Questionnaire For Urinary Incontinence Diagnosis Research Articles

Urinary Incontinence, Its Risk Factors, and Quality of Life: A Prevalence Study, among Young Adult Women of Ahmedabad City, Gujarat

Context: Urinary incontinence (UI) is a chronic debilitating disease that is often underreported, but it has a significant impact on one’s quality of life (QoL) thus it is of public health importance. Aims: This study aims to find out the prevalence of UI among young adult women, its associated risk factors, and treatment-seeking behavior, QoL in affected women. Methods: It is a clinic-based observational study and simple random sampling conducted on 8th March 2022 in young adult women, A Prevalence of 285 women for the survey for urinary incontinence was taken, where 206 women between 30 to 45 age were included in the study on basis of answering appropriately with a response rate of 72.2%. women having urinary incontinence in their lifespan have filled out the Questionnaire for Urinary Incontinence Diagnosis (QUID). Results: The result shows the descriptive characteristic of the study from 206 responses, prevalence rate shows 51% of women had suffered from urinary incontinence in their lifespan. women having urinary incontinence while coughing or sneezing is 20% rarely, 42% once in a while, 30% often, 6% most of the time, women’s having urinary incontinence while bending down or lifting something is 36% rarely, 29% once in a while, 23% often, 10% most of the time, women’s having urinary incontinence while walking quickly, jogging or exercising is 40% rarely, 31% once in a while, 20% often, 7% most of the time, women’s having urinary incontinence in their life span Conclusions: In conclusion, our result has shown that more than 50% of young adult women have suffered from urinary incontinence in their lifespan and need physiotherapy for the different types of urinary incontinence

The Effectiveness of Modified Pilates Program with and without Kinesiotaping on Postnatal Urinary Stress Incontinence: A Randomized Clinical Trial

Introduction: Urinary Stress Incontinence is very common condition seen in postnatal woman. Without pelvic floor strengthening this condition will lead to social inhibition. The rate of urinary stress incontinence is more in normal vaginal delivery compared to C-Section. Few authors have demonstrated the effectiveness of Kegal exercise and Pilates on such woman with urinary stress incontinence. There is dirth in the literature related to effect of Kinesiotaping in reduction of urinary stress incontinence.
 Research Objective: The objective of the research was to find out the effect of Kinesiotape along with the Modified Pilates program on subjects with postnatal urinary incontinence.
 Methodology: This is an experimental study with randomised clinical trial design and the study setting was Bruhat Bangalore Mahanagar Palike, and the included 50 postnatal women who underwent vaginal delivery. The sample was divided into two groups: Group A (25) were subjected to Modified Pilates Program with Kinesiotaping and Group B (25) were subjected to Modified Pilates Program alone. The intervention was conducted for 6 weeks. The outcome measures like: PERFECT Scheme, Questionnaire for Urinary Incontinence Diagnosis and Urogenital Distress Inventory were assessed both pre and post therapy at 6th week.
 Results: Pre therapy both groups showed no statistical significance. Post therapy; Group A showed significant result with respect to all three outcome measures PERFECT (<0.0001), QUID (<0.001) and UDI (<0.001) and Group B showed significance only with respect to PERFECT Scheme (<0.05).
 Conclusion: The study concluded that Modified Pilates will no doubt strengthen the pelvic floor muscle; but Kinesiotape addition to it will improve the strength by maintaining it and thus increasing the quality of life of the patient. Thus, using kinesiotape during the pelvic floor rehabilitation of Postnatal women with stress incontinence will provide benefit to the patient.
 Summary: The current article concludes that Modified Pilates will strengthen the pelvic floor because of the abdominal cylinder involved along with Kinesiotape will add on to reduction in urinary incontinence because of the stimulation of sacral plexus.

URINARY INCONTINENCE AMONG PERI AND POSTMENOPAUSAL WOMEN

Background: Urinary incontinence is a common problem in peri and post-menopausal age. The aim of this study was to find the prevalence of urinary incontinence in peri and post-menopausal women attending Gynecology clinic in a tertiary care centre. Methods: This descriptive study was conducted among women over 40 years of age attending gynaecologic outpatient department of Paropakar Maternity and Women’s Hospital, from March 2023 to June 2023. Ethical approval was obtained from the Institutional Review Board. Convenience sampling method was used for data collection. General characteristics were recorded in preformed Performa and incontinence symptoms were recorded on the Questionnaire for Urinary Incontinence Diagnosis. The data collected using Microsoft excel, recorded and analysed using Statistical Package for Social Sciences version 29 and Mean was calculated. Results: Total of 375 women were included in the study out of which 244 (65%) had incontinence. Stress urinary incontinence was the most common type of incontinence in this age group. Education status, parity, pelvic organ prolapse stage 2 and above, smoking have significant effect on urinary incontinence. Conclusions: Our study showed that urinary incontinence is a common condition in peri and post-menopausal women and prevalence is higher when specifically enquired.

