Continence (Amsterdam, Netherlands)最新文献

{"title":"Comparative evaluation of water-filled and air-charged catheters in urodynamic studies for women with stress urinary incontinence","authors":"Nikita Kazakov,&nbsp;George Kasyan,&nbsp;Igor Gritskov,&nbsp;Roman Stroganov,&nbsp;Bagrat Grigoryan,&nbsp;Arman Sarukhanian,&nbsp;Dmitry Pushkar","doi":"10.1016/j.cont.2025.101766","DOIUrl":"10.1016/j.cont.2025.101766","url":null,"abstract":"<div><h3>Objective:</h3><div>This study aimed to compare pressure measurements obtained using water-filled catheters (WFC) and air-charged catheters (ACC) during comprehensive urodynamic studies (UDS) in women with stress urinary incontinence (SUI).</div></div><div><h3>Materials and Methods:</h3><div>A prospective comparative study was conducted on 41 female patients with SUI who underwent UDS with simultaneous placement of WFC and ACC between January and May 2024. Intravesical, abdominal, and detrusor pressures were recorded at the end of the bladder filling phase and during voiding, coughing (Pc), and the Valsalva maneuver (Pv). The Shapiro–Wilk test was used to assess the normality of the data, while the Mann–Whitney U test and Student’s t-test were applied for statistical comparison between the two catheter systems. A <span><math><mi>p</mi></math></span>-value of &lt;0.05 was considered statistically significant.</div></div><div><h3>Results:</h3><div>No statistically significant differences were found in intravesical pressure between WFC and ACC at the end of the filling phase (p &gt; 0.05). However, significant differences were observed in abdominal pressure (Pabd), with ACC recording higher values (p &lt; 0.05). No significant differences were noted in maximum detrusor pressure during voiding (p &gt; 0.05). Intravesical pressures during coughing and the Valsalva maneuver were significantly higher with ACC compared to WFC (p &lt; 0.05).</div></div><div><h3>Conclusion:</h3><div>This study demonstrates significant differences between water-filled and air-charged catheters in measuring Pabd, Pc, and Pv. While both systems have their merits, careful consideration is required when interpreting results obtained with ACC. Future research should explore refining standardization protocols to enhance the reliability of urodynamic assessments.</div></div>","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"14 ","pages":"Article 101766"},"PeriodicalIF":0.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851986","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":"Outcomes for obstetric anal sphincter injuries and anal incontinence following introduction of a perineal bundle","authors":"Rebecca Young ,&nbsp;Anita Pfeiffer ,&nbsp;Eve Slavich ,&nbsp;Emmanuel Karantanis","doi":"10.1016/j.cont.2025.101762","DOIUrl":"10.1016/j.cont.2025.101762","url":null,"abstract":"<div><h3>Introduction:</h3><div>In Australia a national improvement program was implemented in 2018, with the aim to reduce obstetric anal sphincter injuries (OASI) by 20% through introduction of a perineal protection bundle (PPB). This involved warm compresses in the second stage, a controlled hands-on birth, a specific technique for episiotomy, routine rectal examination and grading of perineal tears by two experienced clinicians. This study reviews the effect at one site by outlining the impact on OASI rates and anal incontinence in first vaginal births.</div></div><div><h3>Methods:</h3><div>Retrospective deidentified data was extracted to compare women’s outcomes before, during and after implementation. The PPB was implemented as standard of care for all vaginal births, with each element being recommended to care providers and consent obtained by clinicians for each woman. For analysis we included all women who had their first vaginal birth from 2016–June 2023. A statistical analysis compared the periods prior to use (2016–17, 1830 women), when it was implemented (2018, 784 women), and following (2019–2023, 3581 women). All women who sustained OASI were offered review in at 6 weeks and 6 months, where a St Mark’s Incontinence Score was obtained. Rates of OASI, caesarean at full dilatation, episiotomies and anal incontinence rates where OASI was sustained were compared using the odds ratio chi-square test.