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Incontinence - Science topic

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Publications related to Incontinence (10,000)
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Article
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Purpose Posterior urethral valves (PUVs) are the most common cause of bladder outlet obstruction in male infants and are associated with significant renal and bladder morbidity and long-term outcomes. This study evaluates the long-term renal and vesical outcomes and the impact of time of diagnosis in patients with PUV managed at a single tertiary c...
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In recent years, intersphincteric resection has increasingly become a viable alternative to abdominoperineal resection due to its significant preservation of the anus. Previous studies have indicated that intersphincteric resection has provides comparable oncological outcomes to APR, but anal incontinence remains a common postoperative complication...
Article
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Laparoscopic ventral mesh rectopexy (LVR) has gained increasing acceptance for the treatment of patients with a full-thickness rectal prolapse (RP), but literature on follow-up of at least 10 years is scarce. We studied recurrence rate, long-term functional results and quality of life in patients who had LVR for RP more than 12 years ago. The study...
Article
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Objectives To review outcomes for patients with irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD) who undergo holmium laser enucleation of prostate (HoLEP) for bothersome urinary symptoms related to benign prostatic hyperplasia (BPH). Methods We performed a retrospective review of patients who had undergone HoLEP by a single surge...
Article
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The optimal intervention for managing low anterior resection syndrome (LARS) remains uncertain. This Bayesian network meta-analysis was conducted to compare and rank the effectiveness of various interventions on LARS. Randomized controlled trials (RCTs) addressing interventions for LARS were extracted from six electronic databases until September 2...
Article
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Purpose of Review This review evaluates the surgical management of male urinary incontinence (UI) following radiation therapy (RT) for prostate cancer, focusing on artificial urinary sphincters (AUS) and male urethral slings. It aims to assess recent evidence on the impact of RT on surgical treatment options for post-prostatectomy incontinence. Re...
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Background Transurethral enucleation with bipolar energy (TUEB) is one of endoscopic enucleation methods for the surgical treatment of benign prostatic hyperplasia (BPH). Authors investigated initial outcomes of TUEB performed by a single surgeon. Methods From 04/2016 to 06/2021, prospectively collected clinical data of 387 patients who underwent...
Article
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Objectives: We aimed to evaluate management strategies for female urinary incontinence, specifically stress urinary incontinence (SUI), and anterior vaginal prolapse (pelvic organ prolapse, POP), emphasizing diagnostic methods, treatment options, and factors influencing surgical outcomes. Methods: We conducted a thorough literature review examining...
Chapter
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Currently, robot-assisted radical prostatectomy (PARP) allows for achieving excellent oncological results with a low complication rate and is the “gold standard” for extirpative treatment of prostate cancer. Post-prostatectomy incontinence is the most devastating complication, significantly affecting the physical activity, and social and psychologi...
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Refractory chronic cough (RCC) remains a persistent clinical challenge, often resistant to traditional treatments. Emerging evidence now positions RCC as a disorder rooted in hypersensitivity, driven primarily by central neural processes rather than external physiological causes. Central to this understanding is the concept of interoception—the bra...
Article
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Introduction : Les agressions sexuelles des enfants par attouchement et/ou pénétration anales sont de plus en plus fréquentes. L’objectif de cette étude était de décrire le profil sociodémographique des victimes d’agression et des agresseurs, de tracer l’itinéraire thérapeutique des enfants agressés et de répertorier les lésions à l’examen médical....
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Objective To compare the 12‐year effectiveness of pelvic floor muscle training versus midurethral sling surgery for moderate to severe female stress urinary incontinence. Design Observational follow‐up study of a randomised controlled trial. Setting Conducted at the Division of Gynaecology, University Medical Centre Utrecht, The Netherlands. Pop...
Article
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History A 78-year-old male presented with a past history of high-grade right-sided pelvic chondrosarcoma for which he had previously undergone right hindquarter amputation. This had subsequently metastasized to the lumbar spine and he required radiotherapy and excision of paravertebral disease. Several years later, he presented with double incontin...
Article
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Objective To estimate the prevalence of urinary incontinence (UI), its subtypes, and the associated risk factors in women of reproductive age in Bangladesh. Methods Data from the 2016 Bangladesh Maternal Mortality and Health Care Survey was analyzed in a nationally representative sample of 298 284 households that used a multistage sample selection...
