Challenges of Stress Incontinence and Pelvic Organ Prolapse Challenges of Stress Incontinence and Pelvic Organ Prolapse
The use of mesh materials in the treatment of pelvic floor disorders has been associated with potentially serious complications. What are the alternatives?Current Opinion in Urology
Medical device companies attempting to market a new treatment in the U.S. often make the erroneous assumption that winning FDA approvalÂ is the final destination, and success is theirs. In fact, going through the regulatory process is only the halfway point. The grueling path from FDA approval to reimbursement is like a treacherous walk through Death Valley and many companies donât make it through. In this case study, I discussÂ the trials and triumphs of bringing robotic high intensity focused ultrasound (HIFU), a non-invasive procedure for localized prostate cancer, to the U.S.&Aci...
Conclusions: Colonoscopy-assisted cecostomy tube replacement is safe and highly successful in re-establishing lost cecostomy access in children after failed attempts with percutaneous or fluoroscopic-guided approaches.
Conclusion: Poop group may be an effective interdisciplinary treatment option for families of children who fail traditional outpatient treatment.
AbstractIntroduction and hypothesisOur aim was to evaluate the clinical outcome of continent women with high-risk predictors for de novo stress urinary incontinence (SUI) offered prophylactic midurethral sling (MUS) insertion during vaginal pelvic reconstructive surgery (PRS) for advanced pelvic organ prolapse (POP).Materials and methodsThis was a prospective cohort study in patients with POP stage ≥ 3 and maximum urethral closure pressure (MUCP)
Anal incontinence leads to impairment of the quality of life and lower self-esteem with implications on social, physical and sexual health and anal incontinence after vaginal delivery is a major concern for many women. Only about half the cases of postpartum anal incontinence can be related to anal sphincter injuries, and the remaining cases must thus be related to other factors.
Urgency urinary incontinence afflicts many adults, and most commonly affects women. Medications, a standard treatment, may be poorly tolerated with poor adherence. This warrants investigation of alternative interventions. Mind-body therapies such as hypnotherapy may offer additional treatment options for those with urgency urinary incontinence.
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Urinary incontinence (UI) subtypes often differ by symptom severity and treatment profiles; in particular, mixed UI is generally associated with worse symptoms and less successful treatment. Yet, limited information exists on the natural history of different urinary incontinence (UI) subtypes, which could help better identify and treat patients prior to development of more intractable disease.
Condition: Urinary Incontinence Intervention: Behavioral: patient acceptable symptom state (PASS) Sponsor: University of Rochester Recruiting
This post was originally posted on the Cochrane Methods websiteIn January 2018, the FDAannounced a pilot aimed at enhancing the transparency of the Agency's drug approval process and decisions. As part of the pilot, sponsors of up to nine drug applications to the FDA were asked, on a voluntary basis, if they would approve the public release of portions of the CSRs, which would be posted within an Action Package for the drug that also includes FDA application review files and letters. The parts of the CSRs made publicly available included information from the study report body, the protocol and amendments, and the statistic...