scholarly journals Combined MACE & Mitrofanoff Procedure for Total Neurogenic Feco-urinary Incontinence – A Case Report

2016 ◽  
Vol 6 (1) ◽  
pp. 28-31
Author(s):  
KM Didarul Islam ◽  
Md Ruhul Amin ◽  
Abu Saleh Md Oliullah ◽  
AKM Khairul Basher ◽  
Amitava Biswas ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Case Report ◽  
Success Rate ◽  
Urinary Continence ◽  
Antegrade Continence Enema ◽  
Malone Antegrade Continence Enema ◽  
First Time

Intractable fecal and urinary incontinence, often associated with myelomeningocele (MMC), usually prevents children from achieving physical and social independence. The Malone Antegrade Continence Enema (MACE) procedure, often performed in conjunction with a Mitrofanoff procedure to gain fecal & urinary continence, can help these patients to attain a better quality of life. In patients, who underwent the combined Mitrofanoff and MACE procedures simultaneously, the success rate is- 83% satisfactory for both bowel & urinary continence. With this procedure we report here, for the first time in Bangladesh, to the best of our knowledge, an association between two previously described techniques (the Mitrofanoff principle and MACE), that can solve the problem of dual incontinence in children with MMC. The case involved a 14 years old boy with total neurogenic feco-urinary incontinence following excision & repair of MMC at the age of 4 months. After the surgery, the boy is continent with normal renalfunction.J. Paediatr. Surg. Bangladesh 6(1): 28-31, 2015 (Jan)

Managament of Bhagandara (Fistula-in-Ano) by Palasha Ksharasutra prepared with Arkaksheera - A Case Report.

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Ganapathi Rao ◽  
Vijay Kumar ◽  
Ashok Naikar ◽  
Chandrakanth Halli
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Success Rate ◽  
Spinal Anesthesia ◽  
Curcuma Longa ◽  
Weekly Interval ◽  
Butea Monosperma ◽  
Fistula In Ano

A standard Ksharasutra is practiced in treatment of Bhagandara (fistula-in-ano) with high success rate and minimum recurrence rate. In previous research it was noted that Pittaja Prakruti patients sometime might cause more perianal irritation due to Apamarga Ksharasutra. So in this study Palasha Ksharasutra prepared in Arkaksheera was prepared by Palasha Kshara (Ash of Butea monosperma), Arka Ksheera (Calotropis gigantic) and turmeric powder (Curcuma longa). This Ksharasutra was prepared as per the API guidelines and preserved in air tight tube. A patient of Pittaja predominant Prakruti with fistula-in ano having two external opening at 6 and 7 O’ clock position of anus was treated with application of Ksharasutra. The Palasha Ksharasutra prepared in Arkaksheera was applied in these two opening under spinal anesthesia. Then Ksharasutra was changed by weekly interval under local xylocaine jelly 2%. The length of thread was measured weekly and noted in the case to assess the unit cutting time (UCT). The unit cutting time (UCT) of first thread was 7.5 days/cm and second one had UCT 6.8 days/cm. During the treatment patient was doing his job regularly without hampering the quality of life. After 2 months patient was free from all symptoms of fistula with normal scar and without any complications. This case study demonstrated the utility of Palasha Ksharasutra prepared in Arkaksheera in multiple fistula-in ano.

scholarly journals Burch Retropubic Urethropexy for Genuine Stress Urinary Incontinence: A Review of Eight Cases

2017 ◽  
Vol 5 (2) ◽  
pp. 129-132
Author(s):  
Disha A Rajput ◽  
Shalini M Valecha ◽  
Manisha Sarwade ◽  
Shrikant Dhumale
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Urinary Continence ◽  
Urgency Incontinence ◽  
Patient’S Satisfaction ◽  
Satisfaction Index ◽  
Genuine Stress Urinary Incontinence

ABSTRACT Introduction Urinary incontinence (UI) is more common than any other chronic disease with the prevalence of approximately 23 and 55%. Among the various forms of UI, stress incontinence (SUI) is the most common (49%), with urgency incontinence (UUI) representing 21% and mixed type (MUI) at 29%. As it affects the quality-of-life of women, the restoration of urinary continence is one of the greatest challenges. Aim To review the cases of genuine SUI treated surgically by Burch retropubic urethropexy. Results We have managed surgically eight cases of genuine SUI by Burch retropubic urethropexy. On 1-year follow-up, none of the patients had any urinary complaints. All had responded well to surgery and patient's satisfaction index was good. Conclusion Since SUI is the commonest among incontinences, it is a challenge to diagnose and treat to improve quality-of-life of patients. Burch retropubic urethropexy is the gold standard treatment for SUI, especially if other indications exist for abdominal surgery. Even in the present era of less invasive vaginal procedures, results are comparable. How to cite this article Rajput DA, Valecha SM, Sarwade M, Dhumale S. Burch Retropubic Urethropexy for Genuine Stress Urinary Incontinence: A Review of Eight Cases. J South Asian Feder Menopause Soc 2017;5(2):129-132.