Predictors of help-seeking behaviors in women with urinary incontinence: Based on Iranian women's lens.

This cross-sectional, analytical study was conducted on 199 women with urinary incontinence who met the inclusion criteria by convenience sampling from the beginning of 2020 to the middle of 2021. The Incontinence Severity Index, Bradley's Questionnaire for Urinary Incontinence Diagnosis, Medical Embarrassment Questionnaires, Brief-Illness Perception Questionnaire, Incontinence Quality of Life Questionnaire, Barrier to Incontinence Care Seeking Questionnaire, Medical Help Seeking Scale, and Medical Outcomes Study Social Support Survey were all self-administered data collection tools used in this study. Multiple linear regression was used to investigate the relationship and prediction of help-seeking behaviors by other variables. To analyze the data, SPSS software version 20 was used. The variables of shame, barriers to care, social support, quality of life, and age were found to be predictors of help-seeking behavior in the research population of women with urinary incontinence. Help-seeking had a direct relationship with quality of life and an inverse relationship with other factors. Among these factors, shame has the greatest impact (P = 0/001, β = - 0/37). The extracted predictors, especially the variable of "shame" as the most important negative factor related to the treatment decisions of women with urinary incontinence, will help to health service providers to take into account these factors in the regular service provision programs that promote women's health, which are effective in facilitating the help-seeking of sufferers and correct guidance towards treatment or rehabilitation.

Prevalence of urinary incontinence among women in Saudi Arabia: a cross-sectional study.

Urinary incontinence is defined as involuntary loss of urine, a common health condition that is more frequent in women. It disturbs the affected individuals and interferes with their daily activities. This study aimed to estimate the prevalence of urinary incontinence among Saudi women in the western area of the Kingdom of Saudi Arabia. A descriptive cross-sectional design was used for this study. A survey was administered to Saudi women in the western area of the Kingdom of Saudi Arabia ranging in age from 18 to 70 years. The data were collected using the Arabic version of the Questionnaire for Urinary Incontinence Diagnosis. Descriptive statistics were generated by calculating numbers and percentages of information on the prevalence of incontinence in women. p-values < 0.05 were considered statistically significant. The prevalence of urinary incontinence was 44.2%, with the urge type being the most reported. Stress urinary incontinence was reported by 155 women (15.4%), urgency urinary incontinence by 257 women (25.6%), and mixed urinary incontinence by 102 women (10.15%). Urinary incontinence is prevalent in women in Western Saudi Arabia. Age, multiparty obesity, and vaginal surgery are significant risk factors influencing its occurrence.

(054) Improvement of Lower Urinary Tract Symptoms by Treating Pelvic Floor Muscle Increased Tone

Abstract Introduction Physical therapy is first line treatment for women diagnosed with urinary incontinence (UI). However, while pelvic floor muscle (PMF) strengthening for decreased PFM tone is well published, there is minimal data evaluating appropriate treatment strategies for PFMs increased tone on the improving of UI. Objective To retrospectively analyze the effectiveness of normalization of PFM tone on lower urinary tract symptoms (LUTS) of women with either stress urinary incontinence (SUI), overactive bladder (OAB), or urgency urinary incontinence (UUI). Methods Medical records of women who received physical therapy care from January 2017 till July 2021 for LUTS and who had increased PFM tone were included in this retrospective, cohort study. Exclusion criteria: previous pelvic surgeries or physiotherapy treatment for PFM dysfunction, neuromuscular diseases, lichen sclerosus et atrophicus, and missing data. Baseline and post-treatment assessments were carried out for: (i) LUTS trough voiding diaries (data on urinary frequency, episodes of SUI, urinary urgency and UUI, nocturia and enuresis) and Questionnaire for Urinary Incontinence Diagnosis (QUID), assessing LUTS with scores from 0-15 (no symptoms to maximum symptomatology); (ii.) PFM tone, via digital palpation using a 7-level grading score (Reissing Scale) from -3 (most decreased) to +3 (most increased PFM tone); (iii.) pain intensity - PFMs active trigger points (TP) were each rated from 0 (no pain) to 10 (worst possible pain) according to the Numerical Rate Scale (NRS); and (iv.) PFM power of contraction (PERFECT scheme). Treatment consisted of in-office physical therapy (including myofascial release, manual stretching of the vaginal walls and perineal massage) twice weekly during six weeks. Self-vaginal stretching and perineal massage was to be done daily by the women over the duration of care. Results Women (n=127) presenting LUTS and increased PFM tone were diagnosed with SUI (35%), OAB (21%), or mixed UI (44%). Mean age was 52 (±13.4). Women presenting normal PFM tone (0) after treatment showed a greater power of PFM contraction when compared to those who maintained tone (≥1) after treatment (2.7±0.9 vs. 2.2±0.6; p=.01; d=0.6) as well as a reduction in SUI episodes (0.1±0.31 vs. 1±1.5; p=.01; d=0.8). Women with improved SUI symptoms at the post-treatment assessment (QUID-SUI score ≤1) compared to those who maintained them (QUID-SUI score &amp;gt;1), had decreased mean of pain intensity (0.88±1.77 vs. 2.59±2.78; p=.002; d=.73) as well as at any given PFM TP according to NRS (0.97±1.92 vs. 2.90± 3.26; p=.002; d=.72). With regard to symptoms of OAB, women who scored ≤1 on the QUID-OAB post-treatment compared to those who scored &amp;gt;1 also showed significant decrease in pain intensity at all trigger points (0.85±1.76 vs. 2.16±2.52; p=.009; d=.60), with maximum pain intensity (0.94±2 .00 vs. 2.42±2.92; p=.010; d=.59), and experienced decreased tone in the right vaginal wall (0.05±0.22 vs. 0.41±0.73; p=.019; d=.67). A mild correlation between increased tone and SUI (p=0.04; r=0.32), episodes of urinary urgency (p=0.02; r=0.37), and nocturia (p=0.007; r=0.43) were shown. Conclusions These study findings points toward to the importance of focusing physiotherapeutic techniques to normalize PFM tone in women with LUTS and increased PFM tone. Disclosure No

