Frailty recommendations and guidelines: an evaluation of the implementability and a critical appraisal of clinical applicability by the ISPRM Frailty Focus Group
CONCLUSIONS: The WHO Guidelines on Integrated Care for Older people (24) the ICFSR International Clinical Practice Guidelines for Identification and management of Frailty (15), the FOCUS guidelines (25) and the Asia Pacific Clinical Practice Guidelines (14) for the Management of Frailty have the best quality and applicability of the existing guidelines on the management of frailty, we suggest that should be employed to define the standards of care for patients with frailty. There are barriers for their implementation, as stated by our experts, to take into account, and some of them are country- or region-specific. Screenin...
Source: Health Physics - April 24, 2024 Category: Physics Authors: Eleftheria Antoniadou Emanuele Giusti Paolo Capodaglio Der-Sheng Han Francesca Gimigliano Juan M Guzman Mooyeon Oh-Park Walter Frontera Expert Panel Source Type: research

Letter to the editor for the article “Incidence of complications and urinary incontinence following endoscopic enucleation of the prostate in men with a prostate volume of 80 ml and above: results from a multicenter, real-world experience of 2512 patients”
(Source: World Journal of Urology)
Source: World Journal of Urology - April 24, 2024 Category: Urology & Nephrology Source Type: research

Dietary Intake and Symptom Severity in Women with Fecal Incontinence
ConclusionOverall, in women with moderate to severe FI, there was no association between FI severity and dietary fat/fiber intake. Weak associations between FI frequency and fat intake may suggest a role for dietary assessment in the evaluation of women with FI. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - April 24, 2024 Category: OBGYN Source Type: research

Associations between Serum Estrogen Levels and Urinary Incontinence in Women: A Cross-sectional Analysis of NHANES 2013 to 2016
To explore the relationship between serum estrogen levels and UI in a nationally representative female population. (Source: Urology)
Source: Urology - April 24, 2024 Category: Urology & Nephrology Authors: Wenshuang Li, Ziqiao Wang, Xiaoyang Li, Ruixiang Luo, Junlong Huang, Bolong Liu, Xiangfu Zhou Source Type: research

Cingulotomy for Intractable Pain: A Systematic Review of an Underutilized Procedure
Cureus. 2024 Mar 22;16(3):e56746. doi: 10.7759/cureus.56746. eCollection 2024 Mar.ABSTRACTPain management is a critical aspect of cancer treatment and palliative care, where pain can significantly impact quality of life. Chronic pain, which affects a significant number of people worldwide, remains a prevalent and challenging symptom for patients. While medications and psychosocial support systems play a role in pain management, surgical and radiological interventions, including cingulotomy, may be necessary for refractory cases. Cingulotomy, a neurosurgical procedure targeting the cingulate gyrus, aims to disrupt neural pa...
Source: Cancer Control - April 23, 2024 Category: Cancer & Oncology Authors: Billy McBenedict Wilhelmina N Hauwanga Mariana P Pires Jos é Geraldo M Netto Dulci Petrus Jumana A Kanchwala Rhea Joshi Shaista Rizwan Ahamed Alurkar Otari Chankseliani Zaeemah Mansoor Sona Subash Berley Alphonse Ana Abrah ão Bruno Lima Pess ôa Source Type: research

Neuro-urological diagnostics and treatment of non-traumatic/degenerative neurogenic lower urinary tract dysfunction exemplified by multiple sclerosis
This article presents the current diagnostic and therapeutic options of neurogenic lower urinary tract dysfunction in multiple sclerosis. A crucial issue is the initial delay in diagnosis, not least due to a lack of communication between neurologists and urologists. Initial indicators of the presence of neurogenic lower urinary tract dysfunction can be obtained by actively asking about the subjective presence of symptoms such as urinary incontinence or the occurrence of urinary tract infections. However, a subjective lack of symptoms does not rule out a neurogenic lower urinary tract dysfunction. Regardless of the stage of...
Source: Aktuelle Urologie - April 23, 2024 Category: Urology & Nephrology Authors: Ines Kurze Anke K Jaekel Source Type: research

S2k guideline "Urinary incontinence in geriatric patients" - a summary
Aktuelle Urol. 2024 Apr 23. doi: 10.1055/a-2283-4170. Online ahead of print.ABSTRACTEINLEITUNG: 1/2023 wurde das dritte Update der seit 2005 in AWMF eingestellten und fortlaufend aktualisierten Leitlinie „Harninkontinenz bei geriatrischen Patienten – Diagnostik und Therapie“ durch die interdisziplinäre Arbeitsgruppe „Harninkontinenz“ der Deutschen Gesellschaft für Geriatrie (DGG) unter Mitwirkung der Deutschen Gesellschaft für Urologie (DGU), der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe (DGGG), der Deutschen Kontinenz Gesellschaft (DKG) und des Inkontinenz Selbsthilfe e.V. publiziert. Der vorl...
Source: Aktuelle Urologie - April 23, 2024 Category: Urology & Nephrology Authors: Andreas Wiedemann Klaus Becher Barbara Bojack Claudia Drews Ruth Kirschner-Hermanns Source Type: research

