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Functional Incontinence

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1. Conservative interventions for treating functional daytime urinary incontinence in children. (PubMed)

Conservative interventions for treating functional daytime urinary incontinence in children. In children, functional daytime urinary incontinence is the term used to describe any leakage of urine while awake that is not the result of a known underlying neurological or congenital anatomic cause (such as conditions or injuries that affect the nerves that control the bladder or problems with the way the urinary system is formed). It can result in practical difficulties for both the child (...) and their family and can have detrimental effects on a child's well-being, education and social engagement.To assess the effects of conservative interventions for treating functional daytime urinary incontinence in children.We searched the Cochrane Incontinence Specialised Register, which contains studies identified from CENTRAL, MEDLINE, MEDLINE In-Process, MEDLINE Epub Ahead of Print, CINAHL, ClinicalTrials.gov, WHO ICTRP and handsearching of journals and conference proceedings (searched 11 September 2018

2019 Cochrane

2. Sacral Neuromodulation versus OnabotulinumtoxinA for refractory urgency urinary incontinence: impact on fecal incontinence symptoms and sexual function. (PubMed)

Sacral Neuromodulation versus OnabotulinumtoxinA for refractory urgency urinary incontinence: impact on fecal incontinence symptoms and sexual function. Women with refractory urgency urinary incontinence can be treated with onabotulinumtoxinA or sacral neuromodulation. Little data exists on the comparative effects of treatment of refractory UUI on other pelvic floor complaints, such as bowel and sexual function.The objective of this study was to compare the impact of these treatments on fecal (...) incontinence and sexual symptoms.This was a planned supplemental analysis of a randomized trial in women with refractory UUI treated with onabotulinumtoxinA (n=190) or sacral neuromodulation (n=174). Fecal Incontinence and sexual symptoms were assessed at baseline, 6, 12, and 24 months. Fecal incontinence symptoms were measured using the St Mark's (Vaizey) Fecal Incontinence severity scale. Sexual symptoms were measured using the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12 (PISQ-12

2019 American Journal of Obstetrics and Gynecology

3. An education program about pelvic floor muscles improved women's knowledge but not pelvic floor muscle function, urinary incontinence or sexual function: a randomised trial

An education program about pelvic floor muscles improved women's knowledge but not pelvic floor muscle function, urinary incontinence or sexual function: a randomised trial Does an educational program with instructions for performing 'the Knack' improve voluntary contraction of the pelvic floor muscles, reduce reports of urinary incontinence, improve sexual function, and promote women's knowledge of the pelvic floor muscles?Randomised, controlled trial with concealed allocation, intention (...) by the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) scored from 0 to 21; self-reported sexual function; and knowledge related to the pelvic floor. Outcomes were measured at baseline and after 4 weeks.The intervention did not significantly improve: maximum voluntary contraction (MD 2.7 cmH2O higher in the experimental group, 95% CI -0.5 to 5.9); ability to contract the pelvic floor muscles (RR 2.18, 95% CI 0.49 to 9.65); or self-reported severity of urinary incontinence (MD 1 point

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2018 EvidenceUpdates

4. Urinary incontinence and pelvic organ prolapse in women: management

Urinary incontinence and pelvic organ prolapse in women: management Urinary incontinence and pelvic organ Urinary incontinence and pelvic organ prolapse in women: management prolapse in women: management NICE guideline Published: 2 April 2019 nice.org.uk/guidance/ng123 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view (...) in this guideline should be interpreted in a way that would be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Urinary incontinence and pelvic organ prolapse in women: management (NG123) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

5. Urinary Incontinence-85: An Expanded Prostate Cancer Composite (EPIC) Score Cutoff Value for Urinary Incontinence Determined Using Long-term Functional Data by Repeated Prospective EPIC-Score Self-assessment After Radical Prostatectomy (PubMed)

Urinary Incontinence-85: An Expanded Prostate Cancer Composite (EPIC) Score Cutoff Value for Urinary Incontinence Determined Using Long-term Functional Data by Repeated Prospective EPIC-Score Self-assessment After Radical Prostatectomy To determine an objective cutoff value (COV) for urinary incontinence (UI) using the Expanded Prostate Cancer Composite (EPIC) score after radical prostatectomy (RP).From 2004-2013, all RP patients at our institution completed the EPIC urinary domain (EPIC-UD

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2017 International neurourology journal

6. Female Sexual Function Following Surgical Treatment of Stress Urinary Incontinence: Systematic Review and Meta-Analysis.

