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 for this pilot trial. InTone was used 5-6 days a week for 12 weeks. Patients were assessed at baseline and monthly with symptom questionnaires [Urinary Distress Index (UDI6), Incontinence Impact Questionnaire (IIQ7)], bladder diaries. and 24-h pad-weight testing (PWT). Efficacy was assessed by comparing 12-week results to baseline values using chi-square and Wilcoxon rank-sum tests. Usability was assessed with a device-usage log and the System Usability Scale (SUS), which evaluates patients' global impression of usability. RESULTS:Thirty-three women were enrolled; five patients withdrew and were excluded. Median age was 50 years (range 35-69). After 12 weeks of InTone therapy, median UDI6 and IIQ7 scores improved from 50.0 to 29.2 (p < 0.001) and from 42.9 to 14.3 (p < 0.001), respectively. Statistically significant reductions in median PWT (35.5-4.6 g, p < 0.001), median daily pad use (4.0-2.0, p < 0.001), and median daily incontinence frequency (4.3-1.0, p < 0.001) were noted; 68 % of patients achieved a > 50 % reduction in daily pad usage and PWT. Device usability was good, with a median SUS of 86.3 and a median expected use of 107 % (33-140 %). CONCLUSIONS:Twelve weeks of InTone usage resulted in significant objective and subjective reductions in UI. Device usability was very good.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Guralnick ML,Kelly H,Engelke H,Koduri S,O'Connor RCdoi
10.1007/s00192-014-2476-9subject
Has Abstractpub_date
2015-01-01 00:00:00pages
99-106issue
1eissn
0937-3462issn
1433-3023journal_volume
26pub_type
临床试验,杂志文章abstract：INTRODUCTION AND HYPOTHESIS:The aim of the study was to evaluate the subjective outcome between 1 and 5 years after tension-free vaginal tape (TVT) operation and the need for follow-up. METHODS:A prospective questionnaire study was performed including questions about incontinence, urinary tract infection, emptying pro...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-011-1601-2
更新日期：2012-05-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:To evaluate the variation in techniques of anterior colporrhaphy among members of the Dutch Urogynecologic Society. METHODS:A questionnaire evaluating the technique of anterior colporrhaphy, preoperative and postoperative care, and use of the POP-Q score was sent out by e-mail. RESULTS:One...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-010-1353-4
更新日期：2011-05-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Many adult women have resident urinary bacteria (urinary microbiome/microbiota). In adult women affected by urinary urgency incontinence (UUI), the etiologic and/or therapeutic role of the urinary microbiome/microbiota remains unknown. We hypothesized that microbiome/microbiota characteristi...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-015-2847-x
更新日期：2016-05-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The objective of this study was to investigate complications, urinary incontinence symptoms, and overall satisfaction in patients undergoing the tension-free vaginal tape-SECUR (TVT-S) for stress urinary incontinence (SUI). METHODS:We reviewed consecutive patients treated with TVT-S between...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-010-1114-4
更新日期：2010-07-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The Patient Global Impression of Improvement (PGI-I) and International Consultation of Incontinence Questionnaire - Short Form (ICIQ-SF) are validated instruments for the assessment of patient reported outcome measures (PROM) following treatment of stress urinary incontinence (SUI). However,...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-016-3070-0
更新日期：2017-01-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Preoperative urodynamic studies (UDS) are frequently performed before pelvic organ prolapse (POP) surgery to assess urethral and bladder function. The primary goal of this study is to examine how preoperative UDS are utilized and what value these studies have in patient treatment and/or coun...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-019-04084-8
更新日期：2020-08-01 00:00:00
abstract：:Bladder dysfunction is a very prevalent disorder and often refractory to behavioral and pharmacologic therapies. Sacral nerve stimulation is an approved method of managing urinary urgency, frequency, urge incontinence, and urinary retention. Alternative approaches to neuromodulation are being developed. The purpose of...
journal_title：International urogynecology journal
pub_type： 杂志文章,评审
doi：10.1007/s00192-010-1282-2
更新日期：2010-12-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Trans-obturator tape (TOT) and tension-free vaginal tape (TVT) comprise minimally invasive surgical management for stress urinary incontinence (SUI). The aim of this retrospective cohort study was to investigate outcomes of TOT and TVT among different age groups of women. METHODS:Medical re...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-019-04112-7
更新日期：2020-04-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:To examine urinary retention (UR) after female urethral sling placement in patients with or without detrusor underactivity (DU) or Valsalva voiding whose urodynamics (UDS) accurately reproduced voiding symptoms to determine whether the reproduction of voiding symptoms on UDS in those with DU...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-020-04623-8
更新日期：2021-01-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The aim of the study was to evaluate the predictors and reasons for help-seeking behavior among women with urinary incontinence (UI) in Germany and Denmark. METHODS:This international postal survey was conducted in 2014. In each country, 4,000 women of at least 18 years of age were randomly...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-017-3434-0
更新日期：2018-04-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The goal of the study was to define the time needed to obtain maximal organ descent and hiatal distension during Valsalva measured by transperineal ultrasound. Secondarily, we aimed to describe the timing of these events in relationship to each other. METHODS:We undertook a retrospective re...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-011-1533-x
更新日期：2012-02-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The aim of the mediolateral episiotomy incision is to increase the diameter of the soft tissue of the vaginal outlet to facilitate birth and to prevent vaginal tears. Episiotomy angles that are too narrow and close to the midline increase the risk of obstetric anal sphincter injuries. In ord...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-017-3349-9
更新日期：2017-12-01 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:Modern classifications of pelvic floor movements are based on pelvic floor assessment in a static midsagittal plane. This study presents a new and potentially useful 3D noninvasive tool for studying pelvic floor mobility in women with pelvic organ prolapse (POP). MATERIALS AND METHODS:Thirt...
