scholarly journals Urinary Incontinence and Overactive Bladder Symptoms in Women with Breast Cancer Being Treated with Oral Hormone Therapy

2020 ◽  
Vol 42 (11) ◽  
pp. 726-730
Author(s):  
Rebeca Stahlschmidt ◽  
Amanda Canato Ferracini ◽  
Luana Moreira de Medeiros ◽  
Cinthia Madeira de Souza ◽  
Cassia Raquel Teatin Juliato ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Urinary Incontinence ◽  
Overactive Bladder ◽  
Hormone Therapy ◽  
Short Form ◽  
Life Quality ◽  
Urinary Symptoms ◽  
International Consultation ◽  
High Prevalence ◽  
Bladder Symptoms

Abstract Objective The objective of the present study is to observe the frequency and severity of urinary symptoms in women with breast cancer (BC) being treated with oral hormone therapy, associating them to drug adherence. Methods The participants were interviewed once from June to October 2016. The evaluation of urinary symptoms was performed by two questionnaires: International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) and International Consultation on Incontinence Questionnaire Overactive Bladder Module (ICIQ-OAB). Adherence was evaluated by the Morisky-Green method. Statistical analysis was performed by the Mann-Whitney test, linear regression, and Spearman correlation. Results Fifty-eight women were interviewed: 42 treated with tamoxifen and 16 with aromatase inhibitor. Twenty-seven women (46.5%) presented urinary incontinence symptoms and 15 (25.8%) presented stress urinary incontinence (SUI). Fourteen (24.1%) women had symptoms of overactive bladder (OAB). There was no statistical difference in symptoms between both treatments and duration of treatments. Higher scores in the ICIQ-SF questionnaire were associated with low/medium adherence and advanced age. Higher scores in the ICIQ-OAB questionnaire were associated with low/medium adherence. Conclusion The present study showed a high prevalence of urinary symptoms, such as urinary incontinence and OAB, associated with low/medium adherence and older age in women with BC being treated with oral hormone therapy. Health professionals should be alert to these symptoms since it could influence life quality and adherence to treatment.

Symptoms of the lower urinary tract in pregnant women in prenatal care.

2014 ◽  
Vol 12 ◽  
pp. 213
Author(s):  
Maria Dione de Queiroz Morato ◽  
Eduardo Filoni ◽  
Fátima Faní Fitz
Keyword(s):  
Urinary Tract ◽  
Pregnant Women ◽  
Short Form ◽  
Cross Sectional Study ◽  
Urinary Symptoms ◽  
Cross Sectional ◽  
International Consultation ◽  
High Prevalence ◽  
Mechanical Factors

Introduction: During pregnancy, hormonal and mechanical factors responsible for the development and fetal growth causes changes in the genital and urinary tract of women. It is observed the appearance of urinary symptoms in pregnant women previously continents up to 74%. Evaluate urinary symptoms and knowledge of the region in this period are important because they impact negatively on the quality of pregnant women’s life. Objective: Evaluate the presence of urinary symptoms and knowledge of PFM in pregnant women. Method: This is a descriptive cross-sectional study that evaluated pregnant women in care at the Basic Health Unit of São Paulo/SP. The characterization of women was taken by the assessment form, to measure urinary symptoms was used the International Consultation on Incontinence Questionnaire - Short Form (ICIQ - SF). On the other hand, the knowledge of PFM was evaluated by a specific questionnaire. Results: We evaluated 37 pregnant women with a mean age of 26.3 (14 and 37) years, body mass index of 28.5 (20.8 and 45.8) kg/m2 and gestational age of 24.8 (5 e 40) weeks. We observed the presence of UI in 81.1% of pregnant women, with a mean severity of 9.9 points for the ICIQ - SF. And about 54% of them knew of the existence of PFM and only 20% could locate the muscles. Conclusion: We Observed a high prevalence of urinary symptoms in women with moderate severity. Half of the women reported knowing the PFM, but only one fifth of them were able to locate them.

scholarly journals Psychiatric History and Overactive Bladder Symptom Severity in Ambulatory Urogynecological Patients

