International Urogynecology Journal最新文献

{"title":"Development of a Complex Intervention for the Management of Urinary Incontinence Among Community-Dwelling Older Women.","authors":"Wenqi Liu, Xuemei Sun, Yinyan Gao, Jinlu Song, Wenjie Dai, Irene X Y Wu","doi":"10.1007/s00192-025-06159-1","DOIUrl":"https://doi.org/10.1007/s00192-025-06159-1","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>This study is aimed at developing a complex intervention that considers stakeholders' needs and preferences, as well as facilitators and barriers affecting adherence to interventions for the management of urinary incontinence among community-dwelling older women.</p><p><strong>Methods: </strong>Following the Medical Research Council framework for developing complex interventions, this study includes two steps. In step 1, guided by the Evidence to Decision framework, qualitative interviews were conducted with stakeholders (older women with urinary incontinence and community doctors) to find out their needs and preferences regarding the intervention, as well as to identify key factors influencing the intervention adherence. In step 2, an initial draft of the complex intervention was constructed based on the information generated from the qualitative interviews. Further refinements were made through expert consultations before a final version was reached.</p><p><strong>Results: </strong>A total of 13 older women with urinary incontinence and 14 community doctors were interviewed in the first step. Stakeholders preferred a combination of group-based pelvic floor muscle training in community activity rooms and self-directed home pelvic floor muscle training, with a frequency of 2-3 times per week. Five facilitators and five barriers affecting adherence to the intervention among community-dwelling older women with urinary incontinence were identified, and coping measures were proposed accordingly.</p><p><strong>Conclusions: </strong>A tailored complex intervention was developed, including a core component (pelvic floor muscle training), along with six supplementary components (physical assessment, health education, reminders and supervision, group discussion, reward system, and flexible schedule).</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144110606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Clinical Outcomes on Short Tape Single-Incision Sling Devices (Solyx) and Adjustable Length Device (I-Stop-Mini) for Urodynamic Stress Incontinence at 1 Year.","authors":"Tsia-Shu Lo, Louiza Erika Rellora, Eyal Rom, Chia-Hsuan Yang, Huan-Ka Chiung","doi":"10.1007/s00192-025-06155-5","DOIUrl":"https://doi.org/10.1007/s00192-025-06155-5","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>The study is primarily aimed at comparing the outcome of voiding dysfunction related to over-tension and the resumption of normal voiding after tension-releasing suture (TRS) manipulation following Solyx and I-stop-mini procedures. Second, it is aimed at determining the cure rate, complications, and quality of life at 1 year postoperatively.</p><p><strong>Methods: </strong>This is a retrospective study conducted from March 2015 to June 2023. Patients with clinically confirmed pure stress urinary incontinence (SUI) and urodynamic stress incontinence were included; those with pelvic organ prolapse (POP) greater than stage II, neurogenic lower urinary tract dysfunction, or post-void residual of more than 100 ml were excluded. Standardized preoperative evaluations and TRS were used. Follow-ups were conducted at 1 week, 1 month, 3 months, 6 months, and annually. Statistical analyses were performed using SPSS version 17.</p><p><strong>Results: </strong>Out of 453 patients, 333 underwent Solyx and 120 underwent I-stop-mini procedures. The mean age was 56.6 years with an average BMI of 25.4. After Solyx, 18.9% had urinary retention whereas 10.8% had urinary retention after I-stop-mini. TRS manipulation was done in 12% post-Solyx and 4.2% post-I-stop-mini. Objective cure rates were 87.1% for Solyx and 91.7% for the I-stop-mini, with no statistical difference. Two patients in the Solyx group required repeat mid-urethral sling surgery. No cases of mesh erosion were noted in either of the groups.</p><p><strong>Conclusions: </strong>Solyx and I-stop-mini are both effective at treating SUI. A short-tape single-incision sling device (Solyx) resulted in more voiding dysfunction than the adjustable-length device (I-stop-mini). TRS helps to resolve postoperative voiding dysfunction.