Continence Reports最新文献

{"title":"Translation and Validation of the International Prostate Symptom Score (IPSS) in Chinese","authors":"Benjamin Davelman ,&nbsp;Ethan Shatkin ,&nbsp;Wen Huang ,&nbsp;Jun Lin ,&nbsp;Wellman Cheung","doi":"10.1016/j.contre.2026.100106","DOIUrl":"10.1016/j.contre.2026.100106","url":null,"abstract":"<div><h3>Introduction</h3><div>Benign prostatic hyperplasia (BPH) is a common condition affecting aging males, leading to lower urinary tract symptoms (LUTS) that negatively impact quality of life. Language barriers may limit access to healthcare for Chinese-speaking patients. Our aim was to translate and validate the International Prostate Symptom Score (IPSS) in Chinese, ensuring it accurately captures LUTS severity and can be administered both in-clinic and remotely.</div></div><div><h3>Methods</h3><div>The English IPSS was translated into simplified Chinese using forward-backward translation and assessed by Chinese-speaking urologists. An existing traditional Chinese version was also reviewed. A hybrid model (written survey in clinic, followed by a phone-administered survey) and a remote model (two phone-administered surveys) were used for validation. Internal validity was assessed using Cronbach's alpha, test-retest reliability with Spearman's correlation, and discriminant validity with T-Tests and ANOVA to compare LUTS severity groups between hybrid and remote models.</div></div><div><h3>Results</h3><div>A total of 115 patients were included, with 46 in the hybrid, 50 in the remote, and 19 in the control groups. Internal validity was acceptable, with Cronbach's alpha of 0.848 (hybrid) and 0.734 (remote). Spearman's correlation coefficients ranged from 0.43 to 0.91 (p &lt; 0.01), demonstrating strong test-retest reliability. Pearson's correlation of 0.986 confirmed consistency across survey administrations. ANOVA analysis (p &lt; 0.001) showed significant differences in LUTS scores between mild, moderate and severe symptom groups, validating the Chinese IPSS's ability to differentiate symptom severity.</div></div><div><h3>Conclusion</h3><div>The Chinese translation of the IPSS is a valid and reliable tool for assessing LUTS in Chinese-speaking patients. Its successful validation in both hybrid and remote models ensures its utility in telehealth settings, allowing for improved patient assessment and management of BPH.</div></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"17 ","pages":"Article 100106"},"PeriodicalIF":0.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The first consultation of a patient with chronic pelvic pain","authors":"Bert Messelink","doi":"10.1016/j.contre.2026.100108","DOIUrl":"10.1016/j.contre.2026.100108","url":null,"abstract":"<div><div>Reading the literature about chronic pelvic pain it is noticed that this condition is often mentioned as being complex and difficult to treat. Pelvic pain patients have a reputation of being dissatisfied, wanting more and visiting your office regularly. This article highlights the background of the consultation process and the consecutive helping ideas in approaching a patient that is referred to you with chronic pelvic pain. Attention is paid to basic attitude at the start, patient expectations, language used, requesting diagnostics and making a therapy plan. All applied to the first consultation with your patient. Special attention will be given to placebo and nocebo effects of the words used in the conversation. Furthermore the communication about what and why for diagnostics and referrals is discussed. Many practical tips and helping ideas are presented to improve the joy of working with patients presenting with this interesting complaint.</div></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"17 ","pages":"Article 100108"},"PeriodicalIF":0.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147396967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urogynecology in Pregnancy: Challenges and solutions","authors":"Sina Samenezhad ,&nbsp;Dorna Rafighi","doi":"10.1016/j.contre.2026.100105","DOIUrl":"10.1016/j.contre.2026.100105","url":null,"abstract":"<div><div>This review explores the prevalence, risk factors, and pathophysiology of urinary incontinence (UI) and pelvic organ prolapse (POP) during pregnancy and the postpartum period. It provides an overview of both non-surgical and surgical treatment strategies, emphasizing early intervention and multidisciplinary care. Key factors, including hormonal changes, delivery methods, and lifestyle habits, are discussed in relation to pelvic floor dysfunction (PFD). The manuscript highlights the importance of early diagnosis, preventive care, and rehabilitation in managing these conditions.