</div></div><div><h3>Results:</h3><div>A 40% reduction (3.3% absolute reduction from 8.3% to 5.0%) in OASI was noted. There was an increase in the episiotomy rate from 48% to 56% (OR 1.37), however this was mostly for vacuums, with no evidence for a significant increase in normal vaginal births. There was no change in caesarean sections at full dilatation (3%). There was no significant difference in anal incontinence before, during or after, with St Mark’s Incontinence Scores of <span><math><mo>≥</mo></math></span> 6 in 6.4%–11.3% at 6 weeks, and 3.5%–5% at 6 months.</div></div><div><h3>Conclusion:</h3><div>The study identified a reduction in OASI however no reduction in anal incontinence. This provides support for use of the PPB. This study is limited in that we were only able to review outcomes from a single site, with implementation of multiple changes in practice simultaneously.</div></div>","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"14 ","pages":"Article 101762"},"PeriodicalIF":0.0,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828196","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":"ICS teaching module on urodynamics for lower urinary tract symptoms in men","authors":"Sanjay Sinha ,&nbsp;Tufan Tarcan ,&nbsp;John Speich ,&nbsp;Mauricio Plata ,&nbsp;Enrico Finazzi-Agro ,&nbsp;Marcus Drake","doi":"10.1016/j.cont.2025.101758","DOIUrl":"10.1016/j.cont.2025.101758","url":null,"abstract":"<div><h3>Aims:</h3><div>To present the body of evidence about the urodynamic assessment and diagnosis of male lower urinary tract symptoms (LUTS) and to serve as a scientific background review and evidence base for the presentation available on the International Continence Society (ICS) website on Urodynamics in male LUTS.</div></div><div><h3>Methods:</h3><div>This teaching module was developed by the Urodynamics Committee of the ICS as a clinical practice tool. The module examines the indications, pre-test preparation, urodynamics technique, key findings, and interpretation, of urodynamics in adult men presenting with refractory voiding or storage LUTS. The module is based on evidence, clinical practice guidelines, existing ICS Standardization documents, and consensus formation by the members of the Working Group, and review by the members of the ICS Urodynamics and Standardization Steering Committees. The module is complemented by educational material on the ICS website.</div></div><div><h3>Results:</h3><div>Invasive urodynamics should be considered in select men before surgery to quantify obstruction and the detrusor voiding contraction, as well as identify relevant storage abnormalities that might impact therapeutic strategy or prognosis. Initial evaluation frames the urodynamics question, informs technique, stratifies risk of infection, and provides input for interpretation of results. Adherence to the ICS standard technique of urodynamics and quality control, with clear annotations on the tracings, are crucial. Analysis includes scrutiny of the traces, and calculation of the ICS-Bladder Outflow Obstruction Index and ICS-Detrusor Contraction Index. When indicated, video-urodynamics can be used to locate the site of obstruction.</div></div><div><h3>Conclusion:</h3><div>Urodynamics is useful in select men with LUTS and is usually offered only when invasive therapies are being considered. Combining information from urodynamics with clinical data is recommended.</div></div>","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"14 ","pages":"Article 101758"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143726142","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 synthetic mid-urethral sling complications","authors":"Helen E. O’Connell ,&nbsp;Christopher K. Harding ,&nbsp;Gaurav Khatri ,&nbsp;Phyllis Glanc ,&nbsp;Eric Bautrant ,&nbsp;Sarah Love-Jones ,&nbsp;Karen Ward ,&nbsp;Henry H. Yao ,&nbsp;Ventia Hoe ,&nbsp;Charlotte Korte ,&nbsp;Nicolle Germano ,&nbsp;Sanjeevan Kalavampara ,&nbsp;Sherif Mourad ,&nbsp;Hashim Hashim","doi":"10.1016/j.cont.2025.101760","DOIUrl":"10.1016/j.cont.2025.101760","url":null,"abstract":"<div><h3>Background and Objective:</h3><div>Synthetic Mid-Urethral Slings (SMUS) have been widely used with benefit to many women. Complications arise in a small proportion, occurring acutely in the perioperative stage, post-operatively and in a delayed fashion many years after implantation. Clinical trials provide data on selected patients who are as homogeneous as possible. Real world studies rarely provide detail on the denominator population from which the sample originates. Mature clinical quality registries (CQR) provide long term data on a non selected population who have undergone a procedure for a given condition. Near complete case ascertainment is the goal and there are many examples in other clinical areas.