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144110602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor \"Joint Terminology Report: Terminology Standardization for Female Bladder Pain Syndrome\".","authors":"Beth Shelly, Melanie Morin, Helena Frawley","doi":"10.1007/s00192-025-06168-0","DOIUrl":"https://doi.org/10.1007/s00192-025-06168-0","url":null,"abstract":"","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Decade-Old Giant Urinoma Following Ureteric Injury.","authors":"Deeksha Pandey, Vinu Gopinath, Sirisha V, Alla Mounika, Pranadeep Reddy Inukollu, Lilarani Vijayaraghavan, Rema V Nair","doi":"10.1007/s00192-025-06152-8","DOIUrl":"https://doi.org/10.1007/s00192-025-06152-8","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Urinoma, a collection of urine outside the urinary tract, is an uncommon entity typically associated with trauma, obstruction, or iatrogenic injury. We report a case of a giant urinoma in a 55-year-old woman that posed a diagnostic challenge until surgical exploration. She presented with progressive abdominal distension and nonspecific pain 10 years following a left ovariotomy. Initial clinical evaluation and imaging suggested a large intra-abdominal mass with characteristics mimicking a cystic neoplasm. Despite extensive diagnostic workup, including ultrasonography, contrast-enhanced CT and MR, the precise diagnosis remained elusive.</p><p><strong>Methods: </strong>Given the diagnostic uncertainty and worsening symptoms, surgical exploration was undertaken. Intraoperatively, a massive urinoma, measuring approximately 25 cm in diameter, was identified. Exploration of the cyst revealed an opening traced to the left ureter. The urinoma was drained, the cyst wall excised and definitive ureteric repair was performed successfully.</p><p><strong>Results: </strong>Histology confirmed the diagnosis of urinoma.</p><p><strong>Conclusion: </strong>This case highlights the diagnostic challenges posed by giant urinomas, particularly when the presentation is atypical and imaging is equivocal. It underscores the importance of considering delayed complications from prior pelvic surgeries and the critical role of surgical exploration in resolving diagnostic dilemmas.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Roots to Canopy: Understanding Chronic Pelvic Pain Through a Tree-Inspired Model.","authors":"Magali Robert","doi":"10.1007/s00192-025-06151-9","DOIUrl":"https://doi.org/10.1007/s00192-025-06151-9","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Chronic pelvic pain affects approximately 25% of women. Despite its prevalence, health care providers often find it challenging and may feel underprepared to offer effective care.</p><p><strong>Methods: </strong>Using the metaphor of a tree provides a simplified, systematic approach to better understanding and thus managing this condition. The tree model unites both the biopsychosocial and neuroinflammatory models of chronic pain. In this metaphor, the tree's roots represent nociceptive inputs, the trunk represents nociplastic changes, and the canopy signifies psychosocial factors. The bark symbolizes protective behaviors adopted by the individual, whereas the sap represents the bidirectional nature of pain messaging.</p><p><strong>Results: </strong>This metaphor provides a relatable visual framework for understanding chronic, persistent pelvic pain and serves as a foundation for history taking, physical examination, and care planning. The tree metaphor can help patients understand their pain and serve as a starting point for discussing treatment options.</p><p><strong>Conclusion: </strong>It helps to deconstruct the complexity of chronic, persistent pelvic pain into manageable components, offering a practical tool for both individuals with chronic pelvic pain and providers.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Phage Therapy for Urinary Tract Infections: Progress and Challenges Ahead.","authors":"Chase J Morgan, Haley Atkins, Alan J Wolfe, Linda Brubaker, Saima Aslam, Catherine Putonti, Michael B Doud, Lindsey A Burnett","doi":"10.1007/s00192-025-06136-8","DOIUrl":"https://doi.org/10.1007/s00192-025-06136-8","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Urinary tract infection (UTI) treatment is a growing public health concern owing to increasing antimicrobial resistance. Phage therapy, an alternative or adjunctive treatment to antibiotics, has the potential to address this challenge. However, clinical use of phage therapy is hindered by knowledge gaps and inconsistent reporting. The objective was to review the current state of phage therapy for UTIs and highlight research priorities that can optimize phage clinical efficacy.