Urinary Incontinence In Patients Research Articles

Nicotinic acetylcholine receptors may induce urinary incontinence in patients with Covid-19

Nicotinic acetylcholine receptors may induce urinary incontinence in patients with Covid-19

Effectiveness of Kelly Plication Method on Clinical Improvement in Stress Urinary Incontinence Patients

BACKGROUND: Patients with pelvic organ prolapse (POP) usually present with POP, but stress urinary incontinence (SUI) is also found during history taking and physical examination. As a result, the complaint of SUI is persistent despite POP surgery. Therefore, SUI found along with POP and undergoing surgery can be performed Kelly plication method. OBJECTIVES: To examine the effectiveness of Kelly's plication method on clinical changes and quality of life of patients suffering from SUI. METHODS: A single cohort prospective one-group pretest-posttest design conducted at RSUP Dr. Kariadi Teaching Hospital Semarang involving 31 research subjects. All subjects were measured preoperative IIQ-7 questionnaire and pad test. Then, all subjects will undergo Kelly method surgery. Postoperative evaluation will be conducted 3 months later, including measurement of the IIQ-7 questionnaire and pad test. All data will be analyzed with univariate and bivariate analysis using paired t-test and Wilcoxon test. RESULTS:  The effectiveness rate of Kelly's plication method was 58.06% in this study. Most of the subjects were aged 50-59 (38.7%) years and had experienced menopause (87.1%). Correlation analysis of baseline data on the degree of preoperative SUI showed that the degree of POP correlated SUI. The Pad test and IIQ-7 questionnaire test showed a significant decrease in postoperative measurements in the treatment group (p: <0.001 & p: <0.001). CONCLUSIONS: Kelly's plication method is effective in treating SUI.

Influence of game therapy on urinary incontinence patients: a systematic review

This study performed a systematic review of game therapy effects on urinary incontinence patients. Eleven databases (PubMed, SCOPUS, SciELO, LILACS, Web of Science, EMBASE, Cochrane library, LIVIVO, OpenGrey, OpenThesis, and OATD) were used as research sources. The search was conducted in January 2021 with the following keywords: urinary incontinence, urinary stress incontinence, pelvic floor muscle, pelvic floor training, virtual reality, game therapy, virtual reality exposure, and virtual reality therapy. The review included only clinical studies using game therapy for treating urinary incontinence in women without restrictions on language, year, and publication status. Only three studies fulfilled the eligibility criteria. The extracted data comprised sample characteristics (the number of patients in each study and average age) and treatment characteristics (game type, associated therapies, treatment duration, evaluated objectives, and result-measuring methods). The methodological quality of the articles showed a low risk of bias. One-hour pad test values decreased in all studies, and ICIQ-SF scores reduced in two articles. One study reported treatment adherence (92%), and another showed neuropsychological index improvements. The reduction of urinary symptoms was similar between the group associating game therapy with treatment and the group using only conventional pelvic floor muscle training. Game therapy, as a resource of pelvic floor muscle training, seems beneficial to urinary incontinence, including decreased urinary symptoms, lower one-hour pad test scores, and neuropsychological index improvements.

Predictors of urinary incontinence in patients after robot-assisted radical prostatectomy: results of a single-center study