PD14-01 FRACTIONAL CARBON DIOXIDE VAGINAL LASER FOR THE TREATMENT OF URINARY SYMPTOMS: 24 MONTHS RESULTS

You have accessJournal of UrologyCME1 Apr 2023PD14-01 FRACTIONAL CARBON DIOXIDE VAGINAL LASER FOR THE TREATMENT OF URINARY SYMPTOMS: 24 MONTHS RESULTS Nataljia Kovacevic, Bernadette Zwaans, Royal Oak, Mi, Ly Hoang Roberts, Evelyn Shea, Lisa Vergos, Danielle Tenney, Larry Sirls, Priya Padmanabhan, and Kenneth Peters Nataljia KovacevicNataljia Kovacevic More articles by this author , Bernadette ZwaansBernadette Zwaans More articles by this author , Royal OakRoyal Oak More articles by this author , Mi Mi More articles by this author , Ly Hoang RobertsLy Hoang Roberts More articles by this author , Evelyn SheaEvelyn Shea More articles by this author , Lisa VergosLisa Vergos More articles by this author , Danielle TenneyDanielle Tenney More articles by this author , Larry SirlsLarry Sirls More articles by this author , Priya PadmanabhanPriya Padmanabhan More articles by this author , and Kenneth PetersKenneth Peters More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003261.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Fractional carbon dioxide laser (fCO2) has been proposed to treat frequency, urgency, urge urinary incontinence (UUI), and stress urinary incontinence (SUI) in genitourinary symptoms of menopause (GSM). The laser’s thermal effects help collagen remodeling, thereby improving vaginal tissue integrity and urethral support. Our aim was to prospectively measure the effect of vaginal fCO2 laser therapy on SUI and overactive bladder (OAB) symptoms at 24 months. METHODS: Women over 18 years with urogenital symptoms were enrolled in an open-label prospective trial. Participants underwent 3 laser treatments, each 6 weeks apart. Patients were required to be off vaginal estrogen for 3 months prior to receiving any treatments. Patients were offered additional annual treatment sessions. Follow up consisted of 6, 12-, 18-, and 24-month visits during which various questionnaires were administered including the Incontinence-Quality of Life (I-QOL), Overactive Bladder Questionnaire short form (OABq-SF), and Questionnaire for Urinary Incontinence Diagnosis (QUID). A voiding diary was collected at baseline, 6-, 12-, and 24- month visits. ANOVA analysis was used to compare means at each time point. RESULTS: 100 patients were enrolled at time of analysis. Baseline urinary symptoms consisted of 44.8% of patients with SUI, 57.1% with UUI, and 75.4% with frequency. Significant reduction in SUI episodes was observed at 6, and 24 months (p=0.0135; Figure 1), and participants noted improvement on QUID-SUI at 6, 12, and 24 months (p<0.0001). Number of urge leaks did not significantly improve on voiding diary (=0.0512), but significant subjective improvement was noted for OAB/UUI based on QUID-UUI and OABq-SF symptom scores at each time point (p<0.0001; Figure 1). Mean Patient Global Impression of Improvement scores improved at each treatment and follow up visit, with 46.4% reporting significant symptom improvement by 24 months. Participants had improvement between baseline and 24 months in vulvar dryness (50.9% vs 25%) and vulvar pain (48% vs 13%). CONCLUSIONS: This represents the longest prospective follow-up of laser effects on GSM associated urinary symptoms. Significant subjective improvement was noted for SUI and OAB/UUI up to 24 months after treatment. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e412 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Nataljia Kovacevic More articles by this author Bernadette Zwaans More articles by this author Royal Oak More articles by this author Mi More articles by this author Ly Hoang Roberts More articles by this author Evelyn Shea More articles by this author Lisa Vergos More articles by this author Danielle Tenney More articles by this author Larry Sirls More articles by this author Priya Padmanabhan More articles by this author Kenneth Peters More articles by this author Expand All Advertisement PDF downloadLoading ...