2021 ◽  
Vol 10 (17) ◽  
pp. 3988
Author(s):  
Artur Rogowski ◽  
Maria Krowicka-Wasyl ◽  
Ewa Chotkowska ◽  
Tomasz Kluz ◽  
Andrzej Wróbel ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Overactive Bladder ◽  
Short Form ◽  
Current Treatment ◽  
Psychotropic Medications ◽  
Psychiatric History ◽  
Overactive Bladder Symptoms ◽  
History Of ◽  
Bladder Symptoms

Introduction and hypothesis: A link between psychiatric comorbidities and overactive bladder symptomatology has been suggested by preclinical and clinical studies. Given this, we hypothesized that a psychiatric history and current treatment with psychotropic medications could be related to the severity of overactive bladder and incontinence symptoms in patients referred to a tertiary care urogynecological center. Methods: One hundred and twenty-seven female patients diagnosed with an overactive bladder were screened for a lifetime history of psychiatric disorders and the type and number of psychotropic medications currently taken. The overall severity of overactive bladder symptoms was assessed using the Indevus Urgency Severity Scale. The severity and impact of urinary incontinence on the quality of life were quantified with the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form. Urinary incontinence was further quantified with the aid of the Urinary Distress Inventory-6. The patients were screened for stress urinary incontinence using the Stamey Incontinence Score. Results: A psychiatric history, as well as current use of at least two psychotropic medications, was associated with increased severity of overactive bladder symptoms. A history of depression and current treatment with any selective serotonin reuptake inhibitor was associated with increased severity of stress urinary incontinence symptoms. Current treatment with other psychotropic medications, including sedative-hypnotics and drugs with anticholinergic properties was not related to the severity of overactive bladder and incontinence symptoms.

Symptoms of lower urinary tract in women who practice physical exercise regularly.

2014 ◽  
Vol 12 ◽  
pp. 212
Author(s):  
Eliana Barreto ◽  
Eduardo Filoni ◽  
Fátima Faní Fitz
Keyword(s):  
Physical Activity ◽  
Physical Exercise ◽  
Short Form ◽  
Urinary Symptoms ◽  
Highly Active ◽  
International Consultation ◽  
High Prevalence ◽  
Study Participants ◽  
Activity Questionnaire

Introduction: The practice of regular physical exercise provides benefits to health and quality of life. However, these are seen as promoters of dysfunctions of the pelvic floor muscles (PFMs). Objective: Evaluate the level of physical activity and the presence of urinary symptoms in women who perform exercise regularly and check the relation between then. Method: Forty-seven women who practice regularly physical exercise were evaluated in two gyms in the State of São Paulo/Brazil. The participants were characterized in accordance with the age, number of pregnancies, parity, body mass index, waist circumference, duration of physical exercise, weekly frequency of exercise and time spent in physical exercise. The level of physical activity was assessed by the "International Physical Activity Questionnaire" (IPAQ) long, and the presence of urinary symptoms and their severity were assessed by the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF). Results: Approximately 51.9% of women were considered active (greater than 600 METs value) and 49.1% were considered highly active (more than 1500's MET value). It was observed the presence UI in 72.3% of study participants. Approximately 52% of women showed a moderate UI according to the ICIQ-SF. Conclusion: Women were considered active or very active according to the recommendations of the IPAQ. It was observed a high prevalence of urinary symptoms in women on efforts in women who perform any physical activity regulary. The severity of the incontinence was classified as moderate according the ICIQ-SF. No significant relation it was observed between the severity of the UI and the level of physical activity.

scholarly journals Prevalence of urinary incontinence in a cohort of women with obesity

2021 ◽  
pp. 1-6
Author(s):  
Giulia Trotti ◽  
Valentina Aspesi ◽  
Lorena De Ambroggi ◽  
Veronica Cimolin ◽  
Ionathan Seitanidis ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Short Form ◽  
Age Groups ◽  
Rehabilitation Program ◽  
Female Patients ◽  
Non Invasive ◽  
International Consultation ◽  
Obese Female ◽  
Younger Age ◽  
High Prevalence

