Management of Urgency and Mixed Urinary Incontinence

This article reviews management of urgency and mixed UI by breaking the management algorithm down into observation, lifestyle and behavioral changes, pharmacologic therapy, and procedural management. Stress UI is best managed with mid-urethral slings and is covered in other chapters. Behavioral and pharmacologic management are equally efficacious for urgency UI, but procedural therapy is superior. Mixed UI is conventionally treated by first managing whichever UI subtype is most bothersome. The management of overflow UI is directed at its underlying etiology: detrusor underactivity or bladder outlet obstruction.
Source: Clinical Obstetrics and Gynecology - Category: OBGYN Tags: An Evidenced Based Approach to Urinary Incontinence in Women: What's New? Source Type: research

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Condition:   Stress Urinary Incontinence Interventions:   Device: Gynecare TVT Exact Continence System;   Device: Neomedic KIM (Knotless Incontinence Mesh) Sponsor:   University of North Carolina, Chapel Hill Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Trop Doct. 2021 Aug 2:494755211032497. doi: 10.1177/00494755211032497. Online ahead of print.ABSTRACTRectocoele and faecal incontinence coexist in most patients. We determined an excellent one-year outcome of simultaneous repair of the former and correction of the latter can be achieved.PMID:34334007 | DOI:10.1177/00494755211032497
Source: Tropical Doctor - Category: Tropical Medicine Authors: Source Type: research
ConclusionsThe Altis ® sling was safe and effective in a long-term follow-up, improving the quality of life in patients with SUI.
Source: International Urogynecology Journal - Category: OBGYN Source Type: research
This article will review myogenic cell transplantation for congenital and acquired diseases of skeletal muscle. There are already a number of excellent reviews on this topic, but they are mostly focused on a specific disease, muscular dystrophies and in particular Duchenne Muscular Dystrophy. There are also recent reviews on cell transplantation for inflammatory myopathies, volumetric muscle loss (VML) (this usually with biomaterials), sarcopenia and sphincter incontinence, mainly urinary but also fecal. We believe it would be useful at this stage, to compare the same strategy as adopted in all these different diseases, in...
Source: Frontiers in Genetics - Category: Genetics & Stem Cells Source Type: research
People living with disabling diseases have as much desire as anyone else to experience traveling to national parks and other getaways. For this couple, it's challenging to pull this off both because of accessibility issues due to multiple sclerosis (MS)  and the inconveniences of not being able to change incontinence protection in comfortable surroundings. With good planning, though, it can happen and they mean to be sure it does for them. Read more on Egosancares blog about how a determined husband is working to make this trip memorable for his wife: Minding Our Elders: Caregivers Share Their Personal Stories. &ldquo...
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
People living with disabling diseases have as much desire as anyone else to experience traveling to national parks and other getaways. For this couple, it's challenging to pull this off both because of accessibility issues due to multiple sclerosis (MS)  and the inconveniences of not being able to change incontinence protection in comfortable surroundings. With good planning, though, it can happen and they mean to be sure it does for them. Read more on Egosancares blog about how a determined husband is working to make this trip memorable for his wife: Minding Our Elders: Caregivers Share Their Personal Stories. &ldquo...
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
CONCLUSIONS: AR-guided surgery demonstrated a 100% accuracy rate for the insertion of 63 percutaneous pedicle screws in 9 patients (100% rate of Gertzbein-Robbins grade A or B screw placement). Using an ARHMS system for the placement of percutaneous pedicle screws showed promise, but further validation using a larger cohort of patients across multiple surgeons and institutions will help to determine the true accuracy enabled by this technology.PMID:34333484 | DOI:10.3171/2021.5.FOCUS21217
Source: Neurosurgical Focus - Category: Neurosurgery Authors: Source Type: research
CONCLUSIONS: In our female sample, the prevalence of UI was high regardless of the thyroid status. No association between hypothyroidism and any or frequent UI was demonstrated. The prevalence of hypothyroidism was 7.9%.PMID:34333366 | DOI:10.1016/j.ejogrb.2021.07.020
Source: Reproductive Biology - Category: Reproduction Medicine Authors: Source Type: research
Condition:   Stress Urinary Incontinence Intervention:   Drug: onabotulinumtoxin A Sponsors:   Weill Medical College of Cornell University;   Allergan Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Source: International Journal of General Medicine - Category: General Medicine Tags: International Journal of General Medicine Source Type: research
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