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Journal articles on the topic 'Female stress urinary incontinence'

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Published: 4 June 2021
Last updated: 4 February 2022

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1

Cervigni, M., and M. Gambacciani. "Female urinary stress incontinence." Climacteric 18, sup1 (September 14, 2015): 30–36. http://dx.doi.org/10.3109/13697137.2015.1090859.

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2

Park, Young Kyung. "Female Stress Urinary Incontinence." Journal of the Korean Continence Society 12, no. 1 (2008): 1. http://dx.doi.org/10.5213/jkcs.2008.12.1.1.

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3

&NA;. "FEMALE URINARY STRESS INCONTINENCE." AJN, American Journal of Nursing 108, no. 2 (February 2008): 72DD. http://dx.doi.org/10.1097/01.naj.0000310349.36614.24.

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4

Patrelli, Tito Silvio, Salvatore Gizzo, Marco Noventa, Andrea Dall’Asta, Andrea Musarò, Raffaele Faioli, Giuliano Carlo Zanni, et al. "Female Stress Urinary Incontinence." Surgical Innovation 22, no. 2 (May 29, 2014): 137–42. http://dx.doi.org/10.1177/1553350614535855.

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5

Daniel, R., C. D. Mallen, and J. Cooper. "Female stress urinary incontinence." BMJ 340, feb01 1 (February 1, 2010): b5533. http://dx.doi.org/10.1136/bmj.b5533.

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6

Farag, Fawzy, Ruth Doherty, and Salvador Arlandis. "Female neurogenic stress urinary incontinence." Current Opinion in Urology 30, no. 4 (July 2020): 496–500. http://dx.doi.org/10.1097/mou.0000000000000785.

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7

Sihra, Néha, Magda Kujawa, Eskinder Solomon, Chris Harding, Arun Sahai, and Sachin Malde. "Female stress urinary incontinence MDT." Journal of Clinical Urology 12, no. 4 (January 22, 2019): 255–65. http://dx.doi.org/10.1177/2051415818821548.

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8

Najjari, Laila, Nadine Janetzki, Lieven Kennes, Elmar Stickeler, Julia Serno, and Julia Behrendt. "Comparison of Perineal Sonographically Measured and Functional Urodynamic Urethral Length in Female Urinary Incontinence." BioMed Research International 2016 (2016): 1–6. http://dx.doi.org/10.1155/2016/4953091.

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Objectives. To detect the anatomical insufficiency of the urethra and to propose perineal ultrasound as a useful, noninvasive tool for the evaluation of incontinence, we compared the anatomical length of the urethra with the urodynamic functional urethral length. We also compared the urethral length between continent and incontinent females.Methods. 149 female patients were enrolled and divided into four groups (stress, urge, or mixed incontinence; control). Sonographically measured urethral length (SUL) and urodynamic functional urethral length (FUL) were analyzed statistically. Standardized and internationally validated incontinence questionnaire ICIQ-SF results were compared between each patient group.Results. Perineal SUL was significantly longer in incontinent compared to continent patients (p<0.0001). Pairwise comparison of each incontinent type (stress, urge, or mixed incontinence) with the control group showed also a significant difference (p<0.05). FUL was significantly shorter in incontinent patients than in the control group (p=0.0112). But pairwise comparison showed only a significant difference for the stress incontinence group compared with the control group (p=0.0084) and not for the urge or mixed incontinent group. No clear correlation between SUL, FUL, and ICIQ-SF score was found.Conclusions. SUL measured by noninvasive perineal ultrasound is a suitable parameter in the assessment of female incontinence, since incontinent women show a significantly elongated urethra as a sign of tissue insufficiency, independent of the type of incontinence.
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9

Fondacaro, L., and G. Morgia. "Female urinary stress incontinence: Instrumental diagnosis." Urologia Journal 65, no. 1 (February 1998): 101–5. http://dx.doi.org/10.1177/039156039806500125.

