Urinary Incontinence News Archive

Reoperation Risk Highest After POP Repair With Vaginal Mesh and Sling

Reoperation Risk Highest After POP Repair With Vaginal Mesh and Sling

Erosions occurred in 2.7% of patients compared with 1.6% of patients who underwent SUI sling implantation alone.

Less Urgency, Incontinence After Anterior Urethroplasty

Less Urgency, Incontinence After Anterior Urethroplasty

Overall, 37 and 74% of the men reported improvement in urgency and urge incontinence, respectively.

Botulinum vs Sacral Neuromodulation for Urinary Incontinence

Botulinum vs Sacral Neuromodulation for Urinary Incontinence

Compared with sacral neuromodulation, onabotulinumtoxinA resulted in a small improvement.

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

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

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

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

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

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

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

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

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

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

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.

Urethral Bulking Treats Severe SUI Despite Prior Pelvic Radiotherapy

Urethral Bulking Treats Severe SUI Despite Prior Pelvic Radiotherapy

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

Transobturator Tape Procedure Outcomes Similar for the Obese

Transobturator Tape Procedure Outcomes Similar for the Obese

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

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

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.

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.

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.

Salvage Cryotherapy a Valid Option for Recurrent Prostate Cancer

Salvage Cryotherapy a Valid Option for Recurrent Prostate Cancer

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

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.

Focal Prostate Cancer Therapy Safe, Feasible

Focal Prostate Cancer Therapy Safe, Feasible

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.

Enlarged Prostate Urination Problems Could Be Eased by Sitting

Enlarged Prostate Urination Problems Could Be Eased by Sitting

Compared with standing, sitting was associated with significantly lower post-void residual volume.

SUI Patients Benefit Long-Term from TVT Procedure

SUI Patients Benefit Long-Term from TVT Procedure

The cure rate was 82.5% at 13 years after surgery, investigators report.

Group Yoga Therapy Effective for Incontinence

Group Yoga Therapy Effective for Incontinence

Greater reduction seen in total incontinence frequency for yoga versus wait-list control.

OAB, SUI Worse After Vaginal Birth

OAB, SUI Worse After Vaginal Birth

Regardless of delivery type, obesity ups the risk of more severe urinary symptoms, study shows.

Urinary Incontinence Raises Depression Risk in Women

Urinary Incontinence Raises Depression Risk in Women

UI was associated with a 43% increased risk of probable depression and a 21% increased risk of work disability.

Prostatic Artery Embolization Works for Enlarged Prostate

Prostatic Artery Embolization Works for Enlarged Prostate

Cumulative rates of clinical success were 87.2% at 3 months, 80.2% at 18 months, and 72.3% at 36 months (long term).

Prolapse Procedures Show Comparable Efficacy

Prolapse Procedures Show Comparable Efficacy

A study found similar surgical success rates with uterosacral ligament suspension and sacrospinous ligament fixation.

Common Transvaginal Approaches Comparable for Prolapse, SUI

Common Transvaginal Approaches Comparable for Prolapse, SUI

Comparable outcomes for two approaches; no benefits for perioperative pelvic floor muscle training.

Complications of PCa Treatment Characterized

Complications of PCa Treatment Characterized

Complications other than urinary incontinence or erectile dysfunction occur frequently following treatment for PCa.

Dancing Can Ease Urinary Incontinence

Dancing Can Ease Urinary Incontinence

Dance exercises were added to a physiotherapy program to help women strengthen pelvic floor muscles.

Nocturia Linked to Low Melatonin

Nocturia Linked to Low Melatonin

Increasing secretion of this hormone may prevent and treat the condition.

EPIC Scores Predict Urinary, Sexual Function

EPIC Scores Predict Urinary, Sexual Function

3-month urinary, sexual function scores predict 12-month outcomes in prostate cancer survivors.

Surgery Superior As Initial Treatment for SUI

Better subjective and objective outcomes at one year found with midurethral-sling surgery than physiotherapy.

Urinary Pad Test Shows Promise for Use in Young Women

Pad tests described to date have only been evaluated in older, parous women.

SUI Outcomes After Sling Placement Unaffected By Age

SUI Outcomes After Sling Placement Unaffected By Age

New study reveals no difference in failure rates for women younger than 70 years and those aged 70 and older.

Underwear Alerts Incontinence Sufferers to Pad Leaks

An electronic unit vibrates three times when wetness sensor threads detect urine overspills.

Incontinence Surgery Techniques Offer Similar Outcomes

No significant difference in five-year outcomes found with outside-in and inside-out transobturator tension-free vaginal tape surgery.