Article
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Background and study aims Despite lower patient adherence, the overnight split-dose (SD) intestinal preparation regimen is currently recommended for early morning colonoscopies. Using low-volume preparation, we compared performance of a “day before late” (DBL) regimen, with the whole preparation taken between 8.30 pm and midnight on the day before...
Article
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Introduction: Stress Urinary incontinence is considered as the most common and distressing health problem among women especially in postpartum period, associated with a profound negative impact on their quality of life. Methods: A randomized controlled trial study was conducted with 110 women participants with urinary incontinence in their postpart...
Article
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Aim This study evaluates the impact of the minimal incision repair of rectus abdominis diastasis (MIRRAD) procedure on physical activity, muscle strength, quality of life, and overall satisfaction in women with postpartum rectus abdominis diastasis (PP-RAD). Methods A cohort of 31 female patients, aged 20–50 years, diagnosed with PP-RAD unresponsi...
Article
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Background: Gestational diabetes mellitus (GDM) is one of the risk factors for postpartum urinary incontinence. Pelvic floor muscle training (PFMT) improves pelvic floor dysfunction in puerperal women, but patient compliance is low. Mobile Health (mHealth) is a promising solution. Objective: To investigate PFMT compliance and effects on pelvic floo...
Article
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Introduction Obstetric anal sphincter injuries (OASI) are associated with significant risk of complications, including pain, infection, and long-term pelvic floor dysfunction. The primary aim of this study was to evaluate the utility and acceptability of a postpartum telehealth consultation focused on pelvic floor health for patients after OASI. M...
Article
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Introduction and Hypothesis Overactive bladder (OAB) affects 11–17% of the female population. First-line treatment with lifestyle modifications and second-line therapy with medications are often limited by inadequate efficacy or pharmacological side effects. This study was aimed at assessing the effect of 100 U onabotulinumtoxin A treatment on idio...
Article
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Purpose Functional faecal incontinence (FFI) is a stigmatising condition for a child and parents and can be a challenge to treat even in tertiary centres. Transanal irrigation (TAI) is an emerging treatment with great success in refractory cases. We performed TAI with a substantially decreased amount of water used (low-volume TAI), yet no previous...
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Introduction Idiopathic normal pressure hydrocephalus (iNPH) poses diagnostic challenges due to its overlapping symptoms with other neurodegenerative disorders. The clinical trial of gait disturbance, cognitive impairment, and urinary incontinence often mimics other conditions, making accurate diagnosis crucial. Case presentation A 67-year-old mal...
Article
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Background: Hemorrhoids also known as piles are vascular cushions in the anal canal that help with stool control. When these cushions are swollen or inflamed, they become a disease. The signs and symptoms depend on the type present. Internal hemorrhoids often result in painless, bright red rectal bleeding while defecating whereas external hemorrhoi...
Article
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Purpose Investigating the impact of radiotherapy on urinary incontinence and pelvic floor dysfunction in endometrial cancer patients. Method A comparative study was conducted between endometrial cancer patients who underwent radiotherapy and those who did not receive adjuvant therapy. Patients were assessed during their first follow-up visit at th...
Article
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Background The aim of this study is to compare the short and long-term results (postoperative pain, complications, return to daily life, recurrence) between patients who underwent laser hemorrhoidoplasty (LH) and rubber band ligation (RBL) due to grade 2–3 hemorrhoidal disease. Methods The results of patients who underwent LH and RBL between June...
Article
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Aim Despite the presence of published evidence in recent decades suggesting an improvement in overactive bladder (OAB) with the utilization of parasacral transcutaneous electrical nerve stimulation (PTENS), there is currently a lack of consensus guidelines for therapy. We conducted a meta-analysis to assess the impact of PTENS on children with OAB....
Article
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This manuscript is part of the International Urogynecological Consultation (IUC) on Pelvic Organ Prolapse (POP), Chapter 3, Committee 1 focusing on pessary management of POP. A narrative review was conducted by an international, multi-disciplinary group of clinicians working in the field of pelvic health following a search of the literature using t...
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Objective: Dementia is a neurocognitive disorder characterized by memory loss and deficits in multiple cognitive domains, caused by damage to or loss of neurons in the brain, which impairs one’s abilities and capabilities for independent daily living. The etiologies of dementia are diverse, including vascular, infectious, traumatic, and neurodegene...
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Background Developmental regression in children, in the absence of neurological damage or trauma, presents a significant diagnostic challenge. The complexity is further compounded when it is associated with psychotic symptoms. Method We discuss a case series of ten children aged 6–10 years, with neurotypical development, presenting with late-onset...
