Continence Reports最新文献

{"title":"Role of videourodynamics, imaging, and cystoscopy in patients with recurrent urinary tract infections: Should we throw in the kitchen sink?","authors":"G. Chan ,&nbsp;F. Davidovic ,&nbsp;J. Gani","doi":"10.1016/j.contre.2024.100073","DOIUrl":"10.1016/j.contre.2024.100073","url":null,"abstract":"<div><h3>Purpose:</h3><div>Recurrent urinary tract infection (rUTI) remains a common outpatient problem with discordance and paucity of evidence for management. This study aims to evaluate the role of videourodynamics (VUD), additional imaging, and cystoscopy in the complete workup of these patients.</div></div><div><h3>Materials and Methods:</h3><div>A retrospective review was performed on 1421 consecutive patients referred for physician performed VUD. After exclusion criteria, 170 patients were included. Ethics approval was obtained, followed by data collection, and analysis of demographics, symptoms, cystoscopy results, imaging, and VUD parameters. Statistical analyses were performed with IBM SPSS Statistics Version 28. Statistical significance was defined by an alpha level of P <span><math><mrow><mo>≤</mo><mn>0</mn><mo>.</mo><mn>05</mn></mrow></math></span>.</div></div><div><h3>Results:</h3><div>Overall, 117/170 (69%) had identifiable causes of rUTI identified on VUD. There was a statistically significant difference (<em>p</em>&lt;0.001) in identifying a cause in those with voiding symptoms (93/114 <span><math><mo>=</mo></math></span> 82%) compared to those without (24/56 <span><math><mo>=</mo></math></span> 43%). Gender was not predictive of an identifiable cause on VUD (<span><math><mrow><mi>p</mi><mo>=</mo><mn>0</mn><mo>.</mo><mn>47</mn></mrow></math></span>). Neither was a neurogenic history (<span><math><mrow><mi>p</mi><mo>=</mo><mn>0</mn><mo>.</mo><mn>11</mn></mrow></math></span>), diabetes (<span><math><mrow><mi>p</mi><mo>=</mo><mn>0</mn><mo>.</mo><mn>97</mn></mrow></math></span>), or age (<span><math><mrow><mi>p</mi><mo>=</mo><mn>0</mn><mo>.</mo><mn>89</mn></mrow></math></span>). Additional imaging was not diagnostic for rUTI cause. No malignancy was identified on imaging or cystoscopy.</div></div><div><h3>Conclusion:</h3><div>In patients with rUTI, VUD may be an important investigative step to find a possible underlying cause, but it is a scarce resource. As VUD has a higher detection rate in patients with voiding symptoms, by first screening for these patients on history, VUD can be used judiciously. Cystoscopy and additional imaging were not as helpful in identifying a target treatment plan for rUTI, when a VUD had already been done.</div></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"12 ","pages":"Article 100073"},"PeriodicalIF":0.0,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142662507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety and efficacy of artificial urinary sphincter versus male slings in treatment of male urinary incontinence: Systematic review and meta-analysis","authors":"Bagrat Grigoryan ,&nbsp;George Kasyan ,&nbsp;Roman Shapovalenko ,&nbsp;Dmitry Pushkar","doi":"10.1016/j.contre.2024.100070","DOIUrl":"10.1016/j.contre.2024.100070","url":null,"abstract":"<div><h3>Background and objective:</h3><div>Male stress urinary incontinence (UI) remains a serious problem associated with a significant quality of life reduction. The aim of this study is to determine the safety and effectiveness of artificial urinary sphincter (AUS) and male slings (MS) for stress UI in men.</div></div><div><h3>Evidence acquisition:</h3><div>Inclusion criteria: randomized/non-randomized trials evaluating adult men with stress UI. Exclusion criteria: repeated SUI surgery, combined conservative interventions and pharmacological treatment. The electronic databases were searched up to January 2024. The systematic review was conducted according to PICO framework and PRISMA 2020 guidelines and was registered in PROSPERO. The risk of bias was evaluated using the tools recommended by the Cochrane Society.