Stress Urinary Incontinence Research Articles

The Effect of Astragalus mongholicus Water Extract on Urinary Function in Rats

This study investigated the effect of combining Astragalus mongholicus (A. mongholicus) water extract with electroacupuncture to improve bladder urinary function in rats with stress urinary incontinence (SUI). 18 SPF-grade unfertilized female SD rats were used, among which 15 rats were selected to establish the SUI model through simulated labor injury combined with bilateral oophorectomy. The 15 SUI rats were randomly divided into three groups: the model group, the Astragalus group (treated with A. mongholicus water extract), and the Astragalus+acupuncture group, with 5 rats in each group. The remaining three rats constituted the control group. After 6 weeks of treatment, the study compared bladder function parameters before and after treatment, including the positive rate of sneezing test, urethral baseline pressure (UBP), the amplitude of urethral response during sneezing (A-URS), maximum bladder capacity (MBC) indicating bladder function, leak point pressure (LPP), abdominal leak point pressure (ALPP), urine output, residual urine volume, and urination efficiency. Masson staining was used to observe changes in collagen fiber proportion in bladder tissue. Compared to the control group, the model group exhibited increased positive sneezing test, urination output, and residual urine volume, while bladder function decreased. Both the Astragalus group and Astragalus+acupuncture group demonstrated significant improvements in UBP, A-URS, MBC, LPP, ALPP, urination efficiency, collagen fiber proportion, and other indicators compared to the model group. Furthermore, the Astragalus+acupuncture group exhibited superior treatment effects compared to A. mongholicus water extract alone, suggesting the potential of this combined approach for SUI.

Top cited articles about the stress urinary incontinence: A bibliometric analysis

ObjectiveTo produce a bibliographic source by compiling the most-cited articles about stress urinary incontinence to guide researchers for novel research topic ideas in urogynecology. Study designWe analyzed 200 most-cited articles (T200) between 1995–2022 by reviewing the Institution for Scientific Information (ISI) − Web of Science (WOS) and PubMed databases about the stress urinary incontinence. The time span-effect of publications was normalized by calculating average citations per item (ACI) index for each article. The publications were sub-classified by the publication year, journals, countries, surgical methods, and departments. ResultsThe median for total citation numbers and the ACI indices of T200 were 35 and 5 respectively. The top-cited articles were mostly published in USA with 91 articles (46.5 %) followed by Italy (22, 11 %), and United Kingdom (21, 10.5 %). Among T200, 149 were original research, 44 reviews, 4 meta-analyses, and 3 editorial articles. Further, 59 were about surgical procedures (of which 28 were about TOT-TVT comparison). M. Serati and L. Bruker were the most contributing authors to T200 with 19 articles. On the top of T200, the article of Pierre A. Clavien et al. (2009) sits with 6201 citations, published in the journal of “Annals of Surgery”. ConclusionsWe suggest that the most-cited articles commonly conducted in the high-income countries, mostly published between 2014–2018. Best of our knowledge, this is the first study analyzing the most-cited 200 publications in urogynecology field under two different perspectives of two different disciplines, namely urology and obstetrics and gynecology.

54 - Stress urinary incontinence during pregnancy. Does maternal weight matter?

54 - Stress urinary incontinence during pregnancy. Does maternal weight matter?

How does the pelvic floor respond to modulations in trunk pressure induced by a variety of voicing tasks? A cross-sectional, observational study.

The pelvic floor responds to changes in trunk pressure, elevating during low-pressure exhale and descending during high-pressure exhale. Voicing occurs during exhalation, spanning low-to-high trunk-pressure, yet it is unknown how voicing affects the pelvic floor. The aim of this study was to quantify pelvic floor response to voicing and identify if there are differences for women with stress urinary incontinence. We hypothesized that shouting would cause pelvic floor descent, with greater magnitude for incontinent women. Sixty women (38 incontinent, 22 continent) performed four voicing tasks (counting to "4" in speaking/shouting/low-pitch/high-pitch voice) while transperineal ultrasound measured changes in pelvic floor morphology. ANOVA compared variance of responses to voicing and t-tests compared groups. Bladder neck height shortened, levator plate length increased and levator plate angle decreased more during shouting compared to speaking; consistent with pelvic floor straining. There were no differences for high versus low pitch-voicing and small group differences based on continence status. Voicing causes pelvic floor muscles to strain, with greater strain during shouting. Changing vocal pitch does not affect pelvic floor morphology and incontinent women had slight differences from continent women. Voicing may be a safe way to lengthen the pelvic floor without provoking incontinence.

218 - Overactive bladder without stress urinary incontinence: The Pitfalls of Mid-urethral slings

218 - Overactive bladder without stress urinary incontinence: The Pitfalls of Mid-urethral slings

284 - Are muscle mechanical properties affected at lumbar and pelvic floor levels in women with stress urinary incontinence?