Optimal Duration for Supervised Pelvic Floor Muscle Training in Stress Urinary Incontinence Women: A Prospective Study

Objectives: We evaluated the optimal duration of pelvic floor muscle training (PFMT) in stress urinary incontinence (SUI) patients. Methods: This cross-sectional study was conducted at Cipto Mangunkusumo Hospital from November 2018 to June 2019. We recruited 55 subjects diagnosed with SUI based on the questionnaire for urinary incontinence diagnosis (QUID) score &gt;4 and more than 2 grams of 1-hour pad test. Considering the inclusion and exclusion criteria, we taught and supervised them for PFMT and evaluated them every four weeks to observe the urogenital distress inventory-6 (UDI-6), incontinence impact questionnaire-7 (IIQ-7), 1-hour pad test, and perineometer score. We used the Wilcoxon test to evaluate the improvement at a significance level of P&lt;0.05. Results: Our subjects were mostly obese (65%), 30-55 years old (60%), and had &gt;2 children (90%). There were improvements in UDI-6 and IIQ-7 for every four weeks up to 12 weeks of PFMT (P&lt;0.05, 95% CI). Pelvic floor muscle strength only improved significantly (P=0.001 and P=0.006, respectively) after eight weeks of PFMT. Also, the 1-hour pad test score decreased significantly after four weeks of training (P&lt;0.001). Discussion: SUI distress and symptoms decrease after four weeks of Kegel exercises and continue to improve until 12 weeks of therapy. However, the 1-hour pad test reaches clinical and statistical significance during the first month of exercise with no further improvement clinically. Pelvic floor muscle strength increased significantly after eight weeks of training.

Prevalence and severity of urinary incontinence and associated factors in Iranian postmenopausal women: a cross-sectional study

BackgroundUrinary incontinence (UI) is one of the most common symptoms during menopause, leading to a decreased quality of life and limited social activities. This study aimed to determine the prevalence and severity of urinary incontinence and associated risk factors in postmenopausal women.MethodsIt was a cross-sectional study using cluster sampling on 433 postmenopausal women in Tabriz-Iran, 2021–2022. Data were collected using questionnaires of socio-demographic characteristics, Questionnaire for Urinary Incontinence Diagnosis (QUID), and International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UISF). Multivariate logistic regression was used to determine factors related to urinary incontinence.ResultsThe overall prevalence of urinary incontinence was 39.5%; 20.6% stress urinary incontinence (SUI), 10.4% urgency urinary incontinence (UUI), and 8.5% mixed urinary incontinence (MUI). Multivariate logistic regression analysis showed that the prevalence of SUI (aOR 0.38; 95% CI 0.18–0.77) and UUI (aOR 0.38; 95% CI 0.15–0.94) was significantly lower in women with three childbirths than the ones with fewer childbirths. Also, the odds of UUI increased significantly in women at the 50–55 age range (aOR 3.88; 95% CI 1.16–12.93) than those less than 50 years.ConclusionDue to the high prevalence of urinary incontinence in postmenopausal women, caregivers should screen for early diagnosis and appropriate treatment of urinary incontinence to prevent its destructive impact on the quality of life.

Prevalence of Urinary Incontinence and its Relationship With Sociodemographic and Obstetrical Variables Among Omani Women.