INTRODUCTION: Urinary incontinence (UI) is frequently associated with obesity. The prevalence of the different UI types in women with obesity remains scarcely investigated and controversial. OBJECTIVE: The goal of this study was to investigate the prevalence of the different types of UI (stress urinary incontinence, SUI, urge, UUI, or mixed, MUI) in a large sample of female patients with obesity by means of a specific questionnaire and non-invasive tests. METHODS: In this observational study, 248 obese female patients (BMI≥30 Kg/m2, age: 62.8 + 10.9 years) admitted to hospital from April 2019 to September 2019 for a multidisciplinary rehabilitation program were recruited for this study. The International Consultation on Incontinence Questionnaire - short form (ICIQ-sf) was used to screen the presence of symptoms of UI and to differentiate the different UI types. Patients with ICIQ-sf score≥4, were asked to undertake the Pad Test for quantifying urine leaks under stress. RESULTS: 61.69%of our sample presented UI symptoms. The prevalence of UI appears to be lower in younger age groups (57%in 31–46 years of age and 52%in 47–62 years of age) and higher (69%) between 63 and 79 years of age. MUI was the most frequent form (57.5%), followed by UUI (21.5%) and SUI (20.9%). SUI was most prevalent in younger participants (31–46 years old). CONCLUSION: This study demonstrated that UI has a high prevalence in females with obesity and it is not an exclusive concern of older women. This high prevalence calls for specific rehabilitation interventions within multidisciplinary programs.

scholarly journals Can Supervised Pelvic Floor Muscle Training Through Gametherapy Relieve Urinary Incontinence Symptoms in Climacteric Women? A Feasibility Study

2021 ◽  
Vol 43 (07) ◽  
pp. 535-544
Author(s):  
Anita Bellotto Leme Nagib ◽  
Valeria Regina Silva ◽  
Natalia Miguel Martinho ◽  
Andrea Marques ◽  
Cassio Riccetto ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle Training ◽  
Short Form ◽  
Pelvic Floor Muscle ◽  
Urinary Symptoms ◽  
Muscle Training ◽  
Intention To Treat ◽  
International Consultation ◽  
Floor Function

Abstract Objective To investigate the feasibility of pelvic floor muscle training (PFMT) through gametherapy for relieving urinary symptoms of climacteric women with stress or mixed urinary incontinence (UI). Methods Randomized clinical trial, divided into two groups: Gametherapy (G_Game) and Control (G_Control). Both groups received recommendations about unsupervised PFMT, and G_Game also received supervised PFMT through gametherapy. After 5 consecutive weeks, the feasibility was investigated considering participant adherence, urinary symptoms (evaluated by the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form [ICIQ-UI-SF] questionnaire), and pelvic floor function (PERFECT Scheme: power, endurance, repetition and fast). The Fisher exact, Kruskal-Wallis, Wilcoxon sign paired, and Mann-Whitney U tests were used by intention-to-treat analysis, using STATA 15.1 (StataCorp, College Station, TX, USA) software. Results The present study included 20 women per group and observed a higher adherence in G_Game. In the intragroup analysis, a decrease in the ICIQ-UI-SF score was observed in both groups (14.0 to 10.0; 13.5 to 0), associated with increased endurance (2.5 to 3.5; 2.5 to 4.0) in G_Control and G_Game, respectively. Moreover, there was a concomitant increase in pelvic floor muscles (PFMs) power (2.0 to 3.0), repetition (3.0 to 5.0), and fast (10.0 to 10.0) in G_Game. In the intergroup analysis, a reduction of UI was observed (p < 0.001; r = 0.8), as well an increase in PFM power (p = 0.027, r = 0.2) and endurance (p = 0.033; r = 0.3) in G_Game. Conclusion The feasibility of supervised PFMT through gametherapy was identified by observing participant adherence, relief of urinary symptoms, and improvement in PFM function.

Assessing the impact of urinary incontinence on quality of life: systematic review of instruments in Portuguese.