Introduction. Prostate cancer (PCa) occupies a leading position in the structure of cancer incidence among men worldwide. The “gold standard” for the treatment of localised PCa is radical prostatectomy (RPE), with an increasing frequency of robot-assisted surgery in recent years. One of the negative consequences of surgery for the patient is the occurrence of urinary incontinence (UI), which is quite common and significantly reduces the quality of life. For this reason, it is extremely important to identify the factors that influence the occurrence of UI.Objectve. To identify risk factors for urinary incontinence in patients undergoing robot-assisted surgery based on the patients' preoperative data.Materials & methods. A prospective cohort study was conducted at the Urology Clinic of the Russian University of Medicine to study the risk factors for UI in patients undergoing robot-assisted RPE. The follow-up control points were set on days 1, 3, and 7 after urethral catheter removal and at 1, 3, 6, and 12 months after surgery. Anamnestic data and results of instrumental examination were analysed, based on which statistical analysis including logistic regression analysis with construction of regression equation was performed.Results. In the early postoperative period, UI occurred in 87 (70.3%) patients, but by the follow-up month 12, its frequency had decreased to 15 (11%) cases. Age, body mass index, length of the membranous urethra, size of the m. levator ani, history of prostate surgery and symptoms of an overactive bladder were predictors of UI. Based on the results, nomograms were created to calculate the probability of UI on day 7 and 1, 3, 6, 12 months after urethral catheter removal.Conclusion. The negative impact of UI on the quality of life of patients who have undergone RPE is obvious. Among the predictors identified by us, a modifiable group of risk factors for urinary incontinence was identified. This reduces the risk and severity of urinary incontinence after surgery, which will have a beneficial effect on the quality of life after surgery.

Evaluation of the differences in sexual functions of women who underwent transobturatuar tape surgery

Aims: The study aims to determine the changes in sexual function and life of patients with stress urinary incontinence (SUI) and mixed type urinary incontinence (MUI) with transobturator tape (TOT) operation.
 Methods: 232 urinary incontinence patients who had only TOT surgery between the dates of May 2022- May 2023 were included in the study. Participants were similar in terms of demographic parameters. Participants completed several questionnaires, such as the Incontinence Impact Questionnaire (IIQ-7), Urogenital Distress Inventory (UDI-6), Female Sexual Function Index (FSFI), and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12), both before surgery and six months post-operative. 
 Results: While IIQ-7 and UDI-6 values, which measure the adverse effects of urinary incontinence, were 13.06±3.74, 7.03±2.61 preoperatively, they were 2.14±2.12 and 2.92±1.77 postoperatively. The FSFI values for evaluating female sexual function were 22.58±1.91 preoperatively and 26.62±1.80 postoperatively, respectively. The total value of the PISQ-12 questionnaire, which also evaluated sexual function, was 39.77±14.19 preoperatively and 46.61±0.97 postoperatively. There was a significant difference between the results of the surveys conducted before and after the operation.(p values: 0.0001, 0.0001, 0.0001, and 0.0001, respectively).
 Conclusion: Having a TOT operation affects the sexual function and life of patients suffering from SUI positively.

Personalized Rehabilitation of Patients with Prostate Cancer after Radical Prostatectomy: a Comparative Analysis of Urodynamic Parameters

INTRODUCTION. Applying a personalized approach in the treatment of urinary incontinence in patients after RP can significantly improve the rates of correction of postoperative incontinence.
 AIM. To study the effect of personalized rehabilitation of patients with prostate cancer (PCa) after radical prostatectomy on the state of functional indicators of the lower urinary tract.
 MATERIALS AND METHODS. The study included 60 patients with verified primary resectable prostate cancer who underwent laparoscopic nerve-sparing prostatectomy. Patient ages ranged between 46 and 77 years (median 62.8 years). The patients were divided into main and control groups of 30 people each. The patients of the main group received rehabilitation using a personalized approach. The rehabilitation programs for the patients in the control group were formed on the basis of a syndromic-pathogenetic approach. Functional parameters of the lower urinary tract were assessed using a 24-hour pad test and a comprehensive urodynamic study before and after surgery, after a course of rehabilitation and 1 year after surgery.
 RESULTS. Assessment of the degree of urinary incontinence in patients with prostate cancer using a 24-hour pad test showed similar clinical pictures in both groups in the postoperative period in the form of mild or moderate disorders. After the rehabilitation course, a positive trend was observed, however, in the observation group, 66.7 % of patients completely retained urine, while in the comparison group only 40%. Similar trends were observed in a year after a surgical treatment. According to a comprehensive urodynamic study (CUDS), after rehabilitation in the observation group, 76.7 % of patients showed signs of restoration of detrusor activity to the preoperative level with retention of the effect a year after the intervention (p 0.05). A peak decrease in maximum detrusor pressure was observed in the postoperative period with a partial recovery of the indicator after rehabilitation and after 1 year in both groups. In the comparison group, a more pronounced decrease in detrusor pressure was observed, but the difference was statistically insignificant (p 0.05).
 DISCUSSION. This study tested a personalized approach in the rehabilitation of patients with urological oncology. This concept allows the use of physical and rehabilitation medicine technologies with maximum efficiency by identifying a specific patient model. The results of functional research methods (pad test, KUDI) are one of the potential determinants of the effectiveness of the use of rehabilitation technologies.
 CONCLUSION. The results of rehabilitation of patients in the group with a personalized approach can significantly improve the rates of correction of postoperative incontinence.

