جستجوی مقالات مرتبط با کلیدواژه "بی اختیاری ادراری" در نشریات گروه "پزشکی"

Urinary incontinence (UI) is one of the major complications of benign prostate hyperplasia (BPH), which reduces the concept of male identity, and self-esteem and increases frailty syndrome. The present study aims to determine the effect of Kegel’s exercises on UI, frailty syndrome, and self-esteem of the elderly with BPH after transurethral resection of prostate (TURP).

In this randomized clinical trial, 76 older men with BPH who had underwent TURP surgery were randomly assigned to the control and intervention groups. The intervention group performed 60 Kegel’s exercises daily for 12 weeks, but the control group did not perform any exercises. The Edmonton frailty scale, international consultation on incontinence questionnaire – UI short form (ICIQ-UI-SF), Rosenberg self-esteem scale, mini mental status examination, questionnaire of urinary incontinence diagnosis, and a demographic form were completed before training, eight weeks after training, and four weeks after the end of training. Statistical analysis was conducted using descriptive and inferential tests in SPSS software, version 26. 

The mean scores of frailty syndrome, self-esteem and UI improved in the intervention group, but worsened in the control group (P<0.001). There were no significant differences between groups before training but significant differences were reported eight weeks after training and four weeks after end of training (P<0.05). 

Implementing 60 Kegel’s exercises daily for 12 weeks after TURP can reduce UI and frailty syndrome and increase self-esteem in older men.

Urinary incontinence is very common in multiple sclerosis patients, which affects various aspects of relationships and quality of life. The aim of this narrative review is to collect approved methods of physiotherapy treatments which are effective in healing urinary incontinence in these patients.

In this study, investigations conducted from 1997 to 2023 regarding urinary incontinence physiotherapy for patients with multiple sclerosis were reviewed. A search was made in different databases of Google Scholar, PubMed and Science Direct for retrieving English articles using the keywords urinary incontinence, rehabilitation, physiotherapy, multiple sclerosis. Out of 40 retrieved articles, 23 articles were reviewed that properly considered the design, evaluation of the results and complications of the treatment and the existence of the control group.

The review of various studies showed that the strengthening and electrical stimulation of the pelvic floor muscles, the use of biofeedback electromyography, sacral magnetic stimulation and transcranial magnetic stimulation, skin stimulation of the posterior tibial nerve are effective treatments without side effects for patients with multiple sclerosis.

Physiotherapy with different exercise methods and electrotherapy heal urinary incontinence and improve quality of life in multiple sclerosis patients, and the combination of treatments has a greater effect.

 Neurogenic bladder (NB) is one of the most common causes of urinary incontinence, and its many long-term problems negatively affect patients' quality of life, especially women, due to a lack of social roles. Due to the chronic nature of this disorder, the implementation of rehabilitation nursing interventions to improve the quality of life of these patients has been recommended. Therefore, this study aimed to evaluate the effectiveness of multidimensional rehabilitation nursing intervention of urinary incontinence on the quality of life of young and middle-aged women with neurogenic bladder.

The present research was a quasi-experimental study with a pre-test-post-test design that was conducted in Rofeideh Rehabilitation Hospital, Tehran, Iran, in 2021. Data were collected from 30 young and middle-aged women aged 18 to 60 years admitted with neurogenic bladder. The samples completed the demographic questionnaire and incontinence quality of life questionnaire (I-QOL) before and 6 weeks after the intervention during follow-up. Multidimensional rehabilitation nursing intervention of urinary incontinence included two-part training sessions: 1) clean intermittent catheterization and 2) behavioral therapy (Time voiding, delaying urination, diet, and medication) in 7 30-minutes sessions of training conducted daily and individually face-to-face in the first week and then a follow-up of patients in 5 weeks (second, third, fourth, fifth, and sixth weeks), one session per week in the form of virtual classes and online video calls in WhatsApp application. The collected data were analyzed in SPSS software version 25 using one-way ANOVA and paired t-test at a significance level of 0.05.

 Most participants were 20-30 years old (30%) and married (53.3%). Before and after the intervention, the quality of life of patients with neurogenic bladder disorder increased from 46.46±11.07 to 66.23±9.46, which was statistically significant (t=14.20, P<0.0001). Also, psychosocial impacts due to the disease were reduced based on one of the three subscales of the quality of life questionnaire. In addition, quality of life was significantly lower in younger, unemployed, single, spinal cord injury, body odor, and people with a neurogenic bladder disease diagnosis period of less than one year (P<0001).

