Urinary Incontinence

Tension-Free Vaginal Tape-Obturator Effective Long-Term

Tension-Free Vaginal Tape-Obturator Effective Long-Term

After 10 years, objective and subjective cure rates were 69 and 64%, respectively.

Trans-Obturator Tape Less Costly for Stress Urinary Incontinence

Trans-Obturator Tape Less Costly for Stress Urinary Incontinence

Randomized trial shows cost-effectiveness of trans-obturator versus tension-free vaginal tape.

OnabotulinumtoxinA Provides Lasting Benefit in Overactive Bladder

OnabotulinumtoxinA Provides Lasting Benefit in Overactive Bladder

Consistent mean reductions in urinary incontinence; durable improvements in quality of life.

Sleep Apnea May Increase Risk of Urinary Incontinence

Sleep Apnea May Increase Risk of Urinary Incontinence

Incidence of UI among men with OSA was 2.3%.

Urinary Incontinence Care Varies by Specialty

Urinary Incontinence Care Varies by Specialty

The number of urinary incontinence visits has increased from 10.7 million to 13.6 million since 1999.

Vaginal Mesh Complications Associated With Inflammation

Vaginal Mesh Complications Associated With Inflammation

Significantly higher M1/M2 cytokines, chemokines, MMP-9 and -2 in women with mesh-vagina explants.

Smokers Face Delayed Continence Recovery After Prostate Surgery

Smokers Face Delayed Continence Recovery After Prostate Surgery

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Large prostates and bladder neck sparing also predict longer time to return of continence.

Factors Affecting Post-Brachytherapy Urinary Incontinence Type ID'd

Factors Affecting Post-Brachytherapy Urinary Incontinence Type ID'd

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TURP and EBRT after seed implantation are associated with development of urge urinary incontinence.

Nasal Spray May Lessen Nocturia

Nasal Spray May Lessen Nocturia

In second study, exercise also found to improve nocturia.

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.

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