Role of physiotherapy in preventing tears rolling down the legs in an eight year old girl: A case report

Urinary incontinence in children is an underdiagnosed symptom in India with a prevalence of 7%. An appropriate diagnosis and early intervention can help prevent the progression of the disorder. Here we present a case reportof an 8-year-old girl referred for physiotherapy with the chief complaint of urinary incontinence. She had a wide bladder neck along with leaking urine and a small bladder capacity. She was managed conservatively with medications and comprehensive physiotherapeutic assessment and management that included a combination of electrotherapy, pelvic floor training, balance and postural exercises and other interventions that gave a positive outcome in terms of eliminating the dribbling episodes and improvement in her quality of life.

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Extracorporeal magnetic innervation increases functional bladder capacity and quality of life in patients with urinary incontinence after robotic-assisted radical prostatectomy

Urological Science ◽

10.1016/j.urols.2015.06.286 ◽

2015 ◽

Vol 26 (4) ◽

pp. 250-253

Author(s):

Po-Chih Chang ◽

Chun-Te Wu ◽

Shih-Tsung Huang ◽

Yu Chen ◽

Hsin-Chieh Huang ◽

...

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Radical Prostatectomy ◽

Bladder Capacity ◽

Robotic Assisted ◽

Extracorporeal Magnetic Innervation ◽

Robotic Assisted Radical Prostatectomy

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EPISPADIAS IN GIRLS

Russian Journal of Pediatric Surgery ◽

10.18821/1560-9510-2019-23-3-166-168 ◽

2019 ◽

Vol 23 (3) ◽

pp. 166-168

Author(s):

A. E. Soloviev

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Surgical Treatment ◽

Plastic Surgery ◽

Clinical Picture ◽

Bladder Neck ◽

Rare Case ◽

Diagnosis And Treatment ◽

X Ray

Purpose. To study the clinical picture, diagnosis and treatment of epispadias in girls. Material and methods. 22 girls with epispadias of various forms were under supervision for 50 years. During diagnostics the following issues were used: anamnesis, examination, catheterization and uroflowmetry, cystoscopy of the bladder, ultrasound and X-ray examination. Results and discussion. Out of 22 girls with epispadias, clitoral epispadia (partial ) was in 10 patients; sub-symphisal (subtotal) - in 4; symphisal (total) - in 8 girls. In 10 girls with the clitoral form, urological examination was made because of changes in the urine. Girls with sub-symphisal epispadia complained of irritation and itching in the vulva. All had vulvitis, cystitis, chronic pyelonephritis. In 2 patients, renal doubling was diagnosed; in other 2 patients ureterohydronephrosis and kidney dystopia were diagnosed. Uroflowmetry revealed hyperactive bladder in all. 8 girls with the total (symphisial) form of epispadia and urinary incontinence were operated by the Derzhavin technique; after the surgery the function of bladder sphincter was restored and the patients could have a normal quality of life. Conclusion. Epispadia in girls is a rare case . There are clitoral, sub-symphisal and symphisal (total) forms of epispadias. Cluster and sub-symphisial forms do not require surgical treatment. While in the symphisial (total) form, plastic surgery on the bladder neck by the Derzhavin technique is recommended. It is a good option for recovery.

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Post-Radical-Prostatectomy Urinary Incontinence: The Management of Concomitant Bladder Neck Contracture

Advances in Urology ◽

10.1155/2012/295798 ◽

2012 ◽

Vol 2012 ◽

pp. 1-7 ◽

Cited By ~ 11

Author(s):

Thomas King ◽

Y. Zaki Almallah

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Radical Prostatectomy ◽

Bladder Neck ◽

Management Strategy ◽

Clinical Problem ◽

Bladder Neck Contracture ◽

Postprostatectomy Incontinence ◽

Optimum Management

Urinary incontinence postradical prostatectomy is a common problem which adversely affects quality of life. Concomitant bladder neck contracture in the setting of postprostatectomy incontinence represents a challenging clinical problem. Postprostatectomy bladder neck contracture is frequently recurrent and makes surgical management of incontinence difficult. The aetiology of bladder neck contracture and what constitutes the optimum management strategy are controversial. Here we review the literature and also present our approach.

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Managing female pelvic floor disorders: a medical device review and appraisal

Interface Focus ◽

10.1098/rsfs.2019.0014 ◽

2019 ◽

Vol 9 (4) ◽

pp. 20190014 ◽

Cited By ~ 3

Author(s):

Shelby A. Powers ◽

Lindsey K. Burleson ◽

Johanna L. Hannan

Keyword(s):

Quality Of Life ◽

Chronic Pain ◽

Urinary Incontinence ◽

Pelvic Floor ◽

Pelvic Floor Disorders ◽

Pelvic Organ ◽

Tissue Level ◽

Female Pelvic Floor

Pelvic floor disorders (PFDs) will affect most women during their lifetime. Sequelae such as pelvic organ prolapse, stress urinary incontinence, chronic pain and dyspareunia significantly impact overall quality of life. Interventions to manage or eliminate symptoms from PFDs aim to restore support of the pelvic floor. Pessaries have been used to mechanically counteract PFDs for thousands of years, but do not offer a cure. By contrast, surgically implanted grafts or mesh offer patients a more permanent resolution but have been in wide use within the pelvis for less than 30 years. In this perspective review, we provide an overview of the main theories underpinning PFD pathogenesis and the animal models used to investigate it. We highlight the clinical outcomes of mesh and grafts before exploring studies performed to elucidate tissue level effects and bioengineering considerations. Considering recent turmoil surrounding transvaginal mesh, the role of pessaries, an impermanent method, is examined as a means to address patients with PFDs.

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