Article
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Purpose The objective of this study is to evaluate the impact of pelvic floor physical therapy (PFPT) on symptoms and quality of life in women who experienced third- and fourth-degree perineal tears (Obstetric Anal Sphincter Injuries, OASIS) during childbirth. OASIS can lead to anal incontinence and dyspareunia, having important implications regard...
Article
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Background: Excisional hemorrhoidectomy and stapled hemorrhoidopexy are 2 common procedures for treating symptomatic hemorrhoids. However, concerns persist regarding the risk of postoperative complications and their unclear prevalence in the literature. This systematic review aims to evaluate and compare the prevalence of incontinence after stapled...
Article
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Overactive bladder syndrome (OAB) is a prevalent condition characterized by urinary urgency, frequency, and incontinence, significantly impacting patients’ quality of life. Sacral neuromodulation (SNM) has emerged as an effective treatment, particularly for individuals unresponsive to conventional therapies. SNM operates by modulating sacral nerve...
Article
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Purpose To compare outcomes of transurethral resection of the prostate (TURP) across different regions worldwide over the past two decades. Methods A systematic review and meta-analysis of randomized clinical trials indexed to PubMed that assessed TURP. A total of 102 studies with 8,454 patients were included and grouped by continents: Europe, Asi...
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Background Pugs and French bulldogs (FBDs) are commonly presented for spinal disease. The aim of this study was to define the most common spinal diseases in both breeds. Methods This was a monocentric retrospective study including pugs and FBDs presenting with clinical signs consistent with spinal disease between 2010 and 2022. The information col...
Article
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Background Transanal irrigation is a well‐established minimally invasive therapy that addresses symptoms of both constipation and incontinence. The therapy has been extended from just neurogenic bowel dysfunction patients to those with disorders of brain–gut interaction and postsurgical conditions. Aim To summarized the literature on transanal irr...
Article
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Objective To evaluate the effects of hysterectomy for benign uterine tumors on subsequent ovarian reserve, sexual function, and lower urinary tract symptoms (LUTS). Methods The present study was a prospective longitudinal analysis that recruited patients aged 35–45 years who underwent simple hysterectomy without oophorectomy for symptomatic benign...
Article
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Background Perianal fistulising Crohn’s disease (pfCD) is a debilitating and complex complication of Crohn’s disease that is challenging to manage and associated with poor long-term outcomes. Mesenchymal stem cell (MSC) therapy has emerged as a promising treatment option for medically refractory pfCD, but long-term data on efficacy and safety are l...
Article
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Objective: Obstetric anal sphincter injury is a complication of vaginal delivery that, if inadequately managed, can lead to total perineal rupture and fecal incontinence, significantly impacting a patient's quality of life. This case report aims to describe the management of long-standing total perineal rupture in a patient with fecal incontinence....
Article
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Introduction and Hypothesis Measuring changes in the vaginal pressure profile (VPP) with the Femfit® by JUNOFEM during various sports will help improve understanding of the magnitude of pressures generated during such activities and the pelvic floor’s response to those pressures. This could aid in selecting safe exercises for women with pelvic floo...
Article
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Low anterior resection syndrome (LARS) is a challenging complication following sphincter-preserving rectal surgery, characterized by bowel dysfunctions such as urgency, frequency, and incontinence. This case series investigates the potential role of lactose intolerance in exacerbating LARS symptoms. Three patients who developed LARS after rectal re...
Article
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Purpose Chronic constipation is a common symptom. Constipation due to pelvic floor disorders remain a therapeutic challenge. Biofeedback therapy is considered as the first-choice treatment for pelvic floor disorders, whenever dedicated expertise is available. Type A botulinum toxin has been used to selectively weaken the external anal sphincter and...
Article
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Dear Editor, An eight-year-old girl presented to the dermatology outpatient clinic with multiple depigmented lesions on the anterior upper part of her left thigh, first noticed by her mother two years ago. These lesions had gradually increased in number and size at the same location. Few of these lesions were associated with pruritus, which was mil...
Article
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Introduction and Hypothesis This is a prospective cohort study based on the hypothesis that pregnancy and childbirth are associated with the occurrence of bothersome pelvic floor dysfunction (PFD), which impairs health-related quality of life (HRQoL). Methods Primiparous women completed a questionnaire including questions about bothersome PFD and...