</p><p><strong>Methods: </strong>Current literature on UTI phage therapy was examined, focusing on the lack of standardized phage susceptibility testing, phage characterization, and microbiological assessments during and after treatment.</p><p><strong>Results: </strong>Critical areas requiring further investigation include appropriate phage dosing, optimal routes of administration, and the dynamics of phage-host and phage-patient interactions. The influence of the urinary microbiome, including endogenous phages, on treatment outcomes also needs to be better understood. Suggested data collection and reporting standards should be developed and implemented to improve clinical impact of studies examining phage therapy for UTI. Randomized clinical trials are needed to establish efficacy and determine the best practices for clinical use.</p><p><strong>Conclusion: </strong>Phage therapy is a promising alternative to antibiotics for managing UTIs, especially in the face of rising antimicrobial resistance. To fully realize its potential, however, future research must focus on standardized protocols, dosing strategies, and the role of the urinary microbiome, with an emphasis on rigorously conducted clinical trials. These steps are essential for integrating phage therapy into mainstream UTI treatment regimens.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143971113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Urinary Incontinence Among University Students and Associated Factors.","authors":"Canan Birimoglu Okuyan, Oğuzhan Bahadır Demir, Esma Akgül","doi":"10.1007/s00192-025-06130-0","DOIUrl":"https://doi.org/10.1007/s00192-025-06130-0","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Urinary incontinence can occur during university years, just as at other stages of life. The aim of this study was to determine the prevalence of urinary incontinence and related factors in university students.</p><p><strong>Methods: </strong>The cross-sectional research involved 293 students enrolled in the faculty of health sciences at a public institution. Data were collected using an information form, the International Consultation on Incontinence Questionnaire Short Form, the King's Health Survey, the Physical Activity Scale- 2, and the Childhood Trauma Scale. Descriptive statistics, the Mann-Whitney U test for pairwise group comparisons, the Kruskal-Wallis test for three or more group comparisons, and the Spearman correlation test were used to analyze data that did not follow a normal distribution.</p><p><strong>Results: </strong>The students' average age was 20.94 ± 1.70 years; 79.2% of them were female. It is observed that 98.6% of the students who were enrolled were single. 15.7% of the students reported that they frequently experienced urinary tract infections. 30% of the students had urinary incontinence problems; 21.1% were affected mildly, 8.2% moderately and 0.7% severely. It was found that the impact of urinary incontinence on quality of life varied based on students' personal characteristics and urinary problems. Various associations were identified between age, urinary incontinence symptoms, quality of life, physical activity levels, and childhood trauma.</p><p><strong>Conclusions: </strong>Preventive interventions should be implemented to address urinary incontinence among university students, as it is a public health concern. To avert the onset of urinary incontinence, it is advisable to identify students experiencing this condition, assist them in enhancing their quality of life by addressing relevant factors, promote and motivate them toward physical activity, and implement preventive measures such as exercise programs and counseling.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Music Intervention on Pain and Anxiety During Urodynamic Testing: A Randomized Controlled Trial.","authors":"Athiwat Songsiriphan, Purim Ruanphoo, Suvit Bunyavejchevin, Keerati Chiengthong","doi":"10.1007/s00192-025-06161-7","DOIUrl":"https://doi.org/10.1007/s00192-025-06161-7","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Urodynamic testing is used to evaluate urinary tract function and often causes patients to experience pain, anxiety, and embarrassment. Music intervention has been proposed as a strategy to alleviate these discomforts. This research was conducted to investigate the effects of music intervention on pain and anxiety levels in women during urodynamic testing compared to the standard protocol.