Minimizing Pain During Office Intradetrussor Botox Injection

Conditions:   Overactive Bladder;   Overactive Detrusor;   Overactive Bladder Syndrome;   Overactivity; Behavior;   Urge Incontinence Interventions:   Drug: Bicarbonate protocol;   Drug: Standard protocol Sponsor:   Boston Urogynecology Associates Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials

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UNITED NATIONS, New York/BAMAKO, Mali/PORT-AU-PRINCE, Haiti– Out of nine pregnancies, Kadiatou experienced five tragic stillbirths, all at her home in rural Mali. Each time, she gave birth without the assistance of a skilled attendant. She never received antenatal care.None of this was her choice.Her ninth pregnancy ended in an excruciating and prolonged labour, which led to an obstetric fistula – a traumatic birth injury that causes chronic incontinence, and can lead to pain, infection and rejection by the community.
Source: UNFPA News - Category: International Medicine & Public Health Authors: Source Type: news
CONCLUSION: The most frequent pelvic floor dysfunctions (PFD) after birth were perineal pain, constipation, flatus incontinence, dyspareunia and IU respectively. It was seen that the symptomatic PFD was very common in the postpartum period. The results of the study emphasized the importance of lifestyle changes, avoiding perineal trauma during childbirth, and effective pelvic floor exercises in preventing PFD in pregnancy and postpartum. IMPACT STATEMENT: Nurses should acknowledge the importance of PFD after birth and identify the problems early period. Our study emphasizes size of the problem and improvement for PFD. ...
Source: Contemporary Nurse - Category: Nursing Tags: Contemp Nurse Source Type: research
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
Photo credit Berhard Grossgasteiger The truth, as they see it, is still the truth in their eyes. Delusions, hallucinations, agitation, aggression, and depression are all part of the gradual progression of psychosis of patients with Alzheimer ’s disease (AD). An average of 41% of these patients will experience these psychotic symptoms. One of the most common delusions these patients have is theft-related. An experienced caregiver offers her advice on how to deal with accusations of theft, which are common in dementia patients. Continue reading on Agingcare to learn more about the frustration and pain of being falsely ...
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
RARITAN, N.J., March 20, 2020 – The Janssen Pharmaceutical Companies of Johnson &Johnson announced today that it will unveil late-breaking data from its leading cardiovascular and metabolism portfolio during the virtual American College of Cardiology’s 69th Annual Scientific Session together with the World Congress of Cardiology (ACC.20/WCC) on March 28-30, 2020. Notably, four late-breaking abstracts for XARELTO® (rivaroxaban) will be presented, including data from the Phase 3 VOYAGER PAD study in patients with symptomatic peripheral artery disease (PAD) after lower-extremity revascularization.Click to ...
Source: Johnson and Johnson - Category: Pharmaceuticals Source Type: news
Photo credit Francisco Moreno “No one needs to die in pain.”  That is what the social worker told me as I signed the papers that would put my father on hospice care. That is the mantra of hospice providers. As a family caregiver entering the new and scary realm of end-of-life-care, it became my mantra, too. I had no choice but to believe these words since my dad had already suffered so much, especially in the weeks leading up to this decision. Continue reading on Agingcare to learn more about when to try hospice for your loved one who is suffering: Support a caregiver or jump-start discussion in support gr...
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
ConclusionSling –pubis gap and sling–pubis angle at Valsalva appear to be significantly associated with treatment success in retropubic MUS. There is a significant association between a narrower sling–pubis gap at Valsalva and voiding symptoms.
Source: World Journal of Urology - Category: Urology & Nephrology Source Type: research
AbstractPurposeThis prospective study aimed to investigate the effects of transobturator tape (TOT) procedure on patients with stress urinary incontinence (SUI) and their spouses' sexual function.Material and methodsA total of 157 patients with SUI who underwent TOT operation between January 2017 and May 2019 and their spouses were included. All patients enrolled filled out the Incontinence Impact Questionnaire (IIQ ‐7), the Urogenital Distress Inventory (UDI‐6), the Female Sexual Function Index (FSFI), and patients' spouses filled out International Index of Erectile Function (IIEF‐5) before surgery and 6 months afte...
Source: LUTS: Lower Urinary Tract Symptoms - Category: Urology & Nephrology Authors: Tags: ORIGINAL ARTICLE Source Type: research
Dear Carol: My mom, age 79, has had steadily declining health for several years. Arthritis is a genetic problem in my family, so pain is an issue. Besides that, she has severe asthma, so her lungs show a lot of deterioration. The family has handled all of this but now her thinking is getting foggy. She’s resisted moving to assisted living even though we all know that this would probably be best. I work full time, so even though I live in her community, I can’t be with her all the time. I also have teenage kids so even checking on Mom every day is getting to be too much. I know that I’m just getting starte...
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
CONCLUSION: Therefore a smaller device with small arms/wings would be efficient for obtaining enough pressure on urethra. Additionally the technique for implanting the device is very easy and learning curve of the operation would be very short probably. PMID: 32151120 [PubMed - as supplied by publisher]
Source: Turkish Journal of Medical Sciences - Category: General Medicine Tags: Turk J Med Sci Source Type: research
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