Urogenital symptoms in postmenopausal women: a hospital-based prevalence study

Objectives. To determine the prevalence of urogenital symptoms (vaginal dryness, dyspareunia, urinary incontinence) and assess patient’s consultation rate and desire for treatment. Design and Methods. This study was prospective descriptive study, performed with the participation of 125 women who presented in menopausal clinic, Srinagarind Hospital. Women completed the questionnaire including questions about their demographic properties and were interviewed by pre-validated questionnaire and in-depth interview to determine the prevalence of urogenital symptoms, consultation rate and patient’s desire for treatment. Results. The mean age of the participants was 57.1 years. Vaginal dryness was found to be the most common postmenopausal urogenital symptoms (71.2%), followed by urinary incontinence (62.4%) and dyspareunia (52.0%). The consultation rates were 62.2% in vaginal dryness, 46.2% in dyspareunia and 38.5% in urinary incontinence. Patient’s desire for treatment was 66.7% in vaginal dryness, 62.1% in dyspareunia and 53.8% in urinary incontinence. Conclusions. Urogenital symptoms are highly prevalent. Physicians need to improve patient-physician communication and increase their attention to these symptoms and their patient’s attitudes to improve patient’s quality of life.

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The Impact of Urinary Incontinence on Quality of Life in Those Receiving Home Care Services

Home Health Care Management & Practice ◽

10.1177/1084822318795439 ◽

2018 ◽

Vol 31 (1) ◽

pp. 30-34

Author(s):

Mahcube Cubukcu

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Home Care ◽

Chronic Diseases ◽

Short Form ◽

Home Care Services ◽

Care Services ◽

The Mean ◽

The Impact

This study aims to evaluate the impact of urinary incontinence on the quality of life in those receiving home care services and the factors that influence this. This cross-descriptive study was performed in 180 patients who were served from Home Care Services between 01 and 28 February 2018. An International Consultation on Incontinence Questionnaire–Short Form (ICIQ-SF) was implemented in person to those who gave their informed consent with orientation and cooperation. The mean age of a 180 patients was 74.40 ± 7.80 years (min = 18, max = 104), of which 55.2% were women. The mean ICIQ-SF score was found to be 12.42 ± 4.83 (min = 0, max = 21). The lowest points were given as responses to the question, “In your opinion, what amount of leakage do you experience?” The highest points, however, were given to the question of “How much does urinary leakage interfere with your everyday life?” It was seen that when quality of life is assessed with a visual analog scale within the ICIQ-SF, the quality of life for 66.6% of elderly individuals was affected moderately or significantly. The mean ICIQ-SF scores were higher in those with chronic diseases ( p < .005). Urinary Incontinence negatively affects quality of life to a moderate and significant degree in those receiving home care. The quality of life for those who have chronic diseases was worse. In this respect, there is a need to support patients in those receiving home care services.

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Experience after 12 Cases with the Adjustable Transobturator Male Sling for Postprostatectomy Stress Urinary Incontinence

Urologia Journal ◽

10.5301/uj.5000228 ◽

2017 ◽

Vol 84 (4) ◽

pp. 251-253

Author(s):

Andrea Vismara Fugini ◽

Luca Giovanessi ◽

Michelangelo Tosana

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Short Form ◽

Cure Rate ◽

Invasive Treatment ◽

International Consultation ◽

Quality Of Life Scale ◽

Life Scale ◽

The Mean

Objectives The aim of the study was the prospective evaluation of the efficacy of the adjustable transobturator male system (ArgusT®) for the treatment of postprostatectomy stress urinary incontinence (PPI). Methods Twelve consecutive patients were treated with ArgusT system for PPI. All patients were comprehensively evaluated preoperatively and after 3 and 6 months regarding daily pad use, residual urine, Incontinence Quality of Life Scale (I-QoL) score and International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) score. Cure rate was defined as no pad use or one pad (used for security reasons). Results At 3 and 6 months, we achieved a cure rate of 91%. The mean number of pads per day decreased from 4 ± 1.3 to 0.7 ± 0.9 and 0.5 ± 0.9 after 3 and 6 months, respectively (p<0.001). Only one patient showed no significant improvement. Compared with baseline, the mean ICIQ-SF score dropped from 17.3 ± 2.8 to 2.7 ± 3.8 and 2.4 ± 3.8, at 3 and 6 months, respectively (p<0.001). The mean I-QoL score also improved significantly from 53.1 ± 20.3 to 99.5 ± 11 and 96.8 ± 12.5 after 3 and 6 months, respectively (p<0.001). Postoperative acute urinary retention was seen in one patient. Conclusions In our early experience, the ArgusT system offers effective, safe and minimally invasive treatment option for PPI.