 According to our findings, clean intermittent catheterization and behavioral therapy could significantly improve patient's quality of life with NB. Therefore, it is recommended to investigate the long-term effectiveness of this intervention.

Urinary incontinence is one of the prevalent hygienic problems of women that is negatively affecting physically, psycho- socially on quality of women’s life. The aim of this study was to evaluate the effectiveness and safety of stress urinary incontinence surgery by the trans-obturator tape method (minimally invasive).

In this cross-sectional study, 30 women with stress urinary incontinence who underwent the TOT procedure in the in the Gynecology Department of Motaharri hospital, Urmia, Iran between August 2016- December 2017 were included. All patients underwent pre-operative clinical examination, cough-stress test in lithotomy position with full bladder, bladder sonography and post-voiding residual volume assessment.

The Mean ± SD age of patients was 43.7±7.62 years, ranging from 30 to 58 years. Patient were followed at the months of 1and 6 after surgery. The average duration of the surgery was about 20 minutes. 100% of patients were completely cured and none of patients have failure of treatment or surgery complications.

In this study, trans-obturator tape placement was found to be a safe, effective and low-complication method. All patients were satisfied with the surgical results. Considering the relatively small number of people studied, it is recommended to conduct more studies, especially focusing on evaluating the quality of life with standard questionnaires in the field of women's urinary problems. Also, clinical trial studies should be designed and implemented in the field of comparison of TOT with existing standard surgical methods in the treatment of female incontinence.

Urinary incontinence is a common problem in general population, especially old women and decreases their quality of life. The purpose of this study was to evaluate the effect of topical black seed oil on urinary incontinence in old women.

The present double-blind randomized clinical trial was conducted in 80 women aged 60-80 years old with stress, urge and mixed urinary incontinence in Sari, Iran. They were randomly assigned into two groups: an intervention group (black seed oil, n=40) and a placebo group (Firooz baby oil, n=40) using block randomization. Both groups applied 15 drops of the group-specific oil twice a day (morning and night) for six weeks from the area below the navel to the pubic area. The rate of urinary incontinence was measured in both groups using the International Consultation of Incontinence Questionnaire – Short Form (ICIQ-SF) before the intervention and at the end of weeks three and six. Data were analyzed by descriptive and inferential tests.

Independent t-test showed no significant difference between the intervention and placebo groups in the ICIQ-SF score in pre-intervention phase (P>0.05). At week three, a significant decrease was seen in the score for urinary incontinence in the group that received black seed oil compared with that of the placebo group (4.59 vs. 5.89, P=0.004). Also, at week six, the mean ICIQ-SF score in the intervention group was significantly lower than that in the placebo group (2.21 vs. 5.32, P<0.001).

The current study showed that the topical use of black seed oil for three weeks was effective in improving urinary incontinence symptoms in old women which also increased after six weeks.

Urinary incontinence is one of the most common problems among women that has significant effects on various aspects of their lives. The aim of this study was to investigate the prevalence of urinary incontinence and risk factors in women aged 40-60 years referred to urology clinics affiliated to Shahid Sadoughi University in Yazd City in 2010-2011.

This cross-sectional study performed on 200 randomly selected women aged 40-60 years referred to urology clinics. Questionnaire containing demographic information and questions related to determining urinary incontinence and type of urinary incontinence and risk factors (age, weight, height, BMI, age of onset of menopause, age of onset of menopause, number of deliveries, age at first delivery, number of vaginal deliveries, number Cesarean delivery, menopause, diabetes, hypertension, constipation, chronic lung disease, use of contraceptive hormones, postmenopausal hormone therapy, smoking, obsession) were completed by face-to-face interviews. Data were analyzed by SPSS16 software using Chi-square and t-test.

The prevalence of urinary incontinence in women aged 40-60 years referred to these clinics was 54%. The highest prevalence was stress urinary incontinence with 89.2%, followed by urge (48.6%) and mixed incontinence (47.7%), respectively. In the study of risk factors, a significant relationship was observed between taking birth control pills and urinary incontinence (P=0.032), constipation and stress and urgency urinary incontinence (P=0.046); there was also a significant relationship between taking birth control pills and not having mixed urinary incontinence (P=0.02).