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A review was made of the diagnosis tools available today for assessing female urinary stress incontinence. Many investigators perform both functional and morphological examinations, but as yet there are no universally accepted guidelines to help in the choice.
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10

Osborn, David James, Matthew Strain, Alex Gomelsky, Jennifer Rothschild, and Roger Dmochowski. "Obesity and Female Stress Urinary Incontinence." Urology 82, no. 4 (October 2013): 759–63. http://dx.doi.org/10.1016/j.urology.2013.06.020.

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11

Agur, Wael. "Management of female stress urinary incontinence." Maturitas 110 (April 2018): 124. http://dx.doi.org/10.1016/j.maturitas.2018.01.009.

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12

Petrizzo, John, Rori Alter-Petrizzo, John Wygand, and Robert M. Otto. "Stress Urinary Incontinence in Female Powerlifting." Medicine & Science in Sports & Exercise 50, no. 5S (May 2018): 741. http://dx.doi.org/10.1249/01.mss.0000538444.72232.53.

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13

Heath, Amanda, Shauna Folan, Bridget Ripa, Caroline Varriale, Angela Bowers, Janet Gwyer, and Carol Figuers. "Stress Urinary Incontinence in Female Athletes." Journal of Womenʼs Health Physical Therapy 38, no. 3 (2014): 104–9. http://dx.doi.org/10.1097/jwh.0000000000000016.

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14

Naumann, Gert, and Heinz Koelbl. "Pharmacotherapy of female urinary incontinence." British Menopause Society Journal 11, no. 4 (December 1, 2005): 160–65. http://dx.doi.org/10.1258/136218005775544336.

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Urinary incontinence is a major clinical problem and a significant cause of disability and dependency in older adults. Overall, the prevalence of urinary incontinence approaches 55% among women aged over 55 years. The past few years have seen significant advances in the pharmacotherapy of overactive bladder and stress incontinence. The review examines the evidence regarding their benefits and side-effects.
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15

Hannestad, Yngvild S., Rolv Terje Lie, Guri Rortveit, and Steinar Hunskaar. "Familial risk of urinary incontinence in women: population based cross sectional study." BMJ 329, no. 7471 (October 14, 2004): 889–91. http://dx.doi.org/10.1136/bmj.329.7471.889.

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Abstract Objective To determine whether there is an increased risk of urinary incontinence in daughters and sisters of incontinent women. Design Population based cross sectional study. Setting EPINCONT (the epidemiology of incontinence in the county of Nord-Trøndelag study), a substudy of HUNT 2 (the Norwegian Nord-Trøndelag health survey 2), 1995-7. Participants 6021 mothers, 7629 daughters, 332 granddaughters, and 2104 older sisters of 2426 sisters. Main outcome measures Adjusted relative risks for urinary incontinence. Results The daughters of mothers with urinary incontinence had an increased risk for urinary incontinence (1.3, 95% confidence interval 1.2 to 1.4; absolute risk 23.3%), stress incontinence (1.5, 1.3 to 1.8; 14.6%), mixed incontinence (1.6, 1.2 to 2.0; 8.3%), and urge incontinence (1.8, 0.8 to 3.9; 2.6%). If mothers had severe symptoms then their daughters were likely to have such symptoms (1.9, 1.3 to 3.0; 4.0%). The younger sisters of female siblings with urinary incontinence, stress incontinence, or mixed incontinence had increased relative risks of, respectively, 1.6 (1.3 to 1.9; absolute risk 29.6%), 1.8 (1.3 to 2.3; 18.3%), and 1.7 (1.1 to 2.8; 10.8%). Conclusion Women are more likely to develop urinary incontinence if their mother or older sisters are incontinent.
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16

Leach, Gary E., Roger R. Dmochowski, Rodney Appell, Jerry G. Blaivas, H. Roger Hadley, Karl M. Luber, Jacek L. Mostwin, Pat D. O'Donnell, and Claus G. Roehrborn. "Female Stress Urinary Incontinence Clinical Guidelines Panel Summary Report on Surgical Management of Female Stress Urinary Incontinence." Journal of Urology 158, no. 3 (September 1997): 875–80. http://dx.doi.org/10.1016/s0022-5347(01)64346-5.

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17

Pires, Telma, Patrícia Pires, Helena Moreira, and Rui Viana. "Prevalence of Urinary Incontinence in High-Impact Sport Athletes: A Systematic Review and Meta-Analysis." Journal of Human Kinetics 73, no. 1 (July 21, 2020): 279–88. http://dx.doi.org/10.2478/hukin-2020-0008.