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Impact of the COVID-19 Pandemic on Mental Health and Quality of Life among Local Residents in Liaoning Province, China: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17072381 ◽

2020 ◽

Vol 17 (7) ◽

pp. 2381 ◽

Cited By ~ 175

Author(s):

Yingfei Zhang ◽

Zheng Feei Ma

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Family Members ◽

Lifestyle Changes ◽

Liaoning Province ◽

Event Scale ◽

Validated Questionnaire ◽

The Mean ◽

The Impact

Our study aimed to investigate the immediate impact of the COVID-19 pandemic on mental health and quality of life among local Chinese residents aged ≥18 years in Liaoning Province, mainland China. An online survey was distributed through a social media platform between January and February 2020. Participants completed a modified validated questionnaire that assessed the Impact of Event Scale (IES), indicators of negative mental health impacts, social and family support, and mental health-related lifestyle changes. A total of 263 participants (106 males and 157 females) completed the study. The mean age of the participants was 37.7 ± 14.0 years, and 74.9% had a high level of education. The mean IES score in the participants was 13.6 ± 7.7, reflecting a mild stressful impact. Only 7.6% of participants had an IES score ≥26. The majority of participants (53.3%) did not feel helpless due to the pandemic. On the other hand, 52.1% of participants felt horrified and apprehensive due to the pandemic. Additionally, the majority of participants (57.8–77.9%) received increased support from friends and family members, increased shared feeling and caring with family members and others. In conclusion, the COVID-19 pandemic was associated with mild stressful impact in our sample, even though the COVID-19 pandemic is still ongoing. These findings would need to be verified in larger population studies.

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Determination of comfort levels of women with urinary incontinence

Progress in Health Sciences ◽

10.5604/01.3001.0014.9285 ◽

2021 ◽

Vol 11 (1) ◽

pp. 88-96

Author(s):

Sebnem Yücel Çinar ◽

Handan Özdemir ◽

Gamze Goke Arlsan ◽

Eda Ergin ◽

Seda Gurcan

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Educational Attainment ◽

Short Form ◽

Comfort Level ◽

Comfort Levels ◽

Study Results ◽

The Mean ◽

Number Of Births

Purpose: This descriptive study was planned to investigate the comfort levels of women with urinary incontinence. Materials and methods: The study comprised 219 women with a complaint of urinary incontinence admitted to the outpatient clinic of Obstetrics and Gynecology Department of a university hospital between June – December 2015. The Sociodemographic Characteristics Questionnaire, Urinary Incontinence & Frequency Comfort Questionnaire (UIFCQ), and International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) were used. Results: The study results demonstrated that the mean score the participants obtained from the UIFCQ was 4.20 ± 0.74 and that their comfort levels were moderate. Their mean score for the ICIQ-SF was 10.41± 4.98, and urinary incontinence adversely affected their quality of life in 74% of them. While the mean UIFCQ scores were KW = 48.673, p=0.00 for the frequency of urinary incontinence, t=2.33, p=0.02 for receiving treatment, KW = 58.267, p = 0.00 for the amount of urinary leakage, KW=26.37, p=0.00 for the educational attainment, t=7.04, p=0.03 for the number of births, the mean ICIQ-SF scores were KW = 13.74, p =0.00 for the educational attainment and t = 24.02, p=0.00 for the number of births (p <0.05). Conclusions: It was determined that the comfort level of the participants with urinary incontinence was moderate, that urinary incontinence affected the quality of life and that as their comfort level increased, so did their quality of life.