2014 ◽  
Vol 12 ◽  
pp. 201
Author(s):  
Raquel Eleine Wolpe ◽  
Ariana Machado Toriy ◽  
Gabriella Franzoni Da Silveira ◽  
Fernando Luiz Cardoso ◽  
Fabiana Flores Sperandio
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Overactive Bladder ◽  
Psychometric Properties ◽  
Cultural Adaptation ◽  
Short Form ◽  
International Consultation ◽  
King’S Health Questionnaire ◽  
The Impact

Introduction: Urinary incontinence (UI) can have a large impact on quality of life (QOL), which can harm social, economic, psychological and sexual aspects. Instruments are used to assess such damages. As it comes to subjective information, questionnaires are suitable tools to measure these variables. Objective: To identify the instruments used to assess the impact of urinary incontinence on quality of life and evaluate them regarding the psychometric properties. Method: A search for articles that used specific questionnaires to assess the impact of urinary incontinence on QOL was conducted using the following descriptors: urinary incontinence, questionnaire, quality of life, in English, Portuguese and Spanish in the following databases: PubMed, SciELO and Scopus, then the validation of questionnaires in Portuguese (Brazil) to classify them as to the process of cross-cultural adaptation and psychometric properties. Results: Seven questionnaires were found: International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF), International Consultation on Incontinence Questionnaire - Overactive Bladder (ICIQ-OAB), Overactive Bladder Questionnaires (OAB-q), OAB-q generated the short form (OAB-q SF), Urinary Incontinence - Specific Quality of Life Instrument (I-QOL), King's Health Questionnaire (KHQ) and Qualiveen. Only KHQ, ICIQ-SF and ICIQ-OAB followed all the steps of cultural adaptation. ICIQ-OAB and I-QOL showed higher number of assessed and certified psychometric properties. None of the studies showed results on responsiveness, “floor or ceiling” effects and interpretability. Conclusion: The data collected in this review showed that the instrumentation of UI is being made incomplete and is not respecting the prerequisite of the completion of steps in the process of creation and testing, possibly compromising an effective assessment of quality of life.

scholarly journals Autologous mid-urethral fascial sling for stress urinary incontinence: Long term outcomes

2021 ◽  
Vol 33 (1) ◽  
Author(s):  
Theo Malthouse ◽  
Ian Rudd ◽  
Chris Down ◽  
James Moore
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Overactive Bladder ◽  
Short Form ◽  
Mixed Urinary Incontinence ◽  
Long Term Outcomes ◽  
Bladder Symptoms

There has been an increasing interest in mesh-free surgical options for Stress Urinary Incontinence (SUI). Traditionally rectus fascia autologous slings were placed at the bladder neck but more recently they are positioned at the mid-urethra (aMUS). The long-term outcomes for these patients are described. A retrospective analysis of aMUS patients between 2009-2014 by a single surgeon for primary SUI was performed. All patients were evaluated preoperatively with urodynamics. Patient reported outcomes were collected via postal questionnaire using the ICIQ-UI short-form questionnaire, 7-point Global Impression of Improvement score, questions on pad usage, self-catheterisation, overactive bladder treatment and re-operation rates. Results included 31 patients (response rate 63.8%). The median age was 49 years and median BMI was 27. Twenty-seven per cent (27%) of patients had stress predominant mixed urinary incontinence pre-operatively. Median length of follow up was 8 years (5- 11); 60% of patients were dry and pad-free. Seventy-seven per cent (77%) found the surgery led to “much improvement” or “very much improvement” in quality of life. Thirteen per cent (13%) of patients reported a deterioration in quality of life. The median ICIQ-UI short form score was 5.5. 16.7% were taking medication and 1 patient received botulinum toxin therapy for overactive bladder symptoms. All these patients had mixed urinary incontinence on preoperative urodynamics. The re-operation rate was 13.3%. One patient was selfcatheterising. Three out of 31 (10%) had experienced pelvic pain, with 2 out of 31 (6%) experiencing dyspareunia. AMUS shows good long-term continence outcomes and is associated with low rates of de-novo overactive bladder symptoms and voiding dysfunction.