The Malone Antegrade Continence Enema Procedure: Quality of Life and Family Perspective

2003 ◽  
Vol 169 (1) ◽  
pp. 320-323 ◽  
Author(s):  
ELIZABETH B. YERKES ◽  
MARK P. CAIN ◽  
SHELLY KING ◽  
TIMOTHY BREI ◽  
MARTIN KAEFER ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Antegrade Continence Enema ◽  
Family Perspective ◽  
Malone Antegrade Continence Enema

scholarly journals Rehabilitation treatment in patients with urinary incontinence

2020 ◽  
Vol 12 (3) ◽  
pp. 1-10
Author(s):  
Cvetanka Gjerakaroska-Savevska ◽  
Erieta Nikolikj-Dimitrova ◽  
Valentina Koevska ◽  
Biljana Mitrevska ◽  
Marija Gocevska ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Pelvic Floor ◽  
Behavioral Therapy ◽  
Pelvic Floor Muscle ◽  
Urinary Continence ◽  
Rehabilitation Treatment ◽  
The Individual

Urinary incontinence is the inability to control urination with spectrum of disturbances from periodical urinary leaks to complete inability to retain urine. It occurs more often in elderly and in women. Urinary incontinence has a great impact on general health and may reduce the quality of life. There are several types: stress urinary incontinence, urgent urinary incontinence, neurogenic urinary incontinence, overflow urinary incontinence. Stress urinary incontinence is the most frequent one and is due to pelvic floor muscle weakness. For assessment and treatment of these patients the individual approach is warranted. The treatment of these patients includes medications, behavioral therapy, biofeedback, pelvic floor muscle training, electrical stimulation, magnetic stimulation and surgery. Non-surgical treatment might be effective to prevent surgery. Rehabilitation treatment with pelvic floor exercises and physical modalities for patients with urinary incontinence is important for recovery of the urinary continence and improvement of quality of life in these patients.

The Malone Antegrade Continence Enema Procedure: Quality of Life and Family Perspective

2003 ◽  
pp. 320-323 ◽  
Author(s):  
ELIZABETH B. YERKES ◽  
MARK P. CAIN ◽  
SHELLY KING ◽  
TIMOTHY BREI ◽  
MARTIN KAEFER ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Antegrade Continence Enema ◽  
Family Perspective ◽  
Malone Antegrade Continence Enema

scholarly journals Effect of transcutaneous electrical stimulation on morphological characteristics of women with stress urinary incontinence

2020 ◽  
Author(s):  
Ji-hyun Kim ◽  
Eun Young Park ◽  
Oh-yun Kwon ◽  
Ui-jae Hwang ◽  
Su-jin Kim ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Electrical Stimulation ◽  
Stress Urinary Incontinence ◽  
Valsalva Maneuver ◽  
Subscale Score ◽  
Urinary Continence ◽  
Transcutaneous Electrical Stimulation ◽  
Total Quality

Abstract Background: Stress urinary incontinence is an involuntary leakage of urine due to a weak pelvic floor and weak sphincter when the intra-abdominal pressure increases. Its symptoms are known to improve upon electrical stimulation of the pelvic floor. This study aimed to determine the effects of transcutaneous electrical stimulation on ultrasonography variables, such as the bladder neck position (BNP), length of the urethra (LU), funneling index (FI), and posterior (PRT) and anterior rhabdosphincter thickness (ART), and the Incontinence Quality of Life scores. It also investigated the association between the relative changes in the two.Methods: Twenty-one patients with stress urinary continence were included and subjected to transcutaneous electrical stimulation for eight weeks. Ultrasonography was used to measure the BNP, LU, FI, ART, and PRT. Data were analyzed at rest and during the Valsalva maneuver and the difference (△) between them was evaluated.Results: The BNP during the Valsalva maneuver and the △BNP decreased significantly. The LU during the Valsalva maneuver increased after eight weeks. The FI during the Valsalva maneuver and the △FI changed significantly. The ART and PRT and the total quality of life score significantly increased after eight weeks (p<.05). The LU during the Valsalva maneuver positively correlated with the total quality of life (r=0.630; p=.002), psychosocial impact subscale (r=0.705; p=.000), and social embarrassment subscale (r=0.488; p=.025) scores. The correlations between the PRT and the avoidance and limiting behavior subscale score (r=0.624; p=.002) and between the △FI and the social embarrassment subscale score (r=-0.515; p=.0.20) were significant.Conclusions: Transcutaneous electrical stimulation can improve the BNP, ART, and PRT, along with the subjective indicators, in women with stress urinary continence. Improving stress urinary continence symptoms can ameliorate women’s social and psychological self-esteem.

scholarly journals A 72-year-old lady with urinary incontinence: A case study

1999 ◽  
Vol 55 (3) ◽  
pp. 21-23
Author(s):  
A. Van der Spuy ◽  
M. Papadopoulos
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Case Report ◽  
Older Persons ◽  
Complex Problem ◽  
Dramatic Improvement ◽  
Patient History ◽  
Continence Status

Urinary incontinence is a far-reaching and complex problem for older persons and has major psychosocial, economic and health consequences in affected women. The aim of this case report is to demonstrate that simple physiotherapeutic intervention can bring about dramatic improvement in the continence status of a patient and as a result improve the quality of life of such a patient. A literary review, the patient history, profile and the findings of the physical examination are presented. Physiotherapy and the outcomes are further discussed.

Sign in / Sign up

Export Citation Format

Share Document