Outcomes of urodynamic mixed urinary incontinence and urodynamic stress incontinence with urgency after mid-urethral sling surgery

2020 ◽  
Vol 31 (9) ◽  
pp. 1949-1957
Author(s):  
Tsia-Shu Lo ◽  
Yiap Loong Tan ◽  
Leng Boi Pue ◽  
Sandy Chua ◽  
Ming-Ping Wu ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Incontinence ◽  
Urodynamic Stress Incontinence ◽  
Mixed Urinary Incontinence ◽  
Sling Surgery

scholarly journals Predictors for de novo stress urinary incontinence following pelvic reconstruction surgery with transvaginal single-incisional mesh

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Pei-Chi Wu ◽  
Chin-Hu Wu ◽  
Kun-Ling Lin ◽  
Yiyin Liu ◽  
Zixi Loo ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Stress Incontinence ◽  
De Novo ◽  
Previous History ◽  
Urodynamic Stress Incontinence ◽  
Exact Test ◽  
Mesh Surgery ◽  
Sling Surgery ◽  
De Novo Sui

AbstractThe study aims to identify predictors for de novo stress urinary incontinence (SUI) following Elevate mesh surgery. A total of 164 women who underwent Elevate mesh surgeries between November 2011 and February 2014 in a single center were included. Seventy-three women were excluded due to preoperative incontinence or concomitant mid-urethral sling surgery. Fourteen others were excluded due to incomplete medical records. Fisher’s exact test and χ2 test were applied. The univariate logistic regression was used for odds ratios. Of the 77 continent women, 24 (31.2%) experienced de novo SUI after the operation. Significantly more women with de novo SUI were over the age of 64 years (75.0% vs. 47.2%, p = 0.023, OR 3.36, 95% CI 1.15–9.79). Preoperative occult urodynamic stress incontinence (29.2% vs. 3.8%, p = 0.003, OR 10.0, 95% CI 2.0–50.0) and previous SUI history (41.7% vs. 7.6%, p = 0.001, OR 9.1, 95% CI 2.38–33.3) were 2 other predictors of de novo SUI postoperatively. In conclusion, age over 64 years old, occult urodynamic stress incontinence, and previous history of SUI are 3 significant predictors for de novo SUI following the single-incision mesh surgeries.

scholarly journals Prevalence of mixed urinary incontinence

2005 ◽  
Vol 54 (5S) ◽  
pp. 75-76
Author(s):  
D. Y. Pushkar ◽  
О. В. Shaveleva
Keyword(s):  
Urinary Incontinence ◽  
Stress Incontinence ◽  
Detrusor Overactivity ◽  
Urodynamic Stress Incontinence ◽  
Mixed Urinary Incontinence ◽  
Mixed Incontinence

Hypothesis, aims of study. Mixed incontinence can be defined, as involuntary leakage of urine associated with both urgency and exertion, and effort, sneezing, and/or coughing. It can also be defined urodynamically, as combination of urodynamic stress incontinence and detrusor overactivity.

scholarly journals The management of mixed urinary incontinence in women

2017 ◽  
Vol 11 (6S2) ◽  
pp. 121 ◽  
Author(s):  
Blayne Welk ◽  
Richard J. Baverstock
Keyword(s):  
Urinary Incontinence ◽  
Stress Incontinence ◽  
Urge Incontinence ◽  
Pelvic Floor Muscle ◽  
Management Strategies ◽  
Significant Proportion ◽  
Mixed Urinary Incontinence ◽  
Success Rates ◽  
Vaginal Estrogen ◽  
Common Diagnosis

Mixed urinary incontinence is a common diagnosis among women with urinary leakage and is often present in women who are unable to characterize their incontinence. Research and optimized clinical treatment of these patients is limited by the challenges in objectively defining and stratifying this population. The evaluation of these patients should follow the same general principles as any assessment of any women with incontinence; however, it is essential to define whether urge or stress incontinence is the predominant symptom. Urodynamics (UDS) may be helpful in this regard and may help predict surgical outcomes. Behavioural therapy, weight loss, and pelvic floor muscle therapy are usually appropriate initial management strategies. In postmenopausal women, vaginal estrogen can be considered, and in women with equal parts stress and urge incontinence or urge-predominant mixed incontinence, a trial of anticholinergics or beta-3 agonists is appropriate. In women with stress-predominant or equal parts stress and urge incontinence, stress incontinence surgery can be considered, with the caveat that outcomes are generally worse among women with more severe levels of urgency, success rates may not be as durable, and a significant proportion of women may need additional medical therapy.

