{"title":"Ageing and the bladder mucosa: A scoping review of recent animal model studies","authors":"Charlotte Phelps, Christian Moro","doi":"10.33235/anzcj.28.4.77-83","DOIUrl":"https://doi.org/10.33235/anzcj.28.4.77-83","url":null,"abstract":"The incidence of lower urinary tract symptoms increases with age. People with bladder disorders who are older than 60 years are more likely to comply and persist with treatment regimens, such as antimuscarinic medications for overactive bladder. Suggestions for these differences include lifestyle factors, greater compliance with medication prescription, or pharmacological and physiological changes to the receptors within the bladder tissue itself. This scoping review focused on the latter and sought to identify if there is recent evidence to support a prominent role for the internal lining of the urinary bladder, the bladder mucosa (urothelium with lamina propria), in age-related alterations. Although there continues to be substantial urological research in humans, animal models remain highly important for the assessment of physiological and pharmacological changes in the bladder. Recent work in this field brings insights into the overall understanding of bladder function and dysfunction. The PUBMED database was searched for studies published between 2018 and 2022. From the 25 articles identified, 10 were eligible for inclusion in the evaluation, and a risk of bias assessment was performed. Studies reported a variety of age-related alterations in the bladder mucosa. The most pronounced changes appear to be an inhibition of the mucosal barrier function and signalling pathways with ageing. Ageing also appeared to inhibit receptor systems associated with contraction inhibition, potentially leading to enhanced contractions. The overall evidence suggests that the increased prevalence of bladder contractile disorders seen in ageing may be due, in some part, to physiological alterations occurring within the bladder tissue itself.","PeriodicalId":320388,"journal":{"name":"Australian and New Zealand Continence Journal","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131826206","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":"Abstracts UroGynaecological Society of Australasia Annual Scientific Meeting, Sydney 21-24 September 2022","authors":"","doi":"10.33235/anzcj.28.4.89-94","DOIUrl":"https://doi.org/10.33235/anzcj.28.4.89-94","url":null,"abstract":"","PeriodicalId":320388,"journal":{"name":"Australian and New Zealand Continence Journal","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126264499","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":"Telehealth continence education classes: a feasible alternative to in-person classes","authors":"M. Collings, R. Brennen","doi":"10.33235/anzcj.28.4.84-88","DOIUrl":"https://doi.org/10.33235/anzcj.28.4.84-88","url":null,"abstract":"Due to the COVID-19 pandemic, many group education sessions provided by healthcare services during 2020 were transitioned to telehealth. Research evaluating the delivery of group continence education via telehealth is limited. To investigate the feasibility of telehealth continence education, we conducted a retrospective audit of telehealth classes from July to December 2020 and in-person continence education classes from July to December 2018. We compared client attendance to classes, demographic data including age and distance lived from the clinic, feedback survey responses, and time spent by staff organising and conducting the classes. Quantitative data were analysed using descriptive statistics. Qualitative survey responses were analysed to identify key feedback. The non-attendance rate for the telehealth classes was 32% (n=13) compared to 35% (n=26) for the in-person classes. Feedback for the telehealth classes was positive, with 73% of survey respondents agreeing or strongly agreeing that it was easy to join the session. All respondents agreed or strongly agreed that the telehealth classes were interesting compared to 94% of respondents for the in-person classes. Lack of access to, or familiarity with, technology were limiting factors for telehealth class attendance. Telehealth therefore appears to be a feasible modality for the delivery of continence education classes, with comparable attendance rates to in-person classes. However, access to technology may be a barrier to attendance for some clients and telehealth classes may be more time consuming for clinicians.","PeriodicalId":320388,"journal":{"name":"Australian and New Zealand Continence Journal","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132240764","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}
J. Ostaszkiewicz, L. Kosowicz, J. Cecil, Erica Wise, S. Garratt, B. Dow
{"title":"The design and feasibility pilot of a model to guide continence care in Australian residential aged care homes","authors":"J. Ostaszkiewicz, L. Kosowicz, J. Cecil, Erica Wise, S. Garratt, B. Dow","doi":"10.33235/anzcj.28.3.41-51","DOIUrl":"https://doi.org/10.33235/anzcj.28.3.41-51","url":null,"abstract":"To co-design and pilot test a best practice model of continence care and knowledge translation resources for Australian residential aged care, a mixed methods study was undertaken. The study had four stages: (1) a scoping review of literature; (2) a survey, interviews and co-design workshops with residential aged care stakeholders; (3) the co-design of a draft model and knowledge translation resources; and (4) a pilot trial of an education program and qualitative interviews with residents. The pilot trial involved a convenience sample of 22 staff (registered and enrolled nurses and personal care assistants) from two Australian residential aged care homes. Staff completed one pre- and two post-education surveys, and 13 aged care residents were interviewed about their views about continence care. Pilot test data revealed post-education improvements in staff knowledge for eight of the ten questions, and 100% agreement on the feasibility, appropriateness and acceptability of the model and education program. Of the 22 participants, 63% rated the education as ‘very helpful’ in applying the model to practice and 37% rated it as ‘somewhat helpful’. There was no statistically significant difference between the results of any of the three assessment surveys. A content analysis of resident interviews validated the importance of evidence-based, safe, clinically-informed, person-centred continence care that optimises a resident's functional abilities and responds to their individual needs, choices and