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 ◽  
...  

– 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.

2017 ◽  
Vol 11 (6S2) ◽  
pp. 121 ◽  
Author(s):  
Blayne Welk ◽  
Richard J. Baverstock

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.


Author(s):  
Chairul Rijal

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)


2013 ◽  
pp. 127-174
Author(s):  
John Reynard ◽  
Simon Brewster ◽  
Suzanne Biers

Incontinence: classification 128 Incontinence: causes and pathophysiology 130 Incontinence: evaluation 132 Stress and mixed urinary incontinence 136 Surgery for stress incontinence: injection therapy 138 Surgery for stress incontinence: retropubic suspension 140 Surgery for stress incontinence: suburethral tapes and slings 142 Surgery for stress incontinence: artificial urinary sphincter ...


2021 ◽  
Vol 16 (1) ◽  
pp. 120-123
Author(s):  
Alka Shrestha

Aim: To determine the prevalence of urinary incontinence of women attending gynae outdoor patient department. Method: It is a prospective cross sectional study conducted at Paropakar Maternity and Women’s Hospital for three months. Types of incontinence, their presentation, associated factors, age and parity were the variables studied. Data were analyzed by descriptive statistics. Results: Out of 950 gynaecological out-patients, 97 had urinary incontinence(10.2%); 34.1% were in 50- 59 years and 37.2% were multipara. Stressurinary incontinence (SUI) was the most common incontinence (56.7%) followed by mixed urinary incontinence (22.7%) and urge urinary incontinence (20.6%). Common complaints were leakage during coughing (63.6%) and sneezing(18.2%) in SUI;urgency and frequency were main problem in mixed and urge urinary incontinence. Three-fourth cases had associated medical conditions and rest had gynecological factors. Conclusions: Urinary incontinence is common in the fifth decade of life of women and more than half had stress incontinence.


2005 ◽  
Vol 54 (5S) ◽  
pp. 75-76
Author(s):  
D. Y. Pushkar ◽  
О. В. Shaveleva

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.


2006 ◽  
Vol 175 (4S) ◽  
pp. 119-119
Author(s):  
Aruna V. Sarma ◽  
Leslee L. Subak ◽  
Feng Lin ◽  
John W. Kusek ◽  
Leroy M. Nyberg ◽  
...  

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