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AbstractThe aim of this study was to systematize the scientific evidence that assessed the prevalence of urinary incontinence in female athletes and determine which modality is most predisposed to stress urinary incontinence. From September to December 2018, a systematic literature search of current interventional studies of stress urinary incontinence of the last ten years was performed using PubMed, EMBASE, Scopus and Web of Science databases. The methodological quality was assessed by the Downs and Black scale, while the data collected from the studies were analyzed through meta-analysis. Nine studies met the eligibility criteria, meaning they included reports of urinary incontinence in different sports. The meta-analysis showed 25.9% prevalence of urinary incontinence in female athletes in different sports, as well as 20.7% prevalence of stress urinary incontinence. The most prevalent high impact sport was volleyball, with the value of 75.6%. The prevalence of urinary incontinence can be high in female athletes, with high-impact sports potentially increasing the risk for stress urinary incontinence. Further research is needed regarding the potential risk factors related to the onset of urinary incontinence.
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18

Bayrak, Omer. "Injectable treatments for female stress urinary incontinence." World Journal of Clinical Urology 3, no. 3 (2014): 209. http://dx.doi.org/10.5410/wjcu.v3.i3.209.

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19

Hijaz, Adonis, Firouz Daneshgari, Karl-Dietrich Sievert, and Margot S. Damaser. "Animal Models of Female Stress Urinary Incontinence." Journal of Urology 179, no. 6 (June 2008): 2103–10. http://dx.doi.org/10.1016/j.juro.2008.01.096.

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20

Twiss, Christian, and Larissa V. Rodriguez. "Female Stress Urinary Incontinence—Where are We?" Journal of Urology 179, no. 5 (May 2008): 1664–65. http://dx.doi.org/10.1016/j.juro.2008.01.138.

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21

Pinggera, G. M., P. Rehder, C. Gozzi, R. Herwig, J. Bektic, R. Spranger, H. Strasser, and G. Bartsch. "650Peripheral neuropathy in female stress urinary incontinence." European Urology Supplements 4, no. 3 (March 2005): 165. http://dx.doi.org/10.1016/s1569-9056(05)80654-2.

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22

Long, R. M., S. K. Giri, and H. D. Flood. "Current concepts in female stress urinary incontinence." Surgeon 6, no. 6 (December 2008): 366–72. http://dx.doi.org/10.1016/s1479-666x(08)80010-8.

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23

Yuan, Lun-Hsiang, Alex T. L. Lin, and Kuang-Kuo Chen. "Vibratory Perception and Female Stress Urinary Incontinence." Journal of Urology 182, no. 2 (August 2009): 607–11. http://dx.doi.org/10.1016/j.juro.2009.04.002.

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24

Friedman, Boris. "Conservative treatment for female stress urinary incontinence:." Canadian Urological Association Journal 6, no. 1 (February 26, 2013): 61–63. http://dx.doi.org/10.5489/cuaj.375.

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25

Cummings, J. M. "Leakpoint pressures in female stress urinary incontinence." International Urogynecology Journal 8, no. 3 (May 1997): 153–55. http://dx.doi.org/10.1007/bf02764848.

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26

Charpot, Vinal, and Vaishali Sagar. "Prevalence of Urinary Incontinence among Young Healthy Females in Gujarat - A Cross Sectional Study." International Journal of Health Sciences and Research 11, no. 6 (June 10, 2021): 100–106. http://dx.doi.org/10.52403/ijhsr.20210614.