Neurological aspects of HTLV-1 infection: symptoms in apparently asymptomatic carriers
This study aims to demonstrate the neurological symptoms of Brazilian patients living with HTLV-1 classified as not-HAM.TSP. This observational study evaluated patients treated i n an HTLV reference center in Bahia, Brazil, between February 2022 and July 2023. The data were obtained through the analysis of medical records and neurological consultation. Those individuals classified as HAM/ TSP were excluded from this study. 74 patients were submitted to a careful neurological evaluation: 23 HAM/TSP, 22 were classified with intermediate syndrome (IS), and 29 were oligosymptomatic. Self-reported symptoms were significantly m...
Source: Journal of NeuroVirology - April 23, 2024 Category: Neurology Source Type: research

Overactive Bladder Linked to Depressive Symptoms
People who have been diagnosed with overactive bladder are nearly three times as likely to have depression than those without overactive bladder, astudy in theJournal of Affective Disorders has found.Xiansheng Zhang, M.D., Ph.D., of Anhui Medical University in Hefei, China, and colleagues examined responses from adults who participated in the National Health and Nutrition Examination Survey from 2005 to 2018 and who had complete data related to depression and urinary function. The researchers excluded adults who had conditions that could affect their urination, such as pregnancy, benign prostate issues, certain cancers, or...
Source: Psychiatr News - April 22, 2024 Category: Psychiatry Tags: depression Journal of Affective Disorders National Health and Nutrition Examination Survey nocturia overactive bladder risk factors social functioning urinary problems Source Type: research

Inguinal hernia repair in patients with artificial urinary sphincter after radical prostatectomy
CONCLUSION: IHA has its own characteristics, and multidisciplinary knowledge thereof will help surgeons safely perform IH surgery.PMID:38649504 | DOI:10.1007/s10029-024-03040-w (Source: Cancer Control)
Source: Cancer Control - April 22, 2024 Category: Cancer & Oncology Authors: Y Yatabe T Tanioka Y Waseda K Yamaguchi T Ogo H Fujiwara K Okuno K Kawada S Haruki M Tokunaga Y Fujii Y Kinugasa Source Type: research

The long-term impact of vaginal surgical mesh devices on pain clinic and psychological service referrals, anti-inflammatory testing and pelvic scans in UK primary care: A cohort study with the Clinical Practice Research Datalink
CONCLUSIONS: Our results suggest a higher burden of morbidity in women with SUI/POP mesh surgery, and that these women may require ongoing follow-up in the primary care setting.PMID:38646667 | DOI:10.1111/1471-0528.17828 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - April 22, 2024 Category: OBGYN Authors: Emily McFadden Carl Heneghan Source Type: research

2024 Canadian Urological Association guideline: Female stress urinary incontinence
Can Urol Assoc J. 2024 Apr;18(4):83-102. doi: 10.5489/cuaj.8751.NO ABSTRACTPMID:38648655 | DOI:10.5489/cuaj.8751 (Source: Canadian Urological Association Journal)
Source: Canadian Urological Association Journal - April 22, 2024 Category: Urology & Nephrology Authors: Kevin Carlson Matthew Andrews Alexandra Bascom Richard Baverstock Lysanne Campeau Chantale Dumoulin Joe Labossiere Jennifer Locke Genevi ève Nadeau Blayne Welk Ashley Cox Laura Nguyen Source Type: research

Centrally Distributed Adiposity as a Modifiable Risk Factor for Fecal Incontinence: U.S. Population-Based Analysis
Fecal incontinence (FI) is highly prevalent with substantial impacts on quality of life and healthcare utilization. The impact of obesity on FI remains unclear, with differing conclusions using BMI as risk factor. We aimed to determine the association between obesity and FI, and whether this relationship is dependent on the distribution of adiposity (waist circumference-to-height ratio, WHtR). (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - April 22, 2024 Category: Gastroenterology Authors: Brent Hiramoto, Ryan Flanagan, Mayssan Muftah, Eric D. Shah, Walter W. Chan Source Type: research

Inguinal hernia repair in patients with artificial urinary sphincter after radical prostatectomy
ConclusionIHA has its own characteristics, and multidisciplinary knowledge thereof will help surgeons safely perform IH surgery. (Source: Hernia)
Source: Hernia - April 22, 2024 Category: Sports Medicine Source Type: research