Continence (Amsterdam, Netherlands)最新文献

{"title":"Patients’ experiences with self-management of conservative interventions for fecal incontinence","authors":"Donna Z. Bliss ,&nbsp;Marshall K. Muehlbauer ,&nbsp;Dominique Jamison ,&nbsp;Alexandra Weinberger ,&nbsp;Molly Conway ,&nbsp;Casey Kirchschlager ,&nbsp;Olga V. Gurvich ,&nbsp;Jeannine McCormick ,&nbsp;Ryanne Johnson ,&nbsp;Mary Benbenek ,&nbsp;Emma Jennings ,&nbsp;Joseph A. Konstan ,&nbsp;Holly E. Richter","doi":"10.1016/j.cont.2025.102273","DOIUrl":"10.1016/j.cont.2025.102273","url":null,"abstract":"<div><h3>Aims</h3><div>To describe patients’ experience self-managing conservative interventions for fecal incontinence (FI) during usual FI care.</div></div><div><h3>Methods</h3><div>Community-living adults with FI recruited from urogynecology and continence clinics participated in a pilot study developing a mobile application for FI self-management support. Data were collected using a demographics questionnaire, FI severity index tool, and semi-structured interviews about participants’ experience self-managing conservative interventions for FI which were part of their usual care treatment plan. Interviews were recorded and transcribed verbatim using online video software. Transcripts were analyzed using content analysis.</div></div><div><h3>Results</h3><div>Data from 17 women, aged 30 to ≥60 years, 9 White, 8 Black/African American, who had FI ranging from less than one year to more than 10 years were analyzed in this study. Themes of responses described starting interventions soon after receiving them, mixed opinions about ease of performing some interventions (e.g., pelvic floor muscle exercises, completing diaries), barriers to performing interventions (e.g., forgetfulness, no time), practical strategies facilitating self-management (e.g., setting alarms, keeping a schedule), emotional strategies that were supportive and motivating (e.g., maintaining hope, seeing positive results), and advice about self-management to others with FI (seek help, give it time).</div></div><div><h3>Conclusion</h3><div>Patient experiences provided clinicians with specific topics to target for patient education and ways to support themselves in self-managing FI.</div></div>","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"15 ","pages":"Article 102273"},"PeriodicalIF":0.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144680751","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":"Challenges associated with using continence management products: Qualitative study set in India, Papua New Guinea and Romania","authors":"Cathy Murphy ,&nbsp;Lucie Pannell ,&nbsp;Ritu Ghosh ,&nbsp;Sureshkumar Kamalakannan ,&nbsp;Vennila Palanivelu ,&nbsp;Almah Kuambu ,&nbsp;Ben Zuvani ,&nbsp;George Stefan ,&nbsp;Iuliana Mesesan","doi":"10.1016/j.cont.2025.101918","DOIUrl":"10.1016/j.cont.2025.101918","url":null,"abstract":"<div><h3>Background</h3><div>Effectively managing urine and faecal leakage is essential to maintain quality of life for people living with incontinence. Most people affected by long-term incontinence use continence management products (purchased or homemade). These products can have both positive and negative consequences. Globally, people living in lower and middle income settings often do not have access to products or only very limited options, but availability is increasing. Understanding the challenges of product use is important to support product decision making. The aim of this study was to identify and describe challenges associated with using continence management products for adults and young people living with incontinence in India, Papua New Guinea and Romania.</div></div><div><h3>Methods</h3><div>We used a qualitative exploratory design and participatory action research approach in this study. Data were collected using semi-structured interviews with 63 people (continence product user n = 42, parent/carer n = 21) who took part in a total of 54 interviews in India, Papua New Guinea and Romania. Secondary analysis of the data was undertaken using a framework approach to address the study aim.