Abstract:
INTRODUCTION AND HYPOTHESIS:We investigated the impact of diabetes mellitus (DM) on female lower urinary tract dysfunction. METHODS:We prospectively collected data of 1,640 consecutive diabetic women from the inpatient departments and outpatient clinics of urology, endocrinology, geriatrics, and nephrology in primary, secondary, and tertiary referral hospitals, rural healthcare stations, and nursing homes in Dujiangyan, China. Clinical histories were taken on an individualized basis depending on patient presentation. Urodynamics were performed in the enrolled female diabetic patients after excluding other causes of lower urinary tract dysfunction. Data on lower urinary tract symptoms and urodynamic parameters were analyzed. RESULTS:Ninety-three percent of diabetic women complained of lower urinary tract symptoms, and 88 % had positive urodynamic findings. Sixty-three percent presented with storage symptoms, 918 cases of which had detrusor overactivity, 787 impaired detrusor contractility, and 131 detrusor areflexia. Among the 918 patients with impaired detrusor contractility or detrusor areflexia, the mean first sensation of filling was 238.1 ml, with a mean maximum cystometric capacity of 624 ml, mean maximum flow rate of 9.6 ml/s, mean detrusor pressure at maximum flow rate of 32.4 cmH2O, and mean postvoid residual of 323 ml. Thirty-eight of 131 patients with detrusor areflexia had impaired renal function on blood chemistry test, and massive bilateral ureterohydronephrosis and "Christmas-tree-shaped" bladder in videourodynamic studies. On the whole, 95 % diabetic women had diabetic cystopathy. CONCLUSIONS:DM alters voiding patterns significantly, causing various lower urinary tract symptoms in a significant proportion of diabetic women. Diabetic cystopathy is a progressive condition with a spectrum of clinical symptoms and urodynamic findings. The prevalence of diabetic cystopathy is very high in Dujiangyan, China.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Changxiao H,Zhengyong Y,Shibing Y,Caiwen W,Yingchuan H,Wei H,Hanhui W,Dong L,Peng H,Jing L,Rui Z,Jia L,Hong Sdoi
10.1007/s00192-014-2354-5subject
Has Abstractpub_date
2014-07-01 00:00:00pages
979-83issue
7eissn
0937-3462issn
1433-3023journal_volume
25pub_type
杂志文章abstract:INTRODUCTION AND HYPOTHESIS:The objective was to compare the effect of antibiotics versus no antibiotics prophylaxis per-operatively on the frequency of urinary tract infection (UTI) following mid-urethral sling application to treat stress or mixed urinary incontinence. METHODS:This study was designed as a multicenter...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04156-9
更新日期:2020-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:This study aims to determine what women with overactive bladder (OAB) perceive as 'cure', assesses treatment acceptability and adverse events. It also determines impact on quality of life (QoL) and correlates it with expectations from therapy. METHODS:In 153 women with predominant OAB sympt...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-009-1049-9
更新日期:2010-04-01 00:00:00
abstract::In this article, we provide a concise review of the literature on nocturia and its interference with sleep and, consequently, on quality of life. There are few studies addressing the possible influences of nocturia on sleep disruption. Nocturia is a potential contributor to sleep disorders because affected individuals...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-011-1525-x
更新日期:2012-03-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The high uterosacral vault suspension (HUVS) is a vaginal approach for treating apical prolapse that provides shorter operative and recovery times and is associated with lower morbidity rates. Success rates reported for this technique are comparable with the abdominal sacrocolpopexy (SCP); h...
