ABSTRACT

Introduction and Objectives: Cluster analysis is a statistical method for categorizing groups of individuals with similar properties or characteristics. This method is useful for examining the relationship between complex urological problems and other health conditions or lifestyle factors. The method has previously been shown to differentiate men with mixed patterns of voiding and storage symptoms in a large Canadian sample [1]. Assessing symptom co-occurrence can increase understanding of the disease etiology and has patient management implications. We used this method to classify men with storage, voiding, and post-voiding symptoms in the Boston Area Community Health (BACH) Survey [2].

Hypothesis/Aims of Study

To determine the relationship between POP-Q point Aa and maximum urethral straining angle (Q-tip strain) and if the relationship is affected by pelvic organ prolapse in a cohort of women with stress predominant urinary incontinence.

ABSTRACT

Introduction: We hypothesized that women with pelvic organ prolapse (POP) and overt stress urinary incontinence (SUI) would demonstrate less obstruction and retention because of the “release valve” effect of a less competent urethra. To evaluate this, we conducted a prospective supplementary study to the Colpopexy And Urinary Reduction Efforts (CARE) study. We compared voiding parameters and symptoms in 3 groups of women with POP: 1) women with no symptoms of SUI and no urodynamic stress incontinence (USI) during prolapse reduction, 2) women with no SUI symptoms but evidence of USI on reduction testing (occult USI), and 3) women with SUI symptoms (overt SUI).

ABSTRACT

Introduction and Objectives: It is generally recognized that OAB symptoms significantly affect patient’s quality of life and spread their negative impact to all aspects of human life: social, family, professional and sexual relationship. Therefore, assessment of patient’s quality of life is one of the main aspects in examination OAB patient. During last few years a lot of studies were dedicated to this subject but unfortunately their results are contradictory. There is no universally accepted conception about which of OAB symptoms affect more patient’s quality of life and characteristics of impairment patient’s quality of life according to gender and age. To clarify these questions was primary goal of our research.

ABSTRACT

Introduction and Objective

Although mid-urethral sling (MUS) with synthetic materials is associated with high success rates in female stress urinary incontinence (SUI), its widespread use has led to a group of patients with failures, increasing the need for an appropriate salvage procedure. Current options for managing failed MUS are transurethral injection of bulking agent, pubovaginal sling, or repeat MUS. Transurethral injection (TUI) of bulking agent may be appealing in patients in whom was failed the MUS procedure for its minimal invasiveness. In this study we evaluated the efficacy of TUI of bulking agent for the treatment of recurrent or persistent SUI after MUS.