dignity. The Continence Foundation of Australia has used these findings to design Continence SMART Care (CSC), which represents best practice continence care, meets the Aged Care Quality Standards, and aligns with current reform strategies for the aged care sector. Further research is required to determine the impact on practice and resident outcomes, and its relevance for use in other settings or countries.","PeriodicalId":320388,"journal":{"name":"Australian and New Zealand Continence Journal","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121375891","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":"Factors associated with poor bladder health in community-dwelling Australians aged 40–75 years","authors":"Susan J. Gordon, Karen A Grimme, N. Baker","doi":"10.33235/anzcj.28.3.52-58","DOIUrl":"https://doi.org/10.33235/anzcj.28.3.52-58","url":null,"abstract":"The objective of this study was to identify significant predictors of poor bladder health in middle-aged and older community-dwelling Australians that may be addressed by public health interventions. A cross-sectional study recruited 656 volunteers aged 40–75 years in one Australian state capital city. We report bladder health in this paper, measured as the summed non-sex-specific bladder health questions (N=5) in the Pelvic Floor Bother Questionnaire (PFBQ). Associations between bladder health and putative predictors identified from the literature (age; sex; health concerns; polypharmacy; smoking; cognition; nutrition; alcohol intake, regular exercise; body mass index; walking speed) were examined. Bladder health was tested as a scaled variable in three categories (no problems, some problems and many problems). Univariate linear regression models, chi square models and analysis of variance models were applied to test strength of associations. Significant crude associations between predictors and poor bladder health were stratified by gender and age groups (40–49 years, 50–59 years, 60–69 years and 70+ years) to test for confounding. The sample comprised 218 men and 438 women. Increasing age, high body mass index, slow walking speed and health concerns were significant crude predictors of poor bladder health. Gender and age were significant confounders of all these associations. Broad public health interventions that promote regular physical activity to people aged 45–75 years may result in faster walking speeds and lower body mass index, which in turn may improve general health, and prevent and improve poor bladder health.","PeriodicalId":320388,"journal":{"name":"Australian and New Zealand Continence Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127413609","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":"Poor pelvic floor health is associated with frailty in 40–75 year olds","authors":"Susan J. Gordon, K. Grimmer, N. Baker","doi":"10.33235/anzcj.28.3.59-70","DOIUrl":"https://doi.org/10.33235/anzcj.28.3.59-70","url":null,"abstract":"To determine the associations between pelvic floor health and frailty, and to identify variables associated with them, this study involved 656 community-dwellers aged 40–75 years who participated in a cross-sectional observational study. Participants completed the Pelvic Floor Bother Questionnaire and the Fried frailty phenotype assessment, and were assessed for putative predictors (sleep quality, body mass index, nutrition, psychological distress, hydration, smoking, alcohol, polypharmacy and health concerns). Differences were tested using analysis of variance models and chi square tests, and associations were tested using linear and logistic regression models. Bladder and bowel concerns were reported by men and women in all age groups, and 38% of participants exhibited at least one frailty element. There was a significant association between reporting frailty elements and poor pelvic floor health, and both were significantly associated with increasing age for men and women, poor sleep quality and high body mass index. Only pelvic floor health was significantly associated with health concerns and polypharmacy, and only frailty was significantly associated with smoking and alcohol consumption. Significant associations with alterable lifestyle and general health factors suggest that early interventions to improve pelvic floor health could impact on health and healthy ageing more broadly.","PeriodicalId":320388,"journal":{"name":"Australian and New Zealand Continence Journal","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123143373","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}
Kealey Kealey, H. Yao, Janice Cheng, Helen E. OConnell, J. Gani
{"title":"Busting for Botox®: an analysis of rebooking methods and delay to reinjection of intravesical Botulinum toxin A","authors":"Kealey Kealey, H. Yao, Janice Cheng, Helen E. OConnell, J. Gani","doi":"10.33235/anzcj.28.2.23-28","DOIUrl":"https://doi.org/10.33235/anzcj.28.2.23-28","url":null,"abstract":"","PeriodicalId":320388,"journal":{"name":"Australian and New Zealand Continence Journal","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124708676","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":"Pelvic floor muscle training to prevent stress urinary incontinence during pregnancy: a review","authors":"Alannah Turner","doi":"10.33235/anzcj.28.2.29-33","DOIUrl":"https://doi.org/10.33235/anzcj.28.2.29-33","url":null,"abstract":"","PeriodicalId":320388,"journal":{"name":"Australian and New Zealand Continence Journal","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114311669","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":"Abstracts Podium presentations 30th National Conference on Incontinence (NCOI 2022) 11-14 May 2022, at the Melbourne Convention & Exhibition Centre, Melbourne, Victoria","authors":"","doi":"10.33235/anzcj.28.suppl.s4","DOIUrl":"https://doi.org/10.33235/anzcj.28.suppl.s4","url":null,"abstract":"","PeriodicalId":320388,"journal":{"name":"Australian and New Zealand Continence Journal","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128894655","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":"Overflow effect of high intensity exercise in the treatment of urinary incontinence in spinal stroke: a case study","authors":"C. Myers, Moira Smith","doi":"10.33235/anzcj.28.1.9-14","DOIUrl":"https://doi.org/10.33235/anzcj.28.1.9-14","url":null,"abstract":"","PeriodicalId":320388,"journal":{"name":"Australian and New Zealand Continence Journal","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132796924","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}