Female Sexual Function Following Surgical Treatment of Stress Urinary Incontinence: Systematic Review and Meta-Analysis. The impact of surgery for stress urinary incontinence (SUI) on female sexual function has received attention in the medical literature, but not in a structured manner.To assess the most recent evidence on the impact of surgical management for female SUI on female sexual function.The review and meta-analysis of available articles published in Medline, Cochrane, LILACS, SCOPUS (...) , Web of Science, CINHAL, and EMBASE included prospective randomized and non-randomized studies that assessed patients who underwent surgical treatment for UI through 2 validated questionnaires: the Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire (PISQ-12) and the Female Sexual Function Index (FSFI).The following terms were searched: (urinary incontinence OR female OR woman OR women) AND (suburethral slings OR transobturator tape* OR transobturator suburethral tape OR trans-obturator

2017 Sexual medicine reviews

7. Alpha blockers for treating functional daytime urinary incontinence in children [Cochrane protocol]

Alpha blockers for treating functional daytime urinary incontinence in children [Cochrane protocol] Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files or external

2019 PROSPERO

8. Yoga for treating urinary incontinence in women. (PubMed)

Yoga for treating urinary incontinence in women. Urinary incontinence in women is associated with poor quality of life and difficulties in social, psychological and sexual functioning. The condition may affect up to 15% of middle-aged or older women in the general population. Conservative treatments such as lifestyle interventions, bladder training and pelvic floor muscle training (used either alone or in combination with other interventions) are the initial approaches to the management (...) of urinary incontinence. Many women are interested in additional treatments such as yoga, a system of philosophy, lifestyle and physical practice that originated in ancient India.To assess the effects of yoga for treating urinary incontinence in women.We searched the Cochrane Incontinence and Cochrane Complementary Medicine Specialised Registers. We searched the World Health Organization International Clinical Trials Registry Platform (WHO ICTRP) and ClinicalTrials.gov to identify any ongoing

2019 Cochrane

9. Interventions for treating urinary incontinence after stroke in adults. (PubMed)

of TENS reporting two comparisons found that the intervention probably improves overall functional ability (MD 8.97, 95% CI 1.27 to 16.68; 81 participants; moderate-quality evidence).Intervention versus placeboPhysical therapy: One trial of physical therapy suggests TPTNS may make little or no difference to the number of participants continent after treatment (RR 0.75, 95% CI 0.19 to 3.04; 54 participants) or number of incontinent episodes (MD -1.10, 95% CI -3.99 to 1.79; 39 participants). One trial (...) Interventions for treating urinary incontinence after stroke in adults. Urinary incontinence can affect 40% to 60% of people admitted to hospital after a stroke, with 25% still having problems when discharged from hospital and 15% remaining incontinent after one year.This is an update of a review published in 2005 and updated in 2008.To assess the effects of interventions for treating urinary incontinence after stroke in adults at least one-month post-stroke.We searched the Cochrane

2019 Cochrane

10. Bowel Function, Sexual Function, and Symptoms of Pelvic Organ Prolapse in Women with and Without Urinary Incontinence (PubMed)

Bowel Function, Sexual Function, and Symptoms of Pelvic Organ Prolapse in Women with and Without Urinary Incontinence Bowel symptoms, pelvic organ prolapse, and sexual dysfunction are common, but their frequency among women with lower urinary tract symptoms (LUTS) has not been well described. Our aims were to describe pelvic floor symptoms among women with and without urinary incontinence (UI) and among subtypes of UI.Women with LUTS seeking care at six U.S. tertiary care centers enrolled (...) , mean PISQ-IR subscale scores were lower among those with UI (condition specific: 89.8 vs 96.7, P < 0.01; condition impact: 79.8 vs 92.5, P < 0.01). Women with mixed urinary incontinence (MUI) (n = 240) reported more prolapse symptoms, fecal incontinence, and worse sexual function compared to those with stress urinary incontinence (SUI) and urgency urinary incontinence (UUI).Women presenting with LUTS with UI reported significantly worse constipation, diarrhea, fecal incontinence, and sexual

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2018 Neurourology and urodynamics

11. An education program about pelvic floor muscles improved women's knowledge but not pelvic floor muscle function, urinary incontinence or sexual function: a randomised trial. (PubMed)

An education program about pelvic floor muscles improved women's knowledge but not pelvic floor muscle function, urinary incontinence or sexual function: a randomised trial. Does an educational program with instructions for performing 'the Knack' improve voluntary contraction of the pelvic floor muscles, reduce reports of urinary incontinence, improve sexual function, and promote women's knowledge of the pelvic floor muscles?Randomised, controlled trial with concealed allocation, intention (...) by the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) scored from 0 to 21; self-reported sexual function; and knowledge related to the pelvic floor. Outcomes were measured at baseline and after 4 weeks.The intervention did not significantly improve: maximum voluntary contraction (MD 2.7 cmH2O higher in the experimental group, 95% CI -0.5 to 5.9); ability to contract the pelvic floor muscles (RR 2.18, 95% CI 0.49 to 9.65); or self-reported severity of urinary incontinence (MD 1 point