Urinary incontinence (UI) is defined by the International Continence Society as any complaint of involuntary urine leakage. This research study highlights the prevalence, types, and associated factors of UI among women in Oman. A descriptive cross-sectional design was used to collect data using purposive sampling technique from 400 women between 20 and 60 years; who were attending outpatient department of a referral hospital in Oman. Women were assessed using the Questionnaire for Urinary Incontinence Diagnosis to determine the type of UI. The severity and the impact of UI in women were assessed using the female urinary tract symptoms module (ICIQ-UI-SF). Descriptive statistics were used to determine the prevalence and type of UI, and the Chi-square test was used to find the association between UI and sociodemographic and obstetrical variables. In our study, 28.25% of the women belonged to the age of 50-59 years. The point prevalence (per 1000) of UI among Omani women who were between 20 and 60 years was 44%. In the women who had UI, the majority were having stress UI (41.6%). In the women who had UI, the severity of UI, according to the ICIQ-UI-SF scoring, 15.2% of the women had slight, 50.3% had moderate, 33.1% had severe, and only 1.3% had very intense. Understanding the prevalence of UI in every community and associated factors is essential for the policy makers and healthcare providers to consider the early diagnosis, prevention, health promotion, and management of UI.

Prevalence, Characteristics and Risk Factors relating to Urinary Incontinence in Gynecology Polyclinic using Questionnaire for Urinary Incontinence Diagnosis (QUID) Indonesian Version

Prevalence, Characteristics and Risk Factors relating to Urinary Incontinence in Gynecology Polyclinic using Questionnaire for Urinary Incontinence Diagnosis (QUID) Indonesian Version

Prevalence and Bother of Postvoid Dribbling and Urine Spraying or Splitting: Survey of a General Gynecology Population.

Postvoid dribbling is described well for men in urologic literature but is poorly defined for women, especially in those not presenting for urogynecologic care. The objective was to assess prevalence and bother of postvoid dribbling, urine spraying (ie, deviation of the urine stream), and other bothersome voiding/storage symptoms in a general gynecology population. This was an anonymous cross-sectional survey study of women presenting to academic general gynecology practices for benign gynecologic care or well-woman visits; patients were not presenting for urinary incontinence or voiding dysfunction. A questionnaire was used to assess the presence and perceptions of voiding behavior and urinary symptoms with an emphasis on postvoid dribbling and urine spraying. The questionnaire included both the validated Questionnaire for Urinary Incontinence Diagnosis and nonvalidated questions. Nonpregnant adult women (N = 355) were surveyed. The median age was 43 years (interquartile range, 33-51 years). The sample was 45% White, 23% Black, 3% Asian, and 13% other. Furthermore, 39% were Latina; 68%, parous; and 28%, postmenopausal. The prevalence (95% confidence interval) of immediate postvoid dribbling was 186 of 327 or 57% (51-62%), and of these, it was at least somewhat bothersome in 37% but moderately-to-quite-a-bit bothersome in 8%. Urine spraying occurred in 222 of 333 or 67% (61-72%), and of these, it was at least somewhat bothersome in 53% but moderately-to-quite-a-bit bothersome in 17%. Approximately 20% reported stress and/or urgency urinary incontinence; both postvoid dribbling and urine spraying were highly associated with these symptoms. This study of women seeking benign gynecologic care shows a high prevalence of postvoid dribbling and urine spraying symptoms. However, moderate-or-greater bother was relatively uncommon.

Lumbopelvic Pain in Pregnancy in a Diverse Urban Patient Population: Prevalence and Risk Factors.

Objective: Pregnancy lumbopelvic pain (PLPP) is a common ailment during pregnancy with physical, psychosocial, and economic consequences. Prior literature has focused on majority Caucasian patient populations; none have focused on Hispanic populations, especially in the United States. The purpose of this study was to determine the proportion of pregnant people who experience PLPP in mostly Hispanic population. Materials and Methods: Cross-sectional survey Setting: Academic medical center Patients: All pregnant people attending a prenatal visit in obstetrical offices from July 2018 through March 2020 were asked to complete a questionnaire compiling demographic, socioeconomic information as well as describe any pain symptoms. Furthermore, the Pregnancy Mobility Index (PMI), Pelvic Girdle Pain Questionnaire (PGQ), and the Questionnaire for Urinary Incontinence Diagnosis (QUID) were included. Results: In a cohort (n = 851) that was 62% Hispanic, we found a 63% point-prevalence rate for PLPP. Pregnant people who reported PLPP were further along in their pregnancy, did have significantly higher scores for the PMI and PGQ, indicating a greater level of disability, and reported issues with incontinence (QUID). Results of the logistic regression found that a higher PMI score and financial instability were factors influencing PLPP. Conclusions: In a cohort of majority Hispanic people, we found that 63% of respondents had PLPP. Our study found that a higher PMI score and financial instability were factors influencing PLPP. Clinicians should be alert to pregnant people who express their difficulties with activities of daily living as they may be at risk of PLPP, and could benefit from further evaluation and treatment.