284 - Are muscle mechanical properties affected at lumbar and pelvic floor levels in women with stress urinary incontinence?

8 - Association between stress urinary incontinence with bladder neck descent in female runners: a nested case-control study.

8 - Association between stress urinary incontinence with bladder neck descent in female runners: a nested case-control study.

Effect of Electromagnetic Stimulation Combined with Visceral Manipulation on Stress Urinary Incontinence in Postmenopausal Women: A Randomized Controlled Trial

Effect of Electromagnetic Stimulation Combined with Visceral Manipulation on Stress Urinary Incontinence in Postmenopausal Women: A Randomized Controlled Trial

Prevalence, characteristics, and risk factors for urinary incontinence among women attending Primary Healthcare Centers in Bahrain, 2023

BACKGROUND: Urinary incontinence (UI) is a common health concern of women that often goes untreated owing to a lack of awareness and social stigma. It is associated with a lower quality of life and negative bio-psycho-social consequences. Therefore, it is crucial to diagnose UI and manage it in its early stages. This study aimed to assess the prevalence, characteristics, and risk factors in females attending Primary Healthcare Centers (PHCCs) in Bahrain. MATERIALS AND METHODS: A cross-sectional study was conducted in 8 PHCCs in Bahrain in April 2023. Females aged 18 and above were included. A multistage sampling technique was adopted. A self-administered questionnaire consisting of sociodemographic characteristics, risk factors and the International Consultation on Incontinence Questionnaire Short Form was used. Univariate and logistic regression analyses were performed. RESULTS: A total of 875 adult females were enrolled in the study with an average age of 37.5 (standard deviation = 12.3) years. Of the cohort, 24.8% patients had UI with stress incontinence as the most common type (71%), followed by urgency UI (21.2%). However, only 21.7% women had sought medical attention. Being a widow (Odds ratio [OR] = 2.49, P=0.007), retired (OR = 1.98, P=0.016), having had multiple pregnancies (95% CI: 0.82, 0.98; P = 0.016), having urogenital infection (OR = 2.50, P=0.001), having undergone surgery other than C-section (OR = 1.60, P=0.017), and constipation (OR = 1.62, P=0.038) were associated with increased risk for UI. CONCLUSION: This study revealed a relatively high prevalence of UI in females attending PHCCs. Since most patients with incontinence did not seek medical care, primary care physicians should address UI in patients using a well-structured screening tool and provide relevant health education.

Long-term follow-up after laparoscopic reparation of pelvic organ prolapses in a large teaching gynecological center

ObjectiveTo provide a description of laparoscopic approach to correct pelvic organ prolapses and evaluate the risk factors associated with the prolapse recurrence Study designWe retrospectively analyzed 418 patients with symptomatic pelvic organ prolapse who underwent a laparoscopic reparation at our university center from 2010 to 2020. Prolapses were assessed by Baden-Walker system (stage I–IV). The association between the potential prognostic factors and the recurrence was analyzed using Cox regression. ResultsWe included 418 patients. Most patients (97.6 %) had at least one vaginal delivery and 92 (22 %) had a previous prolapse surgery. In 29.74 % of cases levator ani muscle avulsion was observed. We performed a cervicosacropexy in 336 (80.38 %) cases, a sacrohysteropexy in 13 (3.11 %), and a sacrocolpopexy in 69 (16.5 %). Also, concomitantly, 66 (15.79 %) patients with stress and occult urinary incontinence underwent TOT surgery. Surgical complications were low (9.51 %) and the majority were minor. Median follow-up was 37 months (IQR 10.5, 61.4 months), and the global recurrence rate was 9.57 %. Only 4.06 % of cases required reintervention. In Cox regression analysis only levator ani muscle avulsion remained as a recurrence-associated factor. ConclusionOur series is one of the largest and with the longest follow-up. Recurrence rate was low, and comparable to other large series. The only independent factor related to recurrence was the levator ani muscle avulsion.

187 - Extraperitoneal laparoscopic Burch colposuspension after suburethral mesh failure in female stress urinary incontinence

187 - Extraperitoneal laparoscopic Burch colposuspension after suburethral mesh failure in female stress urinary incontinence

12 - Comparing safety of tension-free vaginal tapes (TVT) and trans-obturator tapes (TOT) in treating stress urinary incontinence in women: emulation of a target trial (protocol and preliminary data)

12 - Comparing safety of tension-free vaginal tapes (TVT) and trans-obturator tapes (TOT) in treating stress urinary incontinence in women: emulation of a target trial (protocol and preliminary data)

146 - 9 year analysis of the efficacy, longevity and safety of the Adjustable Transobturator Male System® (ATOMS) in Managing Stress Urinary Incontinence in Men.