</div></div><div><h3>Results</h3><div>Participants used products namely, indwelling urinary catheters, disposable absorbent products and homemade products (e.g. bottles or blankets). Experiences varied widely and depended on individual characteristics and circumstances. Four themes were used to categorise the key challenges associated with continence product use (i. Physical side-effects, ii. Cost and impact on access, iii. Engagement in day-to-day activities and iv. Psychological and social effects). The large majority of participants reported one or more negative consequences of use, with skin damage, infection, embarrassment, smell, difficulties using or disposing of the products and cost dominating, varying by product type. Some challenges were relatively minor, but others (such as wounds or needing to move out of their home) were potentially life changing.</div></div><div><h3>Conclusion</h3><div>Most participants reported an overall benefit from using products, but many also experienced significant challenges. Some did not appear to be using an appropriate product to meet their needs or were using products incorrectly (e.g. not changing them frequently enough). Ensuring a range of products to meet individual needs will help mitigate against unintended harms. To optimise the benefits of product use, policy makers and service providers seeking to improve continence product provision should consider local and individual contexts, and ensure personnel are trained to support product selection and correct fit and usage.</div></div>","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"15 ","pages":"Article 101918"},"PeriodicalIF":0.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144631985","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":"Does the presence of Fowler's syndrome predicts successful long-term outcome of sacral nerve stimulation in women with non-obstructive urinary retention?","authors":"Mohammed Bassil Ismail ,&nbsp;Wameedh Qays Abdullhussein","doi":"10.1016/j.cont.2025.101919","DOIUrl":"10.1016/j.cont.2025.101919","url":null,"abstract":"","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"15 ","pages":"Article 101919"},"PeriodicalIF":0.0,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144632065","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 role of urodynamic study in pudendal nerve entrapment syndrome","authors":"C. Fernandes ,&nbsp;V. Viegas ,&nbsp;A. Artiles Medina ,&nbsp;J. Morale Herrea ,&nbsp;J. Casado ,&nbsp;L. Vega ,&nbsp;C. Luque ,&nbsp;L. San José ,&nbsp;L. López-Fando Lavalle","doi":"10.1016/j.cont.2025.101917","DOIUrl":"10.1016/j.cont.2025.101917","url":null,"abstract":"<div><h3>Introductions and aims:</h3><div>Pudendal nerve entrapment is a rare cause of pelvic pain that can be associated with lower urinary tract symptoms (LUTS). The LUTS incidence among PNE patients and the urodynamic study (UDS) role are underexplored. This study aims to explore the role of the UDS in PNE diagnosis and describe the prevalence of LUTS in this population.</div></div><div><h3>Material and methods:</h3><div>This retrospective, multicentric, cross-sectional study analyzed 144 patients with suspected PNE syndrome between 2016 and 2024. Electronic medical urology records of chronic pelvic pain patients were evaluated. The diagnosis of PNE was established based on neurophysiological tests (NFS) and response to pudendal nerve block. Complaints of LUTS were recorded, and UDS was systematically performed as part of the diagnostic course. PNE patients with LUTS who underwent surgery were evaluated considering LUTS and pain improvement at 12 months postoperatively.</div></div><div><h3>Results:</h3><div>A total of 87 patients (60.4%) were diagnosed with PNE. Among them, 51% reported LUTS, with a similar prevalence in women (56%) and men (55%). A statistically significant difference was found between gender and UDS dysfunction (<span><math><mrow><mi>p</mi><mo>=</mo><mn>0</mn><mo>.</mo><mn>013</mn></mrow></math></span>), with underactive detrusor predominance in women (44%) and bladder outlet obstruction in men (40%). LUTS were more prevalent in patients with CPP from other causes, in both females (<span><math><mrow><mi>p</mi><mo>=</mo><mn>0</mn><mo>.</mo><mn>027</mn></mrow></math></span>) and males (<span><math><mrow><mi>p</mi><mo>=</mo><mn>0</mn><mo>.</mo><mn>030</mn></mrow></math></span>). UDS dysfunctions showed a statistically significant difference between PNE and other CPP causes only in females (<span><math><mrow><mi>p</mi><mo>=</mo><mn>0</mn><mo>.