journal_title:International urogynecology journal
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00192-015-2666-0
更新日期:2015-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To describe the impact of native tissue vaginal reconstruction on pelvic anatomy using dynamic magnetic resonance imaging. METHODS:This prospective single-cohort observational study involved women undergoing native tissue reconstruction with intraperitoneal vaginal vault suspension for pelv...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04571-3
更新日期:2020-10-22 00:00:00
abstract::A damaged sphincteric unit or support system, unstable urethral deformability or damaged sensory innervation are all potential causes of a dysfunctional urethral sphincter. With the current improvement in pharmacological targets and urodynamic understanding, studies have begun quantifying individual structures and the...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-019-04104-7
更新日期:2020-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To evaluate the effects of sacral neuromodulation (SNM) on pregnancy and the impact of delivery on SNM function. METHODS:A systematic search was conducted through January 2016. We selected studies including women who had SNM and a subsequent pregnancy. RESULTS:Out of 2,316, eight studies w...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-017-3272-0
更新日期:2017-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To evaluate the efficacy and safety of the intravesical injection of Chinese botulinum toxin A (BTX-A) in patients with interstitial cystitis/bladder pain syndrome (IC/BPS). METHODS:Between January 2003 and June 2013, 124 women with IC/BPS were studied. Of these 124 patients, 66 were treate...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2631-y
更新日期:2015-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The Prolapse/Incontinence Sexual Questionnaire-International Urogynecology Association (IUGA) Revised (PISQ-IR) measures sexual function in women with pelvic floor disorders (PFDs) yet is unwieldy, with six individual subscale scores for sexually active women and four for women who are not. ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3373-9
更新日期:2017-12-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Traditionally, surgical treatment for uterine prolapse has included hysterectomy. However, more patients now prefer a uterine-preserving operation because of concerns about fertility or sexual dysfunction. In this video, we describe a novel approach to correcting uterine prolapse in an attem...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3780-6
更新日期:2019-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:We present a video reviewing the key steps involved in safe anterior cul-de-sac entry during vaginal hysterectomy, including tips for troubleshooting difficult cases such as: uterine procidentia, cervical elongation, and multiple prior cesarean sections. METHODS:Anterior cul-de-sac entry is...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-018-3646-y
更新日期:2018-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:despite claims of equivalence to the tension-free vaginal tape, a variety of suburethral slings have been introduced, with various modifications. Complications in certain synthetic slings and meshes have led to a recent FDA public health notification. METHODS:we report the case histories an...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1244-8
更新日期:2011-01-01 00:00:00
abstract:INTRODUCTION:InTone(TM) (InControl Medical) is a nonimplanted vaginal device providing biofeedback and electrical stimulation of pelvic floor muscles. The purpose of this study was to assess its efficacy and usability for treating urinary incontinence (UI). METHODS:Women with UI (stress, urge, mixed) were recruited fo...
journal_title:International urogynecology journal
pub_type: 临床试验,杂志文章
doi:10.1007/s00192-014-2476-9
更新日期:2015-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of our study was to assess the interobserver and intraobserver reliability as well as the content and construct validity of the FIGO prolapse assessment scoring system (FASS). METHODS:Women with and without (controls) symptoms of pelvic organ prolapse (POP) attending gynaecology out...
journal_title:International urogynecology journal
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s00192-014-2604-6
更新日期:2015-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The objective of this study was to measure the effects of pregnancy and parturition on pelvic floor muscles and pelvic organ support. METHODS:Levator ani, obturator internus, and coccygeus (COC) muscle volumes and contrast uptake were assessed by MRI of seven females prior to pregnancy, 3 d...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1443-y
更新日期:2011-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:This study aims to investigate the effects of simulated birth trauma and ovariectomy on detrusor muscarinic receptors (M2 and M3), urethral neuronal nitric oxide synthase (nNOS), and estrogen receptor beta (ER beta). METHODS:Forty primiparous rats were equally divided into five groups: grou...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1159-4
更新日期:2010-09-01 00:00:00
abstract::A 56-year-old female smoker presented after long diagnostic delay with high-grade transitional cell carcinoma in situ within a urethral diverticulum. This is the third report of this type in the literature. Preoperative investigations, including urine cytology and magnetic resonance imaging (MRI), were not helpful. ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1789-9