2018 Journal of physiotherapy

12. An education program about pelvic floor muscles improved women's knowledge but not pelvic floor muscle function, urinary incontinence or sexual function: a randomised trial. (PubMed)

An education program about pelvic floor muscles improved women's knowledge but not pelvic floor muscle function, urinary incontinence or sexual function: a randomised trial. Does an educational program with instructions for performing 'the Knack' improve voluntary contraction of the pelvic floor muscles, reduce reports of urinary incontinence, improve sexual function, and promote women's knowledge of the pelvic floor muscles?Randomised, controlled trial with concealed allocation, intention (...) by the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) scored from 0 to 21; self-reported sexual function; and knowledge related to the pelvic floor. Outcomes were measured at baseline and after 4 weeks.The intervention did not significantly improve: maximum voluntary contraction (MD 2.7 cmH2O higher in the experimental group, 95% CI -0.5 to 5.9); ability to contract the pelvic floor muscles (RR 2.18, 95% CI 0.49 to 9.65); or self-reported severity of urinary incontinence (MD 1 point

2018 Journal of physiotherapy

13. The management of urinary incontinence in women

The management of urinary incontinence in women Urinary incontinence in women The management of urinary incontinence in women bpac nz guidelines www.bpac.org.nz/guidelines May 20162 THE MANAGEMENT OF URINARY INCONTINENCE IN WOMEN www.bpac.org.nz/guidelines/2 This is a bpac nz contextualisation of NICE Clinical Guideline 171 © NICE 2013 2 Contents Introduction 4 Patient-centred care 5 Key priorities for implementation 6 Cultural considerations 6 History-taking and physical examination 6 (...) Assessment of pelvic floor muscles 6 Bladder diaries 6 Absorbent products, urinals and toileting aids 6 Indwelling urethral catheters 6 General principles when using overactive bladder (OAB) medicines 7 Choosing OAB medicines 7 Surgical approaches for stress urinary incontinence (SUI) 7 The multidisciplinary team (MDT) 7 Maintaining and measuring surgical expertise and standards for practice 7 1. Recommendations 8 1.1 Assessment and investigation 8 1.2 Lifestyle interventions 11 1.3 Physical therapies 11

2019 Best Practice Advocacy Centre New Zealand

14. The Diagnosis and Treatment of Enuresis and Functional Daytime Urinary Incontinence. (PubMed)

The Diagnosis and Treatment of Enuresis and Functional Daytime Urinary Incontinence. Elimination disorders in childhood are common and treatable. Approximately 10% of 7-year-olds wet the bed at night, and 6% are affected by incontinence during the daytime. Two main types of disturbance are distinguished: nocturnal enuresis and functional (i.e., non-organic) daytime urinary incontinence. Each type contains a wide variety of subtypes. Effective treatment requires precise identification (...) of the subtype of elimination disorder.This review is based on a selection of current publications, including principally the German S2k-AWMF guideline and the recommendations of the International Children's Continence Society (ICCS).Diagnostic assessment focuses on the clinical picture, is non-invasive, and can be carried out in most health care settings. If the child is suffering from multiple types of elimination disorder at once, then fecal incontinence or constipation is treated first, daytime urinary

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2019 Deutsches Arzteblatt international

15. The effect of a comprehensive care and rehabilitation program on enhancing pelvic floor muscle functions and preventing postpartum stress urinary incontinence. (PubMed)

The effect of a comprehensive care and rehabilitation program on enhancing pelvic floor muscle functions and preventing postpartum stress urinary incontinence. This study was to investigate the incidence and the risk factors of postpartum stress urinary incontinence (SUI), and the effect of comprehensive care and rehabilitation program (CCRP) on preventing postpartum SUI.In stage I, 479 puerperae were recruited within 1 week postpartum, then the postpartum SUI incidence at 8th week and its risk (...) factors were investigated. In stage II, 240 vaginal delivery puerperae were enrolled within 1 week postpartum and randomly assigned to CCRP group or control group as 1:1 ratio. The postpartum SUI incidence and pelvic floor muscle function indexes were evaluated at 8th week.In stage I, the postpartum SUI incidence was 25.7%, and SUI puerperae presented with higher body mass index (BMI), vaginal delivery rate, newborn weight, and larger newborn head diameter compared with non-SUI puerperae. Besides

2019 Medicine

16. Multiple doses of stem cells maintain urethral function in a model of neuromuscular injury resulting in stress urinary incontinence. (PubMed)