The prevalence of urinary incontinence in women referred to urology clinics is high and in order to reduce the incidence of urinary incontinence, diet change is recommended.

The growing trend of the elderly population has caused the issue of elderly health to be of special importance and on the other hand maintaining the health of the elderly is one of the main problems in most societies.The aim of this study was to investigate the effect of urinary incontinence rehabilitation nursing program on sexual function and sleep quality of elderly women referring to Ayatollah Mousavi Clinic in Zanjan in 1399.

The present study was an interventional study in two stages before and after that the research community consisted of the elderly who referred to Ayatollah Mousavi Clinic in Zanjan in 1399.Fifty-eight eligible seniors were included in the study through available sampling and demographic information questionnaires, Pittsburgh sleep quality, female sexual function index and abbreviated form of International Urinary Incontinence Counseling Questionnaire were used to collect data.Data were analyzed using SPSS software version 20 using descriptive and inferential statistical tests.

In the whole sample, 74% of elderly women had undergraduate education, 77.5% had normal delivery, 41% had a body mass of more than 30 and the average age was 68 years. The mean sexual function before and after the intervention was 25.57 4 4.2 and 30.63 9 3.9, respectively, which is statistically significant (p = 0.001).The mean value of sleep quality variable before and after the intervention was 18.93 8 8.2 and 8.20 2 2.1, respectively, which was statistically significant (p = 0.001) and finally, the mean value of severity was Optional urination before and after the intervention was 19.78 9 5.9 and 14.53 5 4.5, respectively, which was statistically significant (p = 0.001).

According to the results obtained in the use of urinary incontinence rehabilitation nursing programs, this intervention can be suggested as an effective approach to improve the quality of sexual function and reduce sleep disorders in elderly women.

Urinary incontinence is a chronic complication and a social stigma. One of the important and influential factors on the ability of patients to cope with the nature of chronic diseases is social support that affects patients’ behaviors, and changes the quality of life. However, social support can also be a way to improve treatment-seeking help. The aim of this study was to explore the role of social support in treatment seeking among the women with experience of urinary incontinence.

In this qualitative study, 20 women with experience of urinary incontinence referred to teaching hospitals in Tehran, Iran, were purposefully selected. Data collection was done through semi-structured and in-depth interviews. MAXQDA software was used for data analysis.

In the data analysis of participants' experiences, two themes were emerged, support deficiency theme including three main categories of “incompetent information support by others”, “lack of spouse support”, and “lack of family support”, and active support theme including two main categories of “informative support by others” and “spouse empathy”.

Effective social support from different sources such as spouse, family, and friends can play a significant positive role in encouraging and creating treatment-seeking behaviors in women with urinary incontinence. While negative and inefficient social support by others can be considered as important obstacles in pursuing the treatment of the disease.

Urinary incontinence is a common physical issue in the elderly, which influences their quality of life and causes stress and psychological tension. High stress levels may play a pivotal role in the use of coping, self-care, self-efficacy skills in the daily life of patients. The present study aimed to assess perceived stress and the contributing factors in the elderly with urinary incontinence in 2017.

This cross-sectional, descriptive-correlational study was conducted on 125 individuals aged 60-74 years with urinary incontinence referring to Hashemi Nejad Teaching Hospital in Tehran, Iran. The participants were selected via convenience sampling. Data were collected using the abbreviated mental test (AMT), a demographic questionnaire, and Cohen’s perceived stress scale with acceptable validity and reliability. Data collection was performed during three months via face-to-face interviews (15-20 minutes). Data analysis was performed in SPSS version 16 using Pearson's correlation-coefficient, linear regression, and Scheffe test at the significance level of P<0.05.

The mean age of the subjects was 63.92 ± 2.66 years, and the sample population consisted of 53.6% women and 46.4% men. Nearly half of the subjects (43.2%) had high levels of perceived stress. In addition, significant correlations were observed between perceived stress and age, education level, marital and economic status, and duration of urinary incontinence (P<0.05).

Considering that urinary continence affects the daily life of the elderly, planning for the development of community-based nursing interventions, performing educational/counseling strategies for the control and management of stress, and provision of family and social support are recommended in order to enhance the functional capacity of the elderly with urinary incontinence.