</mo><mn>023</mn></mrow></math></span>). Female PNE patients have more UDS anomalies in comparison to CPP from other causes. Of the PNE patients with LUTS, only 24 (60%) underwent surgery, and 11 (45.8%) experienced symptom improvement. In the univariate analysis, UDS results did not predict LUTS improvement after surgery (<span><math><mrow><mi>p</mi><mo>=</mo><mn>0</mn><mo>.</mo><mn>680</mn></mrow></math></span>).</div></div><div><h3>Conclusion:</h3><div><em>LUTS are highly prevalent in PNE and detectable in UDS. Assessing u</em>rinary symptoms is crucial in <em>PNE evaluation.</em> Urodynamic tests help clarify if LUTS stems from PNE or other CP causes. However, UDS findings do not predict LUTS improvement after surgery.</div></div>","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"15 ","pages":"Article 101917"},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144330557","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":"Global insights into overactive bladder management: A survey of physician preferences and practices","authors":"Omer Anis ,&nbsp;Mikolaj Przydacz ,&nbsp;Tyler Trump ,&nbsp;Saar Anis ,&nbsp;Howard B. Goldman","doi":"10.1016/j.cont.2025.101913","DOIUrl":"10.1016/j.cont.2025.101913","url":null,"abstract":"<div><h3>Introduction</h3><div>Overactive bladder syndrome (OAB) is a prevalent condition characterized by urinary urgency, frequency, and nocturia, significantly affecting quality of life. Despite advancements in treatment options, physician practices and preferences for managing OAB vary widely, especially between different specialties. This study aims to evaluate the current global trends, preferences, and barriers regarding the selection and use of available third-line therapies for OAB, with a focus on which treatments are most commonly available and preferred in clinical practice.</div></div><div><h3>Methods:</h3><div>This cross-sectional survey aimed to gather insights into physicians’ practices and opinions regarding OAB management. A 17-item questionnaire was developed and distributed electronically to members of the International Continence Society (ICS). The survey, conducted from April to July 2024, collected anonymous responses from 201 physicians. Data analysis included descriptive statistics, chi-square tests, and ANOVA using R software.</div></div><div><h3>Results:</h3><div>A total of 201 physicians responded, 60.7% of whom had completed fellowship training in relevant specialties. Among third line therapies, botulinum toxin injections and sacral neuromodulation (SNM) were the most favored treatments, with 46.2% and 29.9% of respondents rating them highly favorable, respectively. Urogynecologists from obstetrics and gynecology (OB-GYN) specialties were less likely to favor posterior tibial nerve stimulation (PTNS) compared to their urology-trained counterparts (p&lt;0.001). Fellowship training significantly impacted the timing of follow-ups, with fellowship-trained physicians more likely to see patients at 4 weeks post-treatment. Key barriers to advanced therapies included patient resistance to implantable devices (65.8%) and limited neuromodulation training (27.9%).</div></div><div><h3>Conclusions:</h3><div>The management of OAB varies significantly across specialties, with notable differences in treatment preferences and barriers. While botulinum toxin and SNM remain popular choices, the availability of newer therapies such as implantable tibial nerve stimulation remains limited. Understanding these trends can inform future research and clinical guidelines aimed at improving OAB management and addressing barriers to advanced therapies.</div></div>","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"15 ","pages":"Article 101913"},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144587459","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":"Increased prevalence of primary bladder neck obstruction in conditions associated with hyperadrenergic signaling","authors":"Benjamin E. Rubin ,&nbsp;Jacob I. Bleau ,&nbsp;Curtis A. Plante ,&nbsp;Craig V. Comiter","doi":"10.1016/j.cont.2025.101911","DOIUrl":"10.1016/j.cont.2025.101911","url":null,"abstract":"<div><div>Voiding dysfunction in primary bladder neck obstruction (PBNO) results from incomplete relaxation of the bladder neck, creating a functional obstruction. The efficacy of alpha-adrenergic antagonists supports the contention that adrenergic overactivity may contribute to increased bladder neck tone. This study examines the association between hyperadrenergic conditions and PBNO prevalence.