Identification and management of urinary incontinence in midlife women

Urinary incontinence is a common bladder health problem that disproportionately affects women, especially midlife women. In the absence of alarming signs or symptoms, a step-wise evaluation aligned with patient treatment preferences is appropriate. Initial interventions can include simple behavior therapies, lifestyle modifications, and toileting habits. Systemic medication, surgery, and specialty treatment also can be offered.
Source: Menopause - Category: OBGYN Tags: Clinical Corner: NAMS Practice Pearl Source Type: research

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Menopause: The ceasing of menstruation.  Sounds simple, but for each woman, the process of going through perimenopause and eventually arriving at menopause can be fraught with difficulties. The average age of menopause for women in the United States is 51, however, there is a large variance due to overall health and genetics, as well as surgical causes. However, most women experience the hormonal changes that lead up to this life change in their 40s, with the early phase being considered perimenopause. Then there is the stigma, some of which is perpetuated by women themselves. Are they less of a woman because the...
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
Authors: Soligo M, Torella M, Balzarro M, Matarazzo MG, Braga A, Serati M, Italian Urodynamic Society (SIUD) Abstract Urinary Incontinence significantly affects daily life of suffering women. Minimally invasive solutions to cope with urine leakage would be of great interest. A Survey to investigate efficacy and compliance of an innovative intravaginal device (Diveen®) to reduce the risk of urine leakage was performed in 5 Urogynecological Centers across Italy. Women with Urodynamic diagnosis of Stress Incontinence, included Mixed conditions, underwent the survey. The device was effective (60%) independently fro...
Source: Minerva Ginecologica - Category: OBGYN Tags: Minerva Ginecol Source Type: research
Objective: The aim of the study was to evaluate sexual function in women before and after tension-free vaginal tape (TVT) surgery for the treatment of stress urinary incontinence (SUI). Methods: Between August 2014 and August 2018, 105 sexually active patients with SUI who underwent TVT surgery were enrolled in this prospective cohort study. The Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire Short Form (PISQ-12) was administered pre- and postoperatively. Statistical analyses were performed using paired-sample t tests. Results: The sexual function of 105 patients 1 year after the TVT procedure impro...
Source: Menopause - Category: OBGYN Tags: Original Studies Source Type: research
Abstract Objective To examine women with pelvic floor dysfunction (PFDs) and identify factors associated with sexual activity (SA) status that impacts quality of life (QoL). Methods We conducted a cross-sectional study that includedwomen> 18 years old who presented with at least one PFD symptom (urinary incontinence [UI] and/or pelvic organ prolapse [POP]), in outpatient clinics specializing in urogynecology and PFD in Fortaleza, state of Cear á, Brazil, using a service evaluation form and QoL questionnaires. Results The analysis of 659 women with PFD included 286 SA (43.4%) women and 373 non-sexually active (NSA...
Source: Revista Brasileira de Ginecologia e Obstetricia - Category: OBGYN Source Type: research
AbstractPurpose of ReviewDespite available treatments for urinary incontinence, the data regarding prevention is less established. This review sought to identify prevention measures and discuss their underlying evidence base with an attempt to include the most recent updates in the field.Recent FindingsUrinary incontinence is a prevalent issue among women, particularly surrounding pregnancy and menopause. Interventions regarding pregnancy include not only general health promotion but also potentially interventions such as pelvic floor muscle training and decisions regarding method of delivery. With regard to menopause, the...
Source: Current Urology Reports - Category: Urology & Nephrology Source Type: research
ConclusionUrinary incontinence is a major morbidity prevalent in healthy midlife Asian women. Post-menopausal status, education level, parity, BMI (and its link with ethnicity) are independent risk factors in this population, and should be incorporated into counseling and targeted interventions.
Source: International Urogynecology Journal - Category: OBGYN Source Type: research
This article summarizes the current literature regarding the occurrence and implications of lower urinary tract and bowel symptoms in the geriatric population. PMID: 32773048 [PubMed - in process]
Source: The Medical Clinics of North America - Category: General Medicine Authors: Tags: Med Clin North Am Source Type: research
This article summarizes the current literature regarding the occurrence and implications of lower urinary tract and bowel symptoms in the geriatric population.
Source: Medical Clinics of North America - Category: Primary Care Authors: Source Type: research
Objective: The aim of this study was to evaluate the efficacy of vaginal CO2 laser for the treatment of vaginal atrophy compared to the sham procedure. Methods: Between June 2016 and May 2017, postmenopausal women with moderate to severe intensity of any vaginal atrophy symptoms (VAS) were invited to participate in the study. A total of 88 women were randomized to receive treatment with either vaginal CO2 laser or sham procedures every 4 weeks for three sessions. Both the participants and the evaluators were blinded to the treatment. Vaginal Health Index (VHI) score (primary outcome), VAS score, and the item for vagin...
Source: Menopause - Category: OBGYN Tags: Original Studies Source Type: research
AbstractPurpose of ReviewThe aim of this paper is to review the current evidence for physical therapy (PT) in the treatment of pelvic floor disorders (PFDs) in women throughout the female lifespan.Recent FindingsAlthough trials are small and heterogeneous, there is an increase in evidence to support PT as a safe, effective treatment option for women with PFDs at various life stages. Evidence to support PT interventions for pelvic floor conditions including dysmenorrhea, chronic pelvic pain, dyspareunia, urinary incontinence, pelvic organ prolapse, and genitourinary syndrome of menopause are discussed. Clinicians are recomm...
Source: Current Physical Medicine and Rehabilitation Reports - Category: Rehabilitation Source Type: research
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