</div></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"17 ","pages":"Article 100105"},"PeriodicalIF":0.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147396968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ionizing radiation awareness among consultants, specialists, resident doctors, interns, and radiographers in a university hospital obstetrics and gynecology department","authors":"Dana S. Sawan ,&nbsp;Abdulrahman M. Alkudsi ,&nbsp;Renad M. Abualsaud ,&nbsp;Ghalia W. Edrees ,&nbsp;Felwa F. Althaher","doi":"10.1016/j.contre.2025.100103","DOIUrl":"10.1016/j.contre.2025.100103","url":null,"abstract":"<div><h3>Background</h3><div>Ionizing radiation from medical imaging poses health risks to patients and healthcare professionals. Awareness of these risks is critical for safe practice, especially in Obstetrics and Gynecology, where fetal exposure must be minimized.</div></div><div><h3>Objectives</h3><div>This study aimed to evaluate the knowledge and awareness of ionizing radiation among consultants, specialists, resident doctors, interns, and radiographers at King Abdulaziz University Hospital (KAUH), Jeddah, Saudi Arabia.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted between 2022 and 2024 among 146 out of 160 invited healthcare professionals in the OB/GYN department (response rate: 91.3 %). Participants completed a structured questionnaire assessing knowledge of radiation doses, associated risks, and safety practices. Knowledge scores (0–14) were categorized as poor (&lt;60 %) or good (≥60 %). Data were analyzed using SPSS version 26, and associations between professional title and knowledge level were assessed using Chi-squared tests. Missing data were handled using pairwise deletion.</div></div><div><h3>Results</h3><div>The mean knowledge score was 2.41 ± 2.17, with only 3/146 participants (2.1 %) demonstrating good knowledge and 143/146 (97.9 %) showing poor understanding. Interns correctly identified the radiation dose for abdominal ultrasound in 45/95 (47.4 %) and abdominal MRI in 18/95 (18.9 %) (p &lt; 0.05). Only 23/146 (15.8 %) recognized that a single abdominal CT in childhood increases lifetime cancer risk, and only 20/146 (13.6 %) reported routinely informing patients about radiation risks before ordering imaging exams.</div></div><div><h3>Conclusions</h3><div>A substantial knowledge gap exists among OB/GYN professionals at KAUH regarding ionizing radiation risks. Targeted education, policy changes, and improved patient communication are essential to enhance safety. Future research should evaluate the impact of educational interventions on improving radiation awareness and clinical decision-making.</div></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"17 ","pages":"Article 100103"},"PeriodicalIF":0.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Persistent bladder dysfunction after Martius flap repair for a radiation-induced vesicovaginal fistula: A case report","authors":"Rie Yoshimura ,&nbsp;Nobutaka Shimizu ,&nbsp;Mio Togo ,&nbsp;Yoshitaka Kurano ,&nbsp;Kaya Atagi ,&nbsp;Tomoya Nao ,&nbsp;Hideo Fukuhara ,&nbsp;Satoshi Fukata ,&nbsp;Takashi Karashima ,&nbsp;Motoaki Saito ,&nbsp;Keiji Inoue","doi":"10.1016/j.contre.2025.100104","DOIUrl":"10.1016/j.contre.2025.100104","url":null,"abstract":"<div><div>Radiation-induced vesicovaginal fistulae represent one of the most challenging complications of pelvic surgery because irradiated tissues exhibit severe fibrosis, ischemia, and impaired healing. Among various surgical techniques, Martius flap repair is widely employed because it provides a well-vascularized tissue buttress and enhances closure rates. However, while most reports have focused on anatomical success, little attention has been paid to the long-term bladder function after closure.</div><div>We describe the case of a 50-year-old woman who developed a radiation-induced vesicovaginal fistula after chemoradiotherapy for cervical cancer. The fistula was successfully closed using a Martius flap, and no further vaginal leakage was observed. Nevertheless, during follow-up, she developed persistent bladder dysfunction, characterized by reduced compliance, detrusor overactivity, and nocturnal urinary leakage, which was confirmed by serial urodynamic evaluations.