Urinary incontinence is one of the most important pelvic floor disorders affecting the patients' quality of life. Although natural delivery and pregnancy are the most important risk factors, less attention is paid to the other involved factors. The aim of the present study was to investigate the factors influencing urinary incontinence in women. A total of 195 obese women (91 cases with urinary incontinence and 104 without UI) were studied in the age range of 25 to 65 years old. After obtaining their consent to participate in the project, completion of the questionnaires and measurement of anthropometric characteristics were performed. SPSS software (version 18, USA) and ANOVA, t-test, and chi-square test were used for Data analysis (α≥ 0.05). There was a significant relationship observed between the mean age, menopause, as well as regular exercise and urinary incontinence. The mean age was higher in the affected group, and regular weekly exercise reduced the incidence of urinary incontinence. In general, the mean of anthropometric indices (height, weight, BMI, waist circumference, hip circumference, and waist to height ratio) was lower in participants with urinary incontinence Contrary to the popular belief, in obese women with urinary incontinence, low anthropometric indices appear to increase the incidence of urinary incontinence and regular exercise can reduce the incidence of urinary incontinence.

Trazodone is a weak inhibitor of serotonin reuptake and a potent antagonist of serotonin 5HT2A and 5HT2C receptors. Urinary incontinence is a rare side effect of anti-depressant drugs. Side effects of antidepressants can cause delay in treatment of patient and ultimately non-compliance in patients who take this medicinal drug. Here we present a case of trazodone induced urinary incontinence in a woman at menopause period. The patient was a retired woman with 63 years old. She reported a history of bladder prolapsuse and history of consumption of quetiapine and propranolol. But the patient had no history of other somatic illnesses, drug and urinary incontinence before administering the medicinal drug. Psychiatrist prescrided trazodone with dose of 50 mg, orally per day when appearence of the depression, anxiety and insomnia. But, the patient suddenly suffered from urinary incontinence, despite this situation the patient had continued taking the drug for three days. Due to the uncertainty of the above complications patient, was forced to discontinue the drug and follwoing drug discontinuation the side effect disappeard. After the improvement of the urine incontinence and full recovery, re-treatment was began with the same dose of 50 mg trazodone for the patient, but immediately after drug administration to the patient, urinary incontinence appeared once again. Trazodone can be considered as important factor to cause urinary incontinence. Therefore, this issue should be considered whenever this pharmaceutical drug is prescribed.

Urinary incontinence following gynecologic surgeries is one of the complications of these surgeries and usually occurs due to the formation of urogenital fistula. Ureterouterine fistula is rare and difficult to diagnose. In this study, a case of uterine fistula was studied in a young woman after cesarean section.
Case Report: The patient was a 29-year-old woman with paradoxical incontinence, who referred to urology clinic of Imam Ali Hospital in Bojnurd. Paradoxical urinary incontinence started 40 days after cesarean section. The imaging confirmed the presence of Ureterouterine fistula. Supportive treatments, including rest and urinary catheterization, were not effective in improving the patient's condition.
The main purpose of the treatment was to maintain the function of the involved kidneys and also to maintain the integrity of the ureter, which the patient underwent surgery according to clinical conditions.

Rehabilitation is the treatment of choice for biomechanical problems of pelvic floor muscle. In rehabilitation, assessment and outcome measures in Lower urinary tract symptoms are dependent on pathological nature and cultural conflicts of patient. The aim of the present study is to review and introduce the research and clinical instruments for rehabilitation in lower urinary tract symptoms.
A computerized data base search was performed at the Pubmed, Medline, Cinhal, and Science Direct using the following keywords: Lower Urinary tract symptoms, urinary incontinence, Rehabilitation, Pelvic floor muscle training, over active bladder, physiotherapy. Clinical trial articles which had evaluated the effect of rehabilitation were included in this study.
181 papers have been published between 2000 and end of 2016 that was clinical trial. 142 articles obtained urinary incontinence. Multiple sclerosis, Cerebral Vascular Accident and incontinence during pregnancy was published. 71% of the studies used At least one questionnaire as outcome measurement. In most study, the quality of life was also investigated. Some Research was used Quantities tools such as pad test or voiding diary.
Although quantitative tools in most studies are superior tools. However, Questionnaire with evaluation of Quality of life is the basic of research and treatment.

