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Urge Incontinence

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1. Mindfulness-Based Stress Reduction Versus a Health Enhancement Program in the Treatment of Urge Urinary Incontinence in Older Adult Women: A Randomized Controlled Feasibility Study. (Abstract)

Mindfulness-Based Stress Reduction Versus a Health Enhancement Program in the Treatment of Urge Urinary Incontinence in Older Adult Women: A Randomized Controlled Feasibility Study. Current treatment practices for older adult women with urge urinary incontinence (UUI) remain insufficient and ineffective. A randomized controlled feasibility trial was developed to evaluate three determinants of research feasibility and three determinants of intervention feasibility when comparing mindfulness (...) -based stress reduction (MBSR) with a health enhancement program (HEP) in older adult women with UUI. Participants were recruited from the university health system, county senior centers, and community sites. Twenty-five postmenopausal women (mean age = 74 years) were randomized into MBSR treatment conditions or HEP comparison conditions for an 8-week intervention. Participants remained blinded to conditions. Research feasibility determinants were measured as recruitment, retention, and treatment

2019 Research in gerontological nursing Controlled trial quality: uncertain

2. Randomized controlled trial for the efficacy of electroacupuncture in the treatment of urge urinary incontinence: A clinical study protocol. Full Text available with Trip Pro

at baseline, and the questionnaire for urinary incontinence diagnosis was used to identify stress incontinence, mixed urinary incontinence, and urge incontinence at baseline.This is a randomized, controlled, observer-blinded trial of electroacupuncture treatment for UUI. The results of this trial will provide more evidence on whether electroacupuncture is efficacious for treating UUI. (...) Randomized controlled trial for the efficacy of electroacupuncture in the treatment of urge urinary incontinence: A clinical study protocol. Despite that the urge urinary incontinence (UUI) is a nonfatal disease, it can lead to anxiety, embarrassment and depression to the patient. UUI is a common public health problem that can significantly affect the quality of life of the patient. Several conservative treatments have been recommended for the treatment of UUI; however, their efficiency remains

2020 Medicine

3. Conservative Care of Urinary Incontinence in Women

): • We recommend pelvic floor muscle training (individually tailored, inclusive of digital pelvic floor muscle examination) to be offered to all women with urinary incontinence (strong, high). 8 Management – adjuncts (stress urinary incontinence, mixed urinary incontinence, urge urinary incontinence): • We suggest adjunctive pelvic floor muscle therapies be used on an individualized basis only since there is currently no clear added benefit (conditional, moderate). 9 Management – behavioural; bladder (...) will be automatically reviewed 5 years after publication. SUMMARY STATEMENTS 1 Assessment – history (stress urinary incontinence, mixed urinary incontinence, urge urinary incontinence): • History alone is not sufficient to diagnose the full spectrum of urinary incontinence. However, a clear history of urinary leakage with physical activity, in the absence of complicated urinary incontinence features, may be sufficient for stress urinary incontinence diagnosis in conjunction with physical examination. 2 Assessment

2020 Society of Obstetricians and Gynaecologists of Canada

4. Surgical Treatment of Female Stress Urinary Incontinence (SUI): AUA/SUFU Guideline

Surgical Treatment of Female Stress Urinary Incontinence (SUI): AUA/SUFU Guideline Stress Urinary Incontinence Guideline - American Urological Association advertisement Toggle navigation About Us About the AUA Membership AUA Governance Industry Relations Education AUAUniversity Education Products & Resources Normal Histology and Important Histo-anatomic Structures Urinary Bladder Prostate Kidney Renovascular Diseases Andrenal Gland Testis Paratesticular Tumors Penis Retroperitoneum Cytology (...) the following components: (Clinical Principle) History, including assessment of bother Physical examination, including a pelvic examination Objective demonstration of stress urinary incontinence with a comfortably full bladder (any method) Assessment of post-void residual urine (any method) Urinalysis Physicians should perform additional evaluations in patients being considered for surgical intervention who have the following conditions: (Expert Opinion) Inability to make definitive diagnosis based