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Investigation of the Necessity of Urodynamic Test in Patients with Urinary Stress Incontinence for TOT Surgery

International journal of epidemiologic research ◽

10.34172/ijer.2020.07 ◽

2020 ◽

Vol 7 (1) ◽

pp. 40-43

Author(s):

Tahereh Poordast ◽

Elham Askari ◽

Fatemeh Sadat Najib ◽

Shaghayegh Moradialamdarloo ◽

Najmeh Naghizadeh

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Stress Incontinence ◽

Transobturator Tape ◽

Urinary Stress Incontinence ◽

Additional Information ◽

Urinary Tract Symptoms ◽

The Mean ◽

Lower Urinary

Background and aims: Stress urinary incontinence is one of the most common diseases which can reduce the quality of life in women. Urodynamic test is a common method of diagnosis of this disease. This study is designed for investigating the necessity of urodynamic test in patients with urinary stress incontinency before transobturator tape (TOT) surgery. Urodynamic test before surgery can affect the quality of life in patients. Methods: This study was a randomized clinical trial. The sample size was 48 patients divided into two groups of 24 women in January 2018. Women with urinary incontinence complaints were randomly divided into two groups. For the first group, the urodynamic test was done. Both groups were evaluated one month and six months after TOT surgery based on the results of the I-QOL questionnaire. Results: The mean I-QOL score was 83.9±3.3 in questionnaire group and 81.6±4.6 in urodynamic group one month after surgery with no statistically significant (P=0.052) difference. The quality of life score after 6 months was 87.2±4 in the questionnaire group and 85.4±3 in the urodynamic group with no statistically significant differences with each other (P=0.084). Conclusion: In this study, the urodynamic test only had additional information related to lower urinary tract symptoms and it did not have effects on improving the outcome of the surgery. The test only imposes economic burden. Therefore, the urodynamic test is not required before surgery in patients with urinary stress incontinence

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The Effect of OnabotulinumtoxinA on the Symptoms and Quality of Life in Women with Urge Urinary Incontinence

Journal of Clinical Research in Paramedical Sciences ◽

10.5812/jcrps.111274 ◽

2021 ◽

Vol In Press (In Press) ◽

Author(s):

Firoozeh Veisi‎ ◽

Hossein Abdi ◽

Masoumeh Bayat

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Urge Incontinence ◽

Urge Urinary Incontinence ◽

P Value ◽

Urinary Urge Incontinence ◽

The Mean ◽

Urinary Urge

Objectives: To determine the effect of OnabotulinumtoxinA intradetrusor injection on quality of life (QOL) and symptoms of women with urge urinary incontinence. Methods: Twenty five postmenopausal patients with urge urinary incontinence, underwent cystoscopy and 200 U OnabotulinumtoxinA intradetrusor injections (0.5 cc at each injection). The effects of botox have been evaluated on urge urinary incontinence and quality of life. Results: The mean urge urinary incontinence per day was 7.25 which decreased to 2.87 (month 1) and 3.12 (month 6); P value = 0.019. The mean of nocturnal episodes was 3 which decreased to 0 and 1in the first and sixth months, respectively (P = 0.007). Baseline mean I-QOL total score was 43.37 which reached 82.12 (month 1) and 78.87 (month 6); P < 0.001. Conclusions: OnabotulinumtoxinA significantly decreased urinary urge incontinence and nocturia at month 1 and 6. The quality of life of patients has improved.

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Comparison of the Effect of Percutaneous Tibial Nerve Stimulation (PTNS) with Medical Treatment in Patients with Overactive Bladder

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i46b32950 ◽

2021 ◽

pp. 365-373

Author(s):

Mohammadreza Nikoo ◽

Lobat Majidi ◽

Amirmohammad Heidari ◽

Babak Jafarvand ◽

Danial Aghabozorgi ◽

...