Antimicrobial Silver Zeolite and Urinary Incontinence in Patients with Alzheimer’s Disease

The Article Abstract is not available.

Acupuncture combined with pelvic floor rehabilitation training for postpartum stress urinary incontinence: protocol for a systematic review and meta-analysis.

The purpose of this study is to systematically evaluate the efficacy and safety of acupuncture combined with pelvic floor rehabilitation training in the treatment of postpartum stress urinary incontinence, and to promote the further promotion and application of acupuncture in the field of rehabilitation. Randomized controlled trials (RCTs) of acupuncture combined with pelvic floor rehabilitation in the treatment of postpartum stress urinary incontinence will be searched in PubMed, Web of Science (WOS), Cochrane Library, EMBASE, China National Knowledge Infrastructure (CNKI), Chinese Biomedical Literature Database (CBM), Wanfang (WF), and VIP databases. The clinical trial Registry (ClinicalTrials.gov and Chinese clinical trial Registry) will also be searched. The search period is limited to July 1, 2023, and the language limit of this systematic review is Chinese and English. The primary outcome is clinical effective rate. International Consultation on Incontinence Questionnaire-Short Form (ICI-Q-SF), 1-h pad test, pelvic floor muscle potential value, incidence of adverse events are secondary outcomes. A meta-analysis will be performed using RevMan 5.4 statistical software. If feasible, subgroup analysis and sensitivity analysis will be performed to address potential causes of inconsistency and heterogeneity. The risk of bias will be assessed using the approach recommended by Cochrane Handbook for Systematic Reviews of Interventions, and the quality of evidence will be assessed using GRADE. This Protocol has been developed in accordance with the guideline of Preferred Reporting Items for Systematic review and Meta-Analysis Protocols (PRISMA-P) 2015. Acupuncture combined with pelvic floor rehabilitation training can effectively promote the rehabilitation of postpartum stress urinary incontinence patients, and provide a reference for the clinical application of integrated Chinese and Western medicine treatment in the field of rehabilitation. PROSPERO CRD42023455801.

Urinary incontinence in obese women

In recent decades, obesity has assumed the features of a pandemic. Leading to the development of many complications, obesity also contributes to the development of urinary incontinence. The review presents current data on the etiology, pathophysiology and approaches to the treatment of stress urinary incontinence in obese patients. There are a large number of publications by foreign authors on the problem of urinary incontinence in patients with obesity. The results of the studies allow us to say with confidence about the direct relationship between an increase in body mass index and the risk of developing urinary incontinence. Long-term results of surgical treatment of urinary incontinence in obese patients require reflection and further observation. It is noteworthy that this problem is practically not reflected in the works of domestic authors. It is relevant to conduct domestic clinical studies on the problems of urinary incontinence in patients with obesity.

