Stress Urinary Incontinence Assessment and Conservative Treatments

2018 ◽  
Author(s):  
Sidhartha Kalra ◽  
Benjamin M Brucker
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Conservative Management ◽  
Treatment Plan ◽  
Scientific Evidence ◽  
Treatment Options ◽  
Well Being ◽  
Surgical Approaches ◽  
Management Options ◽  
Assessment And Treatment

Stress urinary incontinence (SUI) is a prevailing condition affecting women’s physical, psychological, and social well-being. SUI is the most common type of urinary incontinence, with an estimated prevalence of 8 to 33%. Despite increased awareness, it is still commonly underreported. Identifying the problem and developing an individualized assessment and treatment plan are essential for achieving the best outcome and quality of life for these women. Numerous tools exist that may aid clinicians in making an appropriate diagnosis and then selecting the optimal treatment, including behavioral, medical, and surgical approaches. Although a plethora of treatment options exist for SUI, conservative management is considered an effective first-line option for most patients. The purpose of this review is to discuss the current understanding of SUI in women and to outline the evaluations and conservative management options with the best available scientific evidence. This review contains 3 highly rendered figures, 2 tables, and 57 references Key words: Stress Urinary Incontinence, Conservative management, Pelvic Floor Exercises, Pessary, Vaginal inserts, medical treatment

Stress Urinary Incontinence Assessment and Conservative Treatments

2017 ◽  
Author(s):  
Sidhartha Kalra ◽  
Benjamin M Brucker
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Conservative Management ◽  
Treatment Plan ◽  
Scientific Evidence ◽  
Treatment Options ◽  
Well Being ◽  
Surgical Approaches ◽  
Management Options ◽  
Assessment And Treatment

Stress urinary incontinence (SUI) is a prevailing condition affecting women’s physical, psychological, and social well-being. SUI is the most common type of urinary incontinence, with an estimated prevalence of 8 to 33%. Despite increased awareness, it is still commonly underreported. Identifying the problem and developing an individualized assessment and treatment plan are essential for achieving the best outcome and quality of life for these women. Numerous tools exist that may aid clinicians in making an appropriate diagnosis and then selecting the optimal treatment, including behavioral, medical, and surgical approaches. Although a plethora of treatment options exist for SUI, conservative management is considered an effective first-line option for most patients. The purpose of this review is to discuss the current understanding of SUI in women and to outline the evaluations and conservative management options with the best available scientific evidence. This review contains 3 highly rendered figures, 2 tables, and 57 references Key words: Stress Urinary Incontinence, Conservative management, Pelvic Floor Exercises, Pessary, Vaginal inserts, medical treatment

scholarly journals The management of stress urinary incontinence: A case report

2015 ◽  
Vol 71 (1) ◽  
Author(s):  
Preshani Reddy
Keyword(s):  
Urinary Incontinence ◽  
Case Report ◽  
Stress Urinary Incontinence ◽  
Conservative Management ◽  
Treatment Plan ◽  
Exercise Programme ◽  
Successful Outcome ◽  
Successful Management ◽  
Tailored Treatment ◽  
Programme Improvement

Introduction: Conservative management is the first option for patients with stress urinary incontinence (SUI). However, successful management of women diagnosed with SUI is dependent on a proper assessment and a tailored treatment plan. This case report aims to show the effectiveness of physiotherapy management in a 42-year-old patient diagnosed with SUI.Patient presentation: The patient’s main complaints were involuntary loss of urine on coughing, sneezing and lifting of heavy objects, which started following the birth of her third child.Management and outcome: The patient was taught the ‘Knack’ manoeuvre and provided with a tailored pelvic floor exercise programme. Improvement was noted at the third visit and the patient no longer had involuntary episodes.Conclusion: This case report shows the successful outcome of conservative management in a patient with stress urinary incontinence.

