Hypertonic Pelvic Floor Muscle Dysfunction and Urinary Tract Infection: A Comprehensive Approach to Diagnosis and Treatment

2020 ◽  
Vol 40 (5) ◽  
pp. 225
Author(s):  
Danielle Scharp
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Comprehensive Approach ◽  
Diagnosis And Treatment ◽  
Muscle Dysfunction

scholarly journals Low-frequency Electrical Stimulation Combined with Preventative Pelvic Floor Muscle Exercises and Knowledge-attitude-practice Model in Women with Urinary Retention after a Pelvic Surgery

2021 ◽  
Vol 50 (12) ◽  
pp. 3659-3666
Author(s):  
Hong Liu ◽  
Lixin Guo ◽  
Zhichen Kang ◽  
Jiangchun Zhang ◽  
Zhongliang Liu ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Electrical Stimulation ◽  
Urinary Tract ◽  
Tract Infection ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Low Frequency ◽  
Pelvic Surgery ◽  
Practice Model ◽  
Pelvic Floor Muscle Exercises

This study was to explore the efficacy of low-frequency electrical stimulation (LFES) combined with preventative pelvic floor muscle exercises (PPFME) and knowledge-attitude-practice model (KAP model) in women with urinary retention (UR) after a pelvic surgery and the effect on quality of life (QOL). The clinical data of 153 women hospitalized with UR after a pelvic surgery from January 2015 to June 2019 were retrospectively analyzed and divided into the Control Group (CG, n=45, LFES+PPFME) and the Study Group (SG, n=108, LFES+PPFME+KAP model) according to the different treatment methods. Following indicators were compared between the two groups: clinical efficacy, time to first urination, urine output, rate of extubation in 3D, rate of repeated intubation, urodynamic indicators before and after treatment, postvoid residual (PVR), bladder compliance (BC), maximal flow rate (Q-max), pressure of detrusor at Pdet-Q-max (Pdet-Q-max), changes in QOL, incidence of urinary tract infection, and length of stay (LOS). Compared to CG, SG showed higher overall response rate (ORR) and rate of extubation in 3D, shorter time to first urination, higher urine output, lower rate of repeated intubation and incidence of urinary tract infection, and shorter LOS (P<0.05); both groups achieved improvements in urodynamic indicators and QOL score after treatment (P<0.05); the urodynamic indicators and QOL score in SG were better than the CG’s (P<0.05). LFES combined with PPFME and KAP model is effective in treating women with UR after a pelvic surgery by efficaciously improving patients’ urination and QOL.

Pelvic floor myofascial pain in patients with symptoms of urinary tract infection

2019 ◽  
Vol 145 (2) ◽  
pp. 205-211 ◽  
Author(s):  
Birte J. Wolff ◽  
Cara J. Joyce ◽  
Cynthia A. Brincat ◽  
Elizabeth R. Mueller ◽  
Colleen M. Fitzgerald
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Pelvic Floor ◽  
Myofascial Pain

scholarly journals Fungal urinary tract infection in outpatient practice: approaches to diagnosis and treatment

2022 ◽  
pp. 138-142
Author(s):  
N. V. Sturov ◽  
S. V. Popov ◽  
I. Yu. Shmelkov
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Urinary Tract Infection ◽  
Type 2 Diabetes Mellitus ◽  
Candida Albicans ◽  
Urinary Tract ◽  
Tract Infection ◽  
Diagnosis And Treatment ◽  
Days Of Therapy

Introduction. In recent years, the role of fungal infection in inpatient and outpatient patients has been increasing. At the same time, there are currently no recommendations on the duration of treatment of outpatient patients with fungal urinary tract infection (UTI). Aim of the study. Optimization of methods of diagnosis and treatment of outpatient patients with fungal UTI.Materials and methods. To detect fungi in urine, the E. Koneman et al. (1997) method was improved. 56 patients with fungal UTI were examined. The efficacy of fluconazole in the treatment of fungal UTI was studied in 53 patients.Results. Candida albicans was detected in 37% of cases of fungal UTI in outpatient patients. Risk factors for fungal UTI in outpatient patients include: antibacterial therapy, infravesical obstruction, type 2 diabetes mellitus and the presence of urinary drainage. The microbiological efficacy of fluconazole therapy for 7, 10 and 14 days was 83.0%, 94.3% and 96.2%, respectively. The growth of fungi in the urine a month after treatment was absent in 86.7% of patients. In outpatient patients with fungal UTI without type 2 diabetes mellitus, the efficacy of fluconazole at a dose of 150 mg per day for 7 days was 94.9%. In patients with type 2 diabetes mellitus after 7 days of therapy, the efficacy was 50.0%.Conclusions. The most common causative agent of fungal UTI in outpatient patients is Candida albicans. To detect fungi in urine, samples should be seeded on selective media, while increasing the seeding volume to 0.1 ml and extending the incubation time to 96 hours. Fluconazole is a highly effective treatment for fungal UTI at a dose of 150 mg per day for 7 days, however, in patients with diabetes mellitus, therapy should last at least 10 days.

The use of perineal pad testing to assess urinary incontinence

1997 ◽  
Vol 7 (1) ◽  
pp. 83-92 ◽  
Author(s):  
SM Jeyaseelan ◽  
JA Oldham ◽  
BH Roe
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Incontinence ◽  
Urinary Tract ◽  
Tract Infection ◽  
Pelvic Floor ◽  
Medical Advice ◽  
The Uk

Urinary incontinence is a condition in which involuntary loss of urine is objectively demonstrated and results in a social or hygienic problem. A poll conducted for the Association for Continence Advice estimated that up to three million people in the UK suffer from incontinence. The incontinence may be transient, e.g. as a result of a urinary tract infection, or permanent, e.g. as a result of damage to the pelvic floor. Many sufferers may not seek medical advice for their predicament and the figures given above may be a gross underestimation of the problem.

Specific features of diagnosis and treatment in pregnant women with uncomplicated urinary tract infection and urogenital infections

2018 ◽  
Vol 11_2018 ◽  
pp. 146-151
Author(s):  
Gadzhieva Z.K. Gadzhieva ◽  
Gomberg M.A. Gomberg ◽  
Grigoryan V.A. Grigoryan ◽  
Gazimiev M.A. Gazimiev ◽  
Kazilov Yu.B. Kazilov ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Pregnant Women ◽  
Diagnosis And Treatment ◽  
Uncomplicated Urinary Tract Infection ◽  
Urogenital Infections
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