynamics
Carlos D'Ancona, Bernard Haylen, Matthias Oelke, Luis Abranches-Monteiro, Edwin Arnold, Howard Goldman, Rizwan Hamid, Yukio Homma, Tom Marcelissen, Kevin Rademakers, Alexis Schizas, Ajay Singla, Irela Soto, Vincent Tse, Stefan de Wachter, Sender Herschorn
INTRODUCTION: In the development of terminology of the lower urinary tract, due to its increasing complexity, the terminology for male lower urinary tract and pelvic floor symptoms and dysfunction needs to be updated using a male-specific approach and via a clinically-based consensus report. METHODS: This report combines the input of members of the Standardisation Committee of the International Continence Society (ICS) in a Working Group with recognized experts in the field, assisted by many external referees...
January 25, 2019: Neurourology and Urodynamics
Véronique Phé, Marc P Schneider, Benoit Peyronnet, Nadim Abo Youssef, Livio Mordasini, Emmanuel Chartier-Kastler, Lucas M Bachmann, Thomas M Kessler
AIMS: To systematically assess all available evidence on efficacy and safety of desmopressin for treating nocturia in patients with multiple sclerosis (MS). METHODS: This systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Studies were identified by electronic search of Cochrane register, Embase, Medline, Scopus (last search March 3, 2018) and by screening of reference lists and reviews...
January 17, 2019: Neurourology and Urodynamics
(no author information available yet)
No abstract text is available yet for this article.
January 16, 2019: Neurourology and Urodynamics
Paul Abrams, Sharon Eustice, Andrew Gammie, Christopher Harding, Rohna Kearney, Angie Rantell, Sheilagh Reid, Douglas Small, Philip Toozs-Hobson, Mark Woodward
No abstract text is available yet for this article.
January 16, 2019: Neurourology and Urodynamics
Hashim Hashim, Marco H Blanker, Marcus J Drake, Jens Christian Djurhuus, Jane Meijlink, Vikky Morris, Peter Petros, Jian Guo Wen, Alan Wein
INTRODUCTION: The terminology for nocturia and nocturnal lower urinary tract function is reviewed and updated in a clinically and practically-based consensus report. METHODS: This report has been created by a Working Group under the auspices and guidelines of the International Continence Society (ICS) Standardisation Steering Committee (SSC). All relevant definitions were updated on the basis of research over the last 16 years since the publication of the first nocturia standardization document in 2002...
January 15, 2019: Neurourology and Urodynamics
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