</div><div>We conducted an observational study using the TriNetX database from 2004–2024. Males and females (<span><math><mo>≥</mo></math></span>18 years) were stratified into cohorts based on common disease states associated with hyperadrenergic signaling: anxiety, hypertension, obstructive sleep apnea, or heart failure. Each cohort was propensity score-matched to controls by age and BMI. Odds ratios (OR) with 95% confidence intervals (CIs) were calculated for PBNO prevalence, with statistical significance set at p &lt; 0.01.</div><div>PBNO prevalence was significantly higher in all hyperadrenergic cohorts than in control groups without the diseases. Hypertension showed the strongest association, with ORs of 3.86 (males) and 4.96 (females). Anxiety also demonstrated substantial associations (ORs: 2.68 males, 3.14 females). All comparisons were statistically significant (p &lt; 0.0001).</div><div>Our findings demonstrate a significant association between conditions characterized by increased adrenergic signaling and PBNO. The consistently higher ORs observed across all studied conditions, particularly hypertension and anxiety disorders, support the hypothesis that adrenergic overactivity may contribute to PBNO pathogenesis. These results suggest that patients with hyperadrenergic conditions may be at increased risk for PBNO and could benefit from targeted screening. Clinicians should consider the potential impact of these systemic conditions when evaluating and managing patients with lower urinary tract symptoms suggestive of PBNO.</div></div>","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"15 ","pages":"Article 101911"},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230450","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":"85 - Sharing a Best Practice for the use of intermittent catheterization in management of Urinary Retention due to benign prostatic hyperplasia","authors":"Eugenia Fragalà ,&nbsp;Alberto Feruzzi ,&nbsp;Valerio Vagnoni ,&nbsp;Giulia Guidotti ,&nbsp;Giovanni Sernaglia ,&nbsp;Maria Grazia Conti ,&nbsp;Samanta Fornia ,&nbsp;Giacomo Saraceni ,&nbsp;Rocco Francesco Delle Fave ,&nbsp;Marco Guerra ,&nbsp;Alexia Vici ,&nbsp;Mara Bacchiani ,&nbsp;Roberta Gunelli","doi":"10.1016/j.cont.2025.101851","DOIUrl":"10.1016/j.cont.2025.101851","url":null,"abstract":"","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"14 ","pages":"Article 101851"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144364655","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":"91 - Videourodynamic study as predictive tool in chronic urinary retention","authors":"Martina Bruniera,&nbsp;Valeria Lami,&nbsp;Martina Ganninò,&nbsp;Simone Botti,&nbsp;Fabrizio Dal Moro","doi":"10.1016/j.cont.2025.101857","DOIUrl":"10.1016/j.cont.2025.101857","url":null,"abstract":"","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"14 ","pages":"Article 101857"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144364985","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":"11 - The influence of a dedicated environment and postoperative care on urinary diversions in neurogenic lower urinary tract dysfunctions (nlutds)","authors":"Paolo Geretto ,&nbsp;Alberto Manassero ,&nbsp;Enrico Ammirati ,&nbsp;Marco Falcone ,&nbsp;Marco Agnello ,&nbsp;Beatrice Lillaz ,&nbsp;Paolo Gontero ,&nbsp;Alessandro Giammò","doi":"10.1016/j.cont.2025.101778","DOIUrl":"10.1016/j.cont.2025.101778","url":null,"abstract":"","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"14 ","pages":"Article 101778"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144365016","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":"32 - D-mannose, to prevent Uti in vaginal surgery: A single-center prospective randomized pilot study","authors":"Matteo Epis ,&nbsp;Brigida Rocchi ,&nbsp;Michelangelo Montoli ,&nbsp;Riccardo Garruto Campanile ,&nbsp;Valentina Fava ,&nbsp;Oreste Risi ,&nbsp;Villa Antonella","doi":"10.1016/j.cont.2025.101799","DOIUrl":"10.1016/j.cont.2025.101799","url":null,"abstract":"","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"14 ","pages":"Article 101799"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144365018","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}