</div><div>This case illustrates a discrepancy between anatomical closure and functional outcomes. Even after technically successful repairs, latent bladder dysfunction may persist and place patients at risk of upper urinary tract deterioration. Our report emphasizes the importance of incorporating systematic urodynamic follow-up into postoperative care, particularly for complex or irradiated fistulas, to ensure anatomical and functional success.</div></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"17 ","pages":"Article 100104"},"PeriodicalIF":0.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145885714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urodynamic changes following augmentation cystoplasty in pediatric patients with neurogenic lower urinary tract dysfunction","authors":"Mohammed Bassil Ismail ,&nbsp;Hasanain Farhan Hasan ,&nbsp;Shaher Ihsan Ibraheem","doi":"10.1016/j.contre.2025.100101","DOIUrl":"10.1016/j.contre.2025.100101","url":null,"abstract":"","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"17 ","pages":"Article 100101"},"PeriodicalIF":0.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Making things difficult for patients, to make things easy for the doctor? The problems functional urology patients experience in providing information ahead of their doctor's appointment","authors":"F.W.M. Schlatmann ,&nbsp;M.L. van Poelgeest–Pomfret ,&nbsp;M.R. van Balken","doi":"10.1016/j.contre.2025.100102","DOIUrl":"10.1016/j.contre.2025.100102","url":null,"abstract":"<div><div>In functional urology, efficiency is sought by asking patients to complete questionnaires before their appointment to evaluate their symptoms. This is difficult for a large number of patients, according to research on the IPSS and bladder diaries. In this review article, we describe the threats to the validity and thus the usability of these questionnaires. Making questionnaires easier to understand and involving the target group in the development of the questionnaires can improve the quality of information from the patient to the medical professional.</div></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"17 ","pages":"Article 100102"},"PeriodicalIF":0.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Isotretinoin induced overactive bladder – a novel case and review of literature","authors":"Rowan Klein Nulend ,&nbsp;Mohan Arianayagam ,&nbsp;Audrey Wang","doi":"10.1016/j.contre.2025.100100","DOIUrl":"10.1016/j.contre.2025.100100","url":null,"abstract":"<div><div>We present the case of a 29-year-old male who developed new-onset overactive bladder (OAB) symptoms shortly after commencing oral isotretinoin for acne. No alternative cause was identified, and urodynamics revealed no detrusor overactivity. Isotretinoin, a vitamin A-derived retinoid, is associated with multiple side effects; rare urological complications include urethritis, haematuria, and nephritis, but OAB has not been reported. Animal studies demonstrate retinoid-induced detrusor overactivity, reversible with anticholinergics. Proposed mechanisms include polydipsia, urothelial irritation, and altered acetylcholine-mediated detrusor stimulation. This case highlights a novel association warranting further investigation into retinoid effects on bladder function.</div></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"17 ","pages":"Article 100100"},"PeriodicalIF":0.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145842471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical societies and patient-centered communication: A review of current practices and future directions","authors":"Filippos Nikitakis ,&nbsp;Aikaterini Tsionga ,&nbsp;Vasileios Tatanis ,&nbsp;Konstantinos Gkialas ,&nbsp;Ioannis Glykas ,&nbsp;Markos Karavitakis ,&nbsp;Theodoros Paizis ,&nbsp;Christos Roidos ,&nbsp;Theodoros Spinos ,&nbsp;Christos Zampaftis ,&nbsp;Michael Samarinas","doi":"10.1016/j.contre.2025.100099","DOIUrl":"10.1016/j.contre.2025.100099","url":null,"abstract":"<div><h3>Introduction</h3><div>Patient-centered communication (PCC) is a vital component of high-quality medical care, fostering respectful, responsive interactions that align clinical decisions with patient values. Despite its recognized importance, its consistent implementation remains challenging in daily clinical practice. Medical societies, as key stakeholders in healthcare, are uniquely positioned to promote and institutionalize PCC.