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Overactive Bladder ◽

Drug Treatment ◽

Nerve Stimulation ◽

Tibial Nerve ◽

Percutaneous Tibial Nerve Stimulation ◽

Tibial Nerve Stimulation ◽

The Mean

Introduction: Overactive bladder (OAB) is a common problem that involves therapeutic challenges. Therefore, finding new and effective treatment modalities in these patients is essential. The aim of this study was to compare the therapeutic effect of percutaneous tibial nerve stimulation (PTNS) with drug therapy in patients with OAB. Methods: In this randomized controlled clinical trial, 74 patients with OAB were randomly divided into two groups: PTNS (twice a week for 12 weeks) and drug treatment (Solifenacin 10 mg daily for 12 weeks). OAB Symptom Score, q-OAB and Health-Related Quality of Life Questionnaire (HRQL) were completed and then compared at the beginning and end of the study for the two groups. Findings were analyzed using SPSS software version 20. Results: The drug intervention group consisted of 33 (89.2%) females and 4 males (10.81%), and PTNS group consisted of 31 females (83.8%) and 6 males (16.21%), (P = 0.496). Mean quality of life score, mean OABSS score, OAB screening score and urinary incontinence in both groups before the intervention did not show a statistically significant difference. After treatment, the mean quality of life in both groups increased significantly compared to before the intervention, but this increase was significantly higher in PTNS when compared with other group (74.2±6.9 vs. 68.9± 7.3). The mean OABSS score, OAB screening score and urinary incontinence in both groups decreased significantly compared to before treatment, but the mean OABSS score and OAB and urinary incontinence screening scores showed a significant decrease in PTNS group compared to drug treatment. Conclusion: Based on the findings, PTNS was found to be more effective than drug treatment in increasing the quality of life and controlling symptoms of OAB.

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Telemedicine versus face-to-face care for treatment of patients with lower extremity ulcers

Journal of Wound Care ◽

10.12968/jowc.2021.30.11.916 ◽

2021 ◽

Vol 30 (11) ◽

pp. 916-921

Author(s):

Alexander Gamus ◽

Elad Keren ◽

Hanna Kaufman ◽

Gila Brandin ◽

Daniel Peles ◽

...

Keyword(s):

Lower Extremity ◽

Conflicts Of Interest ◽

Treatment Protocol ◽

Healthcare Services ◽

Face To Face ◽

Group A ◽

The Mean ◽

The Difference ◽

Improve Patient

Objective: Lower extremity ulcers (LEUs) are associated with a decline in patients' quality of life (QoL). Better healthcare availability in remote regions, facilitated by telemedicine (TM), may improve patient wellbeing. The aim of this study was to compare the QoL of patients treated via synchronous video TM with that of patients treated with standard face-to-face (FTF) care. Method: The study was performed in a large health services provider in Israel (Maccabi Healthcare Services). TM was used in four remote locations; the FTF method was applied in two regional clinics. The treatment protocol was performed by a nurse and supervised by the regional physician in both treatment modes. A validated Wound-QoL questionnaire in Hebrew was used to assess patient outcomes. Results: A total of 83 patients were treated via TM and 94 patients were treated FTF. The mean QoL for patients treated via TM was 0.546±0.249 compared with 0.507±0.238 for the FTF group. A similarity relating to outcomes in both treatment methods was demonstrated by a difference of 0.039 (95% confidence interval –0.33–0.111) and p=0.291. The probability of the difference being within the limits of the interval in a replicated study was 83.4%. The equivalence/non-inferiority was established within the accepted Δ=0.12 range. Conclusion: The results indicated no reduced QoL for patients with LEUs treated with telemedicine versus with standard FTF care. Declaration of interest: The authors have no conflicts of interest.

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Epidemiology of cutaneous leishmaniasis in a newly emerging focus in Gampaha district, Western province of Sri Lanka

10.21203/rs.3.rs-28735/v1 ◽

2020 ◽

Author(s):

Chandana Harendra Mallawarachchi ◽

Nilmini T. G. A. N Chandrasena ◽

Tharaka Wijerathna ◽

Rasika C.P.D. Dalpadado ◽

Maleesha S.M.N.S. Mallawarachchi ◽

...

Keyword(s):

