Urinary Incontinence and Voiding Dysfunctions: Symptoms, Diagnosis and Treatment

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: closed (31 January 2025) | Viewed by 4454

Special Issue Editor


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Guest Editor
Department of Urology, Jagiellonian University Medical College, 30-688 Krakow, Poland
Interests: functional urology; neurourology; overactive bladder; urinary incontinence

Special Issue Information

Dear Colleagues,

This Special Issue focuses on functional urology. This includes lower urinary tract symptoms, neurogenic lower urinary tract dysfunction, overactive bladders, urinary incontinence, and bladder outlet obstruction. Submissions of original articles, systematic reviews, short communications, and other types of articles on related topics are welcome. All manuscripts will follow standard journal peer-review practices, and those accepted for publication will appear in the Special Issue on "Urinary Incontinence and Voiding Dysfunctions: Symptoms, Diagnosis and Treatment". We look forward to receiving your contributions to the Special Issue.

Dr. Mikolaj Przydacz
Guest Editor

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Keywords

  • lower urinary tract symptoms
  • neurogenic lower urinary tract dysfunction
  • overactive bladder
  • urinary incontinence
  • bladder outlet obstruction
  • urodynamics
  • videourodynamics
  • sacral neuromodulation
  • slings
  • onabotulinumtoxina

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Published Papers (2 papers)

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11 pages, 430 KiB  
Article
Lower Urinary Tract Symptoms Correlate with Erectile Dysfunction and Premature Ejaculation but Not with Men’s Sexual Activity: Results from a Large Population-Representative Study
by Mikolaj Przydacz, Pawel Rajwa, Sabrina De Cillis, Cyrille Guillot-Tantay, Francois Herve, Antonio Tienza Fernandez, Manuela Tutolo, Mehmet Gokhan Culha, Paolo Geretto, Chen Shenhar, Marcin Miszczyk, Piotr Chlosta, Veronique Phe and Nadir Osman
Healthcare 2024, 12(14), 1408; https://doi.org/10.3390/healthcare12141408 - 15 Jul 2024
Cited by 1 | Viewed by 1757
Abstract
Background: Lower urinary tract symptoms (LUTS) contribute to erectile dysfunction (ED) and premature ejaculation (PE). However, only a few studies have been conducted with representative groups of men that had well-balanced demographic characteristics. Thus, we aimed to confirm the effect of LUTS on [...] Read more.
Background: Lower urinary tract symptoms (LUTS) contribute to erectile dysfunction (ED) and premature ejaculation (PE). However, only a few studies have been conducted with representative groups of men that had well-balanced demographic characteristics. Thus, we aimed to confirm the effect of LUTS on ED and PE and to analyze the association between LUTS and men’s sexual activity in a large representative cohort. In addition, we evaluated the sex-specific and overall quality of life of men who had LUTS with either ED or PE. Methods: We used the latest census and estimated the sample size to build a group of men representative of the population. LUTS, ED, and PE were evaluated with reliable instruments. Regression models were used to analyze the data. Results: All included men were representative in relation to their age and residential location (n = 3001). ED and PE were more common in men who reported LUTS compared with men who did not have LUTS (p < 0.001). Age, comorbidity, and lifestyle did not affect the negative effect of LUTS on ED or PE (regression coefficients of 0.159 and 0.528 for ED and PE, respectively, p < 0.001). However, regression models did not validate the impact of LUTS on sexual activity, defined by intercourse frequency and number of sexual partners (odds ratio of 0.981, CI 0.961–1.001, p = 0.061). Nevertheless, men with LUTS and either ED or PE had worse quality of sexual life and general quality of life compared with the remaining respondents. Conclusion: LUTS worsened ED and PE but had no impact on men’s sexual activity. Our findings confirm the recommendations to assess for LUTS in men reporting ED or PE. Clinical Trial Registration: The study was registered with ClinicalTrials.gov (NCT05462171). Full article
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15 pages, 1255 KiB  
Systematic Review
The Prevalence and Risk Factors of Stress Urinary Incontinence Among Women in Saudi Arabia: A Systematic Review and Meta-Analysis
by Mohammed Abdullah Saad Alhamoud, Fatimah Ali Julaih, Hadi Dhafer Hadi Al-Aqil, Naif Abdullah S. Almalki, Faisal Abdullah G. Alharthi, Ahmed Abdullah Alghamdi, Sulaiman Ali K. Alshehri, Ahmad Saeed Alqhtani, Mohammed Abdulrahman Alasiri, Abdullah Sulaiman Alaqil, Bandar Naffaa Alhumaidi, Ariana Saraiva, Conrado Carrascosa and António Raposo
Healthcare 2024, 12(23), 2440; https://doi.org/10.3390/healthcare12232440 - 4 Dec 2024
Cited by 1 | Viewed by 1898
Abstract
Background: Stress urinary incontinence (SUI) is a prevalent condition among women in Saudi Arabia, characterized by involuntary urine leakage during physical activities that increase abdominal pressure, such as coughing or sneezing. This systematic review and meta-analysis aimed to evaluate the prevalence of SUI [...] Read more.
Background: Stress urinary incontinence (SUI) is a prevalent condition among women in Saudi Arabia, characterized by involuntary urine leakage during physical activities that increase abdominal pressure, such as coughing or sneezing. This systematic review and meta-analysis aimed to evaluate the prevalence of SUI and identify its key risk factors. Methods: A comprehensive search of PubMed, Scopus, and Web of Science was conducted for studies published up to July 2024, following PRISMA 2020 guidelines. Results: Ten observational studies involving 18,245 participants met the inclusion criteria, and study quality was assessed using the Newcastle–Ottawa Scale. A random-effects model was employed for meta-analysis, with subgroup and sensitivity analyses performed to address heterogeneity. The pooled prevalence of SUI was 26% (95% CI: 14–41%, I2 = 99%, p < 0.001), with rates ranging from 3.3% to 50%. Subgroup analysis showed a prevalence of 17% (95% CI: 1–42%, I2 = 99%, p < 0.001) in the general population and 33% (95% CI: 19–48%, I2 = 99%, p < 0.001) in specific groups, such as postpartum women and those with low back pain. Significant risk factors included age, obesity, high parity, and chronic conditions like diabetes. Despite high heterogeneity, sensitivity analyses confirmed the robustness of these findings. Conclusions: The findings underscore the need for public health strategies focused on weight management, pelvic floor rehabilitation, and increased awareness about SUI. Effective preventive measures could significantly reduce the burden of SUI and improve the quality of life for women in Saudi Arabia. Full article
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