</div></div><div><h3>Methods</h3><div>A systematic review was conducted using PubMed in March 2025, applying the key terms ‘medical societies', ‘patient-centered communication', and ‘patient-centered care'. Articles published in English from 2020 onward were included, along with relevant earlier publications identified via backward citation searches. Two independent reviewers screened articles, with a senior reviewer resolving disagreements. The review adhered to PRISMA guidelines.</div></div><div><h3>Results</h3><div>Medical societies contribute significantly to PCC through the development of communication models, educational initiatives, validation of measurement tools, and digital engagement. Examples include simulation-based training, co-produced curricula, and online patient education platforms. Barriers such as cultural variability, organizational inertia, and lack of policy support hinder widespread PCC adoption. Medical societies address these challenges by advocating for systemic change and promoting culturally adaptable models.</div></div><div><h3>Conclusions</h3><div>The role of medical societies in advancing PCC is both substantial and evolving. By integrating PCC into professional education, endorsing validated tools, and leveraging digital health innovations, these organizations can drive systemic transformation toward more equitable and humanistic healthcare. Collaborative efforts across policy, education, and practice domains are essential to ensure PCC becomes a standard of care.</div></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"17 ","pages":"Article 100099"},"PeriodicalIF":0.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145842319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The change in urodynamic parameters in young men with bladder neck obstruction following surveillance periods","authors":"Ross Stephens,&nbsp;Sachin Malde,&nbsp;Arun Sahai,&nbsp;Eskinder Solomon","doi":"10.1016/j.contre.2025.100091","DOIUrl":"10.1016/j.contre.2025.100091","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the change in bladder dysfunction in men diagnosed with bladder neck obstruction (BNO) &lt; 50 years of age following surveillance periods.</div></div><div><h3>Methods</h3><div>We retrospectively analysed changes in urodynamic parameters in men &lt;50 years of age diagnosed with BNO during video urodynamics (VUDS) from initial presentation to subsequent investigations following a minimum surveillance period of 2 years.</div></div><div><h3>Results</h3><div>Ten men (mean age 33 ± 14 years) with a mean surveillance period of 4.8 ± 1.9 years were recruited. 5/10 men were taking alpha blockers during this period. 7/10 demonstrated detrusor overactivity (DO) during initial urodynamics. There was a mean (±SD) increase in DO peak pressure of 11.9(±75.1) <span><math><mrow><mi>c</mi><mi>m</mi><msub><mi>H</mi><mn>2</mn></msub><mi>O</mi></mrow></math></span> (p = 0.648). There was a mean (±SD) reduction in bladder compliance of 23.84 <span><math><mrow><mi>m</mi><mi>l</mi><mo>/</mo><mi>c</mi><mi>m</mi><msub><mi>H</mi><mn>2</mn></msub><mi>O</mi></mrow></math></span> (±31.1 <span><math><mrow><mrow><mspace></mspace><mi>m</mi><mi>l</mi><mo>/</mo><mi>c</mi><mi>m</mi><msub><mi>H</mi><mn>2</mn></msub><mi>O</mi></mrow><mo>)</mo></mrow></math></span> (p = 0.067). There was no change in cystometric capacity (p = .998), detrusor pressure at maximum flow <span><math><mrow><mo>(</mo><msub><mi>P</mi><mrow><mi>det</mi><mo>.</mo><mi>Q</mi><mi>m</mi><mi>a</mi><mi>x</mi></mrow></msub><mo>)</mo></mrow></math></span> (p = .211), bladder outlet obstruction index (BOOI) (p = .227) or post void residual (PVR) (p = .707). There was a moderate correlation between BOOI and <span><math><mrow><msub><mi>P</mi><mrow><mi>det</mi><mo>.</mo><mi>Q</mi><mi>m</mi><mi>a</mi><mi>x</mi></mrow></msub></mrow></math></span> at initial urodynamics with the change in compliance over the surveillance period (0.56 and 0.49 respectively). The peak DO pressure at baseline correlates most with the reduction in <span><math><mrow><msub><mi>Q</mi><mi>max</mi></msub></mrow></math></span> during surveillance period (−0.6).</div></div><div><h3>Conclusion</h3><div>The rate of change of bladder dysfunction appears variable in men with BNO. However, our study indicates a trend of worsening loss of compliance and Qmax over a mean period of ∼5 years which appears moderately correlated with the BOOI and DO peak pressures measured at initial urodynamics.</div></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"16 ","pages":"Article 100091"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145221295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}