- Retrospective study on the management and follow-up of 18 patients with a mid-urethral sling penetrating the urethra or bladder. [Journal Article]
- JGJ Gynecol Obstet Hum Reprod 2018 May 18
- CONCLUSIONS: Our study showed that surgery could treat urethro-vesical sling exposure. Three surgical approaches may be necessary. Controlled cystoscopy is vital to confirm healing due to the recurrences of sling exposure in our study.
- The impact of concurrent pelvic organ prolapse reconstructive surgery on midurethral sling procedure outcome. [Journal Article]
- GPGinekol Pol 2018; 89(4):190-195
- CONCLUSIONS: Concurrent POP reconstructive surgery including anterior colporrhaphy, posterior colporrhaphy and vaginal hysterectomy have no affect MUS procedure outcomes.
- Pelvic Floor Muscle Training With Or Without Tibial Nerve Stimulation and Lifestyle Changes Have Comparable Effects on The Overactive Bladder. A Randomized Clinical Trial. [Journal Article]
- UJUrol J 2018 May 21
- CONCLUSIONS: All three treatments lead to effective short-term reduction of urgency in women with OAB, but longterm efficacy evaluation is required.
- A Comprehensive Review of the Pharmacologic Management of Uterine Leiomyoma. [Review]
- BRBiomed Res Int 2018; 2018:2414609
- Uterine leiomyomata are the most common benign tumors of the gynecologic tract impacting up to 80% of women by 50 years of age. It is well established that these tumors are the leading cause for hyst...
Uterine leiomyomata are the most common benign tumors of the gynecologic tract impacting up to 80% of women by 50 years of age. It is well established that these tumors are the leading cause for hysterectomy with an estimated total financial burden greater than $30 billion per year in the United States. However, for the woman who desires future fertility or is a poor surgical candidate, definitive management with hysterectomy is not an optimal management plan. Typical gynecologic symptoms of leiomyoma include infertility, abnormal uterine bleeding (AUB)/heavy menstrual bleeding (HMB) and/or intermenstrual bleeding (IMB) with resulting iron-deficiency anemia, pelvic pressure and pain, urinary incontinence, and dysmenorrhea. The morbidity caused by these tumors is directly attributable to increases in tumor burden. Interestingly, leiomyoma cells within a tumor do not rapidly proliferate, but rather the increase in tumor size is secondary to production of an excessive, stable, and aberrant extracellular matrix (ECM) made of disorganized collagens and proteoglycans. As a result, medical management should induce leiomyoma cells toward dissolution of the extracellular matrix, as well as halting or inhibiting cellular proliferation. Herein, we review the current literature regarding the medical management of uterine leiomyoma.
- Risk factors and factors affecting the severity of overactive bladder symptoms in Korean women who use public health centers. [Journal Article]
- OGObstet Gynecol Sci 2018; 61(3):404-412
- CONCLUSIONS: Those who have risk factors and factors affecting severity of OAB should be educated to increase OAB awareness and act of urinary health promotion.
- Postoperative urinary symptoms after transobturator tape in normal-weight compared with overweight and obese woman. [Journal Article]
- OGObstet Gynecol Sci 2018; 61(3):374-378
- CONCLUSIONS: Transobturator tape surgery seems effective regardless of BMI, but obese women had a higher occurrence of postoperative urinary symptoms than did normal-weight women.
- Management of nocturnal enuresis in Taiwan: Consensus statements of the Taiwan enuresis expert committee. [Review]
- JFJ Formos Med Assoc 2018 May 17
- Nocturnal enuresis causes significant psychological distress to affected children and their family and requires appropriate management. A 12-member expert committee of pediatric urologists and pediat...
Nocturnal enuresis causes significant psychological distress to affected children and their family and requires appropriate management. A 12-member expert committee of pediatric urologists and pediatric nephrologists in Taiwan with extensive experience in treating enuresis was established to develop consensus statements and a recommended treatment algorithm for the management of patients with nocturnal enuresis in Taiwan after careful consideration of current evidence, existing guidelines, and expert opinion as well as local practice and culture. The finalized consensus statements were reviewed by and have received endorsement from the Taiwan Urological Association and the Taiwan Pediatric Association. Patients with suspected enuresis should undergo a thorough initial assessment to fully evaluate urinary signs and symptoms and to rule out underlying causes of diurnal and nocturnal incontinence. Behavioral therapy is recommended throughout the course of management. Desmopressin in the fast-melting formulation is the recommended first-line pharmacological treatment. Combination therapy may be effective in patients who have failed first-line treatment. These consensus statements and a recommended treatment algorithm were created by the expert committee to provide practical support for clinical decision making by physicians in Taiwan.
- Predictive role of measurement of pelvic floor muscle thickness with static MRI in stress and mixed urinary incontinence. [Journal Article]
- IUInt Urogynecol J 2018 May 19
- CONCLUSIONS: Morphologic changes of pelvic floor muscle thickness can be demonstrated by a static pelvic MRI, and this can be used as a prognostic test in the treatment and follow-up of patients with stress or mixed urinary incontinence.
- Pelvic Floor Physical Therapy and Women's Health Promotion. [Review]
- JMJ Midwifery Womens Health 2018 May 19
- Pelvic floor dysfunction is defined as abnormal function of the pelvic floor and includes conditions that can have significant adverse impacts on a woman's quality of life, including urinary incontin...
Pelvic floor dysfunction is defined as abnormal function of the pelvic floor and includes conditions that can have significant adverse impacts on a woman's quality of life, including urinary incontinence (stress, urge, and mixed), fecal incontinence, pelvic organ prolapse, sexual dysfunction, diastasis recti abdominis, pelvic girdle pain, and chronic pain syndromes. Women's health care providers can screen for, identify, and treat pelvic floor dysfunction. This article examines the case of a woman with multiple pelvic-floor-related problems and presents the evidence for the use of pelvic floor physical therapy (PFPT) for pregnancy-related pelvic floor dysfunction. PFPT is an evidence-based, low-risk, and minimally invasive intervention, and women's health care providers can counsel women about the role that PFPT may play in the prevention, treatment, and/or management of pelvic floor dysfunction.
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- Patency and Incontinence Rates after Robotic Bladder Neck Reconstruction for Vesicourethral Anastomotic Stenosis and Recalcitrant Bladder Neck Contractures: the TURNS Experience. [Journal Article]
- UUrology 2018 May 16
- CONCLUSIONS: Robotic bladder neck reconstruction is a viable surgical option with high patency rates and favorable continence outcomes. This is in contrast to perineal reconstruction which has high incontinence rates. If future incontinence procedures are needed outcomes may be improved given lack of previous perineal dissection.