</div><div>Due to the serious and potentially life changing nature of some of the complications that may arise following SMUS, health agencies instigated action on behalf of patients to promote improvements in care.</div></div><div><h3>Methods and Limitations:</h3><div>The International Continence Society (ICS) assembled a multidisciplinary working group to forge this guidance. The working group includes 2 consumer advocates and relevant medical expertise. The management of complications following SMUS placement is discussed and algorithms are provided for each of the common complications of SMUS. The recommendations are based on an expert consensus derived from experience and limited data from a multiple narrative and systematic reviews of the literature. Due to a retrospective design, low cohort numbers, short follow-up and inconsistent definitions, all the studies were at high risk of bias (Figure 1).</div></div><div><h3>Key Findings and Conclusions:</h3><div>This overview of SMUS complications commissioned by the ICS aims to provide background literature and algorithms for management of common problems that may present, though it is not exhaustive. Problems such as recurrent urine infection and overactive bladder may have their root cause in an obstructive SMUS. The temporal link between sling implantation and onset of symptoms is not always evident and patients are not always aware that an SMUS was implanted as part of a pelvic floor procedure. Clinicians need to be assiduous in their history taking and physical examination to determine the likely root cause using imaging or other tests judiciously. Multi-disciplinary teams (MDT) are required particularly where chronic pain has developed</div></div>","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"14 ","pages":"Article 101760"},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715611","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":"Iltamiocel cell therapy in women with recurrent or persistent stress urinary incontinence: Evidence from two double-blind, randomized, placebo-controlled trials","authors":"Melissa R. Kaufman ,&nbsp;Kenneth M. Peters ,&nbsp;Christopher J. Chermansky ,&nbsp;Kevin D. Benson ,&nbsp;Sherry Thomas ,&nbsp;Le Mai Tu ,&nbsp;Jason B. Bennett ,&nbsp;Roger Dmochowski ,&nbsp;Michael H. Heit ,&nbsp;Lieschen H. Quiroz ,&nbsp;Michael J. Kennelly ,&nbsp;Una J. Lee ,&nbsp;Eric R. Sokol ,&nbsp;Emanuele Canestrari ,&nbsp;Ron J. Jankowski ,&nbsp;Michael B. Chancellor","doi":"10.1016/j.cont.2025.101759","DOIUrl":"10.1016/j.cont.2025.101759","url":null,"abstract":"<div><h3>Rationale:</h3><div>Recurrent or persistent female stress urinary incontinence (SUI) following prior surgery represents an unmet medical need and a significant clinical challenge for physicians.</div></div><div><h3>Objectives:</h3><div>To report the integrated clinical experience from placebo-controlled studies of iltamiocel, an investigational autologous muscle cell therapy, in women with a history of prior SUI surgery.</div></div><div><h3>Findings:</h3><div>Results from two multicenter, randomized, placebo-controlled studies of iltamiocel were pooled. Efficacy assessments were based on change from baseline to 12 months in number of SUI episodes, quality of life, and symptom severity. A total of 92 female participants, 61 iltamiocel and 31 placebo, were enrolled. At 12 months after injection, a significantly greater proportion of iltamiocel-treated participants achieved <span><math><mo>≥</mo></math></span>75% reduction in SUI episodes compared with placebo (44.3% vs 16.1%, p=0.007). This treatment response was maintained out to 24 months in 84.2% of iltamiocel participants. In addition, significant differences were observed at 12 months between iltamiocel and placebo responders for the Incontinence Impact Questionnaire-7 (-31.7 vs -15.2; p=0.038) and the Severity Index for Urinary Incontinence in Women (-2.8 vs -0.3; p=0.011). No serious adverse reactions related to iltamiocel were reported. Adverse events related to the treatment procedures were reported in 6 (9.8%) iltamiocel participants and 4 (16.1%) placebo participants.