Association Between Lower Urinary Tract Symptoms and Endometriosis Before and After Laparoscopy

2015 ◽  
Vol 22 (6) ◽  
pp. S66-S67
Author(s):  
M Pilkinton ◽  
L Cohen ◽  
A Hardart
2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Tomasz Rechberger ◽  
Andrzej Wrobel ◽  
Alicja Zietek ◽  
Ewa Rechberger ◽  
Beata Kulik-Rechberger ◽  
...  

Aim. Lower urinary tract symptoms (LUTS) frequently affect patients immediately after midurethral sling (MUS) placement. The objective of the study was to assess if solifenacin or mirabegron decreases incidence of LUTS in women who underwent transobturator MUS. Methods. A prospective randomized trial was conducted on patients undergoing ambulatory transobturator midurethral sling due to stress urinary incontinence (SUI). All participants were questioned before and after surgery for occurrence of bothersome LUTS. A total of 328 patients who underwent transobturator MUS were randomly assigned to one of three groups: prophylaxis with 10 mg of solifenacin, prophylaxis with 50 mg of mirabegron, or without any additional treatment. LUTS evolution and efficacy of solifenacin and mirabegron were analyzed based on results of assessments made during follow-up visits at 1 and 6 weeks after surgery. Comparison of the prevalence of LUTS was done using chi2 test. Results. Prevalence of urgency and frequency episodes increased notably 1 week after sling placement and then came down to baseline levels. Solifenacin and mirabegron significantly reduced the incidence of urgency after 1 week, but after 6 weeks the beneficial effect was observed only in case of solifenacin. Treatment with mirabegron reduced the percentage of patients suffering from frequency after 6 weeks. Although prevalence of nocturia did not raise after sling placement, both treatments significantly reduced the incidence of this complaint after 6 weeks. Pharmacological treatment did not modulate the course of hesitancy and terminal dribbling. Conclusions. Treatment with solifenacin or mirabegron may significantly reduce the incidence of undesired LUTS after MUS.


2016 ◽  
Vol 33 (1) ◽  
pp. 7-11
Author(s):  
Muna Shalima Jahan ◽  
Syed Muhammad Baqui Billah

Objective: To assess lower urinary tract symptoms (LUTS) before and after simple abdominal hysterectomy. Methods: This quasi-experimental study was conducted in Bangabandhu Sheik Mujib Medical University, Dhaka on respondents who were waiting for simple abdominal hysterectomy for beneign gynaecological problems. LUTS and ultrasonic and uroflowmetric findings were assessed on 48 patients before simple abdominal hysterectomy (SAH) followed by reassessment of symptoms on 33 patients and uroflowmetric assessment on 27 patients within 3-4 months after SAH. Results: Thirty percent urgency (p=0.02), 18% urge incontinence (p=0.03), 42% stress incontinence (p=0.001), 24% dysuria (0.02), 33% stress on cough or vulsalva (p=0.001), 27% delayed bladder emptying (p=0.04) and 30% sensation of residual urine (0.01) was improved significantly after SAH while around 18% urinary frequency (p=0.07) was almost significantly improved. None of the patients complained of nocturia after SAH. As for urodynamic assessment, there was significant increase in maximum bladder capacity (p<0.001), decrease in bladder wall thickness (p<0.001) and decrease in average flow rate (0.04) though there was no significant decrease in post void residue. Overall there had been a considerable decrease of all pre operative symptoms from nearly 82% to 37% post operatively. Conclusions: There was significant improvement of voiding symptoms following SAH as well as improvement of ultrasongraphic findings and uroflometric features.J Bangladesh Coll Phys Surg 2015; 33(1): 7-11


2019 ◽  
Vol 11 (2) ◽  
pp. 92
Author(s):  
Stephanus J. Ch. Tangel ◽  
Alwin Monoarfa ◽  
Richard A. Monoarfa

Abstract: Lower urinary tract symptoms (LUTS) due to BPH frequently occur in elderly men. Indonesian version of International Prostate Symptom Score (IPSS-Ina) is commonly used in the hospitals in Indonesia, including Prof. Dr. R. D. Kandou Hospital in Manado. However, there is still no study about IPSS-Ina validation in Manado. This study was perfomed by giving IPSS-Ina questionnaire to two sample groups, the treatment and the control groups. IPSS validation was tested by correlating the IPSS score and quality of life score. Reliability of IPSS-Ina was also tested by using internal consistancy test and test-retest to the two groups. There were 50 patients that fulfilled the inclusion and exclusion criteria, divided into the two groups as mentioned before. The oldest patients was 67 years in the treatment group, and the youngest one was 21 years in the control group. The Pearson correlation test showed that all correlations had P values <0.05, therefore, all 8 questions in the IPSS-Ina used in patients not yet treated with TURP were valid. The Cronbach test showed that the 8 questions had realibility of 0.93, which meant that the 8 questions translated into Indonesian had very high consistancy. The t test of treatment group before and after TURP resulted in t= 11.221 and a P value <0.001. Conclusion: IPSS-Ina has very good validation and reliability to people in Manado. Therefore, it has similar purpose, intention, and function to WHO version, and it has sensitivity to the changes of symptoms and signs of BPH patients before and after TURP.Keywords: IPSS, LUTS, validation, BPHAbstrak: Lower urinary tract symptoms (LUTS) akibat BPH sering terjadi pada laki-laki usia lanjut. International Prostate Symptom Score (IPSS) versi bahasa Indonesia sudah banyak digunakan di berbagai rumah sakit di Indonesia, termasuk RSUP Prof. Dr. R. D. Kandou Manado. Penelitian ini bertujuan untuk memvalidasi IPSS versi bahasa Indonesia di Manado. Penelitian dilakukan dengan memberikan kuesioner IPSS versi bahasa Indonesia (IPSS-Ina) kepada dua kelompok subyek, yaitu kelompok uji dan kontrol. Validasi IPSS diuji dengan mengorelasikan hasil skor IPSS yang didapat dengan skor kualitas hidup (Quality of Life). Reliabilitas IPSS-Ina diuji melalui dua cara yaitu dengan uji konsistensi internal dan uji test-retest pada kelompok subyek. Hasil penelitian mendapatkan 50 pasien yang memenuhi kriteria inklusi dan eksklusi penelitian, dibagi menjadi dua kelompok (uji dan control). Usia tertinggi 67 tahun pada kelompok uji, dan terendah 21 tahun pada kelompok kontrol. Hasil uji korelasi Pearson mendapatkan semua nilai korelasi memiliki nilai P <0,05, jadi ke 8 pertanyan yang terdapat dalam IPSS-Ina yang digunakan pada pasien yang belum mendapatkan terapi TURP ialah valid. Hasil uji Cronbach memperlihatkan ke 8 pertanyaan ini memiliki reliabiltas sebesar 0,93, yang berarti ke 8 pertanyaan skoring BPH dari WHO yang diterjemahkan ke dalam bahasa Indonesia memiliki konsisten yang sangat tinggi. Hasil uji t pada kelompok uji sebelum dan setelah menjalani tindakan TURP mem-peroleh t= 11,221 dengan P <0,001. Simpulan: IPSS versi bahasa Indonesia terbukti memiliki validitas dan reliabilitas yang sangat baik terhadap masyarakat di Manado, sehingga dapat dijamin memiliki tujuan, maksud, serta fungsi yang sama dengan versi WHO, serta memiliki sensitivitas terhadap perubahan gejala pada penderita BPH dari sebelum dan setelah menjalani TURP.Kata kunci: IPSS, LUTS, validasi, BPH


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