更新日期:2012-12-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Pelvic floor muscles (PFM) are deleteriously affected by vaginal birth, which contributes to the development of pelvic floor disorders. To mechanistically link these events, experiments using animal models are required, as access to human PFM tissue is challenging. In choosing an animal mode...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-014-2423-9
更新日期:2014-11-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Older studies suggesting an association between detrusor overactivity and bacteriuria used an outdated microbiological threshold. We hypothesised that bacteriuria ≥10(3) CFU/ml would be more prevalent in women with urinary incontinence than continent controls. METHODS:A prospective, cross-s...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1506-0
更新日期:2011-10-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:This study aimed to explore gene expression and their regulatory mechanisms in etiology of stress urinary incontinence (SUI). METHODS:Tissue samples were taken from the paraurethral vaginal wall from three pairs of postmenopausal, age/body mass index/parity-matched SUI, and continent women ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1222-1
更新日期:2010-12-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:There seems to be a temporal association between increasing use of "hands off" the perineum in labour and reduced use of episiotomy with an increasing rate of anal sphincter injuries. We aimed to determine how common the practice of "hands off" the perineum is. METHODS:An observational post...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1454-8
更新日期:2011-10-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Little is known about dynamic cell-matrix interactions in the context of pathophysiology and treatments for pelvic organ prolapse (POP). This study sought to identify differences between fibroblasts from women with varying degrees of prolapse in reaction to mechanical stimuli and matrix subs...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2069-z
更新日期:2013-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:This study aims to assess anatomical and functional results of bilateral anterior sacrospinous ligament suspension associated with paravaginal repair with mesh. METHODS:Forty-eight patients were operated between March 2007 and August 2008. Mean age was 67 years old. Nineteen patients (39.6%...
journal_title:International urogynecology journal
pub_type: 临床试验,杂志文章
doi:10.1007/s00192-009-1036-1
更新日期:2010-03-01 00:00:00
abstract:INTRODUCTION:Cervicovaginal decubitus ulceration is a well-known complication of advanced pelvic organ prolapse (POP). There is no consensus for its management. This case series describes the outcome of using repeated vaginal packs soaked with oestrogen cream to reduce POP and promote decubitus ulcer healing. We aimed ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2930-3
更新日期:2016-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Some women with pelvic organ prolapse (POP) have occult urodynamic stress incontinence (OUSI) and might develop incontinence after POP surgery. Our aim was to determine predictive value of ring pessary test during urodynamics in identifying patients with OUSI, likely to develop stress urinar...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1253-7
更新日期:2011-02-01 00:00:00
abstract::The number of women suffering from pelvic floor disorders (PFD) is likely to grow significantly in the coming years with a growing older population. There is an urgent need to investigate factors contributing to the development of PFD and develop preventative strategies. We have reviewed the literature and analyzed re...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-011-1530-0
更新日期:2012-02-01 00:00:00
abstract::Reports have shown that high-energy pelvic trauma might be associated with advanced pelvic organ prolapse in conjunction with other causes. We report the case of a 21-year-old nulliparous, premenopausal, non-overweight woman with no predisposing factors for prolapse who developed stage IV massive pelvic organ prolapse...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1320-0
更新日期:2011-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of the study was to determine whether a 6-week course of 5 mg of solifenacin succinate used to treat mixed incontinence, produces measurable changes in the appearance of the urethral sphincter. METHODS:Twenty-six women undergoing treatment for mixed incontinence were recruited from ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1410-7
更新日期:2011-08-01 00:00:00
abstract::We report a case of vesicocervical fistula following intrauterine device (Lippes loop) erosion following insertion 45 years ago. Vesicocervical fistula was suspected clinically. Ultrasound and magnetic resonance imaging confirmed the presence of a foreign body. Biopsy and magnetic resonance imaging were performed to r...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2667-z
更新日期:2015-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Understanding demographic and opioid utilization patterns of preoperative opioid users compared with opioid-naïve patients undergoing surgical treatment for pelvic organ prolapse (POP) better informs opioid prescribing. METHODS:A cohort of preoperative opioid users undergoing surgery for PO...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04215-1
更新日期:2020-09-01 00:00:00