Comparative effectiveness of new treatment modalities for localized prostate cancer through patient-reported outcome measures

PurposeThere is scarce comparative effectiveness research on the new treatment modalities for localized prostate cancer. We aim to compare through Patient-Reported Outcome Measures (PROMs) the impact of active surveillance, robot-assisted radical prostatectomy (RARP), intensity-modulated radiotherapy (IMRT), and real-time brachytherapy, considering side effects (incontinence, irritative/obstructive urinary symptoms, sexual dysfunction and bowel symptoms) and physical and mental health. Materials and MethodsProspective cohort of men diagnosed with clinically localized prostate cancer (age 50-75y, T1-T2, and low risk including Gleason 3 + 4 in T1c) from 18 Spanish hospitals, followed up to 24 months. Treatment decisions were jointly made by patients and physicians (n = 572). The Expanded Prostate cancer Index Composite (EPIC-26) and Short-Form 36 (SF-36v2) were administered through telephone interviews before and three, six, 12, and 24 months after treatment. To account for correlation among repeated measures, generalized estimating equation models were constructed. All analyses were performed with propensity score weights to solve treatment selection bias. ResultsThe PROMs completion rate at 24 months was 95.0 %. Active surveillance entails the fewest side effects, but with significant sexual (0.4 standard deviations [SD], p < 0.001) and physical health deterioration (0.5 SD, p < 0.001); and moderate mental health improvement (0.4 SD, p = 0.001) at 24 months. Compared with active surveillance, RARP presented greater urinary incontinence (p = 0.030), and IMRT and real-time brachytherapy worse bowel symptoms (p = 0.027 and p = 0.007) at 24 months. ConclusionsMost side effects of the new treatment modalities seem to be limited to short-term deteriorations, except for moderate-large urinary incontinence in patients who had undergone RARP and moderate bowel deterioration in patients treated with IMRT or with real-time brachytherapy. Furthermore, patients under active surveillance, IMRT, and real-time brachytherapy showed a moderate improvement in mental health.

A modified sling mid-urethral suspension + subcutaneous tunnel-double point fixation technique for male stress urinary incontinence: a pilot study.

The aim of this study was to demonstrate the feasibility of a modified sling mid-urethral suspension + subcutaneous tunnel-double point fixation technique for the treatment of male urinary incontinence and to preliminarily evaluate the short-term clinical efficacy of this technique. The clinical data of patients treated with the modified sling mid-urethral suspension + subcutaneous tunnel-double point fixation technique using a Pelvimesh pelvic floor repair patch as a sling were collected. The primary evaluation criteria were surgery-related indicators and daily urinal pad usage before and after treatment, and the secondary evaluation criteria were the corresponding incontinence scores and the results of surgery-related questionnaires. After 1-12months of follow-up, seven patients were clinically cured. Follow-up 1 month after surgery showed that one patient (14.3%) used one pad daily, and six patients (85.7%) did not need pads. The incontinence quality of life questionnaire (I-QOL) scores at 3 days and 1 month postoperatively were 89.4 ± 2.5 and 88.1 ± 6.7, respectively, which were significantly higher than the preoperative scores (31.5 ± 18.9) (P < 0.05). The scores of the International Continence Control Association Incontinence Questionnaire Short Form (ICI-Q-SF) at 3 days and 1 month postoperatively were 3.2 ± 0.9 and 4.2 ± 1.7, respectively, which were significantly lower than the preoperative scores of 19.4 ± 5.0 (P < 0.05). In addition, the results of the surgery-related questionnaires were positive. No serious complications occurred in any of the patients. The modified sling mid-urethral suspension + subcutaneous tunnel-double point fixation technique for the treatment of male urinary incontinence patients is safe, effective, minimally invasive, and has few complications. However, further validation in large sample, randomized, comparative, and longer-term follow-up studies is still needed.