2017 American Urological Association

5. Surgical Treatment of Female Stress Urinary Incontinence (SUI): AUA/SUFU Guideline

, physicians should include the following components: (Clinical Principle) ? History, including assessment of bother ? Physical examination, including a pelvic examination ? Objective demonstration of stress urinary incontinence with a comfortably full bladder (any method) ? Assessment of post-void residual urine (any method) ? Urinalysis 2. Physicians should perform additional evaluations in patients being considered Approved by the AUA Board of Directors March 2017 Authors’ disclosure of po- tential (...) in patients with the following conditions: (Expert Opinion) ? Concomitant overactive bladder symptoms ? Failure of prior anti-incontinence surgery ? Prior pelvic prolapse surgery CYSTOSCOPY AND URODYNAMICS TESTING 4. Physicians should not perform cystoscopy in index patients for the evaluation of stress urinary incontinence unless there is a concern for urinary tract abnormalities. (Clinical Principle) 5. Physicians may omit urodynamic testing for the index patient desiring treatment when stress urinary

2017 Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction

6. Prospective Randomized Feasibility Study Assessing the Effect of Cyclic Sacral Neuromodulation on Urinary Urge Incontinence in Women. (Abstract)

Prospective Randomized Feasibility Study Assessing the Effect of Cyclic Sacral Neuromodulation on Urinary Urge Incontinence in Women. The aim of this prospective, randomized, multicenter, single-blind, 4 × 4 crossover study was to estimate the effect of 4 InterStim cycling settings (continuous, 16 seconds on/8 seconds off, 10 minutes on/10 minutes off, and 30 minutes on/23.5 hours off) on efficacy, Global Response Assessment, and safety.Eligible women implanted for at least 3 months for urgency (...) urinary incontinence (UI) were enrolled, and daily diaries were collected. General linear mixed models were used to estimate the cycling effect on efficacy. Quality of life measured by Global Response Assessment (subjects' perception of effectiveness) and safety were summarized.Primary efficacy analysis was based on the first 24 subjects who completed unique randomization sequences. Mean age was 64 years, and mean implant duration was 2.8 years. Results showed no significant cycling (P = 0.3773

2019 Female pelvic medicine & reconstructive surgery Controlled trial quality: uncertain

7. The management of urinary incontinence in women

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 (...) and exertion, effort, sneezing or coughing.5 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 • Overactive bladder (OAB) is defined as urgency that occurs with or without urgency UI and usually with frequency and nocturia. OAB that occurs with incontinence is known as ‘OAB wet’. OAB that occurs without incontinence is known as ‘OAB dry’. These combinations of symptoms are suggestive of the urodynamic

2019 Best Practice Advocacy Centre New Zealand

8. Expert Opinion on Three Clinical Cases with a Common Urgent Problem: Urge Urinary Incontinence Full Text available with Trip Pro

Expert Opinion on Three Clinical Cases with a Common Urgent Problem: Urge Urinary Incontinence Urgency is the cornerstone symptom of overactive bladder (OAB) syndrome, which is associated with reduced health-related quality of life (HRQoL) and affects patients with different profiles. We report here three clinical pictures of OAB: a male patient with mixed lower urinary tract symptoms (LUTS), a young woman with comorbidities, and an elderly woman with mixed urinary incontinence. The aim

2018 Case reports in urology

9. Urinary incontinence in women

Urinary incontinence in women Urinary incontinence in women - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Urinary incontinence in women Last reviewed: February 2019 Last updated: September 2018 Summary Involuntary, spontaneous urine loss that occurs either with strenuous physical activity (stress incontinence) or is associated with an uncontrollable sense of urgency (urge incontinence), or both (mixed incontinence (...) 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

10. Urinary incontinence in women

Urinary incontinence in women Urinary incontinence in women - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Urinary incontinence in women Last reviewed: February 2019 Last updated: September 2018 Summary Involuntary, spontaneous urine loss that occurs either with strenuous physical activity (stress incontinence) or is associated with an uncontrollable sense of urgency (urge incontinence), or both (mixed incontinence (...) 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

11. Urinary Incontinence

)/International Continence Society (ICS) joint terminology and classification of the complications related directly to the insertion of prostheses (meshes, implants, tapes) and grafts in female pelvic floor surgery. Neurourol Urodyn, 2011. 30: 2. 21. Brown, J.S., et al. Measurement characteristics of a voiding diary for use by men and women with overactive bladder. Urology, 2003. 61: 802. 22. Nygaard, I., et al. Reproducibility of the seven-day voiding diary in women with stress urinary incontinence. Int (...) elderly Japanese women with stress, urge, and mixed urinary incontinence: a randomized controlled trial. Int J Nurs Stud, 2011. 48: 1165. 137. Dowd, T.T., et al. Fluid intake and urinary incontinence in older community-dwelling women. J Community Health Nurs, 1996. 13: 179. 138. Hashim, H., et al. How should patients with an overactive bladder manipulate their fluid intake? BJU Int, 2008. 102: 62. 139. Zimmern, P., et al. Effect of fluid management on fluid intake and urge incontinence in a trial