Stones Linked to Urinary Incontinence, Periodontitis

Taiwan study finds a twofold increased risk of upper urinary tract stones in patients suffering from urinary incontinence.

Post-RARP Weight Gain May Worsen Urinary Incontinence

Study finds a significant inverse association between weight changes and incontinence scores in normal-weight patients.

FDA: Phony Botox Purveyors Targeting U.S. Practices

FDA: Phony Botox Purveyors Targeting U.S. Practices

Products advertised through fax; not FDA approved.

Higher Caffeine Intake Ups Urinary Incontinence Risk in Men

Consumption of 234 mg/day or more was associated with a 72% increased likelihood of urinary incontinence.

FDA Approves Botox for Overactive Bladder

The FDA has approved onabotulinumtoxinA (Botox) as a treatment for overactive bladder (OAB) in adults who are inadequately managed with anticholinergic medications.

Urodynamic Studies Affect Diagnoses, but Not Treatment

Urodynamic Studies Affect Diagnoses, but Not Treatment

For women with stress urinary incontinence, changes due to pre-op studies not tied to outcome

Single Vaginal Delivery Ups Later Risk of Pelvic Organ Prolapse

Single Vaginal Delivery Ups Later Risk of Pelvic Organ Prolapse

Increased risk of prolapse 20 years after single vaginal delivery versus cesarean section

Slings Effective for Male SUI

Surgical placement of male transobturator slings cures three-quarters of cases of male stress urinary incontinence (SUI) that develop as a result of prostate surgery.

Mesh Sling Salvage Surgery Results Mixed

Even if salvage operations ease complications from unsuccessful mesh sling surgery, patients often are in worse condition than before their original surgery.

Horizontal Loops in Catheter Tubing Make for Worst Flow

Horizontal loops in catheter tubing can reduce flow rate by nearly two-thirds.

Mesh Use Declines for Transvaginal POP Repair

The trend comes after a July 2011 warning by the FDA that vaginal mesh products are associated with significant morbidity without conclusively improving outcomes compared with traditional native tissue repair.

Few Pelvic Organ Prolapse Procedures Show Edge

Meta-analysis reveals downside to mesh interventions.

Amniotic Stem Cells Can Repair Stress UI

Periurethral injection of human amniotic fluid stem cells restored the urethral sphincter to apparently normal histology and function.

Pelvic Floor Exercises Ease Urinary Incontinence in Late Pregnancy

Pelvic Floor Exercises Ease Urinary Incontinence in Late Pregnancy

Study finds 12 weeks of pelvic floor muscle training prevents, treats late-pregnancy urinary incontinence

Low-Dose Duloxetine Deemed Safe for Urinary Incontinence

Low-Dose Duloxetine Deemed Safe for Urinary Incontinence

Low incidence of adverse events in study of more than 12,000 women; no suicide attempts reported

New Overactive Bladder Drug Approved

Mirabegron is the first oral OAB drug with a distinct mechanism of action to be approved in three decades.

Sling May Lower Incontinence Risk After Prolapse Surgery

A 52% decreased risk observed with prophylactic insertion of a midurethral sling.

UI Incidence Low After Image-Guided Radiation Therapy

Prostate cancer (PCa) patients undergoing image-guided radiation therapy (IGRT) experience a low incidence of treatment-related urinary incontinence (UI), researchers reported at the American Urological Association 2012 annual meeting.

Oxybutynin Gel Eases Urinary Incontinence

A new oxybutynin gel (OTG) with propylene glycol to aid transdermal delivery, which dispensed via a pump, is effective for treating urgency and mixed urinary incontinence (UI), according to the findings of a phase 3 study presented at the American Urological Association 2012 annual meeting.

Urinary Incontinence Prevalence Rises with Increasing BMI

Increasing body mass index (BMI) is associated with an increased prevalence of urinary incontinence (UI) symptoms, and BMI status varies substantially by gender and UI subgroup, according to results presented at the American Urological Association 2012 annual meeting.

Value of Preop Urodynamics for SUI Questioned

New findings from a small study raise questions about the value of performing preoperative urodynamic investigations in women with stress urinary incontinence (SUI).

Device Cleared for Female Urinary Incontinence

The FDA has cleared InTone, a medical device for treating female urinary incontinence.

Older Age at RP Increases Urinary Incontinence Risk

A man's age at radical prostatectomy (RP) for prostate cancer affects his risk of developing long-term urinary incontinence (UI).

