The development of structural UUT changes is low in MS patients. Urodynamic studies are useful for LUTS treatment strategies in complicated patients, but UD does not appear to have much impact with regard to upper tract changes.
AVP repair reduces lower urinary tract symptoms (LUTS); however, 67% and 51% of patients will report persistent frequency and UUI, respectively, post-operatively. In this cohort, persistent OAB symptoms were not related to age, parity, BMI, or prolapse grade, but rather to pre-operative P(det)Q(max).
Although cure rates are lower, obese women have significant improvements in quality of life after surgery for stress urinary incontinence. Obesity does not appear to be a risk factor for additional complications during sling and prolapse surgery.
each represents (37.1%), followed by group D (25.8%). Among the fecal isolates phylogroup A (50.0%) was still the most prevalent followed by groups D (30.0%), B1 (13.3%), and B2 (6.7%). Significantly, phylogenetic group B1 was more prevalent in the fecal isolates, while, group B2 was more common in bladder isolates. No significant difference present as regard the distribution of the phylogroups when comparing the neobladder isolates either with the bladder or the fecal ones. Among the total studied 100 E. coli isolates, 77 isolates (77%) carried at least one PAI marker among which a total of 129 PAIs were detected including 25 fecal isolates (83.3%) carrying 36 PAIs, 29 bladder isolates (82.9%) carrying 49 PAIs, and 23 neobladder isolates (65.7%) carrying 44 PAIs (p > 0.05). The most prevalent PAIs were PAI IV 536 (56%) and PAI II CFT073 (37%), respectively, while PAI II J96 was not detected in any of the studied isolates. Only PAI IV 536 was significantly more prevalent in the fecal isolates (76.7%) than in UPEC (74.3%) and neobladder isolates (48.6%). 14 isolates (40%) carried 2 or more PAIs in each of neobladder and bladder isolates compared to 10 fecal isolates (33.3%) (p > 0.05). The maximum number of PAIs detected per isolate was four (included II 536 , III 536 , IV 536 , II CFT073 ) and was found only in one isolate from noebladder source and belonging to the phylogenetic group B2.CONCLUSIONS: While distinct, the distribution of phenotypic virulence traits among neobladder isolates were intermediary between both UPEC and the fecal isolates, revealing its ability to colonize the ileal neobladder but rarely progress to symptomatic UTI. The predominant phylogenetic group among the neobladder isolates were A and D, the same as in fecal isolates. The prevalence of PAIs carriage among neobladder E. coli isolates was less than that detected among UPEC and fecal isolates.
Despite similar baseline symptoms and uroflow characteristics patients with urethral distortion had 50% higher detrusor pressure and greater post-void residual urine than those without urethral distortion. Flow rate alone may be insufficient to predict the impact of the mid urethral sling on bladder function in patients with new onset lower urinary tract symptoms.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.