2019 European Association of Urology

12. Urinary Incontinence

)/International Continence Society (ICS) joint terminology and classification of the complications related directly to the insertion of prostheses (meshes, implants, tapes) and grafts in female pelvic floor surgery. Neurourol Urodyn, 2011. 30: 2. 21. Brown, J.S., et al. Measurement characteristics of a voiding diary for use by men and women with overactive bladder. Urology, 2003. 61: 802. 22. Nygaard, I., et al. Reproducibility of the seven-day voiding diary in women with stress urinary incontinence. Int (...) elderly Japanese women with stress, urge, and mixed urinary incontinence: a randomized controlled trial. Int J Nurs Stud, 2011. 48: 1165. 137. Dowd, T.T., et al. Fluid intake and urinary incontinence in older community-dwelling women. J Community Health Nurs, 1996. 13: 179. 138. Hashim, H., et al. How should patients with an overactive bladder manipulate their fluid intake? BJU Int, 2008. 102: 62. 139. Zimmern, P., et al. Effect of fluid management on fluid intake and urge incontinence in a trial

2018 European Association of Urology

13. Nonsurgical Treatments for Urinary Incontinence in Women: A Systematic Review Update

Abbreviations: AE = adverse events, Imp = improvement, MBSR = mindfulness-based stress reduction, PFMT = pelvic floor muscle therapy, QoL = quality of life, Sat = satisfaction, TENS = transcutaneous electrical nerve stimulation (including transvaginal, surface, and related electric stimulation used to treat UI), UI = urinary incontinence. * The categorization of different interventions was based on recommendations from The National Institute for Health and Care Excellence (NICE) and American Urological (...) provide the conclusions from the overall analyses (of all studies regardless of UI type) and compare these findings with data specifically from the studies that included only women with a given UI type (stress or urgency). Data were sparse regarding the effect of interventions specifically in women with mixed urinary incontinence; the results of these studies are summarized briefly. Separate findings are summarized for treatment of stress UI, urgency UI, and mixed UI. Summary findings focus on 1

2018 Effective Health Care Program (AHRQ)

14. Effects of Urinary Bladder Hypertrophy on Urge Urine Incontinence After Radical Prostatectomy

-confined and in selected cases of locally advanced prostate cancer. Radical prostatectomy consists of removing the prostate gland and seminal vesicles, ideally with negative surgical margins. Most of the patients who present urinary incontinence after radical prostatectomy have stress urinary incontinence. However in some cases the post-surgical urinary incontinence is also due to urgency caused by overactive bladder development defined as urge urinary incontinence. Recent clinical observations suggest (...) of overactive bladder and urge urinary incontinence development after radical prostatectomy in patients - characterized by increased urinary wall thickness (changes of urinary bladder wall in ultrasound evaluation measured in sagittal section in millimeters). Measurement: Bladder wall thickness, Detrusor Muscle thickness on each follow up visit. Increased incidence OAB - Questioners [ Time Frame: 12 months ] Measuring the incidence of symptoms of overactive bladder and urge urinary incontinence development

2017 Clinical Trials

15. Pure stress urinary incontinence: analysis of prevalence, estimation of costs, and financial impact. Full Text available with Trip Pro

Pure stress urinary incontinence: analysis of prevalence, estimation of costs, and financial impact. The prevalence of pure stress urinary incontinence (P-SUI) and the role of urodynamic investigation (UDI) prior to surgery for stress urinary incontinence (SUI) is debated. Since the exact prevalence of P-SUI is not clear, its clinical and economic impact is not well defined. The aims of this study were to evaluate the prevalence of P-SUI in a population of women who underwent UDI for urinary (...) ) was 79.3% (256/323). After UDI, diagnosis of P-SUI decreased to 18.3% (59/232). In 10.2% of cases (6/59) the scheduled middle urethral sling (MUS) was suppressed after the UDI results because 3/6 cases had detrusor overactivity and urge incontinence, in 2/6 cases SUI was treated with a conservative management, in 1/6 case an important voiding dysfunction was detected. Considering the national reimbursement in our country, the cost of each UDI was 296.5 euros and the total amount was 17,493.5 euros. So

2019 BMC Urology

16. Urinary Incontinence in Women. Full Text available with Trip Pro

Urinary Incontinence in Women. Urinary incontinence (UI) is common among women and contributes to decreased quality of life. Several effective treatment options are available for the most common types of UI (stress, urge, and mixed), including lifestyle and behavioral therapy, drug therapy, and minimally invasive procedures. Most women improve with treatment, and UI is not an inevitable part of aging. To maximize the opportunity for successful treatment, it is critical to align the treatment