Modified Sling Midurethral Suspension + Hemolock Fixation Technique for Male Urinary Incontinence: A Pilot Study

To demonstrate the feasibility of a modified midurethral sling+hemolock fixation technique for treating male urinary incontinence. This study aims to provide a preliminary assessment of the short-term clinical efficacy of this technique. We collected the clinical data of patients treated with modified sling midurethral suspension+hemolock fixation technique. The primary evaluation criteria were surgery-related indicators and daily urinal pad usage by patients before and after treatment, and the secondary evaluation criteria were the corresponding incontinence scores and the results of surgery-related questionnaires. Follow-up 1-7months, eight patients achieved a clinical cure. Follow-up 1month after surgery showed that two patients (25.0%) used one pad daily and six patients (75.0%) did not need pads. The incontinence quality of life questionnaire (I-QOL) scores were (86.0±7.0) and (89.0±3.0) at three postoperative days and one postoperative month, respectively, which were significantly higher than the preoperative scores (26.0±6.0) (P<.05). The scores of the International Continence Control Association Incontinence Questionnaire Short Form (ICI-Q-SF) at three postoperative days and one postoperative month were (4.0±2.0) and (4.0±1.0), respectively, which were significantly lower than the preoperative scores of (18.0±1.0) (P<.05). Besides, the results of the surgery-related questionnaires were positive. The short-term efficacy of the modified sling midurethral suspension+hemolock fixation technique for the treatment of male urinary incontinence patients is safe, effective, minimally invasive, and has few complications. However, further validation in large samples, randomized, comparative, and longer-term follow-up studies is still needed.

Physiotherapy in rehabilitation of patients with urinary incontinence after radical prostatectomy

The leading treatment for prostate cancer is radical prostatectomy with variations of access to the affected organ which leads to urinary incontinence in the postoperative period. In order to treat this complication, conservative methods, including a wide range of physical factors, are used. The purpose of the article is to conduct an analytical review of the literature on physical methods of treating urinary incontinence in patients with prostate cancer after radical prostatectomy. Materials. The review included data from the following electronic databases: Scopus, Web of Science, MedLine, Wiley, World Health Organization, the Cochrane Central Register of Controlled Trials, ScienceDirect, PubMed, eLibrary, CyberLeninka, and disserCat. Results. The research databases include various methods of exercises for the pelvic floor muscles with or without using the method of electromyographic biofeedback, Pilates, general, local, and penile vibratory therapy, transanal, pudendal, and tibial electrical stimulation, electrical stimulation of the pelvic floor muscles and bladder, and extracorporeal magnetic stimulation. Conclusion. It seems impossible to determine the most effective method of rehabilitation due to the large variability of treatment protocols, sample sizes, timing of the start of procedures, techniques, and assessment time points. No study has data on the patients’ catamnesis. Further studies and the search for a drug-free non-invasive method of physical therapy for the rehabilitation of prostate cancer patients who have undergone radical prostatectomy are justified.

Urethral Slings for Irradiated Patients With Male Stress Urinary Incontinence: A Meta-analysis

To systematically compare success, cure and complication rates of urethral sling surgeries in stress urinary incontinence patients with and without a history of pelvic radiotherapy (RT). We searched PUBMED, EMBASE, and Web of Science to identify relevant articles. The primary outcomes were the success and cure rates. The secondary outcomes included the rates of infection, urethral erosion, total complications, explantation, and satisfaction. Outcomes were analyzed using a random-effects model to calculate the unadjusted odds ratio (OR) in patients with a history of RT compared with those without prior RT. On pooled analysis, we found significantly lower odds of success (OR 0.68; 95% confidence interval [CI] 0.53-0.87, P<.001) and cure (OR 0.67; 95% CI 0.55-0.82, P<.001) in radiated patients than in nonirradiated patients. Subgroup analysis by type of sling showed significantly lower odds of success in Advance subgroup (OR 0.66; 95% CI 0.45-0.95, P<.001) and significantly lower odds of cure in Advance (OR 0.59; 95% CI 0.36-0.95, P<.001) and Atoms subgroups (OR 0.70; 95% CI 0.54-0.93, P<.001). We also found significantly greater odds of sling explantation (OR 2.93; 95% CI 1.62-5.29, P<.001) and infection (OR 3.06, 95% CI 1.03-9.07, P<.001) in radiated patients than in nonradiated patients. Patients with a history of pelvic RT have lower odds of success and cure and higher odds of infection and sling explantation than those without a history of pelvic RT.