journal_title：International urogynecology journal
pub_type： 临床试验,杂志文章
doi：10.1007/s00192-016-2948-1
更新日期：2016-07-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The objective was to assess the efficacy of intravesical hyaluronic acid (HA) and chondroitin sulfate (CS), alone or in combination, for recurrent urinary tract infections (RUTIs) in adult female patients using a systematic review and meta-analysis. METHODS:English-language articles were ob...
journal_title：International urogynecology journal
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s00192-017-3508-z
更新日期：2018-07-01 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:To determine the clinical outcomes of adding a tension-releasing suture (TRS) appendage for manipulation of over-tensioned single-incision slings (SIS) as a means to relieve postoperative voiding dysfunction. METHODS:A retrospective observational study conducted from January 2010 to July 20...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-018-3826-9
更新日期：2019-09-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Management of stress urinary incontinence (SUI) with intravaginal devices is an alternative to surgical management, but data of a high level of evidence remain scarce. Our goal was to assess efficacy, tolerance, and acceptability of the 75NC007 intravaginal device for SUI management. METHOD...
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/s00192-012-1814-z
更新日期：2012-12-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Hysterectomy can be performed during sacrocolpopexy, but there are limited studies comparing the effect of route of hysterectomy on adverse events. We hypothesized there would be no difference in adverse events or patient-reported outcomes in women who underwent minimally invasive sacrocolpo...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-018-3790-4
更新日期：2019-04-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Conflicting opinions on the effect of incontinence surgery on the prevalence of postoperative urgency symptoms exists. Our aim was to evaluate the prevalence of urgency symptoms preoperatively and during 3-year of follow-up in women undergoing mid-urethral sling procedures for stress inconti...
journal_title：International urogynecology journal
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00192-011-1511-3
更新日期：2011-10-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The protocol and analysis methods for the Defining Mechanisms of Anterior Vaginal Wall Descent (DEMAND) study are presented. DEMAND was designed to identify mechanisms and contributors of prolapse recurrence after two transvaginal apical suspension procedures for uterovaginal prolapse. METH...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-020-04511-1
更新日期：2020-09-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The aim of this study was to compare the results of pelvic organ prolapse repair using a capturing device-guided transvaginal mesh in a single- vs multicenter setting. METHODS:One hundred and twelve women operated by two surgeons at one center (2-year follow-up) were compared with 207 women...
journal_title：International urogynecology journal
pub_type： 杂志文章,多中心研究
doi：10.1007/s00192-017-3364-x
更新日期：2018-01-01 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：:Combining anti-incontinence and pelvic organ prolapse surgery for patients with occult urinary stress incontinence is controversial. The concern is that some of these patients may remain continent after vaginal prolapse repair making the addition of anti-incontinence surgery unnecessary. However, this can be explained...
journal_title：International urogynecology journal
pub_type： 杂志文章,评审
doi：10.1007/s00192-011-1563-4
更新日期：2012-07-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:To compare the impact of vaginal delivery (VD) versus cesarean section (CS) on the pelvic floor in twin primiparae at 3 and 12 months postpartum. METHODS:This comparative multicenter prospective cohort from a large French national cohort study consisted of primiparas who gave birth to live ...
journal_title：International urogynecology journal
pub_type： 杂志文章,多中心研究
doi：10.1007/s00192-018-3785-1
更新日期：2019-06-01 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 aim of this study was to investigate patient-reported goals after a tension-free vaginal tape operation for stress urinary incontinence and the correlation with postoperative incontinence. METHODS:A prospective study involving 70 women was carried out. Preoperatively, patients completed...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-016-3049-x
更新日期：2016-12-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:In the developed world, urethrovaginal fistulas are most the likely the result of iatrogenic injury. These fistulas are quite rare. Proper surgical repair requires careful dissection and tension-free closure. The objective of this video is to demonstrate the identification and surgical corre...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-016-3111-8
更新日期：2017-01-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:To evaluate factors for vesicovaginal fistula (VVF) formation following incidental cystotomies during benign hysterectomies. METHODS:Hysterectomies performed at two university centers between January 1, 2000 and December 31, 2008 were reviewed. Demographic and operative data were abstracted...
journal_title：International urogynecology journal
pub_type： 杂志文章,多中心研究
doi：10.1007/s00192-011-1375-6
更新日期：2011-08-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Polypropylene meshes are frequently used in abdominal and vaginal reconstructive surgery. Recently, several authors have claimed that mesh-associated complications may be linked to mesh shrinkage. We have performed a prospective study with postoperative follow-up by ultrasound examination at...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-010-1308-9
更新日期：2011-05-01 00:00:00