</div></div><div><h3>Evidence synthesis:</h3><div>Thirteen clinical trials were included in the systematic review, and 11 in the meta-analysis. There was no statistically significant difference in the improvement rate between AUS and MS (RR <span><math><mo>=</mo></math></span> 0.93, 95% CI: [0.85, 1.02], p<span><math><mo>=</mo></math></span> 0.13). MS showed statistically significant fewer infectious complication (RR <span><math><mo>=</mo></math></span> 3.26, 95% CI: [1.97, 5.39], p&lt;0.00001), device explantation (RR <span><math><mo>=</mo></math></span> 3.29, 95% CI: [2.46, 4.41], p&lt;0.00001), surgical revision (RR <span><math><mo>=</mo></math></span> 2.27, 95% CI: [1.60, 3.20], p&lt;0.00001), urinary retention (RR <span><math><mo>=</mo></math></span> 0.04, 95% CI: [0.01, 0.07], p <span><math><mo>=</mo></math></span> 0.004) rates and operation time (RR <span><math><mo>=</mo></math></span> 0.93, 95% CI: [0.85, 1.02], p <span><math><mo>=</mo></math></span> 0.13) compared with AUS.</div></div><div><h3>Conclusion:</h3><div>AUS demonstrates a comparable improvement level to MS. The operation time, infectious complication, device explantation, urinary retention, and surgical revision rates were lower in MS. More randomized and prospective studies with long-term follow-up will further increase confidence in the choice between AUS and MS for male UI treatment.</div></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"12 ","pages":"Article 100070"},"PeriodicalIF":0.0,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142662508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Successful management of high urogenital sinus in an adult female: Case report","authors":"Gamal Ghoniem ,&nbsp;Nardeen Magdy Samaan ,&nbsp;Mohamed Samir ,&nbsp;Muhammed A. Moukhtar Hammad ,&nbsp;Ashraf G. Fahmy","doi":"10.1016/j.contre.2024.100068","DOIUrl":"10.1016/j.contre.2024.100068","url":null,"abstract":"<div><div>This case report presents the successful management of high urogenital sinus (UGS) in a 21-year-old female using a modified Anterior Sagittal Transrectal Approach (ASTRA). The patient, with a history of painful cyclic hematuria and delayed menarche, was initially misdiagnosed with a transverse vaginal septum. Diagnostic clarity was achieved through cystourethroscopy, revealing a single external meatal opening indicative of UGS. The modified ASTRA technique, including a rectum-sparing approach, was employed to correct the anomaly. Preoperative administration of leuprolide acetate helped reduce the risk of postoperative infections and complications. Postoperative care included serial vaginal dilatations to prevent stenosis, resulting in no complications or need for further surgical interventions at 12-month follow-up. This case highlights the importance of a multidisciplinary approach and the potential of the modified ASTRA technique in managing high UGS in adult patients. Further research to validate these findings in a larger cohort could be difficult because of rarity to miss the diagnosis in adult females.</div></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"12 ","pages":"Article 100068"},"PeriodicalIF":0.0,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"History of urodynamics. Its origins, development and implication for urology as a specialty in Europe and the USA","authors":"Friedrich H. Moll ,&nbsp;Thorsten Halling ,&nbsp;Werner Schäfer","doi":"10.1016/j.contre.2024.100069","DOIUrl":"10.1016/j.contre.2024.100069","url":null,"abstract":"<div><div>The field of urodynamics playes a major role in the development of urology as a specialty. It was the corner stone in functional thinking and a major point in establishing a science of its own, because physiological aspects payed the major role in generating new theories. This was in contrast to surgery. Within this field of medicine it needs up to the 1970th and 1980th establishing a functional view on aspects of treating diseases at all. Up to this time here, knife had the first place.</div><div>A part of this topic regarding aspects of the German speaking countries had just been published Moll F. Halling T Geschichte der Urodynamik in: Schultz-Lampel, D., Goepel, M., Hampel, C. (eds) Urodynamik. Springer, Berlin, Heidelberg. 2022 pp 3-22 <span><span>https://doi.org/10.1007/978-3-662-59066-9_1</span><svg><path></path></svg></span> p 2-22.