Urinary Symptoms in Men Linked to Low Vitamin D

Low vitamin D levels are common among adult men in the United States and are associated with an increased likelihood of lower urinary tract symptoms (LUTS) and moderate to severe urinary incontinence (UI), national data show.

Pessary Trial May Detect Occult Stress Urinary Incontinence

An ambulatory pessary trial is a simple and cost-effective way to predict women's response to surgical repair of anterior vaginal wall prolapse, according to the findings of a small retrospective study.

One-to-One UI Therapy For Men Not Superior

One-to-one sessions to teach pelvic-floor exercises to men with urinary incontinence (UI) following radical prostatectomy or transurethral resection of the prostate proved no more effective than the standard of care.

Risk Factor for SUI Reoperation Identified

GLASGOW—Women who have undergone surgical treatment of stress urinary incontinence (SUI) are at increased risk of requiring another operation if they had two or more vaginal deliveries, according to data presented at the International Continence Society annual meeting.

Pessaries Are an Option for Pelvic Organ Prolapse

GLASGOW—Vaginal pessaries are an appropriate treatment option for women with troublesome pelvic organ prolapse, but careful maintenance and follow-up are essential, researchers reported at the International Continence Society annual meeting.

TVTO Complication Rate Lower in Obese Women

GLASGOW—Obese women have a lower incidence of pain, tape erosion, and voiding difficulty following a tension-free vaginal tape obturator (TVTO) mid-urethral sling procedure compared with normal weight women, but they have a lower subjective cure rate, researchers reported at the International Continence Society annual meeting.

Childhood Bedwetting Predicts Adult Enuresis

GLASGOW—Bedwetting in childhood is a strong indicator of persisting enuresis in adulthood, researchers concluded in a report presented here at the International Continence Society annual meeting.

Pelvic Muscle Strength Greater Following C-Sections

GLASGOW—Pregnant women who deliver their babies by C-section have higher pelvic floor muscle (PFM) strength, higher vaginal resting pressure, and higher PFM endurance than women who deliver vaginally, researchers reported here at the International Continence Society annual meeting.

Prophylactic Slings May Prevent Incontinence After POP Repair

GLASGOW—Prophylactic mid-urethral slings prevent urinary incontinence (UI) in women undergoing pelvic organ prolapse (POP) repair, according to study findings presented at the International Continence Society annual meeting.

Bulking Agent Injections Effective for Incontinence Salvage Therapy

GLASGOW—Periurethral injections of polyacrylamid hydrogel (PAHG), a new bulking agent, are a safe and effective option as a salvage therapy for women with severe stress urinary incontinence (SUI) after failed previous surgical management, according to data presented at the International Continence Society annual meeting.

Botox Approved for Specific Form of Urinary Incontinence

OnabotulinumtoxinA (Botox) injection has received FDA approval for treating urinary incontinence in patients with neurologic conditions such as spinal cord injury and multiple sclerosis and who have overactivity of the bladder.

FDA Issues Surgical Mesh Safety Alert

The FDA recently issued a safety alert regarding placement of surgical mesh as a treatment for pelvic organ prolapse (POP).

Very Poor Glycemic Control Worsens Incontinence-Related Limitations in Older, Diabetic Women

SAN DIEGO—In older women with diabetes and urinary incontinence, very high hemoglobin A1c (HbA1C) levels are associated with patient reports of more severe limitations due to incontinence, according to results reported at the 71st Scientific Sessions of the American Diabetes Association.

Behavioral Intervention Reduces Urinary Incontinence in Parkinson's Disease Patients

NATIONAL HARBOR, Md.—Preliminary results suggest a role for exercise-based, biofeedback-assisted behavioral therapy for preventing urgency urinary incontinence (UUI) in older patients with Parkinson's disease (PD).

Duloxetine Effective for SUI After Prostatectomy

Duloxetine may be effective for treating stress urinary incontinence (SUI) and improving quality of life (QoL) in men who have had a radical prostatectomy, a study shows.

Postpartum Weight Loss Cuts UI Risk

Weight gain during pregnancy does not appear to increase the risk of urinary incontinence (UI) during pregnancy or postpartum, according to a study of 12,679 Norwegian women.

Healthy Habits May Improve Urinary, Sexual Function

SAN FRANCISCO—Healthy lifestyle choices, such as not smoking and exercising regularly, may significantly impact urinary and sexual function, two studies suggest.

Post-Op UI Therapy Sessions Not Better

Men with urinary incontinence after prostate surgery do just as well with self-teaching approaches.

Polypropylene Sling May Improve Stress Urinary Incontinence

Two years post-op, 87% of patients said they were 'satisfied' or 'very satisfied' with the results.

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