</div></div><div><h3>Conclusions:</h3><div>Iltamiocel demonstrates significant and sustained efficacy in reducing SUI episodes and improving quality of life in women with recurrent or persistent SUI following prior surgical interventions. It offers a safe, effective and minimally invasive treatment option, addressing the need for robust management strategies in this challenging patient population.</div></div>","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"14 ","pages":"Article 101759"},"PeriodicalIF":0.0,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143799308","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":"Fundamentals of terminology in pelvic floor muscle assessment: A concise reference","authors":"Helena Frawley ,&nbsp;Beth Shelly ,&nbsp;Melanie Morin","doi":"10.1016/j.cont.2025.101756","DOIUrl":"10.1016/j.cont.2025.101756","url":null,"abstract":"<div><h3>Introduction:</h3><div>A comprehensive standardization of terminology document of the assessment of female and male pelvic floor muscle (PFM) function and dysfunction was published in 2021. A summary of this terminology document was required to provide an overview of the most commonly-used assessment methods and tools in clinical practice, for ease of use by clinicians in their everyday practice.</div></div><div><h3>Methods:</h3><div>This summary report contains commonly used terms for symptoms, signs, investigations and diagnoses related to PFM function and dysfunction, extracted from the full, comprehensive standardization of terminology document.</div></div><div><h3>Results:</h3><div>This summary report represents a concise document for clinicians in their assessment of PFM function and dysfunction, which may offer a quick reference for the busy clinician.</div></div><div><h3>Conclusion:</h3><div>In alignment with the full standardization of terminology document, this summary document is not intended to be a recommendation of assessment methods and tools to use in clinical practice or research; rather it is intended to be a summary reference paper for standardized description and definition of assessment method and interpretation of finding when a particular term is used. Psychometric and clinimetric properties of these terms are eagerly awaited, in order to guide decisions in clinical practice and research of the preferred assessment method(s)/tool(s) to measure a particular PFM property.</div></div>","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"14 ","pages":"Article 101756"},"PeriodicalIF":0.0,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682752","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":"Effective management of pelvic mesh complications during the Perioperative Pathway. Information for health professionals and a guide for patients","authors":"Charlotte Korte ,&nbsp;Nicolle Germano ,&nbsp;Hashim Hashim ,&nbsp;Sherif Mourad ,&nbsp;Chris Harding","doi":"10.1016/j.cont.2025.101757","DOIUrl":"10.1016/j.cont.2025.101757","url":null,"abstract":"<div><h3>Background/Objective:</h3><div>Pelvic mesh complications have gained significant attention in recent years, with the establishment of specialist centres and guidelines to address the growing concerns. Despite appropriate placement, complications can arise, leading to physical, psychological, and social ramifications for patients. The management of these complications remains an emerging field, hindered by limited research, inadequate data, and a lack of comprehensive guidelines. This article highlights the complexities of mesh injuries and emphasises the need for a patient-centred, trauma-informed approach to care, supported by multidisciplinary and interdisciplinary teams.</div></div><div><h3>Methods:</h3><div>The International Continence Society (ICS) formed a multidisciplinary working group, comprising urologists, urogynaecologists, colorectal surgeons, radiologists, pain specialists, and consumer representatives, to address mesh complications. Using a nominal group technique, the committee reached consensus on diagnostic and treatment pathways. The methodology focused on developing evidence-based recommendations for managing mesh complications, including pre- and post-operative care, informed consent, and trauma-informed practices.</div></div><div><h3>Key findings:</h3><div>The working group identified significant gaps in understanding mesh complications, including outcomes following partial versus total mesh excision and the impact of combined mesh excision with anti-incontinence procedures. The findings underscore the importance of a holistic, patient-centred approach, integrating multidisciplinary care, effective communication, and trauma-informed practices. Recommendations include the establishment of standardised care pathways, pre-operative counselling, and post-operative support to optimise patient outcomes. The article also provides a detailed guide for patients on recovery after mesh removal surgery, addressing potential complications and recovery strategies.