Article
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Overactive bladder (OAB) is a chronic disease with the symptoms of urgency with or without incontinence. Solifenacin is an antimuscarinic drug that Excels in OAB treatment due to its specific bladder receptor targeting. While previous research had positive outcomes, reports of adverse events (AEs) highlight the need for regular updates on the safet...
Preprint
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Perinatal urine incontinence (PUI) affects approximately 200 million womenworldwide. It is hypothesized that it has a multifactorial etiology that includes hormonal changes,pregnancy, urethral angle changes, and childbirth-related forces. The prevalence of PUI rangesfrom 32% to 64%. These conditions affect quality of life, leading to significant ph...
Article
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Background: CUOB (co-existent underactive overactive bladder) syndrome is a clinical entity that embraces storage and emptying symptoms, not strictly correlated with urodynamic findings. We assessed the differences between patients diagnosed with CUOB with/without cystocele. Methods: The study group was allocated from 2000 women who underwent urody...
Article
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Background Stress urinary incontinence (SUI), characterized by involuntary urine leakage during increased abdominal pressure, is prevalent among women with multiple sclerosis (MS), significantly impacting their quality of life (QoL). Traditional treatments are less suitable for MS patients due to potential complications, highlighting the need for l...
Article
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Background Urinary incontinence (UI) is a common and debilitating condition among people with multiple sclerosis (MS) and is more prevalent among women. Over the past decade, numerous studies have investigated the effects of pelvic floor muscle training (PFMT) as a treatment for UI in people with MS. MS negatively impacts pulmonary function even in...
Article
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Background Stress urinary incontinence (SUI) is prevalent and significantly impacts morbidity. While some risk factors for SUI have been identified, those specifically related to the severity of SUI have not been thoroughly investigated. Methods This study recruited elderly female patients with SUI, aged over 60 years old, from Wuhan, Hubei, China...
Article
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Background/Objectives: A prediction model for anatomical cystocele recurrence after native tissue repair was developed and internally validated in 2016. This model estimates a patients’ individual risk of recurrence and can be used for counseling. Before implementation in urogynecological clinical practice, external validation is needed. The aim of...
Article
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The quality of life after surgery for diverticular disease is mainly linked to the presence and severity of postoperative defecatory disorders. These symptoms are frequently related to the sigmoid and rectal denervation following the arterial ligation. The preservation of Inferior Mesenteric Artery performing colorectal resections seems to reduce d...
Article
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Purpose: The current study aimed to investigate the clinical comorbidities and urodynamic characteristics of a large cohort of women with dysfunctional voiding (DV) validated on a videourodynamic study (VUDS). Methods: Women who presented with VUDS-confirmed DV from 1998 to 2022 were retrospectively analyzed. Data on clinical symptoms, VUDS finding...
Article
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Introduction: Pelvic floor dysfunction (PFD) is prevalent among athletes. Investigating whether athletes are practicing pelvic floor muscle training (PFMT) will assist in delineating the factors underlying the burden of PFD in this population. Additionally, investigating athletes’ knowledge of PFD and knowledge of and attitudes toward PFMT may info...
Article
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Purpose This study aims to evaluate detrusor after contraction (DAC) characteristics in females with pure urodynamic stress incontinence (USI). Methods We examined the urodynamics database from our urodynamic study center. Urodynamic data from pure USI cases with and without DAC were compared. DAC was categorized based on morphological features, a...
Article
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Background Stress urinary incontinence (SUI) is involuntary urine leakage during effort. Pelvic floor muscle training (PFMT) is a common physical therapy for SUI, but has low adherence and its long—term effectiveness is uncertain. Drug therapy has side-effect problems and surgery has risks. Acupuncture’s role in improving SUI is also unclear based...
Article
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Background Multiple sclerosis (MS) is a debilitating autoimmune disease that mostly affects women. Objectives In this study we evaluated the relationship of pelvic muscle strengths with urinary incontinence and quality of life in women with MS. Materials and methods In this cross-sectional study 87 women with MS were recruited. Data collected usi...
Preprint
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Background: Urinary (UI) and fecal (FI) incontinence are prevalent secondary chronic conditions among young adults with spina bifida (YASB). UI and FI decrease daily functioning for YASB, but no research has prospectively examined characteristics of UI and FI among YASB. We used ecological momentary assessment (EMA) over 30 days to describe the pre...
