Journal of Clinical Medicine

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Special Issue Editors

Dr. Riccardo Bientinesi

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Guest Editor

Urology Department, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli 8, 00168 Rome, Italy
Interests: urologic oncology; functional urology; robotic surgery; urinary incontinence; neurourology
Special Issues, Collections and Topics in MDPI journals

Dr. Maurizio Serati

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Guest Editor

Urogynaecology Unit, Department of Obstetrics and Gynaecology, University of Insubria, 21100 Varese, Italy
Interests: gynecology; urogynecology

Special Issue Information

Dear Colleagues,

A relatively common condition in the world's population, urinary incontinence has a negative effect on patients' quality of life and is costly for society. According to reports, stress urinary incontinence affects more than half of all women who are 60 years of age or older; urinary incontinence remains one of the most common problems in male patients after radical prostatectomy, despite significant advancements in surgical technique and the advent of new robotic platforms. Another extremely bothersome chronic disorder linked to urgency incontinence is overactive bladder syndrome, which can be both idiopathic and neurogenic. It affects both sexes equally and negatively impacts every part of patients' lives.

To perform a more thorough evaluation of the lower urinary tract, sphincter function, and pelvic floor, the search for novel diagnostic instruments continues. The approach to therapy has changed substantially and now includes a variety of treatments, from conservative management to different surgical techniques. The complexity of the decision-making process has increased due to the availability of numerous therapy modalities, necessitating ongoing professional development for healthcare providers and patient involvement. There is still no "perfect treatment" for urine incontinence despite the huge variety of options. New minimally invasive treatment alternatives and non-invasive therapies are therefore urgently needed.

In the previous Special Issue we managed to collect papers that have had a great impact on incontinence diagnosis and management; we are confident that in the part II we will go even further.

Dr. Riccardo Bientinesi
Dr. Maurizio Serati
Guest Editors

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Related Special Issue

Published Papers (1 paper)

Research

12 pages, 1927 KiB

Open AccessArticle

The Relationship between Urinary Incontinence, Osteoarthritis, and Musculoskeletal System Disorders

by Nursanem Celik, Suleyman Celik, Zuleyha Seyhan, Muhammed Furkan Dasdelen, Furkan Almas, Selami Albayrak, Rahim Horuz, Pilar Laguna, Jean de la Rosette and Mehmet Kocak

J. Clin. Med. 2024, 13(8), 2272; https://doi.org/10.3390/jcm13082272 - 14 Apr 2024

Viewed by 568

Abstract

Background/Objectives: Urinary incontinence diminishes quality of life, and its severity can be worsened by mobility impairments. This study explored the link between urinary incontinence, osteoarthritis, and back musculoskeletal system disorders, considering pain, mobility issues, and daily activity difficulties. Methods: This cross-sectional study included respondents aged ≥ 15 years from the 2008 Turkish Health Studies Survey (n = 13,976). We assessed self-reported urinary incontinence, daily activity, mobility impairment, pain, osteoarthritis, and musculoskeletal disorders to explore their association with urinary incontinence. Gender-specific logistic regression models included chronic conditions related to urinary incontinence. Results: The prevalence of urinary incontinence was higher in the participants with osteoarthritis and back musculoskeletal system problems. Among the patients with osteoarthritis, the prevalence was 25.84% in the mobility-impaired group and 10.03% in the non-impaired group. Similarly, 33.02% of those with activities of daily living (ADL) difficulties and 12.93% of those without difficulties had incontinence. The frequency of urinary incontinence increased with pain severity. According to the multivariable logistic regression analyses, the adjusted odds ratio (95% confidence interval) of urinary incontinence for osteoarthritis was 1.58 (95% CI 1.23–2.02, p < 0.01) for females and 2.38 (95% CI 1.62–3.49, p < 0.01) for males. Conclusions: Urinary incontinence was more common in females, increased with age, and was found to be associated with osteoarthritis and back musculoskeletal system disorders. Among the patients with osteoarthritis and back musculoskeletal system disorders, those with mobility impairment and daily activity difficulties had a higher prevalence of urinary incontinence. The patients with more severe pain had a higher frequency of urinary incontinence. Full article

(This article belongs to the Special Issue Latest Advances in Urinary Incontinence: Part II)

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