Urinary incontinence is a common health problem among elderly population, particularly elderly women, and it is necessary to identify the different risk factors that cause urinary incontinence. The present study was designed to assess this problem among elderly women in Babol and the risk factors associated with it.
In this cross-sectional study, 590 elderly women over 60 years old in Amirkola were studied using census method. The required data were collected using standard checklists and questionnaires. Any form of involuntary withdrawal of urine, wetting the pad or underwear was considered urinary incontinence.
FINDINGS: In this study, the mean age of subjects was 68.2 ± 6.8 years and 194 out of 590 women (32.9%) had urinary incontinence. The marital status (OR: 0.64 (CI-95% =0.42-0.98), p=0.04), constipation history (OR: 1.63 (CI-95% =0.11-2.39), p=0.01) and use of corticosteroid drugs (OR: 1.7 (CI-95% =1.01-2.95), p=0.05) were directly related to urinary incontinence after matching with other risk factors. However, urinary incontinence in elderly women was not related to factors such as age, obesity, education, number of children, chronic diseases like diabetes, blood pressure and respiratory disorders.
According to the results of this study, one third of elderly women in Babol suffer from urinary incontinence and unmarriedness, constipation history, and use of corticosteroid drugs increase the possibility of this condition, which necessitates the need for more attention to this problem and its risk factors that have significant emotional effects on elderly women.

To examine the association among pelvic girdle pain (PGP), urinary incontinence (UI) and pelvic floor muscle (PFM) function in pregnant women in second and third trimester.
300 pregnant women who admitted for standard pregnancy care were enrolled in the study. Urinary incontinency was measured via the international consultation on incontinence questionnaire short form. Pelvic girdle pain was diagnosed according to existing guidelines. Vaginal examination assessed pelvic muscles contract- relax patterns and muscle strength. The software stata version 13 (Stata Corp., TX, USA) was used for data analysis.
Overall 300 women (150 with PGP and 150 without PGP) were included in final analyses. There was not significant differences between the demographic data including, body mass index before pregnancy, maternal age, mode of delivery. Prevalence of urinary incontinence in women with pelvic girdle pain was 41.5 percent (CI 95%: 32.01- 51.48) while the prevalence of urinary incontinence in women without pain was 21.9 percent (CI 95%: 14.99-30.03). Using logistic regression, the relationship between urinary incontinence and pelvic girdle pain was significant. (CI 95%: 1.07-3.31, P=0.02). Multivariate logistic regression analysis was used to evaluate the relationship between PGP and pelvic floor muscle function and results showed that pelvic floor muscle strength in women with PGP was significantly lower than women without PGP. (CI 95%: 0.24-0.68, OR= 0.4, P There was a significant association between pelvic girdle pain and urinary incontinence during the second and third trimesters of pregnancy and also the pelvic floor muscle strength and duration of the contraction of the pelvic floor muscles in women with pelvic girdle pain was significantly lower than those without PGP.

Pregabalin is used as a new drug in relieving neuropathic pain but it could have some side effects such as dizziness, drowsiness and peripheral edema. Other side effects are rarely reported. We report a patient who developed urinary incontinence following a single dose of Pregabalin. A 72 year old woman was diagnosed with depression and received treatment from two years ago but complained of scattered body pains. After further investigations she was diagnosed with fibromyalgia and was given Pregabalin75 mg daily. After a single dose of Pregabalin the following symptoms were presented: tearing, impaired concentration, and urinary incontinence. The symptoms were resolved within 4-5 hr and Pregabalin was stopped the next day. According to the Naranjo probability scale these symptoms were probably due to Pregabalin. Therefore, it should be prescribed cautiously in older adults.

Background and Urinary incontinence is one of the most common problems in women. The aim of this study was to investigate the frequency of different types of urinary incontinence in women who referred to pelvic floor disorders clinic. In a descriptive cross-sectional study 200 women with symptoms of urinary incontinence were evaluated from all patients who were referred to pelvic floor disorders clinic in Roohani Teaching Hospital, 2013-2014. The research parameters were age, height, weight, para, type and number of delivery, urge incontinence, stress incontinence, and mixed incontinence. The patients mean age, mean weight, and mean BMI were 48.24± 9.95, 75.82±13.33kg and 29.95± 5.32 kg/m2, respectively. Stress incontinence was observed in 90 (45%) urge incontinence was found in 45 patients (22.5%), and mixed incontinence was seen in 65 participants (32%). Among the subjects 145 (72.5%) had vaginal delivery of whom 23.4% had urge incontinence, 40% had stress incontinence, and 36.6% had mixed incontinence. In patients with cesarean section, urge incontinence was observed in 31.2%, stress incontinence in 56.2% and mixed incontinence was seen in 12.5%. According to high frequency of stress incontinence, health care providers should consider early detection and treatment of these patients.