A MODEL TO FACILITATE OUTCOME ASSESSMENT OF OBSTRUCTIVE SLEEP APNEA

2003 ◽  
Vol 19 (1) ◽  
pp. 253-260 ◽  
Author(s):  
Seema S. Sonnad ◽  
Cheryl A. Moyer ◽  
Shushma Patel ◽  
Joseph I. Helman ◽  
Susan L. Garetz ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Cost Effectiveness ◽  
Sleep Apnea ◽  
Treatment Plan ◽  
Treatment Options ◽  
Surgical Approaches ◽  
Management Options ◽  
Initial Cost ◽  
Limited Effectiveness ◽  
Obstructive Sleep

Objectives: Obstructive sleep apnea is a common disorder with significant morbidity and effects on quality of life. Management can include a range of mechanical, behavioral, and surgical approaches. This paper aims to devise a model of management options to assist in initial cost-effectiveness investigations.Methods: In the absence of practice pattern data and widely accepted guidelines, we reviewed published literature and devised a model of treatment options to facilitate initial studies of outcomes, costs, and cost-effectiveness.Results: Obstructive sleep apnea is rarely addressed by conservative behavioral-based strategies because these options, while inexpensive, have only limited effectiveness. Effective treatment most often relies on nasal continuous positive airway pressure, but poor tolerance or compliance sometimes leads to treatment with oral appliances or surgery. Patients treated by one modality may try another if the initial strategy is ineffective. Laboratory evidence that sleep apnea is effectively treated, and long-term follow-up, are necessary regardless of the treatment modality chosen.Conclusions: Each patient's treatment plan must be individually tailored, but the management model proposed here reflects available evidence-based literature and the authors' impression of current practice patterns. This model should be useful for initial cost-effectiveness investigations.

Non-operative treatment options for knee osteoarthritis: current concepts

2018 ◽  
Vol 3 (5) ◽  
pp. 274-281
Author(s):  
David A Parker ◽  
Corey Scholes ◽  
Thomas Neri
Keyword(s):  
Knee Osteoarthritis ◽  
Operative Treatment ◽  
Treatment Plan ◽  
Treatment Options ◽  
Primary Care Providers ◽  
Care Plan ◽  
Care Providers ◽  
Coordinated Care ◽  
Management Options ◽  
Functional Benefit

Knee osteoarthritis in younger patients can be a challenging condition to manage. The patient and clinician have a range of non-operative management options available, although the guidance to effectively apply these options is lacking. The following review summarises a range of non-operative treatment options as an accessible reference for primary care providers to establish a coordinated care plan in consultation with the patient as part of a shared decision making process. Options are summarised in non-pharmacological and pharmacological treatments. These options are based on the latest guidelines based on authoritative recommendations, as well as recent articles with a good level of evidence that have not yet been incorporated into these official contents. The coordination of treatment using a range of modalities remains poorly explained in the literature and the current review proposes a conceptual model for coordinated care to be provided. In this model, the patient is central to the interaction between the coordinator and specialist providers, and the treatment plan is tailored to provide the optimal pain relief and functional benefit specific to the patient.

scholarly journals Surgical Approaches To Treatment Of Non-Complicated Stress Urinary Incontinence

2014 ◽  
Vol 4 (1) ◽  
pp. 53-59
Author(s):  
Mehmet Suhha Bostanci ◽  
Mustafa Albayrak ◽  
Selcuk Ozden
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Surgical Approaches

scholarly journals Patellofemoral pain syndrome in female athletes: A review of diagnoses, etiology and treatment options

2018 ◽  
Vol 9 (4) ◽  
Author(s):  
Molly Vora ◽  
Emily Curry ◽  
Amanda Chipman ◽  
Elizabeth Matzkin ◽  
Xinning Li
Keyword(s):  
Conservative Management ◽  
Female Athletes ◽  
External Rotation ◽  
Treatment Options ◽  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Patellofemoral Pain ◽  
Management Options ◽  
Muscle Balance ◽  
Conservative And Surgical Treatment

Patellofemoral pain syndrome (PFPS) is one of the most common causes of knee pain and is present in females disproportionately more relative to males. PFPS causes tend to be multifactorial in nature and are described in this review. From a review of the current literature, it is clear that there needs to be further research on PFPS in order to better understand the complex etiology of this disorder in both males and females. It is known that females with patellofemoral pain syndrome demonstrate a decrease in abduction, external rotation and extension strength of the affected side compared with healthy patients. Conservative management, including optimizing muscle balance between the vastus medialis and lateralis around the patella along with formal therapy should be the first line of treatment in patients presenting with PFPS. Surgery should be reserved for patients in which all conservative management options have failed. This review aims to guide physicians in accurate clinicaldecision making regarding conservative and surgical treatment options when specifically faced with PFPS in a female athlete. Furthermore, we will discuss the anatomic variants, incidence and prevalence, etiology, diagnosis and treatment of PFPS.

