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Katharina Jundt Inka Scheer Barbara Schiessl Katrin Pohl Kristin Haertl Ursula M. Peschers 《International urogynecology journal》2007,18(4):449-453
The known sequelae of sexual abuse include acute and chronic injury. The purpose of this study was to evaluate the association
of overactive bladder symptoms (OABs) with a history of physical or sexual abuse. Two hundred and forty-three women who attended
the gynaecological out-patient clinic or the urogynaecological clinic were recruited for our study. Based on their clinical
examination, they were assigned to three groups of patients with either OAB or with stress urinary incontinence (SUI) without
concomitant urgency symptoms (SUI), or without history of incontinence (control group). Afterwards, they completed an anonymous
questionnaire about bladder function and physical/sexual violence. Significantly more women (30.6%, 26/85) with OAB had previously
been physically or sexually abused than women with SUI (17.8%, 18/101) and of the control group (17.5%, 10/57). Our study
showed that significantly more women with OAB report physical and sexual abuse than subjects with stress incontinence or no
urinary complaints. Women with stress incontinence had the same rate of self-reported physical/sexual abuse as continent controls. 相似文献
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Naumann G Hagemeier H Albrich SB Skala CE Koelbl H Laterza RM 《European journal of obstetrics, gynecology, and reproductive biology》2012,163(2):234-237
Objective
This study was undertaken to describe short-term postoperative achievement of subjective preoperative goals for single-incision MiniArc slings, in comparison with tension-free vaginal tape (TVT).Method
Patients submitted to mid-urethral sling (TVT and MiniArc) procedures for stress urinary incontinence (SUI) in two centers were included in this prospective study. Before surgery, the patients completed a preoperative open-ended questionnaire, in which they described their personal outcomes goals for SUI surgery and the degree of severity of their symptoms. At the first postoperative check, they were asked to assess the degree to which their goals had been met and the degree of postoperative incontinence symptoms; their grade of satisfaction was evaluated with IIQ-7, UDI-6 and a 0–10 visual analog scale.Results
One hundred and eight patients (TVT n = 51, MiniArc n = 57) were included in this study. Incontinence symptom relief and improvement of quality of life were the most commonly described preoperative goals. Six to eight weeks after surgery, 47 patients (92.1%) after TVT and 53 (92.9%) women after single-incision slings were objectively cured (P = 1). After surgery, more than 90% of the patients in both groups achieved their preoperative goals. Symptom scores improved significantly and were comparable in both groups.Conclusion
Our results show that self-reported achievement of preoperative goals of patients submitted to single-incision slings are comparable at the first follow-up with patients who have undergone the classic mid-urethral sling. 相似文献106.
本文总结1464名纺织女工中559例压力性尿失禁调查结果。本病发病率较高,症状较明显的Ⅱ~Ⅳ度为15.40%,需要手术治疗Ⅲ—Ⅳ度者为4.71%。发病率与年龄及分娩次数为正相关系。对压力性尿失禁的发病机理进行初步探讨。 相似文献
