Update on duloxetine for the management of stress urinary incontinence

Basu, Maya; Duckett, Jonathan

doi:10.2147/cia.s4062

Cited by 15 publications

(2 citation statements)

References 42 publications

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“…The effect of antidepressants and anxiolytics on UI remains controversial [49][50][51]. The factors such as the type of UI, gender, and the specific mechanisms through which certain antidepressants and anxiolytics interact with the bladder may play a role in the development of involuntary urine leakage.…”

Section: Discussionmentioning

confidence: 99%

When Bladder and Brain Collide: Is There a Gender Difference in the Relationship between Urinary Incontinence, Chronic Depression, and Anxiety?

Dasdelen,

Almas,

Celik

et al. 2023

JCM

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In longitudinal and cross-sectional studies, depression and anxiety have been associated with urinary incontinence (UI) in women. However, this association has not been studied in men. Utilizing data from the 2008 Turkish Health Studies Survey conducted by the Turkish Statistical Institute, we analyzed 13,830 participants aged 15 years and above. We investigated the association of UI with psychological discomfort in both sexes using multivariable logistic regression. High psychological discomfort significantly correlated with UI in males (OR 2.30, 95% CI 1.43–3.71) and females (OR 2.78, 95% CI 1.80–4.29). Anxiety increased UI likelihood in females (OR 2.36, 95% CI 1.61–3.46) and males (OR 2.37, 95% CI 1.10–5.13). Depression related significantly to UI in females (OR 2.54, 95% CI 1.81–3.58) but not males (OR 1.63, 95% CI 0.71–3.76). Antidepressant and anxiolytic use was not significantly related to UI in either gender. Anxiety and psychological discomfort contribute to UI in both genders. While depression significantly correlates with UI in females, it does not show the same magnitude and significance in males. Antidepressant and anxiolytic use did not significantly influence the association. These findings underscore the psychological distress-UI link, advocating a holistic approach for managing UI in individuals with mental health conditions.

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Section: Discussionmentioning

confidence: 99%

When Bladder and Brain Collide: Is There a Gender Difference in the Relationship between Urinary Incontinence, Chronic Depression, and Anxiety?

Dasdelen,

Almas,

Celik

et al. 2023

JCM

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“…Due to high incidence of adverse effects, long treatment duration and long-term recurrence of pharmacological approaches it is very logical that most of the women will prefer surgical intervention in hope of quick and complete cure. 10 Over the last century several surgical interventions had been done such as Kelly plication, Pereyra, Marshall-Marchetti-Krantz, Burch colposuspension and urethropexy, all of them having a high rate of post-operative complications. 11,12,13 However, introduction of tension-free vaginal tapes procedures since 1995 when it was first described by Ulmsten et al more than 20 years ago, constituted a revolution in the rapidly changing field of female incontinence treatment.…”

Section: Introductionmentioning

confidence: 99%

Tension Free Vaginal Tape (TVT) for Stress Urinary Incontinence - Our Experiences

et al. 2022

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Introduction: There are large numbers of adult women with troublesome urine leakage have a “stress component” to their incontinence. One common procedure to treat stress incontinence is Transvaginal Tape (TVT). In this procedure a small piece of mesh is used to support urethra. This helps to keep urine from escaping uncontrollably. This study aims at finding the outcome of TVT for treating women with SUI. Methods: We performed a prospective type of experimental study of 15 patients of 38 to 55 years old with SUI, for which they underwent TVT at Urology department, DhakaMedicalCollege hospital, from January 2014 to June 2020. Patients were selected as per selection criteria; detailed history and pre-operative investigations were done and all the women were counseled about the procedure and possible complications .We performed TVT procedure in dorsal lithotomy position under spinal anesthesia. First and second follow up was done at 6th and 12th weeks respectively. In each follow up in addition to routine checkup pad test was done, patients were asked of any urinary complain of LUTS. Result: Of the 15 patients there were no major intra-operative complications; only one woman was found to have mild bladder erosion which was treated by post-operative 14 days catheterization. Average blood loss was less than 60 ml. All the patients urinated without any complication. None required surgical re-intervention. Only one patient aged 50 years and diabetic did not improved after surgery even in 2nd follow up. Success rate was 93%. Median time to return to full domestic activities was about 4 weeks. Conclusion: TVT is safe and effective procedure for female stress urinary incontinence with an enduring, high success rate with minimal complications. Bangladesh J. Urol. 2021; 24(2): 170-174

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Chemotherapy in Psychiatry

Baldessarini

2013

175

200

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Update on duloxetine for the management of stress urinary incontinence

Cited by 15 publications

References 42 publications

When Bladder and Brain Collide: Is There a Gender Difference in the Relationship between Urinary Incontinence, Chronic Depression, and Anxiety?

When Bladder and Brain Collide: Is There a Gender Difference in the Relationship between Urinary Incontinence, Chronic Depression, and Anxiety?

Tension Free Vaginal Tape (TVT) for Stress Urinary Incontinence - Our Experiences

Chemotherapy in Psychiatry

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