Biofeedback and functional perineal electro-stimulation in male urinary incontinence

1997 ◽  
Vol 64 (4) ◽  
pp. 507-509
Author(s):  
M. Lamartina ◽  
M. Rizzo ◽  
A. Lo Bianco ◽  
A. Di Girolamo ◽  
V. Spanò ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Incontinence ◽  
Mixed Urinary Incontinence ◽  
Male Urinary Incontinence ◽  
Male Patients

– The aim of the study is to evaluate the efficacy of biofeedback (BF) and of electrostimulation (SEF) of the perineal floor in male patients suffering from urinary incontinence. Eleven patients entered the study, five of them suffering from mixed urinary incontinence and six from pure stress incontinence. They were treated with six sittings of BF, SEF and domiciliary exercises. The results are promising. Additional monthly sittings and domiciliary SEF maintenance are advised.

scholarly journals Urinary Incontinence in Women Living in Nursing Homes: Prevalence and Risk Factors

2016 ◽  
Author(s):  
Chairul Rijal
Keyword(s):  
Risk Factors ◽  
Multivariate Analysis ◽  
Urinary Incontinence ◽  
Nursing Home ◽  
Stress Incontinence ◽  
Urge Incontinence ◽  
Overweight And Obesity ◽  
Mixed Urinary Incontinence ◽  
Research Subjects ◽  
Cross Sectional

Objective: To identify the prevalence of urinary incontinence, the distribution of the type of urinary incontinence and related risk factors in women older than 50 years. Method: This is a descriptive study with cross sectional design. Two hundred and seventy eight women older than 50 years old living in nursing home were interviewed using the Questionnaire for Urinary Incontinence Diagnosis (QUID) that has been translated and validated. The prevalence will be presented in the form of percentage; while the relationship between risk factors and the incidence or urinary incontinence will be analyzed using Chi square test or Fisher’s exact test, as appropriate, and multivariate analysis. Result: Of 278 research subjects, we obtained 95 subjects (34.2%) suffering from urinary incontinence. Moreover, the distribution of the type is 67 subjects (70.5%) with mixed urinary incontinence, 17 (17.9%) with stress incontinence and 11 subjects (11.6%) with urge incontinence. Body mass index (BMI) showing overweight and obesity are not related with the prevalence of urinary incontinence (p>0.05), which may be caused by the low number of subjects with overweight and obesity. Meanwhile, factors related to urinary incontinence are age older than 60 years (OR=7.79, p=0.021), menopause 10 years (OR=5.08, p=0.004) and multiparity (OR=1.82, p=0.019). Based on multivariate analysis, the risk factor of age older than 60 years is no longer related to urinary incontinence (p>0.05). Thus it can be inferred that age older than 60 years is not a singular factor causing urinary incontinence but rather a part of a multifactorial model. Conclusion: This study shows that the prevalence of urinary incontinence in women living in nursing home is 34.2%; while the distribution of the urinary incontinence is 67 subjects (70.5%) with mixed urinary incontinence, 17 subjects with stress incontinence (17.9%) and 11 subjects (11.6%) with urge incontinence. Risk factors for urinary incontinence are menopause 10 years and multiparity. [Indones J Obstet Gynecol 2014; 4: 193-198 Keywords: mixed urinary incontinence, menopause, multiparity, prevalence, stress incontinence, urge incontinence, urinary incontinence, Questionnaire for Urinary Incontinence Diagnosis (QUID)

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