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Background: Urinary incontinence is a problem that creates both physical and psychological nuisance to all women. It has significant impact on socioeconomically aspect of life too. This problem needs to be studied in detail in young Gujarati population because of lack of precise data at early age. It is also essential to estimate the disease burden that will help in to find out preventive strategies and early intervention. Hence, the present study has been carried out to determine the prevalence of urinary incontinence among young healthy Gujarati females. Methods: This was a cross sectional study conducted among 323 young female aged between 18 to 45 years from month of December 2017 to October 2018. All the data was collected by Proforma consisting of socio demographic details, QUID questionnaire for female urinary incontinence diagnosis and also questions to assess the severity of urinary incontinence. Incontinence was classified as urge, stress and mixed based on symptoms according to QUID questionnaire. Results: The prevalence of UI was 29.36% (323 out of 1100). Of the total female having incontinence, highest numbers were found to have stress incontinence (51.70%, 167/323) followed by mixed (37.15%, 120/323) and urge incontinence (11.15%, 36/323). Out of 323 subjects 214 (66.25 %) were young healthy females aged between 18 to 35 years having complained of urine leakage. Majority (55.60 %) were suffering from stress urinary incontinence in young age. Conclusion: Urinary incontinence is bothersome condition among all young females too. Awareness has to be created about the any kind of urine leakage at any age. So that necessary steps can be taken to prevent and to treat this silent disease at early age. Key words: Prevention, urinary incontinence (UI), young females, QUID questionnaire.
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27

Rovner, Eric S., David A. Ginsberg, and Shlomo Raz. "RE: FEMALE STRESS URINARY INCONTINENCE CLINICAL GUIDELINES PANEL SUMMARY REPORT ON SURGICAL MANAGEMENT OF FEMALE STRESS URINARY INCONTINENCE." Journal of Urology 159, no. 5 (May 1998): 1646–47. http://dx.doi.org/10.1097/00005392-199805000-00071.

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28

Leach, G. E., R. R. Dmochowski, R. A. Appell, J. G. Blaivas, H. R. Hadley, K. M. Luber, J. L. Mostwin, P. O. O'Donnell, and C. G. Roehrborn. "RE: FEMALE STRESS URINARY INCONTINENCE CLINICAL GUIDELINES PANEL SUMMARY REPORT ON SURGICAL MANAGEMENT OF FEMALE STRESS URINARY INCONTINENCE." Journal of Urology 159, no. 5 (May 1998): 1647. http://dx.doi.org/10.1097/00005392-199805000-00072.

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29

Naumann, Gert, Thomas Hitschold, Dominique Frohnmeyer, Peter Majinge, and Rainer Lange. "Sexual Disorders in Women with Overactive Bladder and Urinary Stress Incontinence Compared to Controls: A Prospective Study." Geburtshilfe und Frauenheilkunde 81, no. 09 (September 2021): 1039–46. http://dx.doi.org/10.1055/a-1499-8392.

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Abstract Introduction and Hypothesis Female urinary incontinence (UI) has a negative impact on sexual function and sexual quality of life (QoL) in women. But there is still no consensus on the type of UI or the prevalence of sexual dysfunction (SD). The aim of the study was to evaluate sexual disorders in women with overactive bladder (OAB) compared to patients with urinary stress incontinence (SUI) and healthy controls. Materials and Methods 106 women presenting to a urogynecological outpatient clinic (referral clinic) were investigated using standardized questionnaires and the Female Sexual Function Index (FSFI-d). All 65 incontinent women underwent a full urodynamic examination; the controls (31) were non-incontinent women in the same age range who came for routine check-ups or minor disorders not involving micturition or pelvic floor function. Women with mixed urinary incontinence, a history of previous medical or surgical treatment for UI, recurrent urinary tract infections, previous radiation therapy or pelvic organ prolapse of more than stage 2 on the Pelvic Organ Prolapse Quantification (POP-Q) system were excluded. Results 100 questionnaires could be evaluated (94.3%). Thirty-four women had urinary stress incontinence, 35 had OAB, 31 were controls. Mean age was 56 years, with no significant differences between groups. The scores of the questionnaire ranged from 2 to 35.1 points. The median score of OAB patients was significantly lower (17.6) than the median score of the controls (26.5; p = 0,004). The stress-incontinent women had a score of 21.95, which was lower than that of the controls but statistically non-significant (p = 0.051). In all subdomains, the OAB patients had lower scores than the stress-incontinent women and significantly lower values than the control group. Most striking was the impairment of “sexual interest in the last 4 weeks”. The figure for “none or almost no sexual activity” was 80% for the OAB group, 64.7% for the group of stress-incontinent women and 48% for the control group. Incontinence during intercourse was reported by one OAB patient and 4 stress-incontinent women but did not occur in the control group. Conclusions There is a high prevalence of SD in women with urinary incontinence. Patients with OAB reported a greater negative impact on sexual function and had significantly lower scores for the FSFI questionnaire than patients with stress incontinence or controls.
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30

