Urinary Incontinence

Pelvic Floor Muscle Exercises May Improve Mild Pelvic Organ Prolapse

Pelvic Floor Muscle Exercises May Improve Mild Pelvic Organ Prolapse

Pelvic floor exercises appear to improve symptoms more than watchful waiting in older women.

Mid-Urethral Slings for SUI Offer Long-Term Efficacy

Mid-Urethral Slings for SUI Offer Long-Term Efficacy

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More than 95% of women reported no stress urinary incontinence at 2-, 5-, and 10 year follow-up.

Risk-Benefit Profile for Transvaginal Mesh

Risk-Benefit Profile for Transvaginal Mesh

Lower rates of awareness of prolapse, reoperation for prolapse; higher rates of de novo incontinence.

Superficial Sling Implantation Eases Post-RP Incontinence

Superficial Sling Implantation Eases Post-RP Incontinence

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Modified technique improved stress urinary incontinence in nearly three-quarters of patients.

FDA Tightens Rules for Surgical Mesh in Pelvic Prolapse Repair

FDA Tightens Rules for Surgical Mesh in Pelvic Prolapse Repair

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Agency aims to improve treatment of pelvic organ prolapse.

Pre-Op Testing Misused in Midurethral Sling Surgery

Pre-Op Testing Misused in Midurethral Sling Surgery

Preoperative testing overused and underused; estimated charge of overused testing, 18/patient.

Low Rate of Repeat Surgery Despite Recurrent SUI

Low Rate of Repeat Surgery Despite Recurrent SUI

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Some 83% of women who experienced SUI after sling release reported feeling significantly bothered by their symptoms.

Overactive Bladder Risk Higher in Women Who Smoke

Overactive Bladder Risk Higher in Women Who Smoke

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Researchers also find a significant association between smoking and secondary nocturnal enuresis.

Steep Learning Curve for Retropubic Mid-Urethral Sling Surgery

Steep Learning Curve for Retropubic Mid-Urethral Sling Surgery

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Trainees only achieved a 5% or lower bladder perforation rate after they had performed 20 to 80 surgeries.

Botox Effectively Treats New OAB After Incontinence Surgery

Botox Effectively Treats New OAB After Incontinence Surgery

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A high cure rate was observed in women with de novo OAB symptoms following transobturator tape surgery.

Thermal-Based Laser May Treat Stress Urinary Incontinence

Thermal-Based Laser May Treat Stress Urinary Incontinence

Findings less promising for mixed urinary incontinence after 1 year of follow up.

Reoperation Rate Higher for Transobturator Tape Procedure

Reoperation Rate Higher for Transobturator Tape Procedure

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It was associated with double the risk of reoperation compared with retropubic midurethral tape surgery.

Relatively Low Risk of Complications With Vaginal Mesh Surgery

Relatively Low Risk of Complications With Vaginal Mesh Surgery

Only one in 30 women will suffer a complication that requires a second procedure.

Transobturator Tape Procedure Outcomes Similar for the Obese

Transobturator Tape Procedure Outcomes Similar for the Obese

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Success and complication rates were similar among obese, severely obese, and normal-weight women.

Urethral Bulking Treats Severe SUI Despite Prior Pelvic Radiotherapy

Urethral Bulking Treats Severe SUI Despite Prior Pelvic Radiotherapy

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Complete continence achieved in 25% and 36% of women with and without previous pelvic radiotherapy, respectively.

Senior Cancer Patients Using CAM May Develop Urology Problems

Senior Cancer Patients Using CAM May Develop Urology Problems

CAM associated with polypharmacy, vision impairment, and urologic comorbidities.

Greater Physical Activity May Increase Incontinence in Women

Greater Physical Activity May Increase Incontinence in Women

Slightly increased odds of moderate/severe SUI with substantially increased lifetime physical activity.

Two-Drug Combo Effective for Severe OAB in Elderly

Two-Drug Combo Effective for Severe OAB in Elderly

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Among seniors with severe overactive bladder, a combination of solifenacin and mirabegron decreased incontinence by an average 3.5 episodes a day.

Mid-urethral Slings Effective for Stress Incontinence in Women

Mid-urethral Slings Effective for Stress Incontinence in Women

For mid-urethral sling, fewer adverse events with transobturator route versus retropubic route.

Bariatric Surgery May Improve Urinary Incontinence

Bariatric Surgery May Improve Urinary Incontinence

If pounds stayed off, bladder control improvement was seen after 3 years.

Botox May Treat Urinary Incontinence

Botox May Treat Urinary Incontinence

Relief for majority -- but not all -- of patients who got Botox injections for urinary incontinence.

Overactive Bladder Medications Only Slightly Beneficial

Overactive Bladder Medications Only Slightly Beneficial

Small reductions in urge incontinence episodes, voids per day with daily dose of medications.

Salvage Cryotherapy a Valid Option for Recurrent Prostate Cancer

Salvage Cryotherapy a Valid Option for Recurrent Prostate Cancer

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In a study, the treatment was used in men who experienced prostate cancer recurrence after primary radiotherapy.

Robotic Prostate Surgery Offers Good Long-Term Results

Robotic Prostate Surgery Offers Good Long-Term Results

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A study of 4,803 patients who underwent robot-assisted radical prostatectomy had long-term outcomes on par with other surgical approaches.

ACP Recommends Exercise, Training for Female Urinary Incontinence

ACP Recommends Exercise, Training for Female Urinary Incontinence

The American College of Physicians (ACP) recommends Kegel exercises and bladder training for the treatment of urinary incontinence (UI).

Female Urinary Prosthetic Device Approved

Female Urinary Prosthetic Device Approved

Prosthetic device approved for impaired detrusor contractility in women.

Female Urinary Incontinence Guidelines Released

Female Urinary Incontinence Guidelines Released

American College of Physicians guidelines addresses nonsurgical management of urinary incontinence in women.

Shared Decision Making in Managing Idiopathic and Neurogenic OAB

Communicating effectively about appropriate options and eliciting patient input for overactive bladder (OAB) can improve outcomes.

Focal Prostate Cancer Therapy Safe, Feasible

Focal Prostate Cancer Therapy Safe, Feasible

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In a study, none of the 62 men who had the treatment experienced erectile dysfunction or urinary incontinence.

Bariatric Surgery Improves Urinary Incontinence

Bariatric Surgery Improves Urinary Incontinence

Over three years of follow-up, reduction in frequency of episodes, more experience remission.

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