Cesarean delivery to prevent anal incontinence: a systematic review and meta-analysis

ConclusionsThere are three components of pelvic floor dysfunction that are thought to be caused by VD and hopefully prevented by CD: AI, urinary incontinence and pelvic floor prolapse. Of these, AI was not found to be reliably prevented by CD in this review.
Source: Techniques in Coloproctology - Category: Surgery Source Type: research

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Conclusion Most women have a gap in the knowledge of pelvic floor muscle dysfunctions, do not understand their treatment options, and are not able to identify risk factors for these disorders.Resumo Objetivos N ós investigamos se as mulheres possuem adequado nível de conhecimento sobre as principais disfunções do assoalho pélvico (incontinência urinária - IU, incontinência fecal - IF, e prolapso de órgãos pélvicos - POP). Fontes de dados Uma revisão sistemática foi realizada nas bases de dad os MEDLINE, PEDro, CENTRAL e Cochrane com pu...
Source: Revista Brasileira de Ginecologia e Obstetricia - Category: OBGYN Source Type: research
Conditions:   Urinary Incontinence;   Urgency Urinary Intervention:   Drug: Oxybutynin, Solifenacin, Tolterodine, Sanctura or Toviaz Sponsors:   Brigham and Women's Hospital;   Medical University of Silesia Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Publication date: Available online 14 September 2019Source: European Journal of RadiologyAuthor(s): Markus Sauer, Pierre Tennstedt, Christoph Berliner, Lennart Well, Hartwig Huland, Lars Budäus, Gerhard Adam, Dirk BeyersdorffAbstractPurposeTo evaluate standardized measurements of the membranous urethra length (MUL), the membranous urethra angle (MUA) and the prostate’s apex type (AT) among further clinical parameters as potential preoperative risk factors of urinary incontinence (UI) after radical prostatectomy (RP).MethodOur institutional review board approved this retrospective single center study. 316 patient...
Source: European Journal of Radiology - Category: Radiology Source Type: research
ConclusionThe deleterious effects on older patient of the traditional model of acute hospital care with gratuitous bedrest are universally acknowledged. Falls should be prevented through supervision rather than restraint. Campaigns such as “End PJ Paralysis” and the HELP mobility toolkit can enable a cultural change within hospitals. Such change is impossible without the staffing and leadership to endorse it.
Source: Age and Ageing - Category: Geriatrics Source Type: research
ConclusionThis audit found that overall the assessment and documentation of continence in older adults was sub-optimal. Based on this audit an assessment tool and education program will be introduced to the specialist geriatric medicine ward with the goal of improving assessment of continence and optimal management.
Source: Age and Ageing - Category: Geriatrics Source Type: research
ConclusionWhilst some areas of Comprehensive Geriatric Assessment are achieved adequately, others are not.  Our electronic assessment did not include a Geriatric Depression Score. Although pain was frequently assessed, again a score was not always used. Other areas for improvement include visual acuity, fractures and osteoporosis and advanced care planningThe results of this audit have been presented to the team, adjustments have been made to our electronic assessments so that we can record and capture this data better. There will be a reaudit in 6 month’s to evaluate improvement.
Source: Age and Ageing - Category: Geriatrics Source Type: research
ConclusionAlthough this audit represents a small cohort, the results demonstrate a high rate of urinary catheter insertion without adequate indication. This audit should be repeated using a larger sample size. Appropriate education at ward level and with admitting NCHDs about: appropriate catheterisation practice should be performed with a view to re-auditing subsequently. Update of current guidelines is warranted.
Source: Age and Ageing - Category: Geriatrics Source Type: research
ConclusionThe 2018 American Diabetes Association guidelines now recommend treatment goals based on functional status rather than age. Our experience locally is reflective of the spectrum of issues that arise in management of diabetes in the older person. This highlights the positive impact of a multidisciplinary diabetes service in minimising complications and promoting individualised person-centred care.
Source: Age and Ageing - Category: Geriatrics Source Type: research
This study was embedded within the Irish Longitudinal Study on Ageing.Participants were a population-representative sample of almost 7,000 Irish adults aged  ≥50 years.UI was defined as any involuntary loss of urine from the bladder within the last 12 months, based on the International Continence Society Definition.QOL was measured using the Control, Autonomy, Self-realisation and Pleasure-19 Scale (CASP-19).ResultsFifteen % (1,061/6,996) of participants had UI within the last 12 months; 9% (269/3,162) of males and 21% (792/3,834) of females.Almost half (486/1,061) of participants with UI had not reported it to a...
Source: Age and Ageing - Category: Geriatrics Source Type: research
This study aimed to assess demographics and clinical characteristics of patients who had recurrent falls attending the medicine for the older person (MFTOP) outpatient department at a tertiary centre.MethodsRetrospective analysis of patients seen at MFTOP OPD between January 2018 and December 2018. Data were obtained from clinical notes. Age, gender, blood pressure, cognitive tests, blood tests, diagnoses and medications that could contribute to falls were recorded.Results100 patients were reviewed. 60% were female (60). Mean and median ages were 83. Causes of falls included; gait/balance disorders or weakness 36.0%, envir...
Source: Age and Ageing - Category: Geriatrics Source Type: research
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