Park, Seong-Hi, and Chang-Bum Kang. "Effect of Kegel Exercises on the Management of Female Stress Urinary Incontinence: A Systematic Review of Randomized Controlled Trials." Advances in Nursing 2014 (December 30, 2014): 1–10. http://dx.doi.org/10.1155/2014/640262.

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Objective. The purpose of this study was to evaluate the effect of Kegel exercises on reducing urinary incontinence symptoms in women with stress urinary incontinence. Methods. Randomized controlled trials (RCTs) were conducted on females with stress urinary incontinence who had done Kegel exercises and met inclusion criteria in articles published between 1966 and 2012. The articles from periodicals indexed in KoreaMed, NDSL, Ovid Medline, Embase, Scopus, and other databases were selected, using key terms such as “Kegel” or “pelvic floor exercise.” Cochrane’s risk of bias was applied to assess the internal validity of the RCTs. Eleven selected studies were analyzed by meta-analysis using RevMan 5.1. Results. Eleven trials involving 510 women met the inclusion criteria. All trials contributed data to one or more of the main or secondary outcomes. They indicated that Kegel exercises significantly reduced the urinary incontinence symptoms of female stress urinary incontinence. There was no heterogeneity in the selected studies except the standardized bladder volumes of the pad test. Conclusion. There is some evidence that, for women with stress urinary incontinence, Kegel exercises may help manage urinary incontinence. However, while these results are helpful for understanding how to treat or cure stress urinary incontinence, further research is still required.
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31

Shrestha, Alka. "Clinical profile of Female Urinary Incontinence: A Hospital Based Study." Nepal Journal of Obstetrics and Gynaecology 16, no. 1 (June 19, 2021): 120–23. http://dx.doi.org/10.3126/njog.v16i1.37917.

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Aim: To determine the prevalence of urinary incontinence of women attending gynae outdoor patient department. Method: It is a prospective cross sectional study conducted at Paropakar Maternity and Women’s Hospital for three months. Types of incontinence, their presentation, associated factors, age and parity were the variables studied. Data were analyzed by descriptive statistics. Results: Out of 950 gynaecological out-patients, 97 had urinary incontinence(10.2%); 34.1% were in 50- 59 years and 37.2% were multipara. Stressurinary incontinence (SUI) was the most common incontinence (56.7%) followed by mixed urinary incontinence (22.7%) and urge urinary incontinence (20.6%). Common complaints were leakage during coughing (63.6%) and sneezing(18.2%) in SUI;urgency and frequency were main problem in mixed and urge urinary incontinence. Three-fourth cases had associated medical conditions and rest had gynecological factors. Conclusions: Urinary incontinence is common in the fifth decade of life of women and more than half had stress incontinence.
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32

Osther, Palle J., and Hardy Røhl. "Female Urinary Stress Incontinence Treated with Teflon Injections." Acta Obstetricia et Gynecologica Scandinavica 66, no. 4 (January 1987): 333–35. http://dx.doi.org/10.3109/00016348709103648.

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33

Moore, Robert D., Scott R. Serels, and G. Willy Davila. "Minimally invasive treatment for female stress urinary incontinence." Expert Review of Obstetrics & Gynecology 3, no. 2 (March 2008): 257–72. http://dx.doi.org/10.1586/17474108.3.2.257.

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34

Itkonen Freitas, A. M., P. Rahkola-Soisalo, T. S. Mikkola, and M. Mentula. "Current treatments for female primary stress urinary incontinence." Climacteric 22, no. 3 (February 18, 2019): 263–69. http://dx.doi.org/10.1080/13697137.2019.1568404.

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35

Lenzi, R., G. Barbagli, N. Stomaci, C. Selli, and A. Delle Rose. "A New Colpocystourethropexy for Female Stress Urinary Incontinence." European Urology 11, no. 3 (1985): 203–5. http://dx.doi.org/10.1159/000472493.