Radiation Safety Considerations of Household Waste Disposal After Release of Patients Who Have Received [177Lu]Lu-PSMA-617.

Patients with metastatic prostate cancer are more likely than other groups to present for radiopharmaceutical therapy with urinary incontinence due to complications from prior local prostate cancer treatment. A consequence of urinary incontinence in patients receiving radiopharmaceutical therapy is the potential production of contaminated solid waste, which must be managed by the licensee and, at home, managed by and disposed of by the patient. Prolonging the patient stay in the treating facility after radiopharmaceutical therapy administration, until the first urinary void or potentially overnight, may moderately reduce the quantity of contaminated waste being managed by the patient at home. However, this approach does not fully mitigate the need for a patient waste-management strategy. In this brief communication, the relative radiation safety merits of contaminated waste disposal in the normal household waste stream in comparison to other waste management strategies are evaluated.

Risk factors for urinary incontinence in patients undergoing radical robot-assisted prostatectomy

Introduction. Prostate cancer (PCa) is one of the most common cancers among men, and the tactic to treat this disease stage-depends directly. The “gold” standard for localized PCa is radical robot-assisted prostatectomy (RARP). Patients often have excessive surgery requirements and are concerned about the development of postoperative complications. One of the most frequent functional complications after this operation is urinary incontinence (UI), whose formation mechanism is not fully understood. Clinical studies have described many UI predisposing factors, but the results obtained are often contradictory, which requires a repeated and deeper study of the issue.Objective. To identify predisposing factors for urinary incontinence in patients undergoing radical robot-assisted prostatectomy.Materials &amp; methods. The search results for the scientific databases PubMed, Medline, Web of Science, Embase, Cochrane Library and PEDro, Wang-fang Database and CNKI, Edline were analyzed for the queries "robot-assisted prostatectomy", "radical prostatectomy", "incontinence", "predictors", "urinary incontinence".Results. The predisposing factors to UI after RARP were studied. The review discusses and illustrates in detail all known predisposing factors for UI and shows the inconsistency of the data obtained by different researchers, which once again emphasizes the need for further study of this issue.Conclusion. Despite the long history of studying postoperative complications of RARP, reliable and consistent data on all the risks of UI after RARP have not yet been obtained. Therefore, this literature review summarizes and analyzes the results of the latest research in recent years. 

The associations of continuity of care with inpatient, outpatient, and total medical care costs among older adults with urinary incontinence

IntroductionUrinary incontinence is a significant health problem with considerable social and economic consequences among older adults. The objective of this study was to investigate the financial impact of continuity of care (CoC) among older urinary incontinence patients in South Korea. MethodsWe used the NHIS-Senior cohort patient data between January 1, 2010, and December 31, 2010. Patients who were diagnosed with urinary incontinence in 2010 were included. Operational definition of CoC included referrals, number of providers, and number of visits. A generalized linear model (GLM) with γ-distributed errors and the log link function was used to examine the relationship between health cost and explanatory variables. Additionally, we conducted a two-part model analysis for inpatient cost. Marginal effect was calculated.ResultsHigher CoC was associated with a decrease in total medical cost (-0.63, P < .0001) and in outpatient costs (-0.28, P < .001). Higher Charlson Comorbidity Index (CCI) score was a significant predictor for increasing total medical cost (0.59, P < .0001) and outpatient cost (0.22, P < .0001). Higher CoC predict a reduced medical cost of $360.93 for inpatient cost (P = 0.044) and $23.91 for outpatient cost (P = 0.008) per patient.ConclusionHigher CoC was associated with decrease in total medical costs among older UI patients. Policy initiatives to promote CoC of older UI patients in the community setting could lead to greater financial sustainability of public health insurance in South Korea.