</p><p><strong>Methods: </strong>During December 2021 to October 2022, 50 patients attending the Female Pelvic Medicine and Reconstructive Surgery clinic at King Chulalongkorn Memorial Hospital, Bangkok, Thailand, that required urodynamic tests were randomized into the music intervention group and the control group (non-music). All participants were given questionnaires including demographic characteristics, pain score (Visual Analog Scale (VAS)), Thai-version State-Trait Anxiety Inventory Form (STAI) X-q by Spielberger, the embarrassment level and satisfaction score.</p><p><strong>Results: </strong>The median pain level with IQR (interquartile range) demonstrated no statistically significant differences between the two groups (2.50 (4.55) in the music group vs. 0.15 (2.18) in the non-music group, p = 0.064). There were no statistically significant differences in the mean total STAI score (41.07 ± 9.16 in the music group vs. 43.08 ± 7.96 in the non-music group, p = 0.415) and the median VAS of embarrassment score (4.05 (7.32) in the music group vs. 5.00 (6.20) in the non-music group, p = 0.646). There were no statistically significant differences in the satisfaction of both groups.</p><p><strong>Conclusion: </strong>There is no difference in the pain and anxiety in patients undergoing multichannel urodynamic testing with or without music intervention.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"About the Efficacy of Vaginal Erbium Laser Versus Pelvic Floor Muscle Training for Stress Urinary Incontinence.","authors":"Ali Furkan Batur, Elif Balevi Batur","doi":"10.1007/s00192-025-06166-2","DOIUrl":"https://doi.org/10.1007/s00192-025-06166-2","url":null,"abstract":"","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing Post-Operative Pain Outcomes in Pelvic Organ Prolapse Surgery With and Without a Hysterectomy.","authors":"Wesley Nilsson, Elizabeth Narwold, Lindsay Turner, Jonathan Shepherd","doi":"10.1007/s00192-025-06162-6","DOIUrl":"https://doi.org/10.1007/s00192-025-06162-6","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Many surgeons perform hysterectomy at the time of pelvic organ prolapse (POP) surgery if the uterus is present, but it is unknown how this impacts patient pain. The objective of this study was to compare POP surgeries with and without a hysterectomy for differences in post-operative pain using a visual analog scale (VAS), and morphine milligram equivalents (MME) at 24 h.</p><p><strong>Methods: </strong>This was a secondary analysis of a randomized controlled trial comparing the impact of pre-operative intravenous acetaminophen with placebo on post-operative pain following POP surgery.</p><p><strong>Results: </strong>We included 202 subjects undergoing minimally invasive POP surgery. A concomitant hysterectomy was performed in 120 of the subjects (59.4%). Most were white (97.5%), had baseline POP-Q stage III prolapse (75%), and BMI 27.8 ± 4.3 kg/m², with no difference between groups. Those with concomitant hysterectomy were younger (64.2 ± 10.5 vs 67.5 ± 8.7 years, p = 0.02). Length of stay was 0.9 ± 0.5 days, and similar between groups (p = 0.24). Operative time was longer with concomitant hysterectomy (186.1 ± 52.7 vs 123.1 ± 47.2 min, p = 0.02). VAS scores 24 h post-operatively (hysterectomy = 3.0 ± 2.3, no hysterectomy = 2.7 ± 2.3, p = 0.49) and MMEs (51.4 ± 74.5 vs 37.1 ± 60.4, p = 0.15) were both similar. Patient-Reported Outcomes Measurement Information System scores measuring pain interference showed no difference between groups (22.9 ± 9.7 vs 20.9 ± 9.3, p = 0.21, possible range 8-40). Linear regression showed that concomitant hysterectomy did not impact 24-h VAS scores (adjusted beta = 0.113; p = 0.77) and showed no impact on 24-h MME (adjusted beta = 14.25; p = 0.15).</p><p><strong>Conclusion: </strong>Although procedures were longer and patients were younger, with concomitant hysterectomy, there was no difference in 24-h VAS pain scores, 24-h MME opioid usage, or other pain metrics in POP surgeries with and without hysterectomy. Overall, opioid use and pain scores were low.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}