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36

VARMA, J. S., A. FIDAS, A. N. SMITH, G. D. CHISHOLM, and A. McINNES. "Neurophysiological abnormalities in genuine female stress urinary incontinence." BJOG: An International Journal of Obstetrics and Gynaecology 95, no. 7 (July 1988): 705–10. http://dx.doi.org/10.1111/j.1471-0528.1988.tb06534.x.

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37

Harding, ChristopherK, and AC Thorpe. "The surgical treatment of female stress urinary incontinence." Indian Journal of Urology 26, no. 2 (2010): 257. http://dx.doi.org/10.4103/0970-1591.65401.

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38

Hussain, Sadiya M., and Rhiannon Bray. "Urethral bulking agents for female stress urinary incontinence." Neurourology and Urodynamics 38, no. 3 (February 22, 2019): 887–92. http://dx.doi.org/10.1002/nau.23924.

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39

Koch, Marianne, Wolfgang Umek, Engelbert Hanzal, Thomas Mohr, Sonja Seyfert, Heinz Koelbl, and Goran Mitulović. "Serum proteomic pattern in female stress urinary incontinence." ELECTROPHORESIS 39, no. 8 (February 6, 2018): 1071–78. http://dx.doi.org/10.1002/elps.201700423.

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40

Koelbl, H., and E. Hanzal. "Female stress urinary incontinence and the pelvic floor." International Urogynecology Journal 1, no. 3 (September 1990): 150–54. http://dx.doi.org/10.1007/bf00376604.

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41

Joutsiniemi, Titta, Seija Ala-Nissilä, Raija Räty, Eija Laurikainen, and Pentti Kiilholma. "Transobturatoric tape procedure for female stress urinary incontinence." Gynecological Surgery 6, no. 2 (August 6, 2008): 105–11. http://dx.doi.org/10.1007/s10397-008-0418-6.

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42

Nygaard, Ingrid E., Janet M. Shaw, Tyler Bardsley, and Marlene J. Egger. "Lifetime physical activity and female stress urinary incontinence." American Journal of Obstetrics and Gynecology 213, no. 1 (July 2015): 40.e1–40.e10. http://dx.doi.org/10.1016/j.ajog.2015.01.044.

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43

Kong, Wesley G., Raymond R. Rackley, and Sandip P. Vasavada. "Emerging technologies to treat female stress urinary incontinence." Current Bladder Dysfunction Reports 3, no. 4 (November 25, 2008): 205–7. http://dx.doi.org/10.1007/s11884-008-0030-7.

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44

Mouritsen, L. "Pelvic floor exercises for female stress urinary incontinence." International Urogynecology Journal 5, no. 1 (February 1994): 44–51. http://dx.doi.org/10.1007/bf00451716.

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45

Grigore, Nicolae, Valentin Pirvut, Ionela Mihai, Adrian Hasegan, Elisabeta Antonescu, Liliana Coldea, and Sebastian Ioan Cernusca Mitariu. "Polypropylene Mesh in Minimally Invasive Treatment of Female Stress Urinary Incontinence." Materiale Plastice 54, no. 4 (December 30, 2017): 635–38. http://dx.doi.org/10.37358/mp.17.4.4915.

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Stress urinary incontinence in women is a condition widely encountered in the entire world with a prevalence between 12.8% and 46.0%. Stress urinary incontinence is a public health problem causing a significant decrease in quality of life, involving social, physical, psychological, occupational and sexual suffering of patients. The minimal invasive treatment of the stress urinary incontinence (SUI) consists in fixing a suburethral polypropylene mesh (SPM) in retropubic (TVT) or transobturator (TOT) space, in order to regain the pelvic support of the urethra, with the consecutive augmentation of the pressure of urethral closing during effort. The objective of this paper is to present the advantage of SPM in the SUI treatment in the eleven years� experience of Department of Urology Sibiu.
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46

BERNABEI, A., Va TROTTA, and Vi TROTTA. "Epidemiological study of female urinary incontinence in the province of Siena, Italy." Urogynaecologia 14, no. 2 (July 1, 2010): 51. http://dx.doi.org/10.4081/uij.2000.51.