</div></div><div><h3>Conclusions and Clinical Implications:</h3><div>Mesh complications have far-reaching consequences, necessitating a comprehensive, trauma-informed approach to care. The establishment of multidisciplinary teams, standardised care pathways, and patient-centred practices is critical to addressing the physical and psychological toll of mesh injuries. By fostering trust, improving communication, and prioritising holistic care, healthcare providers can better manage mesh complications and support patients through their recovery journey. This article serves as a call to action for improved research, data collection, and guideline development to enhance the management of pelvic mesh complications worldwide.</div></div>","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"14 ","pages":"Article 101757"},"PeriodicalIF":0.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807719","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":"Artificial Intelligence in Urodynamics (AI-UDS): The Next “Big Thing”","authors":"John E. Speich ,&nbsp;Adam P. Klausner","doi":"10.1016/j.cont.2025.101754","DOIUrl":"10.1016/j.cont.2025.101754","url":null,"abstract":"","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"13 ","pages":"Article 101754"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143547897","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":"Bad orange nets? Abdominal mesh for genital prolapse highlighted","authors":"Steven E. Schraffordt Koops,&nbsp;Femke van Zanten","doi":"10.1016/j.cont.2025.101752","DOIUrl":"10.1016/j.cont.2025.101752","url":null,"abstract":"","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"14 ","pages":"Article 101752"},"PeriodicalIF":0.0,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143593413","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 prevalence of urinary incontinence in nulliparous and parous adult netball players","authors":"Naomi Gill ,&nbsp;Kuan-Yin Lin ,&nbsp;Eliza Whitford ,&nbsp;Sarah Jeffrey ,&nbsp;Helena Frawley","doi":"10.1016/j.cont.2025.101753","DOIUrl":"10.1016/j.cont.2025.101753","url":null,"abstract":"<div><h3>Introduction:</h3><div>Netball is a fast-paced high-impact sport, however the prevalence of urinary incontinence (UI) amongst netball players in unknown. The primary aim of this study was to investigate the prevalence of UI within nulliparous and parous non-elite netball players.</div></div><div><h3>Methods:</h3><div>A cross-sectional survey study was conducted in a netball league in South Australia. Eligible participants were female netball players (<span><math><mo>≥</mo></math></span>18 years). A survey specific to symptoms of UI while playing netball was designed and piloted. The surveys were distributed during training sessions. The question “Do you ever leak urine while training or playing netball” was used to assess prevalence of UI while participating in netball. The Questionnaire for Urinary Incontinence Diagnosis (QUID) was used to assess UI in daily life. Data were analysed using descriptive statistics, chi-square test and logistic regression.</div></div><div><h3>Results:</h3><div>Response rate was 77% (176/229). Half (88/176) of the sample was parous, 46% (81/176) nulliparous. Prevalence of UI while participating in netball was 29% (51/176, 95%CI 22.8-36.1%) in the whole sample, 43% (38/88, 95%CI 33.3-53.6%) in the parous group and 14% (11/81,95%CI 7.8-22.7%) in the nulliparous group. Prevalence of UI in daily life was 61% (107/176, 95%CI 53.4-67.7%) in the whole sample. The mean QUID stress score was 1.8 and urge score was 2 in the whole sample, indicating low frequency of UI leaks during activities of daily living.</div></div><div><h3>Conclusion:</h3><div>This study has identified a significant proportion of women playing netball at club level experience UI. Screening for UI within netball clubs may assist symptomatic women to receive early treatment.</div></div>","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"13 ","pages":"Article 101753"},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143437393","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}