The Incidence of Overactive Bladder (OAB) in KIA Poly Patients at Pauh Health Center in Padang City Using Overactive Bladder Symptoms Score (OABSS)

2019 ◽  
Vol 3 (2) ◽  
pp. 55-62
Author(s):  
Bobby Indra Utama ◽  
Widayat Widayat ◽  
Berriandi Arwan
Keyword(s):  
Urinary Incontinence ◽  
Overactive Bladder ◽  
Health Center ◽  
Sampling Technique ◽  
Reproductive Age ◽  
Exclusion Criteria ◽  
Symptom Scores ◽  
Bladder Symptom ◽  
Bladder Symptoms ◽  
Tract Infections

Objective : This study looked at the incidence of overactive bladder (OAB) in KIA poly patients at Pauh Health Center in Padang City using Overactive Bladder Symptomps Score (OABSS).Method : This research is descriptive. The sampling technique was purposive sampling by considering inclusion and exclusion criteria. The inclusion criteria were women of ideal reproductive age (20-35 years) who had given birth spontaneously, were not pregnant, did not suffer from neurological disorders, diabetes, post bladder surgery and or urinary tract infections and were not treated with Overactive Bladder (OAB), while the exclusion criteria are not willing to take part in the study. The study was carried out at the KIA Poly of Pauh City Health Center in Padang during January 2019. The variable in this study was Overactive Bladder (OAB).Result : In this study, 97.22% of respondents experienced complaints of overactive bladder (OAB), (97.14%) experienced an urgent complaint, and only a small percentage (2.86%) of respondents experienced urinary incontinence. The results of this study indicate that respondents who did not experience complaints of overactive bladder (OAB) were respondents with the smallest parity (parity 1).Conclusion : Most respondents experienced complaints of overactive bladder (OAB) and urgency, and only a small proportion of respondents experienced urinary incontinence. The results of this study indicate that respondents who did not experience complaints of overactive bladder (OAB) were respondents with the smallest parity (parity 1).Keywords : overactive bladder (OAB), Urgensi,inkontinensia urin, Overactive Bladder Symptom Scores (OABSS).

scholarly journals Real-world effectiveness of app-based treatment for urinary incontinence: a cohort study

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e040819
Author(s):  
Pontus Rygh ◽  
Ina Asklund ◽  
Eva Samuelsson
Keyword(s):  
Urinary Incontinence ◽  
Cohort Study ◽  
Real World ◽  
Short Form ◽  
Pelvic Floor Muscle ◽  
Controlled Trial ◽  
Healthcare Services ◽  
International Consultation ◽  
The Mean

ObjectivesThe efficacy of app-based treatment for stress urinary incontinence (SUI) has been demonstrated in a randomised controlled trial (RCT). In this study, we investigate the user characteristics and the effectiveness of the same app when freely available, and compare these results with the RCT.DesignProspective cohort study.ParticipantsDuring a 17-month period, 24 602 non-pregnant, non-postpartum women older than 18 years downloaded the app and responded anonymously to a questionnaire. Of these, 2672 (11%) responded to the 3-month follow-up.InterventionThree months’ use of the app Tät, containing information, a pelvic floor muscle training programme and lifestyle advice.Main outcome measuresChange in symptom severity (International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF)) and subjective improvement (Patient Global Impression of Improvement (PGI-I)).ResultsOf the respondents, 88% lived in Sweden and 75% (18 384/24 602) were incontinent with a mean age of 45.5 (SD 14.1) years. The UI types, based on symptoms, were SUI (53%), urgency UI (12%), mixed UI (31%) and undefined (4%). The mean ICIQ-UI SF score was 8.2 (SD 4.0) at baseline. The mean ICIQ-UI SF score reduction at follow-up was 1.31 (95% CI: 1.19 to 1.44) with a larger reduction in those with more severe incontinence at baseline (severe/very severe 3.23 (95% CI: 2.85 to 3.61), moderate 1.41 (95% CI: 1.24 to 1.59) and slight 0.24 (95% CI 0.06 to 0.42). When the results were weighted to match the distribution of severity in the RCT, the ICIQ-UI SF score reduction was 2.2 compared with 3.9 in the RCT. Regarding PGI-I, 65% experienced improvement compared with 92% in the RCT.ConclusionsThe app Tät was effective for self-management of UI even in the real world. Although the reduction in incontinence symptoms was less than in the RCT, two-thirds of the users improved. App-based treatment reaches many women without requiring resources from ordinary healthcare services.

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