</div><div>Moll, F. 2001 Historische Anmerkungen zur Entwicklung der Neuro-Urologie in: Nissen G., Badura F. (Hrsg) Schriftenreihe der Deutschen Gesellschaft für Geschichte der Nervenheilkunde, Band 7. Königshausen und Neumann Würzburg 2001.</div></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"12 ","pages":"Article 100069"},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142662558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum to: “Can recurrent UTIs in women be cured? Review article” [Cont. Rep. 5 (2023) 100021]","authors":"Valeerat Swatesutipun","doi":"10.1016/j.contre.2024.100067","DOIUrl":"10.1016/j.contre.2024.100067","url":null,"abstract":"","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"12 ","pages":"Article 100067"},"PeriodicalIF":0.0,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142441577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum to “Lower Urinary Tract Symptoms (LUTS) and COVID-19” [Cont. Rep. 9 (2024) 100044]","authors":"Sona Tayebi ,&nbsp;Mohammad Sajjad Rahnama’i ,&nbsp;Ashkan Shafigh ,&nbsp;Hanieh Salehi-Pourmehr ,&nbsp;Hadi Mostafaei ,&nbsp;Ehsan Sepehran ,&nbsp;Sakineh Hajebrahimi","doi":"10.1016/j.contre.2024.100066","DOIUrl":"10.1016/j.contre.2024.100066","url":null,"abstract":"","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"12 ","pages":"Article 100066"},"PeriodicalIF":0.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Underweight, dementia, and not being completely independent in bowel management are risk factors for urinary incontinence among older people","authors":"Takeshi Okinami ,&nbsp;Tsubasa Ohno ,&nbsp;Nobuyuki Nishikawa","doi":"10.1016/j.contre.2024.100065","DOIUrl":"10.1016/j.contre.2024.100065","url":null,"abstract":"<div><h3>Background:</h3><div>Despite the known relationship between frailty and urinary incontinence, the components of frailty that are important in managing urinary incontinence remain unclear.</div></div><div><h3>Objectives:</h3><div>This study aimed to investigate physical factors that influenced urinary incontinence.</div></div><div><h3>Methods:</h3><div>This prospective observational study included patients admitted to the rehabilitation ward of our hospital from July 2020 to June 2022. Patients’ data were collected during the week before their discharge. Patients who needed diaper changes because of urine contamination were defined as incontinent and others as continent. Univariate and multivariate analyses were used to analyze differences between the two groups by age, sex, medical history, body mass index, serum albumin levels, Mini-Mental State Examination scores, Functional Independence Measure motor items (excluding bladder management), grip strength, gait speed, lower limb muscle strength, posture when seated on the toilet, residual urine volume, medication for lower urinary tract symptoms, and polypharmacy.</div></div><div><h3>Results:</h3><div>Of 121 patients, 104 (38 men, 66 women) were included in our analyses. Patients’ median age was 81 years (range 56–101 years). The risk factors for urinary incontinence identified in the multivariate analysis were: history of dementia (odds ratio [OR] 19.80, 95% confidence interval [CI]: 2.31–170.00; <span><math><mi>p</mi></math></span> = 0.00646), body mass index &lt; 18.5 kg/m² (OR 7.09, 95% CI: 1.36–36.90; <span><math><mi>p</mi></math></span> = 0.0201), and non-completely independent bowel management (OR 7.19, 95% CI: 1.29–40.16; <span><math><mi>p</mi></math></span> = 0.0245).</div></div><div><h3>Conclusions:</h3><div>We concluded that dementia, low body mass index, and non-completely independent bowel management are associated with urinary incontinence among older people.</div></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"12 ","pages":"Article 100065"},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142323539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosis and treatment of nocturnal enuresis throughout the ages","authors":"Pieter Dik ,&nbsp;Mohammad Sajjad Rahnama’i","doi":"10.1016/j.contre.2024.100064","DOIUrl":"10.1016/j.contre.2024.100064","url":null,"abstract":"<div><div>Nocturnal enuresis is associated with discomfort and it can lead to serious disturbed family life, bullying and low self esteem. Throughout​ the ages therapies for bedwetting were tried varying from drinking wine with shaved