PD06-05 FRACTIONAL CARBON DIOXIDE VAGINAL LASER FOR THE TREATMENT OF URINARY SYMPTOMS: 12 MONTHS RESULTS

You have accessJournal of UrologyCME1 May 2022PD06-05 FRACTIONAL CARBON DIOXIDE VAGINAL LASER FOR THE TREATMENT OF URINARY SYMPTOMS: 12 MONTHS RESULTS Ly Hoang Roberts, Annah Vollstedt, Hailey Eisner, Lauren Tennyson, Evelyn Shea, Lisa Vargos, Danielle Tenney, Bernadette Zwaan, Larry Sirls, Priya Padmanabhan, and Kenneth Peters Ly Hoang RobertsLy Hoang Roberts More articles by this author , Annah VollstedtAnnah Vollstedt More articles by this author , Hailey EisnerHailey Eisner More articles by this author , Lauren TennysonLauren Tennyson More articles by this author , Evelyn SheaEvelyn Shea More articles by this author , Lisa VargosLisa Vargos More articles by this author , Danielle TenneyDanielle Tenney More articles by this author , Bernadette ZwaanBernadette Zwaan More articles by this author , Larry SirlsLarry Sirls More articles by this author , Priya PadmanabhanPriya Padmanabhan More articles by this author , and Kenneth PetersKenneth Peters More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002525.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Fractional carbon dioxide (fCO2) has been suggested to alleviate urinary symptoms such as frequency, urgency, urge urinary incontinence (UUI), and stress urinary incontinence (SUI) given its therapeutic effects on genitourinary symptoms of menopause (GSM). In a previous pilot study, we did not observe objective or subjective improvement in SUI at 6 months; however, there was a trend towards improvement for UUI. The goal of this study was to measure the effect of vaginal fCO2 laser therapy on SUI and OAB symptoms at 12 months. METHODS: After IRB approval, women > 18 years with urogenital symptoms were enrolled in an open-label prospective trial. A 3-month washout period was mandated for patients previously on vaginal estrogen therapy. Participants underwent 3 laser treatments, each 6 weeks apart from the previous. With baseline at time of treatment 1, cough stress test (CST) was performed at every visit while a voiding diary was completed at baseline, 6- and 12-months. Subjective data was obtained using the Incontinence-Quality of Life (I-QOL), Overactive Bladder Questionnaire short form (OABq-SF), Questionnaire for Urinary Incontinence Diagnosis (QUID), and Female Sexual Function Index (FSFI) at 6- and 12-months. ANOVA analysis with Dunnett’s multiple comparison was used to compare means at each time point. RESULTS: At time of analysis, 85 patients were enrolled. Of these, 36 patients had 12-month data and reported baseline SUI (n=25; 29%), frequency (n=28; 33%), urgency (n=29; 34%), or UUI (n=24; 28%). There was no statistically significant difference in number of SUI leaks (p=0.569) or rates of positive CST over time. Patients reported improvement on the I-QOL (mean ± SD diff: 12.23±10.90, p<0.0001) and QUID SUI sub-section (mean ± SD diff:-1.65±2.48, p=0.0065) at 12 months. There were no objective changes in frequency or UUI episodes, but urge intensity was significantly decreased at 12 months (mean ± SD diff: -0.28±0.51, p=0.0008). This correlated with a similar improvement in the OABq-SF and QUID UUI subsection (p=0.0003 and 0.002 at 12 m, respectively). CONCLUSIONS: In this study, we have demonstrated that vaginal fCO2 laser therapy significantly reduces urge intensity and improves patient reported symptom scores up to 12 months after onset of treatment. However, objective outcomes for SUI did not improve. Vaginal fCO2 laser may be a viable treatment option for women with GSM who suffer from urinary urgency, but it does not improve SUI. Source of Funding: Susan Cooper Fund/Women's Urology Center © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e94 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ly Hoang Roberts More articles by this author Annah Vollstedt More articles by this author Hailey Eisner More articles by this author Lauren Tennyson More articles by this author Evelyn Shea More articles by this author Lisa Vargos More articles by this author Danielle Tenney More articles by this author Bernadette Zwaan More articles by this author Larry Sirls More articles by this author Priya Padmanabhan More articles by this author Kenneth Peters More articles by this author Expand All Advertisement PDF DownloadLoading ...