146 - 9 year analysis of the efficacy, longevity and safety of the Adjustable Transobturator Male System® (ATOMS) in Managing Stress Urinary Incontinence in Men.

78 - Prevalence and Risk Factors of Stress Urinary Incontinence in a Japan Community Health Survey in 2023 (JaCS 2023) - Differences between Males and Females -

78 - Prevalence and Risk Factors of Stress Urinary Incontinence in a Japan Community Health Survey in 2023 (JaCS 2023) - Differences between Males and Females -

7 - Advancing Urethral Bulking for Stress Urinary Incontinence in Women

7 - Advancing Urethral Bulking for Stress Urinary Incontinence in Women

136 - Long-Term Reoperation Rates Following Mid-Urethral Sling Insertion for Stress Urinary Incontinence: A Population-Based Study

136 - Long-Term Reoperation Rates Following Mid-Urethral Sling Insertion for Stress Urinary Incontinence: A Population-Based Study

10 - Transobturator tape versus bulking agent:a randomized controlled trial,in women with naive stress urinary incontinence

10 - Transobturator tape versus bulking agent:a randomized controlled trial,in women with naive stress urinary incontinence

100 - Dynamic Transrectal Sonography: A Gateway for Managing Female Stress Urinary Incontinence

100 - Dynamic Transrectal Sonography: A Gateway for Managing Female Stress Urinary Incontinence

The effect of puboperiurethral suspension stitch placement on climacturia after robot-assisted laparoscopic radical prostatectomy.

Climacturia is defined as urine leakage associated with orgasm and can negatively affect patients' quality of life. The high prevalence of climacturia after radical prostatectomy (RP) has led to continued efforts to reduce climacturia rates. It has been shown that puboperiurethral suspension stitch placement during RP assists in the recovery of urinary continence. To evaluate the impact of puboperiurethral suspension stitch placement during RP on post-RP climacturia. We conducted a retrospective study of patients who underwent nerve-sparing robot-assisted laparoscopic RP (RALP) at our institution between 2016 and 2023. The patients were categorized into 2 groups: Group 1 (n = 32) that underwent nerve-sparing RALP with puboperiurethral suspension stitch placement and Group 2 (n = 62) that underwent nerve-sparing RALP alone. Patients who were not able to achieve penetration at the last follow-up visit were excluded from the study. The clinical history, parameters of prostate cancer, details of medical and surgical treatments, and follow-up data were evaluated. Differences in sexual and urinary function, climacturia rates, and complications between nerve-sparing RP with and without puboperiurethral suspension stitch placement. There were no significant differences between the groups in terms of surgical complications. The mean follow-up time was 14.62 ± 3.55months in Group 1 and 14.43 ± 4.44months in Group 2 (P = .42). Postoperative erectile functions were similar between the groups. At the last follow-up visit, climacturia was present in 4 patients (12.5%) in Group 1 and 24 patients (38.7%) in Group 2 (P = .016). The long-term stress urinary incontinence rates were similar between the groups. This study provides comparative results on postoperative climacturia rates between nerve-sparing RALP groups with and without puboperiurethral suspension stitch placement. These results show that puboperiurethral suspension stitch can help to prevent postoperative climacturia after RP. This is the first study in the literature that evaluates the effect of puboperiurethral suspension stitch on climacturia. The limitations include the single-center, retrospective design with potential selection bias, possible inaccuracies in the recorded medical data, and challenges in controlling confounding variables. Our study demonstrated that puboperiurethral suspension stitch was a feasible option for the prevention of climacturia after RALP without an increased risk of complications.

Effect of easy cupping combined with pelvic floor electrical stimulation and Kegel exercise and pelvic floor muscle surface electromyography on symptoms improvement in women with stress urinary incontinence.

This study aimed to evaluate the effectiveness of easy cupping combined with pelvic floor electrical stimulation and Kegel exercises in treating female patients with stress urinary incontinence (SUI). Ninety SUI patients were randomly assigned to two groups: the control group (pelvic floor electrical stimulation + Kegel exercises) and the experimental group (easy cupping + pelvic floor electrical stimulation + Kegel exercises). Outcomes assessed included pelvic floor muscle strength, urinary incontinence, urinary leakage, pelvic floor muscle surface electromyography, adverse effects, and patient satisfaction before and after treatment. Results showed significant improvements in pelvic floor muscle strength, International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICI-Q-SF) scores, and urinary leakage in both groups, with the experimental group showing greater improvements (P < 0.05). The experimental group also had higher pelvic floor muscle potential values and a greater total effective rate (P < 0.05). No significant differences in adverse effects were noted between groups, and patient satisfaction was higher in the experimental group (P < 0.05). In conclusion, the combination of easy cupping with pelvic floor electrical stimulation and Kegel exercises effectively enhances pelvic floor muscle strength, reduces urinary leakage, and improves patient satisfaction in women with stress urinary incontinence.