Abstract:
INTRODUCTION AND HYPOTHESIS:The effect of incontinence pessaries for urine incontinence (UI) has previously been described in studies from high-income countries, where they have been documented to reduce urinary leakage significantly. However, there is a profound literature gap in these data in low- and middle-income countries. This study, therefore, aims to describe the acceptance, impact and complications of pessary treatment among Tanzanian women diagnosed with stress UI. METHODS:Women who reported stress UI underwent a stress test, and if positive they were offered an incontinence pessary. Swahili versions of the Urinary Distress Inventory-6 (UDI-6) and the Urinary Impact Questionnaire (UIQ) were administered at 3- and 12-18-month follow-ups in addition to questions regarding pessary acceptance and pelvic examination for complications. RESULTS:A total of 48 women were fitted with an incontinence pessary. The frequency and amount of leakage were reduced significantly at 3- and 12-18-month follow-up. Additionally, a significant reduction in the overall UDI-6 score from 29.2 to 25.0 and overall UIQ score from 52.1 to 25.0 was observed from baseline to 3-month follow-up. Thirty-seven per cent of the women reported vaginal discharge at 12-18 months while signs of infection were found in 11.5%. In all, 32/48 (67%) wanted to continue the pessary treatment at 12-18-month follow-up. CONCLUSIONS:In the setting studied, pessaries for stress UI can be successfully fitted in most women with considerable acceptance and satisfaction rates and minimal complications.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Shayo BC,Mwakanyamale DJ,Masenga GG,Rasch Vdoi
10.1007/s00192-019-03980-3subject
Has Abstractpub_date
2020-06-01 00:00:00pages
1091-1097issue
6eissn
0937-3462issn
1433-3023pii
10.1007/s00192-019-03980-3journal_volume
31pub_type
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journal_title:International urogynecology journal
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abstract:INTRODUCTION AND HYPOTHESIS:Double Incontinence (DI) is incontinence of urine and stool and is an extreme manifestation of pelvic floor dysfunction. The objective of this study was to estimate the prevalence and incidence of DI and the risk factors in elderly women in São Paulo, Brazil. METHODS:This was a prospective ...
journal_title:International urogynecology journal
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journal_title:International urogynecology journal
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journal_title:International urogynecology journal
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pub_type: 已发布勘误
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pub_type: 杂志文章
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更新日期:2017-12-01 00:00:00
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更新日期:2014-09-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:2015-01-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2019-10-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:International urogynecology journal
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journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2019-04-01 00:00:00
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更新日期:2020-08-01 00:00:00
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pub_type: 杂志文章
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