scholarly journals Is routine cystoscopy justified in female stress urinary incontinence?

2011 ◽  
Vol 58 (3) ◽  
pp. 77-79
Author(s):  
Cedomir Topuzovic ◽  
Tomislav Pejcic ◽  
Dragoslav Basic ◽  
Ljubomir Djurasic ◽  
Jovan Hadzi-Djokic
Keyword(s):  
Bladder Cancer ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Bladder Tumor ◽  
Cost Benefit ◽  
Female Stress Urinary Incontinence ◽  
Benefit Ratio ◽  
Cost Benefit Ratio ◽  
Sui Surgery ◽  
Reduced Risk

The investigation of women with SUI the Serbian urologist traditionally begins with cystoscopy to reduced risk of bladder tumor. There is no doubt regarding its ability to detect bladder cancer presented with characteristic symptoms or pathologic results of urinalyses. We discuss its routine use in patients presenting with symptomatology of SUI. The retrospective study was performed in order to evaluate clinical justifiability and cost/benefit ratio of routine cystoscopy in women with stress urinary incontinence (SUI) whose were surgically treated. We reviewed records of 95 female, mean age 56,5 years (rang 46-78) who underwent SUI surgery at eightyear period. The clinical variables, including urinary symptoms, results of urinalyses, ultrasound records and cystoscopic findings, were obtained from the hospital reports. Insignificantly abnormal cystoscopic findings were reported in 31% patients (vagina - like epithel, trigonitis, uterus wall impression, hyperemia, polypoid proliferation and mild trabeculation). No cases of malignancy were incidentally discovered. In female SUI cystoscopic finding was insignificantly abnormal and was not influenced further therapy and contraindicated the planned SUI surgery. Routine cystoscopy in women with SUI cannot be justified only by customary practice or tradition of older generation urologists.

scholarly journals Geographical variation in rates of surgical treatment for female stress urinary incontinence in England: a national cohort study

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e029878 ◽  
Author(s):  
Jil B Mamza ◽  
Rebecca S Geary ◽  
Dina El-Hamamsy ◽  
David A Cromwell ◽  
Jonathan Duckett ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Cohort Study ◽  
Stress Urinary Incontinence ◽  
Geographic Variation ◽  
Primary Outcome Measure ◽  
Female Stress Urinary Incontinence ◽  
National Guidelines ◽  
National Cohort ◽  
Surgery Rates ◽  
Sui Surgery

ObjectiveTo examine geographic variation in use of surgery for female stress urinary incontinence (SUI), mainly midurethral mesh tape insertions, in the English National Health Service (NHS).DesignNational cohort study.SettingNHS hospitals.Participants27 997 women aged 20 years or older who had a first SUI surgery in an English NHS Hospital between April 2013 and March 2016 and a diagnosis of SUI at the same time as the procedure.MethodsMultilevel Poisson regression was used to adjust for geographic differences in age, ethnicity, prevalence of long-term illness and socioeconomic deprivation.Primary outcome measureRate of surgery for SUI per 100 000 women/year at two geographic levels: Clinical Commissioning Group (CCG; n=209) and Sustainability and Transformation Partnership (STP; n=44).ResultsThe rate of surgery for SUI was 40 procedures per 100 000 women/year. Risk-adjusted rates ranged from 20 to 106 procedures per 100 000 women/year across CCGs and 24 to 69 procedures per 100 000 women/year across the STP areas. These regional differences were only partially explained by demographic characteristics as adjustment reduced variance of surgery rates by 16% among the CCGs and 35% among the STPs.ConclusionsSubstantial geographic variation exists in the use of surgery for female SUI in the English NHS, suggesting that women in some areas are more likely to be treated compared with women with the same condition in other areas. The variation reflects differences in how national guidelines are being interpreted in the context of the ongoing debate about the safety of SUI surgery.

Calisthenics and bodyweight exercises: different concepts or scientific synonyms?

2020 ◽  
Vol 19 (1) ◽  
pp. 13
Author(s):  
Leury Max Da Silva Chaves ◽  
Gabriel Vinicius Santos ◽  
Cauê La Scala Teixeira ◽  
Marzo Edir Da Silva-Grigoletto
Keyword(s):  
Body Weight ◽  
19Th Century ◽  
Scientific Literature ◽  
Cost Benefit ◽  
Training Method ◽  
Benefit Ratio ◽  
Cost Benefit Ratio ◽  
The 19Th Century

 Bodyweight exercises (also popularly known as calisthenics) is a classic training method and its practice has been widespread since the 19th century, but little evidenced in the scientific literature over the years. This type of training aims to promote multi-system adaptations using body weight as an overload with no or few implements [1–3]. This characteristic makes exercise with body weight easy to apply, in addition to having an excellent cost-benefit ratio when compared to other training possibilities that require machines or materials [4,5].