Effect of Pelvic Floor and Abdominal Muscle Exercise on Women with Stress Urinary Incontinence: A Quasi-experimental Study

Introduction: International continence society and the international urogynaecology association defined the Urinary Incontinence (UI) as “the complaint of any involuntary urine loss”. Pelvic Floor Muscles (PFM) weakness leads to Stress Urinary Incontinence (SUI). There exists an association between physical exertions along with urinary loss in UI. For decreasing urine leak episodes in women, PFM exercises are recommended. The PFM serves as the inner unit and the transverse abdominal muscle, multifidus along with diaphragm act as core muscles. Therefore, for treating SUI, abdominal muscle strengthening might be efficient. Aim: To analyse the effect of combined PFM exercises and abdominal muscle exercises on SUI symptoms. Materials and Methods: A quasi-experimental study was executed with 15 subjects in the Experimental Group (EG) and 11 subjects in the Control Group (CG) via purposive sampling technique at outpatient department. The EG was treated with abdominal muscle exercises along with Pelvic Floor Exercises (PFE) for eight weeks while the CG was treated with PFE. Via phone calls, the training’s follow-up was conducted. PFM strength and the Questionnaire for Urinary Incontinence Diagnosis (QUID) were the outcome measures. The between group perineometer scores analysed with paired t-test. For examining the pre and post-test score of PFM strength scores the independent t-test was employed. For analysing the QUID score Wilcoxon signedrank test, Mann-Whitney U test was applied. Results: The mean of PFM strength (mmHg) for the interventional group was 5.4 while in the CG the mean was 1.64 as exhibited by the within group analysis (p=0.001). An enhancement in every component of QUID in the interventional group was shown in the post-test QUID score between groups which depicted a statistically significant difference in all the components (cough p=0.001, bending p=0.002, walk p=0.001). Conclusion: Abdominals and PFM exercise lessens the SUI symptoms even though PF exercise is the regular treatment aimed at SUI. Better improvement in SUI symptoms and PFM strength is possible by the abdominals along with eight week PF exercise program.

Frequency of Stress Urinary Incontinence during Third Trimester in pregnant female with Referral for the Physiotherapy

Introduction &#x0D; .Objectives of the study are:-&#x0D; 1) To determine the frequency of stress incontinence in pregnant females,&#x0D; 2) To determine the frequency of urinary incontinence is increased in primigravida (pregnant for first time), or multigravida.&#x0D; 3) To determine how many of the females are referred for physiotherapy.&#x0D; Methodology:&#x0D; A Cross-sectional survey was conducted among 600 pregnant females from January to June 2018 selected via the convenience sampling technique. Data was collected from different major cities of Pakistan using validated questionnaires including “The Questionnaire for Urinary Incontinence Diagnosis” (QUID) and “International consultation on incontinence questionnaire” (ICIQ-SF) and self-structured questions assessing the reference of pregnant women to physiotherapy, for urinary incontinence. Subjects were selected according to the inclusion and exclusion criteria with the consent and approval of the participants. Statistical analysis was done using SPSS v.20.&#x0D; Results&#x0D; Out of 600 females, 84.3% (506/600) had experienced stress urinary incontinence in pregnancy and a 64.5% urinary incontinence was found in multigravida females. According to the results, the complaints of urinary incontinence were increased during the 9th month to 35.5%. 6.2% of the participants were referred to a physiotherapist for exercise, out of which, 3.7% were prescribed daily exercise and 1% followed the exercise regime regularly.&#x0D; Conclusion&#x0D; This Study concludes that the frequency of stress urinary incontinence in third-trimester pregnant women especially during 9th-month multigravida is severed. Referral to physiotherapy for urinary incontinence in pregnancy is extremely low.

Incidence and characteristics of &lt;em&gt;de novo&lt;/em&gt; stress urinary incontinence after pelvic organ prolapse vaginal repair

BACKGROUND Some patients who undergo pelvic floor reconstruction for pelvic organ prolapse (POP) may experience a de novo stress urinary incontinence (SUI) postoperatively. We aimed to investigate the incidence and characteristics of de novo SUI in patients who underwent pelvic floor reconstruction at the national referral hospital in Indonesia.&#x0D; METHODS This cross-sectional study evaluated 108 patients who underwent pelvic floor reconstruction due to POP between January 2016 and December 2017. Per the inclusion criteria, 75 women were enrolled using a consecutive sampling. The incidence of de novo SUI was determined 6–12 months postoperatively using the Indonesian version of the questionnaire for urinary incontinence diagnosis and objectively using the cough stress test during gynecologic examination after a negative preoperative prolapse reduction stress test.&#x0D; RESULTS The average age, parity, body mass index, and years since menopause onset were 56.17 (4.67) years, 3.17 (1.07), 28.58 (5.18) kg/m2, and 12.8 (7.0) years, respectively. De novo SUI was seen in 8.0% (6 of 75) patients at 6–7 months postoperatively, with 3 (50.0%) had severe POP and 3 (50.0%) had a mild POP. Most of these patients (4 of 6, 66.7%) had undergone procedures other than colpocleisis for POP reconstruction.&#x0D; CONCLUSIONS The incidence of de novo SUI after gynecologic surgery for POP at a national referral hospital in Indonesia is 8%. Most patients were aged &lt;60 years, had a parity of &lt;4, were nonobese, were menopausal, and had diabetes.