Preprint
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Minimally invasive resection rectopexy is an effective treatment for obstructive defecation syndrome (ODS) in carefully selected patients, offering promising functional outcomes with potentially reduced surgical burden. As minimally invasive techniques gain traction in colorectal surgery, combining resection rectopexy with Natural Orifice Specimen...
Article
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Incontinence Management has long been overlooked as a normal part of aging and the national standard of care has become changing individuals every 2 hours. While this was effective for decades, it is no longer providing results and even more challenging for those suffering from Dementia. Over 50% of nursing home residents are incontinent with over...
Article
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Background The majority of persons living with moderate to severe dementia live in their homes despite the challenges of increasing care needs as dementia progresses. Caregivers are not prepared to understand and manage common medical concerns, such as incontinence, dehydration, and impaired mobility. Health care clinicians need training and tools...
Preprint
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Aim of this study: To evaluate safety and efficacy of laparoscope in these cases. Methods: We had 9 cases of total colonic aganglionosis (TCA). A total colectomy was done in all cases. The average age to do an ileal pullthrough in ileostomized cases was one year; the closure of the ileostomy was performed after three years old, while in four nonile...
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a center for interdisciplinary Research in Rehabilitation and social integration, centre intégré universitaire de santé et de services sociaux de la capitale-nationale, Québec, Qc, canada; b school of Rehabilitation sciences, Faculty of Medicine, Université laval, Québec, Qc, canada; c library, Université laval, Québec, Qc, canada; d Réseau d'évalu...
Article
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It's understood that one-piece implant design is a stronger conception as there's no connection between implant and abutment. The absence of a microgap can lead to minimum peri-implant bone loss. Likewise, there's a reduction of mechanical complications similar as screw loosening and abutment fractures. These implants can be incontinently placed an...
Article
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Background At present, consensus on the management of female stress urinary incontinence (SUI) after pelvic radiotherapy is lacking. We aim to assess the clinical effects of mid-urethral sling (MUS) for the treatment of SUI after pelvic radiotherapy in women. Methods We conducted a retrospective review of the clinical database of female with SUI a...
Article
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Background Dementia is associated with a range of non‐cognitive features that can occur during the prodromal phase. Improved recognition of non‐cognitive presentations of dementia could reduce inequalities in dementia diagnosis, particularly if sociocultural factors influence rates of help‐seeking for cognitive symptoms. We aimed to investigate pre...
Article
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Urinary incontinence is a widespread issue, particularly among women, with effective treatments remaining elusive. The pig, and especially the female pig, stands as a promising animal model for the study of this condition, due to its anatomical similarities to humans. The aim of this study was to explore the largely uncharted muscular structure of...
Article
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This study developed an animal model with internal and external urethral sphincter insufficiency by bypassing the sphincter without major damage so that the animal under study can return to normal life after the study. There is a need for a reliable, applicable, and reproducible animal model for studying urinary incontinency disease due to incorrec...
Article
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Background There is considerable variability in the rate of clinical progression among individuals with frontotemporal dementia (FTD) and prognostic markers are lacking. Moreover, due to the rarity of postmortem data, the relationship between rate of progression and postmortem tau and TDP‐43 proteinopathy is understudied. Method To explore the pat...
Article
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Patients with overactive bladder syndrome-wet (OAB-wet) experience urgency urinary incontinence, particularly urinary frequency and nocturia. Nocturnal enuresis (NE) is less addressed among OAB-wet patients. The study evaluated the prevalence of NE, lower urinary tract symptoms (LUTS), urodynamic factors, and social factors in OAB-wet patient. Over...
Article
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Background and Objectives: We conducted a systematic review and network meta-analysis to evaluate and compare the perioperative, functional, and oncological outcomes of robot-assisted radical prostatectomy (RARP) and laparoscopic radical prostatectomy (LRP) with open radical prostatectomy (ORP) in patients with prostate cancer. Materials and Method...
Chapter
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The provenance of Loyalist Northern Ireland’s Red Hand of Ulster flag is complex: bloodied handprints on banners for vengeance, war and liberation; names for ancient Irish gods/nobility/monarchy; ‘right hand of God’; Ulster ancestry/heraldry; loyalist power icon in Northern Ireland’s Troubles (1968-1998). Symbolising violence, oppression, blood sac...
Article
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Introduction: Cauda equina syndrome (CES) is a constellation of symptoms that include lower limb paralysis, saddle