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A retrospective study of patients of the Urogynaecological Unit in Siena is reported. Out of 228 women examined, 141 had urinary incontinence (stress incontinence 110, urge incontinence 18, mixed 13). Predisposing factors and risk factors were investigated. A parallel study in a non-selected population of women was performed by means of a questionnaire of self-evaluation for urinary incontinence. About 20% of this population had urinary incontinence to some degree, but only a small percentage of these women had already sought medical advice.
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47

Geary, Rebecca S., Ipek Gurol-Urganci, Jil B. Mamza, Rebecca Lynch, Dina El-Hamamsy, Andrew Wilson, Simon Cohn, Douglas Tincello, and Jan van der Meulen. "Variation in availability and use of surgical care for female urinary incontinence: a mixed-methods study." Health Services and Delivery Research 9, no. 7 (March 2021): 1–94. http://dx.doi.org/10.3310/hsdr09070.

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Background Urinary incontinence affects between 25% and 45% of women. The availability and quality of services is variable and inequitable, but our understanding of the drivers is incomplete. Objectives The objectives of the study were to model patient, specialist clinician, primary and secondary care, and geographical factors associated with referral and surgery for urinary incontinence, and to explore women’s experiences of urinary incontinence and expectations of treatments. Design This was a mixed-methods study. Setting The setting was NHS England. Participants Data were collected from all women with a urinary incontinence diagnosis in primary care data, and all women undergoing mid-urethral mesh tape surgery for stress urinary incontinence were included. Interviews were also carried out with 28 women from four urogynaecology clinics who were deciding whether or not to have surgery, and surveys were completed by 245 members of the Royal College of Obstetricians and Gynaecologists with a specialist interest in urinary incontinence. Data sources The sources were patient-level data from Hospital Episode Statistics, the Clinical Practice Research Datalink and the Office for National Statistics mortality data linked to Hospital Episode Statistics. Interviews were conducted with women. An online vignette survey was conducted with members of the Royal College of Obstetricians and Gynaecologists. Main outcome measures The main outcome measures were the rates of referral from primary to secondary care and surgery after referral, the rates of stress urinary incontinence surgery by geographical area, the risk of mid-urethral mesh tape removal and reoperation after mid-urethral mesh tape insertion. Results Almost half (45.8%) of women with a new urinary incontinence diagnosis in primary care were referred to a urinary incontinence specialist: 59.5% of these referrals were within 30 days of diagnosis. In total, 14.2% of women referred to a specialist underwent a urinary incontinence procedure (94.5% of women underwent a stress urinary incontinence procedure and 5.5% underwent an urgency urinary incontinence procedure) during a follow-up period of up to 10 years. Not all women were equally likely to be referred or receive surgery. Both referral and surgery were less likely for older women, those who were obese and those from minority ethnic backgrounds. The stress urinary incontinence surgery rate was 40 procedures per 100,000 women per year, with substantial geographical variation. Among women undergoing mid-urethral mesh tape insertion for stress urinary incontinence, the 9-year mesh tape removal rate was 3.3%. Women’s decision-making about urinary incontinence surgery centred on perceptions of their urinary incontinence severity and the seriousness/risk of surgery. Women judged urinary incontinence severity in relation to their daily lives and other women’s experiences, rather than frequency or quantity of leakage, as is often recorded and used by clinicians. Five groups of UK gynaecologists could be distinguished who differed mainly in their average inclination to recommend surgery to hypothetical urinary incontinence patients. The gynaecologists’ recommendations were also influenced by urinary incontinence subtype and the patient’s history of previous surgery. Limitations The primary and secondary care data lacked information on the severity of urinary incontinence. Conclusions There was substantial variation in rates of referrals, surgery, and mesh tape removals, both geographically and between women of different ages and women from different ethnic backgrounds. The variation persisted after adjustment for factors that were likely to affect women’s preferences. Growing safety concerns over mid-urethral mesh tape surgery for stress urinary incontinence during the period from which the data are drawn are likely to have introduced more uncertainty to women’s and clinicians’ treatment decision-making. Future work Future work should capture outcomes relevant to women, including ongoing urinary incontinence and pain that is reported by women themselves, both before and after mesh and non-mesh procedures, as well as following conservative treatments. Future research should examine long-term patient-reported outcomes of treatment, including for women who do not seek further health care or surgery, and the extent to which urinary incontinence severity explains observed variation in referrals and surgery. Funding This project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full in Health Services and Delivery Research; Vol. 9, No. 7. See the NIHR Journals Library website for further project information.
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48

