Interpersonal violence and painful bladder symptoms in community-dwelling midlife to older women

This study examined the effects of a 1-year low intensity exercise program in community dwelling older women on falls, injuries, and risk factors for falls such as poor balance, muscular weakness, and gait abnormalities. Eighty older women were assigned to an exercise (Ex,n= 42) or attention control (Co,n= 38) group. During the 1-year study, 36% of the Ex group experienced a fall compared to 45% of the Co group (χ2= 0.22,p≥ 0.05). None of the 10 fallers in the Ex group suffered an injury that required medical attention, compared with 3 of the 14 fallers (21%) in the Co group. Further analyses indicated that the Co group declined significantly in isometric strength of the knee extensors and ankle dorsiflexors while the Ex group did not change significantly across the 1-year study. On measures of hip abductor strength, balance, and gait, the groups were not significantly different from each other pre- to post intervention.

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Enhanced Cognitive Performance with Estrogen Use in Nondemented Community-Dwelling Older Women

Journal of the American Geriatrics Society ◽

10.1111/j.1532-5415.1999.tb05195.x ◽

1999 ◽

Vol 47 (10) ◽

pp. 1171-1175 ◽

Cited By ~ 61

Author(s):

David C. Steffens ◽

Maria C. Norton ◽

Brenda L. Plassman ◽

Jo Ann T. Tschanz ◽

Bonita W. Wyse ◽

...

Keyword(s):

Older Women ◽

Cognitive Performance ◽

Community Dwelling

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Low dose intradetrusor injections of onabotulinumtoxinA in women with overactive bladder symptoms or the painful bladder syndrome: unfavorable balance between clinical efficacy and the need for catheterization

Urogynaecologia ◽

10.4081/uij.2012.e10 ◽

2012 ◽

Vol 26 (1) ◽

pp. 10

Author(s):

Jan Groen ◽

Wouter J.C. Marchand ◽

Bertil F.M. Blok ◽

Gert R. Dohle

Keyword(s):

Overactive Bladder ◽

Success Rate ◽

Low Dose ◽

Painful Bladder Syndrome ◽

Pressure Flow ◽

Overactive Bladder Symptoms ◽

King’S Health Questionnaire ◽

Painful Bladder ◽

Pressure Flow Studies ◽

Bladder Symptoms

We evaluated our results with low dose intradetrusor injections of onabotulinu - mtoxinA in women with overactive bladder symptoms and the painful bladder syndrome in terms of clinically successful outcomes and the need for clean intermittent self-catheterization (CISC) and in relation to urodynamic aspects. The files of patients treated with 100 U of onabotulinumtoxinA injected at 20 sites with sparing of the trigone were retrospectively analyzed. Nearly all patients completed voiding- incontinence diaries and the King’s Health Questionnaire (KHQ) pre- and post-operatively. Cystometric and pressure-flow studies were done in the majority of patients. Success was defined as the patient’s and clinician’s joint choice for re-treatment with the same dose of onabotulinumtoxinA after a period of at least six months of clinical satisfaction. Twenty-six women were treated. On average, the improvement in most voiding diary parameters and in most KHQ categories lasted less than six and three months, respectively. Eight patients (31%) were scheduled for re-treatment with 100 U again after at least six months. No prognostic cystometric parameters were found. Six patients (23%) needed CISC. None of the bladder contraction strength parameters derived from the pressure-flow studies appeared predictive of the need of CISC. We obtained a success rate of 31% after six months with 100 U of onabotulinumtoxinA, while 23% of the patients applied CISC. We consider this success rate low and find the balance between the success rate and the rate of patients needing CISC inadequate.

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