Multiple doses of stem cells maintain urethral function in a model of neuromuscular injury resulting in stress urinary incontinence. Stress urinary incontinence (SUI) is more prevalent among women who deliver vaginally than women who have had a cesarean section, suggesting that tissue repair after vaginal delivery is insufficient. A single dose of mesenchymal stem cells (MSCs) has been shown to partially restore urethral function in a model of SUI. The aim of the present study was to determine (...) if increasing the number of doses of MSCs improves urethral and pudendal nerve function and anatomy. We hypothesized that increasing the number of MSC doses would accelerate recovery from SUI compared with vehicle treatment. Rats underwent pudendal nerve crush and vaginal distension or a sham injury and were treated intravenously with vehicle or one, two, or three doses of 2 × 106 MSCs at 1 h, 7 days, and 14 days after injury. Urethral leak point pressure testing with simultaneous external urethral

2019 American Journal of Physiology. Renal physiology

17. Surgery for women with pelvic organ prolapse with or without stress urinary incontinence. (PubMed)

Surgery for women with pelvic organ prolapse with or without stress urinary incontinence. Pelvic organ prolapse (POP) is common in women and is frequently associated with stress urinary incontinence (SUI). In many cases however, SUI is present only with the prolapse reduced (occult SUI) or may develop after surgical treatment for prolapse (de novo SUI).To determine the impact on postoperative bladder function of surgery for symptomatic pelvic organ prolapse with or without concomitant (...) or delayed two-stage continence procedures to treat or prevent stress urinary incontinence.We searched the Cochrane Incontinence Group Specialised Register, which contains trials identified from the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, MEDLINE-In-Process, ClinicalTrials.gov, WHO ICTRP, handsearching journals and conference proceedings (searched 11 November 2017) and reference lists of relevant articles. We also contacted researchers in the field.Randomised controlled trials

2018 Cochrane

18. Urinary incontinence in women

). May be caused by alterations in anatomical support and/or neuromuscular function of the pelvic floor, or may be idiopathic. Risk factors are multifactorial. Increased prevalence in puerperal period and in older, obese women with neurological conditions. Treatment approach depends on type of incontinence, but can include biofeedback, pharmacotherapy, neuromodulation, or surgery. Definition Urinary incontinence is a complaint of involuntary loss of urine. Bo K, Frawley HC, Haylen BT, et al (...) or tenderness nocturia abnormal bulbocavernosus and wink reflexes weakened sphincter tone chronic heart failure diabetes mellitus excess fluid intake post-void dribbling haematuria history of recurrent urinary tract infections enlarged uterus faecal impaction loss of perineal sensation increasing age white ethnicity pregnancy obesity post-menopausal status functional impairment lower urinary tract symptoms long-term residence in a care facility dementia family history of incontinence childhood enuresis

2018 BMJ Best Practice

19. Urinary incontinence in women

). May be caused by alterations in anatomical support and/or neuromuscular function of the pelvic floor, or may be idiopathic. Risk factors are multifactorial. Increased prevalence in puerperal period and in older, obese women with neurological conditions. Treatment approach depends on type of incontinence, but can include biofeedback, pharmacotherapy, neuromodulation, or surgery. Definition Urinary incontinence is a complaint of involuntary loss of urine. Bo K, Frawley HC, Haylen BT, et al (...) or tenderness nocturia abnormal bulbocavernosus and wink reflexes weakened sphincter tone chronic heart failure diabetes mellitus excess fluid intake post-void dribbling haematuria history of recurrent urinary tract infections enlarged uterus faecal impaction loss of perineal sensation increasing age white ethnicity pregnancy obesity post-menopausal status functional impairment lower urinary tract symptoms long-term residence in a care facility dementia family history of incontinence childhood enuresis

2018 BMJ Best Practice

20. Optimisation of RIZIV – INAMI lump sums for incontinence

or presence of concomitant day-time symptoms. Figure 1 – Nocturnal enuresis prevalence in children and adolescents 22 Incontinence KCE Report 304 Functional lower urinary tract dysfunction defined as any other leakage than NE, and often seen with symptoms as frequency, urgency and infections, is present in 3.2 to 9% of children; with a decreasing frequency of UI more than once a week with age: 7 years 2.6%, 11-13 years 1.1% and 15-17 0.3%. NE has been identified as an independent risk factor for day-UI (...) . Diurnal UI in children has been linked to bowel problems (constipation and functional FI), family history and socio-cultural factors, minor neurological dysfunction, developmental delay, organic anomalies such as infra-vesical obstruction in boys and sexual abuse. Urinary and faecal incontinence often coexist with approximately one-third of children with UI suffering from constipation or functional FI. 2.2.2 Urinary incontinence in women and men An estimated 30% to 60% of middle-aged and older women

2019 Belgian Health Care Knowledge Centre

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