down testicle of a hare, flogging with nettles, cold showers, injections with strychnine, application of metal devices and electrical pulses until eventually the discovery of the pad and bell alarm was made. More about bedwetting was understood not earlier than in the past 50 years. Counselling, targeted medication and alarm clock training improved outcome and prognosis. New therapies are being developed such as innovative alarm clocks and medication. Still 10% of girls and 18% of boys suffer from bedwetting around the age of 6 years and this will not change much because genetic factors are the most important cause of nocturnal enuresis.</div></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"12 ","pages":"Article 100064"},"PeriodicalIF":0.0,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142320427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The medical management of lower urinary tract symptoms during the nineteenth century","authors":"Srusthti Bhat ,&nbsp;Jonathan Charles Goddard","doi":"10.1016/j.contre.2024.100062","DOIUrl":"10.1016/j.contre.2024.100062","url":null,"abstract":"<div><p>Medical management and lifestyle changes rather than surgical interventions, are used for many urological problems. This was also the case in the past. The use of herbal medication for urinary symptoms in the nineteenth century is reviewed as well as the acceptance of herbal medicine at that time. The place of conservative therapy is studied in context of the global management of lower urinary tract symptoms during the nineteenth century. During this time period, lower urinary tract symptoms were still mainly managed with herbal treatments, despite the advances in science and chemistry; anything resembling a modern pharmacopeia postdated the nineteenth century.</p></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"12 ","pages":"Article 100062"},"PeriodicalIF":0.0,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772974524000164/pdfft?md5=7cf593b84180a8165c2d652bfcef3aca&pid=1-s2.0-S2772974524000164-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142149511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The history of prosthetic devices for postprostatectomy incontinence","authors":"Juliusz J. Szczesniewski ,&nbsp;David E. Díaz ,&nbsp;Miguel Virseda-Chamorro ,&nbsp;Giordano Polisini ,&nbsp;Enrico Ammirati ,&nbsp;Alessandro Giammò","doi":"10.1016/j.contre.2024.100063","DOIUrl":"10.1016/j.contre.2024.100063","url":null,"abstract":"<div><p>Urinary incontinence has been studied since the Egyptian era of the second millennium BCE. Throughout history, several devices have been developed to address this condition. The prevalence of stress incontinence has increased with the surgical treatment of prostatectomy. Since 1947, numerous devices have been developed for the treatment of this condition. We performed a narrative literature review conducted through PubMed and Google Scholar, aimed at creating a chronological outline of devices developed for managing post-prostatectomy urinary incontinence. The first known compression device introduced in 1910 evolved into advanced systems like the AMS 800 artificial urinary sphincter, key milestones in device technology and surgical techniques. Nowadays, several new devices have been developed, each incorporating an innovative solution. In addition, a new artificial sphincter also had been advanced. The incorporation of electronic sphincter control systems seems to be the next innovation. Through continuous innovation, the field has advanced from basic solutions to sophisticated, customized treatments, providing hope and enhancing the quality of life for affected individuals. The evolution of these devices not only marks a journey through history but also illustrates a future where technological advancements continue to play a pivotal role in stress incontinence after prostatectomy.</p></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"12 ","pages":"Article 100063"},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772974524000176/pdfft?md5=750ee7af26fdc1f7f9a968b834d57394&pid=1-s2.0-S2772974524000176-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142229040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}