Stress urinary incontinence

2017 ◽  
Author(s):  
Christopher R. Chapple ◽  
Altaf Mangera
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Bulking Agents ◽  
International Continence Society ◽  
Patient History ◽  
Management Options ◽  
Tension Free ◽  
Anatomy And Physiology ◽  
High Prevalence ◽  
Standardized Terminology

Stress urinary incontinence (SUI) has a high prevalence and may be extremely bothersome. It is important for the general urologist to be able to assess, describe, and categorize this group of patients so that treatment, if appropriate, may be instigated. One must become accustomed to using the standardized terminology of the International Continence Society and be confident in differentiating other causes of incontinence from SUI. This chapter describes the anatomy and physiology of continence, as well as the important aspects of the patient history and examination. There are a multitude of tests available to the urologist; in this chapter we describe their indications, findings, and limitations. The various management options for SUI are also considered including, physiotherapy, pharmacotherapy, bulking agents, autologous slings, tension-free tapes, and artificial urinary sphincters. Finally, we discuss post-prostatectomy incontinence, overflow incontinence, and continuous incontinence.

scholarly journals SUS (Sub Urethral Support) FOR THE CORRECTION OF STRESS URINARY INCONTINENCE: TOWARDS MORE AND MORE SIMPLIFIED SURGERY

2010 ◽  
Vol 22 (3) ◽  
pp. 5
Author(s):  
D. Piroli Torelli ◽  
L. Di Piazza ◽  
M. Polichetti ◽  
D. Di Piazza
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Invasive Surgery ◽  
Gold Standard ◽  
Surgical Correction ◽  
Standard Approach ◽  
Surgical Approaches ◽  
Tension Free ◽  
Urethral Support

TVT and TOT are considered the gold standard approach for surgical correction of stress urinary incontinence (SUI). In view of the technical difficulties and severe complications sometimes encountered while performing these operations, many authors have studied new, simplified and safer surgical approaches. The aim of this paper is to evaluate the efficacy and validity of the SUS (Sub Urethral Support) technique. SUS represents new mini-invasive surgery for the correction of SUI, and it consists in applying a short sub-urethral sling in a tension-free fashion, through a single vaginal incision.

scholarly journals Generalised versus Regional Odontodysplasia: Diagnosis, Transitional Management, and Long-Term Followup—A Report of 2 Cases

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Mostafa Ibrahim Mostafa ◽  
Nehad Samir Taha ◽  
Mennat Allah Ismail Mehrez
Keyword(s):  
Case Report ◽  
Conservative Treatment ◽  
Conservative Management ◽  
Tooth Extraction ◽  
Treatment Plan ◽  
Treatment Options ◽  
Uncommon Condition ◽  
Regional Odontodysplasia ◽  
Left Quadrant

Background. Odontodysplasia is an uncommon condition. It can be localised or generalised, isolated or part of a syndrome.Case Report. We first report the case of an 8.5-year-old boy who presented with abnormally shaped teeth and multiple intraoral abscesses. Findings of clinical and radiographic examinations were consistent with those of generalised odontodysplasia. A 2-step, conservative treatment plan was executed with a 10-year followup. Step 1 was root canal treatment of nonvital teeth. Step 2 was crowning without preparation of new vital, erupted, and malformed teeth. The second case is that of a 12-year-old girl who presented with lack of teeth in the upper-left quadrant. The impacted teeth were exposed surgically, and fixed restoration was performed for temporary aesthetic improvement.Conclusion. Instead of tooth extraction, an approach previously used in similar cases, conservative management is feasible and offers better prosthetic treatment options for the future.

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