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Impairment of sphincter muscles or their neural and vascular support leads to stress urinary incontinence. The aim of this study was to determine the role of urine-derived stem cells (USCs) over-expressing vascular endothelial growth factor (VEGF) in collagen-I gel on angiogenesis, cell survival, cell growth, myogenic phenotype differentiation of the implanted cells and innervations following implantation in vivo. USCs were infected with adenovirus containing the human VEGF165 and green fluorescent protein genes. A total of 5 × 106 cells, USCs alone, or plus endothelial cells or human skeletal myoblasts (as control) suspended in collagen-I gel were subcutaneously implanted into nude mice. Extensive vascularization and more implanted cells was noted in VEGF-expressing USCs groups compared to the non-VEGF groups in vivo. Numbers of the cells displaying endothelial markers (CD 31 and von Willebrand's factor) and myogenic markers (myf-5, MyoD and desmin), and regenerated nerve fibers displaying neural markers (S-100, GFAP and neurofilament) significantly increased in the grafts of VEGF-expressing USCs. Improved angiogenesis by VEGF-expressing USCs enhanced grafted cell survival, recruited the resident cells and promoted myogenic phenotype differentiation of USCs and innervation. This approach has important clinical implications for the development of cell therapies for the correction of stress urinary incontinence. 相似文献
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目的 探讨产后第1周与第7周开始Kegel训练进行盆底肌肉锻炼在提高盆底肌力中的应用效果.方法 选取2015年9月至2016年6月在汉川市人民医院妇产科就诊的268例足月阴道分娩的单胎初产妇,随机分为研究组和对照组,两组各134例.研究组于产后第1周开始Kegel训练进行盆底肌肉锻炼,对照组则于产后第7周开始进行锻炼,均锻炼1个月.对比两组产后3个月、6个月盆底肌力、盆腔器官脱垂定量分类及压力性尿失禁的发生情况.结果 研究组产后3个月、6个月盆底Ⅰ类肌纤维肌电压、盆底Ⅱ类肌纤维肌电压均高于对照组(t=3.53~4.65,均P<0.05);研究组产后3个月、6个月盆腔器官脱垂定量分类法0度比例高于对照组(χ2值分别为4.13、4.19,均P<0.05),而Ⅰ度比例、Ⅱ度比例低于对照组(Ⅰ度:χ2值分别为3.89、3.97,均P<0.05;Ⅱ度:χ2值分别为3.75、3.69,均P<0.05);研究组产后3个月、6个月压力性尿失禁发生率均低于对照组(χ2值分别为6.96、6.25,均P<0.05).结论 产后第1周开始Kegel训练进行早期盆底肌肉锻炼有助于改善盆底肌力,从而能够明显减轻压力性尿失禁发生率. 相似文献
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Nishimune A Yoshiki H Uwada J Anisuzzaman AS Umada H Muramatsu I 《British journal of pharmacology》2012,165(5):1226-1234
α(1)-Adrenoceptors are involved in numerous physiological functions, including micturition. However, the pharmacological profile of the α(1)-adrenoceptor subtypes remains controversial. Here, we review the literature regarding α(1)-adrenoceptors in the lower urinary tract from the standpoint of α(1L) phenotype pharmacology. Among three α(1)-adrenoceptor subtypes (α(1A), α(1B) and α(1D)), α(1a)-adrenoceptor mRNA is the most abundantly transcribed in the prostate, urethra and bladder neck of many species, including humans. In prostate homogenates or membrane preparations, α(1A)-adrenoceptors with high affinity for prazosin have been detected as radioligand binding sites. Functional α(1)-adrenoceptors in the prostate, urethra and bladder neck have low affinity for prazosin, suggesting the presence of an atypical α(1)-adrenoceptor phenotype (designated as α(1L)). The α(1L)-adrenoceptor occurs as a distinct binding entity from the α(1A)-adrenoceptor in intact segments of variety of tissues including prostate. Both the α(1L)- and α(1A)-adrenoceptors are specifically absent from Adra1A (α(1a)) gene-knockout mice. Transfection of α(1a)-adrenoceptor cDNA predominantly expresses α(1A)-phenotype in several cultured cell lines. However, in CHO cells, such transfection expresses α(1L)- and α(1A)-phenotypes. Under intact cell conditions, the α(1L)-phenotype is predominant when co-expressed with the receptor interacting protein, CRELD1α. In summary, recent pharmacological studies reveal that two distinct α(1)-adrenoceptor phenotypes (α(1A) and α(1L)) originate from a single Adra1A (α(1a)-adrenoceptor) gene, but adrenergic contractions in the lower urinary tract are predominantly mediated via the α(1L)-adrenoceptor. From the standpoint of phenotype pharmacology, it is likely that phenotype-based subtypes such as the α(1L)-adrenoceptor will become new targets for drug development and pharmacotherapy. 相似文献