Poświata, Anna, Teresa Socha, and Józef Opara. "Prevalence of Stress Urinary Incontinence in Elite Female Endurance Athletes." Journal of Human Kinetics 44, no. 1 (December 1, 2014): 91–96. http://dx.doi.org/10.2478/hukin-2014-0114.

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Abstract The goal of the study was to assess the prevalence of stress urinary incontinence in a group of elite female endurance athletes, as professional sport is one of the risk factors for stress urinary incontinence. SUI rates in the groups of female cross-country skiers and runners were compared to determine whether the training weather conditions like temperature and humidity influenced the prevalence of urinary incontinence. An anonymous questionnaire was distributed among 112 elite female athletes ie., 57 cross-country skiers and 55 runners. We used a short form of the Urogenital Distress Inventory (UDI-6) to assess the presence of SUI symptoms and the level of urogenital distress. Only women who had been practicing sport professionally for at least 3 years, on an international and national level, were included in the research. The study group consisted of 76% nulliparous and 24% parous women. 45.54% of all participants reported leakage of urine associated with sneezing or coughing which indicates stress urinary incontinence. 29.46% were not bothered by the urogenital distress symptoms. 42.86% of the participants were slightly bothered by the symptoms, 18.75% were moderately bothered, 8.04% were significantly bothered and 0.89% were heavily bothered. The absence of statistically significant differences between both groups seems to indicate that training weather conditions did not influence the prevalence of SUI in elite female endurance athletes.
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49

Lopes, M., F. Savoca, S. Bartolotta, C. Nisticò, and B. Ventimiglia. "Physiokinesitherapy in the treatment of female stress incontinence." Urologia Journal 65, no. 1 (February 1998): 106–9. http://dx.doi.org/10.1177/039156039806500126.

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The authors report the results of treatment with physiokinesitherapy (PKT) in 36 women with stress incontinence (29 with genuine-stress incontinence and 7 with urge-stress incontinence). The therapeutic programme consisted of twelve 30-minute sessions, in which biofeedback was alternated with functional electric stimulation. Clinical evaluation included a self-assessment questionnaire, a physiatric visit and a urodynamic examination at 6 and 12 months after treatment. At the end of the PKT cycle, approx. 92% of patients had improved or recovered. After 6 months, however, 53% of patients had recovered, 33% had improved and 14% were stationary. After 12 months, in the 29 patients with genuine-stress incontinence, 66% had recovered, 24% had improved and 3% were stationary, while none of the patients with urge-stress incontinence had recovered (72% improved, 28% stationary). Our study confirms that PKT is helpful in treating urinary stress incontinence in women.
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50

Graziotti, P., C. Guizzetti, R. Orlando, and A. Lembo. "Urinary stress incontinence: A comparison between transvaginal procedures." Urologia Journal 59, no. 5 (October 1992): 30–33. http://dx.doi.org/10.1177/039156039205900507.

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— Transvaginal needle bladder neck suspension for stress urinary incontinence: personal experience. The Authors present their personal experience of 30 patients operated between 1988–1991 for stress urinary incontinence with transvaginal needle bladder neck suspension. 9 patients were treated with Gittes procedure, 14 with Raz and 7 with sling and minisling. Minimal post-operative complications, despite chronic urinary retentions, were observed. With a mean follow-up of 18 months (7–48) they report recurrence of incontinence respectively in 56%, 23% and 16% of the patients. With the significant rate of failure, even after repeated procedure, the Authors have drawn the conclusion that transvaginal needle-suspension should not be considered standard treatment of female S.U.I. They stress the need to carefully select patients. Females with major vaginal prolapse or significant rectocele are, from the authors' point of view, the best candidates for this kind of technique.
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