Sri Lanka ◽

Cutaneous Leishmaniasis ◽

Negative Impact ◽

Life Quality ◽

Medical Officer ◽

Sand Fly ◽

Validated Questionnaire ◽

The Mean ◽

Study Participants

Abstract Background Cutaneous leishmaniasis (CL) appears to be spreading to previously non-endemic regions of Sri Lanka. The aim of this study was to describe a newly emerging focus of CL in the district of Gampaha, in Western Sri Lanka. Methods A case based descriptive study was carried out from January 2018 to April 2019 in the Mirigama Medical Officer of Health (MOH) area, which reported the highest number of CL cases in Gampaha District. Laboratory confirmed cases were traced and socio-demographic and clinical data were collected via a validated questionnaire and clinic records respectively. The quality of life (QOL) of study participants was measured using the Dermatology Life Quality Index (DLQI). Global Positioning System (GPS) coordinates of patient residences were recorded using handheld GPS receivers. Sand-flies were collected from four selected sites, using Indoor Hand Collection (IHC) (162 units) and Cattle Baited Net Traps (CBNT) (n=3) and a battery-operated aspirator. Results Of 73 patients identified in this study, 58.9% were males, with a mean age of 43.6 years (SD 20.1). The lesions included nodules (52.05%) and ulcers (47.9%). Single lesions were seen in 69.86%, while 30.1% had multiple. Except for one mucosal lesion, all others were on skin. Treatment varied from sodium stibogluconate (SSG) + cryotherapy (46.57%), SSG (45.2%) and cryotherapy (8.2%). Patients with multiple lesions were more likely to be treated with combined SSG + cryotherapy (p< 0.05). The mean DLQI score was 8.14 (SD=7). Most patients engaged in outdoor activities that exposed them to the risk of sand-fly bites Workplaces of 81.1% (27/33) were located within the district. Housing conditions of study participants were of moderate (59%), good (35.6%) and poor (5%) quality. Four households reported multiple cases. Spatial distribution of cases indicated notable clustering in seven adjacently located Public Health Inspector (PHI) areas. Phlebotomus argentipes was detected in all CBNTs and 35.28% of IHC units surveyed. Conclusions CL is emerging in Gamapha district with Mirigama MOH area being the epicentre of infection. The disease had a moderately negative impact on QOL of patients. Minimal migration of cases, clustering of cases within households and in the locality indicates local transmission with P. argentipes as the probable vector.

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Evaluation of the Efficacy of Postoperative Triamcinolone in Endoscopic Dacryocystorhinostomy using Lacrimal Symptom Questionnaire

10.21203/rs.3.rs-570610/v1 ◽

2021 ◽

Author(s):

HASAN BURHANETTİN KAPTI ◽

HAKAN KORKMAZ

Keyword(s):

Success Rate ◽

Social Impact ◽

Control Group ◽

Endoscopic Dacryocystorhinostomy ◽

Symptom Questionnaire ◽

Validated Questionnaire ◽

Silicone Stent ◽

The Mean ◽

Anatomical Success

Abstract Purpose: To evaluate the effect of postoperative nasal triamcinolone spray use in primary endoscopic dacryocystorhinostomy using The Lacrimal Symptom Questionnaire .Methods: This study included a series of 50 consecutive retrospective cases with primary endoscopic dacryocystorhinostomy and with silicone stent implantation who were followed up for 6 months postoperatively. Patients using nasal triamcinolone spray for 3 months postoperatively were included in the triamcinolone group. Patients not using triamcinolone were included in the control group. Lacrimal stents were removed 3 months postoperatively. The Lacrimal Symptom Questionnaire (Lac-Q) was performed in the preoperative and postoperative 6th month. Anatomical success, functional success, and changes in lacrimal symptom and social impact scores were compared between the two groups 6 months after surgery.Results: Results of 48 endoscopic dacryocystorhinostomies performed on 48 patients (23 triamcinolone group, 25 control group) meeting the inclusion criteria were analyzed. The anatomical success rate (95.7% vs. 84.0%, p = 0.350) and the functional success rate (91.3% vs. 76.0%, p = 0.249) were higher in the triamcinolone group, but this difference was not statistically significant. No complications were observed in the triamcinolone group, whereas complications developed in two patients in the control group (p = 0.490). The mean change in total lac-Q score was 11.0 in the triamcinolone group and 9.0 in the control group (p = 0.011). The mean change in social impact score was 4.0 in the triamcinolone group and 3.0 in the control group (p = 0.005). Mean change in lacrimal symptom score was 6.0 in the triamcinolone group and 6.0 in the control group (p =0.368)Conclusions: Our study indicated that postoperative use of triamcinolone spray increases the success rate of endoscopic dacryocystorhinostomy. also revealed that triamcinolone may also lead to greater improvement in quality of life scores than the control group using a validated questionnaire.

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