2020 Annals of Internal Medicine

17. OnabotulinumtoxinA Injections for Urge Incontinence. (Abstract)

States Am Fam Physician 1272646 0002-838X 0 Cholinergic Antagonists 0 Neuromuscular Agents EC 3.4.24.69 Botulinum Toxins, Type A AIM IM Adult Aged Botulinum Toxins, Type A administration & dosage therapeutic use Cholinergic Antagonists administration & dosage therapeutic use Female Humans Injections, Intramuscular Middle Aged Neuromuscular Agents administration & dosage therapeutic use Urinary Incontinence, Urge drug therapy 2018 2 13 6 0 2018 2 13 6 0 2019 5 29 6 0 ppublish 29431973 d13497 (...) OnabotulinumtoxinA Injections for Urge Incontinence. 29431973 2019 05 28 2019 05 28 1532-0650 97 3 2018 Feb 01 American family physician Am Fam Physician OnabotulinumtoxinA Injections for Urge Incontinence. Online Hubb Alexander J AJ Mercy Hospital St. Louis, St. Louis, MO, USA. Stachowicz Anne M AM Mercy Hospital St. Louis, St. Louis, MO, USA. Wood Sara C SC Mercy Hospital St. Louis, St. Louis, MO, USA. eng Comparative Study Journal Article Multicenter Study Randomized Controlled Trial United

2019 American Family Physician Controlled trial quality: uncertain

18. Effectiveness of Bilateral PTNS Compared to Unilateral PTNS for the Treatment of Overactive Bladder/Urge Incontinence

the U.S.: Yes Keywords provided by Women and Infants Hospital of Rhode Island: overactive bladder OAB urge urinary incontinence PTNS Additional relevant MeSH terms: Layout table for MeSH terms Urinary Incontinence Enuresis Urinary Bladder, Overactive Urinary Incontinence, Urge Urination Disorders Urologic Diseases Lower Urinary Tract Symptoms Urological Manifestations Signs and Symptoms Behavioral Symptoms Elimination Disorders Mental Disorders Urinary Bladder Diseases (...) bladder and urge urinary incontinence Condition or disease Intervention/treatment Phase Overactive Bladder Syndrome Urinary Incontinence, Urge Device: PTNS Phase 4 Detailed Description: Percutaneous tibial nerve stimulation (PTNS) is an accepted treatment for overactive bladder that can be accomplished in the office with minimal side effects. It is currently carried out by stimulating one of the posterior tibial nerves unilaterally. The aim of this study is to determine whether bilateral percutaneous

2018 Clinical Trials

19. Single-Point Acupuncture for Treatment of Urge Incontinence in Women: A Pilot Nonrandomized Trial Full Text available with Trip Pro

Single-Point Acupuncture for Treatment of Urge Incontinence in Women: A Pilot Nonrandomized Trial Objectives: Urinary incontinence (UI) is common in middle- and old-age. Previous studies have shown that multiple-point and multiple-frequency acupuncture are efficacious treatment modalities for UI. This study investigated the efficacy of single-point acupuncture for the treatment of UI in women. Materials and Methods: Twelve female subjects, ages 40-75, participated in the trial. Acupuncture (...) at CV 2 was performed. Before needle insertion, each subject completed the Revised Urinary Incontinence Scale (RUIS). After treatment, subjects were contacted at 2 and 8 weeks to assess treatment effects using the RUIS questionnaire again. Results: Statistically significant improvements were seen with respect to symptoms of urgency, stress incontinence, impact of urine leakage, quantity of urine leakage, and the total score at 2 weeks postintervention. A statistically significant increase in impact

2018 Medical Acupuncture

20. Durability Extension Study to Assess Clinical Activity and Safety of Enobosarm (GTx-024) in Stress Urinary Incontinence

: No Additional relevant MeSH terms: Layout table for MeSH terms Urinary Incontinence Enuresis Urinary Incontinence, Stress Urination Disorders Urologic Diseases Lower Urinary Tract Symptoms Urological Manifestations Signs and Symptoms Behavioral Symptoms Elimination Disorders Mental Disorders (...) Durability Extension Study to Assess Clinical Activity and Safety of Enobosarm (GTx-024) in Stress Urinary Incontinence Durability Extension Study to Assess Clinical Activity and Safety of Enobosarm (GTx-024) in Stress Urinary Incontinence - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum

2018 Clinical Trials

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