Is it safe and effective to maintain the vaginal pessary without removing it for 2  consecutive years?

ConclusionsA high success rate and low adverse events rate were achieved in patients with advanced-stage POP with continuous pessary use for 24  months, indicating that a ring pessary could also be used without periodic removal for at least the first 2 years. This practice could reduce the number of control visits.
Source: International Urogynecology Journal - Category: OBGYN Source Type: research

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RARITAN, NJ, March 28, 2020 – The Janssen Pharmaceutical Companies of Johnson &Johnson today announced the VOYAGER PAD study met its primary efficacy and principal safety endpoints, demonstrating the XARELTO® (rivaroxaban) vascular dose (2.5 mg twice daily) plus aspirin (100 mg once daily) was superior to aspirin alone in reducing the risk of major adverse limb and cardiovascular (CV) events by 15 percent in patients with symptomatic peripheral artery disease (PAD) after lower-extremity revascularization, with similar rates of TIMI[1] major bleeding. VOYAGER PAD is the only study to show a significant benefit...
Source: Johnson and Johnson - Category: Pharmaceuticals Tags: Innovation Source Type: news
Publication date: April 2020Source: Case Reports in Women's Health, Volume 26Author(s): Katelyn E. Tondo-Steele, Nicole M. Book
Source: Case Reports in Womens Health - Category: OBGYN Source Type: research
Condition:   Stress Urinary Incontinence Intervention:   Device: Nolix Device Sponsor:   Gynamics LTD Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
ConclusionUTI is a significant but common problem in elderly population. Physicians who care for frail elderly patients must be aware of the challenges in the management of asymptomatic UTI, and identifying symptomatic UTI in this population, and their appropriate management strategies. There is strong need in studies to evaluate nonantimicrobial therapies in the prevention of UTI for the frail elderly population.
Source: World Journal of Urology - Category: Urology & Nephrology Source Type: research
Photo credit Fuad Obasesan Dear Carol:  My mom has moderate dementia and she seems to like the idea of living in a care community. We’ve done all of the preliminary work, but the social worker at the assisted living facility recently told me that they wouldn’t want me to visit Mom for the first two weeks. Their reasoning is that Mom would adjust better if she has no alternative but to depend on them for help. I’m uncomfortable with this idea because I feel that Mom will need my help settling in. I think that I’d feel abandoned if someone just left me like that. Is not letting the family vi...
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
Photo credit Cytonn Photography Dear Carol: My mom has lived for years with multiple health issues including two rounds of cancer treatment. She's now 79-years-old and suffers from severe bowel and digestive disorders, lung disease, and more. Considering her quality of life, she’s very cheerful and reasonably happy, but she is also realistic and she’s determined not to drag things out as her health continues to deteriorate. Her brain is sharp. She has a health directive and she’s aware that she can get a do-not-resuscitate order. She also knows that life-extending measures can be taken by emergency t...
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
AbstractPurpose of ReviewTo review and discuss the efficacy of pelvic floor muscle training (PFMT) for urinary incontinence (UI) in older women.Recent FindingsAs opposed to UI in young and middle-aged women, UI in older women is often multifactorial. One randomized control trial (RCT) and secondary analyses from four RCTs suggest that healthy older women with UI benefit from PFMT as much as younger women. In older women with UI, 12 RCTs support PFMT as an effective treatment. Of interest, recent RCTs propose a more holistic approach to PFMT to address concurrent cognitive, gait, and balance deficits in older incontinent wo...
Source: Current Geriatrics Reports - Category: Geriatrics Source Type: research
ConclusionUI after HoLEP was observed in 14.5% of patients at 3  months and 4.2% at 6 months, with stress UI in half of the cases. Surgeon experience with at least 40 cases was the main predictive factor of 3 months UI after HoLEP and diabetes disorder of persistent UI at 6 months.
Source: World Journal of Urology - Category: Urology & Nephrology Source Type: research
Conclusions Older women with FI make several dietary modifications to manage their symptoms including limiting certain foods, changing methods of food preparation, and decreasing the amounts and frequency of meals. These strategies may be considered for inclusion in a diet modification plan that is culturally competent for older women with FI.
Source: Female Pelvic Medicine and Reconstructive Surgery - Category: OBGYN Tags: Original Articles Source Type: research
Bladder compliance refers to the ability of the bladder to accommodate large volumes of urine. Patients with low bladder compliance may present with persistent urinary incontinence and/or evidence of upper tract damage. Clinicians often may not consider low bladder compliance in their differential for patients complaining of bothersome lower urinary tract symptoms. In this article, we aim to provide further guidance in the management of women with low bladder compliance given the lack of information on this topic in the medical literature.
Source: Female Pelvic Medicine and Reconstructive Surgery - Category: OBGYN Tags: Review Articles Source Type: research
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