Role of perineal ultrasound in the evaluation of urinary stress incontinence and pelvic organ prolapse: A systematic review

2006 ◽  
Vol 25 (4) ◽  
pp. 301-306 ◽  
Author(s):  
Orietta Dalpiaz ◽  
Pierpaolo Curti
Keyword(s):  
Systematic Review ◽  
Pelvic Organ Prolapse ◽  
Stress Incontinence ◽  
Pelvic Organ ◽  
Urinary Stress Incontinence ◽  
Perineal Ultrasound

Surgical strategies for women with pelvic organ prolapse and urinary stress incontinence

2009 ◽  
Vol 21 (2) ◽  
pp. 179-186 ◽  
Author(s):  
Ellen Borstad ◽  
Michael Abdelnoor ◽  
Anne Cathrine Staff ◽  
Sigurd Kulseng-Hanssen
Keyword(s):  
Pelvic Organ Prolapse ◽  
Stress Incontinence ◽  
Pelvic Organ ◽  
Urinary Stress Incontinence ◽  
Surgical Strategies

Bladder and urogenital prolapse

2021 ◽  
pp. 267-320
Author(s):  
Ellie Stewart
Keyword(s):  
Urinary Incontinence ◽  
Surgical Treatment ◽  
Pelvic Organ Prolapse ◽  
Overactive Bladder ◽  
Stress Incontinence ◽  
Pelvic Organ ◽  
Urinary Stress Incontinence ◽  
Urinary Catheters ◽  
Urogenital Prolapse ◽  
Trouble Shooting

This chapter covers problems that can occur with the bladder, and then pelvic organ prolapse. It provides an assessment of urinary incontinence, and associated investigations, followed by an overview and treatment for overactive bladder (OAB). An overview of urinary stress incontinence is covered, along with both specialist and conservative treatments. Uroflowmetry and urodynamics are described. Pelvic organ prolapse and its treatment is covered, along with vaginal pessaries and surgical treatment. Cystitis, continence products, and all aspects of urinary catheters including trouble-shooting are covered.

scholarly journals Sexual Disorders in Women with Overactive Bladder and Urinary Stress Incontinence Compared to Controls: A Prospective Study

2021 ◽  
Vol 81 (09) ◽  
pp. 1039-1046
Author(s):  
Gert Naumann ◽  
Thomas Hitschold ◽  
Dominique Frohnmeyer ◽  
Peter Majinge ◽  
Rainer Lange
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Organ Prolapse ◽  
Sexual Function ◽  
Stress Incontinence ◽  
Negative Impact ◽  
Pelvic Organ ◽  
Urinary Stress Incontinence ◽  
Sexual Disorders ◽  
Control Group ◽  
Median Score

Abstract Introduction and Hypothesis Female urinary incontinence (UI) has a negative impact on sexual function and sexual quality of life (QoL) in women. But there is still no consensus on the type of UI or the prevalence of sexual dysfunction (SD). The aim of the study was to evaluate sexual disorders in women with overactive bladder (OAB) compared to patients with urinary stress incontinence (SUI) and healthy controls. Materials and Methods 106 women presenting to a urogynecological outpatient clinic (referral clinic) were investigated using standardized questionnaires and the Female Sexual Function Index (FSFI-d). All 65 incontinent women underwent a full urodynamic examination; the controls (31) were non-incontinent women in the same age range who came for routine check-ups or minor disorders not involving micturition or pelvic floor function. Women with mixed urinary incontinence, a history of previous medical or surgical treatment for UI, recurrent urinary tract infections, previous radiation therapy or pelvic organ prolapse of more than stage 2 on the Pelvic Organ Prolapse Quantification (POP-Q) system were excluded. Results 100 questionnaires could be evaluated (94.3%). Thirty-four women had urinary stress incontinence, 35 had OAB, 31 were controls. Mean age was 56 years, with no significant differences between groups. The scores of the questionnaire ranged from 2 to 35.1 points. The median score of OAB patients was significantly lower (17.6) than the median score of the controls (26.5; p = 0,004). The stress-incontinent women had a score of 21.95, which was lower than that of the controls but statistically non-significant (p = 0.051). In all subdomains, the OAB patients had lower scores than the stress-incontinent women and significantly lower values than the control group. Most striking was the impairment of “sexual interest in the last 4 weeks”. The figure for “none or almost no sexual activity” was 80% for the OAB group, 64.7% for the group of stress-incontinent women and 48% for the control group. Incontinence during intercourse was reported by one OAB patient and 4 stress-incontinent women but did not occur in the control group. Conclusions There is a high prevalence of SD in women with urinary incontinence. Patients with OAB reported a greater negative impact on sexual function and had significantly lower scores for the FSFI questionnaire than patients with stress incontinence or controls.

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