Validity and Reliability Measurement of Bengali Translated Questionnaire for Urinary Incontinence Diagnosis

Objective: The aim of this study was to translate and verify the validity and reliability of the Bengali translated questionnaire for Urinary Incontinence Diagnosis (QUID), to ensure the diagnosis of urinary incontinence in Bangladesh.Material and Methods: Adaptation and psychometric properties testing of the Bengali-QUID were conducted with 67 respondents. Twenty respondents were included for pre-testing and adaptation; whereas, 47 respondents were considered for test-retest reliability. The content validity of the questionnaire was measured by expert opinion. Cornbach’s alpha statistical test was used to measure the internal consistency of the questionnaire, while the test-retest reliability was measured using the Intra-Class Correlation (2,1) model.Results: Content validity for all items of the questionnaire was &gt;0.75. In addition, the Cronbach's Alpha values for interitem correlation for Stress Urinary Incontinence and Urge Urinary Incontinence were (α&gt;0.8) and (α&gt;0.7), respectively. Furthermore, the reliability of the Bengali-QUID questionnaire had an Intra-class correlation score of 0.76.Conclusion: This study demonstrated that the Bengali version of QUID questionnaire was highly valid, and reliable for diagnosis of urinary incontinence among Bangladeshi women.

Assessment of Efficacy of Pelvic Floor Muscle Exercise (PFME) on Urinary Incontinence among Middle Aged Women

Background: Urinary incontinence (UI) is a familiar manifestation that can affect women of all ages, with a wide range of severity and nature. While rarely life-threatening, incontinence may seriously influence the physical, psychological and social wellbeing of affected individuals.&#x0D; Objective: The main objective of the study is to assess the effectiveness of pelvic floor muscle exercises (PFME) or Kegel’s exercise on urinary incontinence among middle aged women of selected urban community of Raipur (C.G).&#x0D; Methodology: A community based quazi - experimental study was conducted among 60 middle aged women having mild to moderate degree of urinary incontinence. The sample were selected by nonrandomised purposive technique The baseline data were collected from 60 samples (30 in experimental group and 30 in control group) by standardised tool - Questionnaire for urinary incontinence diagnosis (QUID) on urinary incontinence. The experimental group was taught to practise Kegel’s exercise for 4 week followed by post- test of both control &amp; experimental group to compare the data for effectiveness.&#x0D; Results: Comparison of mean and SD of pre-test and post-test level of urinary incontinence among middle aged women in experimental group &amp; control group (un paired t -test) showed that the calculated value (2.1) of t was higher than the table value (2) at 0.05 level which shows that PFME is effective in improving symptoms of urinary incontinence if practised on regular basis. Factors positively associated with urinary incontinence were parity, type of delivery and nature of work.&#x0D; Conclusion: Middle aged women with urinary incontinence will be greatly benefitted with regular pelvic floor muscle exercise. Health care practitioner should train &amp; educate them on correct ways of performing Kegel’s exercise at community level.

Psychometric properties of the German-language questionnaire for urinary incontinence diagnosis (QUID) in women with urinary incontinence

PurposeThe aim of this study was to translate the questionnaire for urinary incontinence diagnosis (QUID) into German and to assess its psychometric properties in German-speaking women with urinary incontinence (UI). The QUID contains two subscales to measure symptom severity of stress urinary incontinence (SUI) and urge urinary incontinence (UUI) and to distinguish between both forms.MethodsA total of 161 women with UI completed the QUID and the King’s Health Questionnaire (KHQ), each in the German version. To examine construct validity Spearman’s correlation coefficients between both questionnaires were computed. Furthermore, the internal consistency (Cronbach’s alpha) of the QUID and its criterion validity were examined. Looking at criterion validity, sensitivity, specificity, ROC curves, and Youden-indexes were computed for both subscales.ResultsThe QUID showed good construct validity by strong correlations with related domains of the KHQ. Cronbach’s alpha values were good for both subscales of the QUID (SUI-subscale: 0.76; UUI-subscale: 0.86). Sensitivity and specificity were 83% (95% CI, 0.72–0.9) and 45% (95% CI, 0.25–0.67) for the SUI-subscale and 83% (95% CI, 0.7–0.91) and 56% (95% CI, 0.4–0.72) for the UUI-subscale. Youden-index was 0.28 for the SUI-subscale and 0.39 for the UUI-subscale at the given cut-off values.ConclusionPsychometric properties of the German-language QUID are principally good and support its use in the German-speaking area. However, the modest specificity when distinguishing between SUI and UUI should be taken into account.Trial registration number:DRKS00018777 (date of registration: 16-January-2020).