Alternaria and Cercospora Leaf Spot Diseases of Niger (Guizotia abyssinica Cass.) – A Traditional Tribal Crop of South Gujarat, India, with Cost Benefit Ratio in Relation to Different Fungicides

2018 ◽  
Vol 51 (3) ◽  
pp. 89-99
Author(s):  
P.B. Sandipan ◽  
P.K. Jagtap ◽  
M.C. Patel
Keyword(s):  
Field Experiment ◽  
Seed Yield ◽  
Leaf Spot ◽  
Foliar Spray ◽  
Cost Benefit ◽  
Research Station ◽  
Guizotia Abyssinica ◽  
Cercospora Leaf Spot ◽  
Benefit Ratio ◽  
Cost Benefit Ratio

Abstract Niger (Guizotia abyssinica Cass.) is an important minor oil seed crop grown in dry areas grown mostly by tribal and interior places as life line of tribal segment. Tribal people mainly use its oil for cooking purpose, above than that there were also other uses. Hence, the niger crop should be protected from the infection. The crop is affected by number of fungal diseases. Therefore, a field experiment was formulated for three years with the four replications at the Niger Research Station (NRS) at Navsari Agricultural University (NAU), Vanarasi, Navsari (Gujarat) on the foliar diseases of GN-1 variety of niger crop. In this experiment, six different fungicides along with one control have been evaluated to control the Alternaria and Cercospora leaf spot diseases, out of which all the fungicidal treatments were significantly superior over the control. Here, foliar spray on the incidence of diseases was compared with the control (without any treatment). All the fungicidal treatments were significantly superior over the control to reduce Alternaria and Cercospora leaf spot diseases of Niger crop. Treatment of Carbendazim + Mancozeb (0.2 %) with two sprays first from the initiation of the disease and second after the interval of 15 days recorded the lowest incidence of Alternaria (14.56) and Cercospora (14.94) leaf spot diseases of niger and recorded the highest seed yield 337 seed yield kg/ha along with the net return with cost benefit ratio graph.

scholarly journals Contemporary trends for urological training and management of stress urinary incontinence in Ireland

2021 ◽  
Author(s):  
Eoin MacCraith ◽  
James C. Forde ◽  
Fergal J. O’Brien ◽  
Niall F. Davis
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Fold Increase ◽  
Incontinence Surgery ◽  
Stress Urinary Incontinence Surgery ◽  
Urethral Bulking ◽  
Urological Training ◽  
Sui Surgery ◽  
Urinary Incontinence Surgery ◽  
Urethral Bulking Agent

Abstract Introduction and hypothesis The aim of this study is to evaluate the trends in stress urinary incontinence (SUI) surgery since the 2018 pause on use of the polypropylene (PP) mid-urethral sling (MUS) and to quantify the effect this has had on surgical training. Methods Two anonymous surveys were sent to all current urology trainees and to all consultant surgeons who specialise in stress urinary incontinence surgery. Results Prior to the pause, 86% (6 out of 7) of consultant urologists and 73% (11 out of 15) of consultant gynaecologists would “always”/“often” perform MUS for SUI. After that, 100% (22 out of 22) of consultants reported that they “never” perform MUS. There has been a modest increase in the use of urethral bulking agent (UBA) procedures among urologists, with 43% (3 out of 7) now “often” performing this, compared with 71% (5 out of 7) “never” performing it pre-2018. Trainee exposure to SUI surgery reduced by 75% between 2016 and 2020. Despite a ten-fold increase in UBA procedures logged by trainees, the decline in MUS has resulted in a major reduction in total SUI surgeries. Coinciding with this decrease in surgeries, there was a 56% reduction in trainees’ self-assessed competence at SUI surgery. Thirteen percent of trainees are interested in specialising in Female Urology and those trainees had significantly greater exposure to SUI procedures during their training than those who did not (p = 0.0072). Conclusions This study has identified a downward trend in SUI surgery, which is concerning for the undertreatment of females with SUI. A decline in SUI surgery training has resulted in reduced trainee confidence and interest in this subspecialty.

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