Five-year Results from the Prospective, Multicenter, Observational SOUNDS Study of Patients with Overactive Bladder Treated with the InterStim System for Sacral Neuromodulation

BackgroundAlthough sacral neuromodulation (SNM) for overactive bladder (OAB) is an established therapy, there is a lack of high-quality, long-term data on real-life practice. ObjectiveTo report on real-life therapeutic effectiveness, quality of life (QoL), disease severity, and safety as well as patient-reported symptom bother after approximately 5 yr of follow-up. Design, setting, and participantsA total of 291 OAB patients were enrolled at 25 French sites according to local standard of care. Sacral neuromOdUlation with InterStim therapy for intractable lower uriNary tract DySfunctions (SOUNDS) enrolled both de novo and replacement patients, and a total of 229 patients were permanently implanted. Outcome measurements and statistical analysisOver the course of the study, patients were followed up six times with two follow-ups in the year after implantation and annually thereafter. Of the patients, 154 completed the final follow-up after a mean of 57.7 ± 3.9 mo. Results and limitationsThe mean number of daily leaks in urinary urge incontinence (UI) patients was reduced from 4.4 ± 3.3 at baseline to 1.8 ± 2.6 after 5 yr in de novo and from 5.4 ± 4.9 to 2.2 ± 3.0 in replacement patients (both p < 0.001). Likewise, the number of voids in urinary frequency patients was reduced compared with baseline (de novo: reduced from 12.6 ± 4.0 [baseline] to 9.6 ± 4.3 [5 yr]; replacements: reduced from 11.5 ± 4.3 [baseline] to 9.2 ± 3.1 [5 yr]; both p < 0.05). Complete continence rates after 5 yr were 44% (25/57) in de novo and 33% (5/15) in replacement UI patients, and 68% (39/57) and 67% (10/15) of UI patients were categorized as therapy responders by showing a >50% improvement in leaks. Disease severity (Urinary Symptom Profile domain 2), Numeric Rating Scale–based symptom bother, and disease-specific QoL (Ditrovie) improved significantly in both groups at all visits (p < 0.001). Adverse events related to device or procedure occurred in 51% (140/274) of patients, with 66% (152/229) of the events being classified as minor (Clavien-Dindo grade I and II). Surgical revisions were reported in 39% (89/229), which include permanent explants in 15% (34/229) of patients. ConclusionsSOUNDS demonstrates the sustained effectiveness and QoL improvements of SNM in OAB patients after 5 yr in real-world conditions while maintaining an acceptable safety profile consistent with literature. Patient summaryThis study confirmed that French overactive bladder patients had a sustained symptom and bother reduction, and improvements in quality of life up to 5 yr after sacral neuromodulation device implantation.

MP60-04 CANNABIS USE IS A PREDICTOR OF HIGHER RATES OF URINARY INCONTINENCE IN BOTH MALES AND FEMALES; ANALYSIS OF THE NATIONAL HEALTH AND NUTRITION EXAMINATION SURVEY

