Non-drug treatment for lower urinary tract symptoms in women with voiding dysfunction

Hajebrahimi, Sakineh; Sadeghi‐Bazargani, Homayoun; Tabrizi, Negar Taleschian; Farhadi, Fereshteh; Sadeghi-Ghyassi, Fatemeh

doi:10.1002/14651858.cd011470

Cited by 4 publications

(5 citation statements)

References 44 publications

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“…Electrical stimulation is a treatment option for urinary urgency and urge incontinence; however, it is not commonly indicated as it is invasive and not without risk [Hajebrahimi et al 2015]. Vaginal or anal transducers can be used to administer electrical stimulation, where the physiological objectives are to produce muscle hypertrophy, normalize the reflex activity of the lower urinary tract (i.e.…”

Section: Electrical Stimulationmentioning

confidence: 99%

Section: Electrical Stimulationmentioning

confidence: 99%

“…inducing reflex contraction of the periurethral muscles and reflex inhibition of the detrusor muscle) and to increase blood flow to pelvic muscles [Ghaderi and Oskouei, 2014]. According to some reviews, electrical stimulation was associated with 30–50% clinical success rate [Hajebrahimi et al . 2015], however, it was shown to be similar to PFMT in improving UI [Ghaderi and Oskouei, 2014].…”

Section: Electrical Stimulationmentioning

confidence: 99%

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A clinical guide to the management of genitourinary symptoms in breast cancer survivors on endocrine therapy

et al. 2017

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There is increasing attention and concern about managing the adverse effects of adjuvant endocrine therapy for women with early breast cancer as the side effects of therapy influence compliance and can impair quality of life (QoL). Most side effects associated with tamoxifen (TAM) and aromatase inhibitors (AIs) are directly related to estrogen deprivation, and the symptoms are similar to those experienced during natural menopause but appear to be more severe than that seen in the general population. Prolonged estrogen deprivation may lead to atrophy of the vulva, vagina, lower urinary tract and supporting pelvic structures, resulting in a range of genitourinary symptoms that can in turn lead to pain, discomfort, impairment of sexual function and negatively impact on multiple domains of QoL. The genitourinary side effects may be prevented, reduced and managed in most cases but this requires early recognition and appropriate treatment. We provide an overview of practical clinical approaches to understanding the pathophysiology and the management of genitourinary symptoms in postmenopausal women receiving adjuvant endocrine therapy for breast cancer.

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Section: Electrical Stimulationmentioning

confidence: 99%

Section: Electrical Stimulationmentioning

confidence: 99%

Section: Electrical Stimulationmentioning

confidence: 99%

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A clinical guide to the management of genitourinary symptoms in breast cancer survivors on endocrine therapy

et al. 2017

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“…A correct diagnosis of anatomical BOO is very important, not only to relieve symptoms but also to minimize long-term complications associated with this disease, included urinary retention, renal failure, recurrent urinary tract infections, and overflow incontinence. [389]…”

Section: Introductionmentioning

confidence: 99%

“…[10] Anatomical BOO is represented as a high voiding detrusor muscle pressure (P det ), a low flow rate (Q max ), a silent sphincter on electromyography (EMG) at pressure-flow study and grading of BOO quantified according to the Blaivas Groutz nomogram, and lack of funneling appearance of the bladder neck during voiding cystourethrography (VCUG) in fluoroscopy imaging. [811121314]…”

Section: Introductionmentioning

confidence: 99%

Internal Urethrotomy in Treatment of Female with Anatomical Bladder Outlet Obstruction

et al. 2019

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Background: Bladder outlet obstruction (BOO) is a relatively infrequent urologic condition in women, but can cause bothersome symptoms. In this article, transurethral incisions of the bladder neck (TUIBN) and urethra in the treatment of anatomical BOO were assessed. Materials and Methods: A total of 23 women who referred with chronic lower urinary tract symptoms, urinary retention, and difficulty in micturition were assessed. Diagnose was made on the basis of urethrocystoscopy, voiding cystourethrography, and urodynamic studies. All patients underwent transurethral incisions of bladder neck contracture or site of observed urethral stenosis at 3- and 9-o'clock positions. Clinical improvements and complications were assessed by follow-up examination and International Prostate Symptom Score (IPSS) and quality of life (QOL) scoring before and after intervention. Results: All patients were followed for at least 6 months after intervention. Follow-up data were available for 19 (90.5%), 13 (61.9%), and 7 (33.3%) of patients at 12, 24, and 48 months' follow-up, respectively. During the follow-up period, the mean IPSS and QOL significantly changed from 26.84 to 10.74 and 4.76 to 2.32, respectively ( P < 0.001). Approximately 66.7% had satisfactory outcomes, 47.7% patients after first, and 19.1% after second TUI. About9.5% patients developed new onset of stress urinary incontinence, one of them had indications of surgical intervention, and thus, symptoms were relieved by mid-urethral sling. Conclusion: Transurethral incision of bladder neck and urethra seems to be effective in relieving urinary symptoms of anatomical BOO in women. Complications may rarely occur and can be fully managed.

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Conservative interventions for urinary incontinence in women: an Overview of Cochrane systematic reviews

McClurg

Pollock

Campbell

et al. 2016

Cochrane Database of Systematic Reviews

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Non-drug treatment for lower urinary tract symptoms in women with voiding dysfunction

Cited by 4 publications

References 44 publications

A clinical guide to the management of genitourinary symptoms in breast cancer survivors on endocrine therapy

A clinical guide to the management of genitourinary symptoms in breast cancer survivors on endocrine therapy

Internal Urethrotomy in Treatment of Female with Anatomical Bladder Outlet Obstruction

Conservative interventions for urinary incontinence in women: an Overview of Cochrane systematic reviews

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