Postpartum urinary incontinence affects an average of 10 to 40 percent of pregnant women after childbirth. This problem leads to lowering of their quality of life and spending high cost for treatment. The aim of this study was investigation the relationship between the severity of postpartum urinary incontinence and parity in multiparous women. This cross-sectional study was conducted on 192 women who referred to AL-Zahra and Izadi clinic of Qom، Iran in 2012 for treatment of postpartum urinary incontinence. Data gathering tools were two questionnaires named UDI-6 (Urogenital Distress Inventory) and IIQ-7 (Incontinence Impact Questionnaire). Based on the research''s aims، variables such as delivery type، number of children and age were evaluated. Data were analyzed using SPSS software version 18 and Pearson Correlation Coefficient test. P value less than 0. 05 was considered significant. From 192 studied women، 105 women (54. 7%) experienced natural delivery، and 59 women (30. 8%) experienced cesarean section and the rest were experienced both types of delivery. 66 women (34. 4%) had two children، 35 women (18. 2%) had three children and the rest had more than three children. There was a significant relationship between the severity of urinary incontinence and quality of life (p<0. 001) and the number of children (p=0. 04). Increase in the number of children is not inconsistent with the quality of life، but causes some problems in woman urogenital system. Therefore there is a need to think about increasing the power of the pelvic muscles in order to maintaining the quality of life by exercises before increasing the number of children.

Urinary incontinence affects various aspects of daily life of patients with Multiple Sclerosis (MS) and remains negative effects on their quality of life. The purpose of this study was to determine the effect of pelvic floor muscle training on urinary incontinence in patients with MS. It was a quasi-experimental, before-after clinical trial. The sample consisted of 50 MS patients with urinary incontinence admitted to MS clinic of Imam Khomeini Hospital in Tehran who had been selected by convenience sampling method. The patients were taught how to perform pelvic floor muscle exercise and performed the exercises for three consecutive months. The patients completed ICIQ-UI SF questionnaire before the intervention and at the end of the third month. Data was analysed by descriptive statistics, paired t-test, Wilcoxon, McNemar and ANOVA using SPSS-PC (v.16). A total of 45 patients continued to participate in the trial until the end of the third month. There were significant differences between the frequency of urinary leakage, urine leakage and incontinence impact on quality of life before and after training were (P <0. 001). According to the findings, pelvic floor muscle training reduces urinary incontinence of patients with MS. Accordingly teaching pelvic floor muscle exercise as a non-pharmacologic, non-invasive and low cost intervention to control urinary incontinence is recommended for these patients.

Among factors related to weakness of pelvic muscles، pregnancy and vaginal delivery are considered as the most important risk factors for fecal incontinence. Because of conflicting results in effect of delivery methods on urinary and intestinal incontinence، this study was designed aim to evaluate the prevalence of urinary and intestinal incontinence in postpartum period and its related factors.

This cross-sectional study was conducted on 429 women، 4 month after their delivery in Khalkhal health centers، Iranduring 2011 to 2012. Sampling method was available. Women were asked to complete the demographic questionnaire and a questionnaire about incontinence symptoms that design by Sandvik. Data were analyzed using SPSS software version 20 and t-test، chi-square and correlation tests. P value less than 0. 05 was considered significant.

Prevalence of urinary and gas incontinence in women with cesarean section was 1. 4% and 0. 9% respectively and in women with vaginal delivery was 1. 9% and 1. 4% respectively that was not statistically significant (p>0. 05). There was no significant association between urinary and gas incontinence and mother age، gravidity، episiotomy، vaginal laceration، number of vaginal delivery and cesarean section، neonatal weight and head circumstance (p>0. 05).

There is no association between method of delivery and urinary and intestinal incontinence 4 month after the delivery.