You have accessJournal of UrologyCME1 Apr 2023MP60-04 CANNABIS USE IS A PREDICTOR OF HIGHER RATES OF URINARY INCONTINENCE IN BOTH MALES AND FEMALES; ANALYSIS OF THE NATIONAL HEALTH AND NUTRITION EXAMINATION SURVEY Micah Levy, Christopher Connors, Chih Peng Chin, Krishna T. Ravivarapu, Olamide O. Omidele, and Michael A. Palese Micah LevyMicah Levy More articles by this author , Christopher ConnorsChristopher Connors More articles by this author , Chih Peng ChinChih Peng Chin More articles by this author , Krishna T. RavivarapuKrishna T. Ravivarapu More articles by this author , Olamide O. OmideleOlamide O. Omidele More articles by this author , and Michael A. PaleseMichael A. Palese More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003318.04AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: There is little research exploring the possible association between cannabis use and urinary incontinence (UI). With cannabis legalization on the rise in the United States, it is important to understand how it may impact patients. We identified the impact of cannabis use on the rate and severity of urinary incontinence in male and female populations. METHODS: The National Health and Nutrition Examination Survey (NHANES) was queried from 2013-2018. Respondents were grouped as either using or never using cannabis. The rate of UI and UI subtypes (stress, urge, and overflow) were analyzed based on cannabis use. Symptom frequency was analyzed, with moderate symptoms defined as UI occurring less than once a week, and severe symptoms defined as UI occurring at least once a week. Multivariate analysis including age, race, education, income to poverty ratio, BMI, cigarette use, and parity was used to determine whether cannabis use is an independent predictor of UI. RESULTS: 3,391 males (1,506 [44.4%] used cannabis) and 3,570 females (987 [27.6%] used cannabis) were included in analysis. Cannabis use was associated with a greater rate of urinary incontinence in both males (13% vs. 7%, p<0.001) and females (42% vs. 34%, p<0.001). It was associated with greater rates of all three types of UI; stress UI in males (4% vs. 2%, p<0.001) and females (42% vs. 36%, p=0.008), urge UI in males (12% vs. 7%, p<0.001) and females (28% vs. 19%, p<0.001), and overflow UI in males (3% vs. 2%, p=0.017) and females (11% vs. 6%, p<0.001). Cannabis use was also associated with more severe symptom frequency in females (37% vs. 29%, p=0.009), but there was no difference in symptom frequency in males. Multivariate analysis showed cannabis to be a significant predictor of UI in both males (OR: 2.04, p<0.001) and in females (OR: 1.65, p=0.003) when controlling for other demographic variables. CONCLUSIONS: Cannabis use is an independent predictor of higher rates of urinary incontinence in both males and females and is associated with higher rates of all forms of urinary incontinence in males and females and with more frequent symptoms in females. With legal cannabis use on the rise, it is important to understand how it may affect the rate and severity of urinary incontinence in patients. Source of Funding: NA © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e843 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Micah Levy More articles by this author Christopher Connors More articles by this author Chih Peng Chin More articles by this author Krishna T. Ravivarapu More articles by this author Olamide O. Omidele More articles by this author Michael A. Palese More articles by this author Expand All Advertisement PDF downloadLoading ...

요실금 증상 유형과 제품 기능 속성 선호도 관계 연구 -요실금 패드와 팬티를 중심으로-

This study attempted to investigate the difference in consumers’ perception of urinary incontinence products and to investigate the relationship between urinary incontinence products and urinary incontinence involvement. Through this, I tried to present implications necessary for the development and marketing of urinary incontinence pads and urinary incontinence underwears. Based on previous studies, a structured questionnaire was developed on the involvement of urinary incontinence and the function of urinary incontinence products, and 88 respondents with experience using urinary incontinence products were secured and used in the study. In the research model, the dependent variable was the product functional attribute preference, and the independent variable was the type of incontinence involvement. Urinary incontinence involvement was divided into three sub-factors: activity, unconsciousness, and difficulty. Product functional attribute preference was classified into comfort, fitting, and functionality in the case of diapers, and safety, wearability, and discomfort in the case of underwear. The activity showed a negative correlation between fitting and wearability. The unconsciousness showed a negative correlation with the discomfort of the fitting. Difficulty level showed a positive correlation with comfort, wearability, and discomfort. Clusters were divided into low-symptomatic and severe-symptomatic types. The low-symptomatic type was found to have a high functional preference, indicating that it was more sensitive to fit, function, size, and waterproofing. Urinary incontinence products were essential in fitting and function. Low-symptomatic incontinence products required products that were faithful to essential functions, and severe incontinence products required additional functions such as deodorization and quick drying. This study was conducted on the elderly female, and in the case of male elderly urinary incontinence patients, it was not possible to find out the relationship between urinary incontinence product and urinary incontinence involvement. Therefore, in subsequent studies, it is believed that research on male urinary incontinence patients should be conducted, and in-depth research should be conducted according to the severity of symptoms.