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At least 19 recordsLinked to original sources

PubMed1977

Diagnostic and therapeutic aspects of urge urinary incontinence in women.

Under standardized conditions, simultaneous urethrocystometry and recording of urethral pressure profile were performed in 10 healthy volunteers and 20 patients suffering from urge incontinence. In the normal subjects, desire to void occurred at a bladder volume of about 300 cm3. At maximum bladder capacity (approximately 500 cm3), variations in intraurethral pressure were recorded at a time when the intravesical pressure remained stable. Immediately before voiding, there was a marked reduction in intraurethral pressure and then the intravesical pressure increased. In 10 of the patients with symptoms of urge incontinence, the findings did not differ from those in the normal subjects. In the other 10 patients, urgency was reported at bladder volumes between 125 and 150 cm3, and the maximum bladder capacity did not exceed 200 cm3. In 8 of them, marked variations in intraurethral pressure were recorded when urge was experienced, whereas the bladder pressure remained stable. In 2 of the patients, variations in intraurethral and intravesical pressure occurred simultaneously. The role of the urethra in urge incontinence is discussed.

Adult↗

PubMed1979

[A questionnaire with a new urge-score and stress-score for the evaluation of female urinary incontinence (author's transl)].

A questionnaire with a new stress-score and urge-score is being presented, which is designed to differentiate with high statistical significancy between stress-urinary-incontinence (urethral-insufficiency with negative urethral closure pressure on sphincterometry) and urge-urinary incontinence (motor-urge-incontinence with uninhibited detrusor contractions on cystometry). With these scores we expect to facilitate the diagnostic screening, to indicate the way of therapy and to avoid unnecessary surgery for urinary incontinence in cases of motor-urge-incontinence (detrusor instability, unstable bladder), as long as a urodynamic examination is not feasible on every incontinent women.

Diagnosis, Differential↗

PubMed1977

Long-term intravaginal electrical stimulation in urge and stress incontinence.

Using a new device for intravaginal electrical stimulation (IVS), 24 women with pure stress incontinence, mixed urge and stress incontinence or urge incontinence due to detrusor instability, were treated. To minimize mechanical discomfort, the electrode carrier was made of flexible material and inflatable. Furthermore, this design facilitated fixed, constant positioning of the electrodes at individually tested sites to produce maximum response at voltage well tolerated by the patient. The stimulation frequency was adjusted to suit the cause of incontinence: 20 to 50 Hz in stress incontinence, 10 Hz detrusor instability. The electrode carrier was well accepted. Seven of the 9 patients with pure stress incontinence became continent during IVS. Three of them have so far remained continent for 2 to 8 months without IVS. The 15 patients with detrusor instability or mixed incontinence were all free from symptoms after IVS for more than 3 months. Two of them have remained cured for more than 3 months after they had stopped IVS.

Adult↗

PubMed2026

Complete genome sequence of Streptococcus vaginalis strain UMB8616 isolated from the bladder of a female with urge urinary incontinence.

Streptococcus vaginalis is a recently identified bacterial species closely related to Streptococcus anginosus. It has been isolated from the human urogenital tract. We report the complete genome sequence of S. vaginalis UMB8616 (=ATCC TSD-371 = CCUG 77169 = DSM 115471) isolated from the bladder of a human female with urge urinary incontinence.

Streptococcus↗

PubMed1979

Seven years experience in the evaluation and management of patients with urge incontinence of urine.

In 1970 the authors established a specific clinic at the Royal Women's Hospital in an attempt to evaluate the causes of urinary incontinence, to improve the follow-up of patients treated for this complaint, and to determine areas where treatment was deficient. Of 258 patients seen in the clinic so far 80 (31%) were considered to have had stress incontinence, 84 (33%) urgency, and 82 (32%) both symptoms. Incontinence of urine with exertion was common in patients with urgency and furthermore, the Bonney test of urethral elevation was of no value in distinguishing stress from urge incontinence. Therapy with Probanthine 15 mg t.d.s. and Tofranil 25 mg t.d.s. was effective in 127 patients (90%) in whom urgency was the sole or dominant complaint.

Female↗

PubMed1979