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Latest Advances in Urinary Incontinence: Part II
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Latest Advances in Urinary Incontinence: Part II

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Nephrology & Urology".

Deadline for manuscript submissions: closed (10 June 2024) | Viewed by 3494

Special Issue Editors

Dr. Riccardo Bientinesi

E-Mail Website
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
Prof. Dr. Maurizio Serati

E-Mail Website
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

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • urinary incontinence
  • neurourology
  • male incontinence
  • urodynamics
  • female incontinence

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Related Special Issue

Published Papers (2 papers)

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Research

9 pages, 538 KiB  
Article
Long-Term Outcomes of Tension-Free Vaginal Tape Obturator: Efficacy and Safety at Long-Term Follow-Up
by Andrea Braga, Andrea Papadia, Elena Gamarra, Giorgio Caccia, Maria Rosaria Campitiello, Marco Torella, Giada Mesiano, Martina Fiorani, Chiara Scancarello, Chiara Cimmino and Maurizio Serati
J. Clin. Med. 2024, 13(19), 5699; https://doi.org/10.3390/jcm13195699 - 25 Sep 2024
Cited by 2 | Viewed by 1185
Abstract
Background/Objectives: The use of tension-free vaginal tape obturator (TVT-O) for the treatment of stress urinary incontinence (SUI) has been widely debated over the last decade due to the lack of evidence on its long-term outcomes. The aim of this prospective study is to [...] Read more.
Background/Objectives: The use of tension-free vaginal tape obturator (TVT-O) for the treatment of stress urinary incontinence (SUI) has been widely debated over the last decade due to the lack of evidence on its long-term outcomes. The aim of this prospective study is to assess, for the first time in the available literature, the efficacy and safety of TVT-O implantation in women with pure SUI over a 17-year follow-up period. Methods: We included all women who complained of pure SUI symptoms (confirmed urodynamically) and underwent the TVT-O procedure. An objective cure was defined as the absence of urine leakage during the stress test, while subjective outcomes were assessed by means of the International Consultation on Incontinence Questionnaire—Short Form (ICIQ-SF), the Patient Global Impression of Improvement (PGI-I) scale, and a Visual Analogue Scale (VAS). Results: A total of 70 patients who met the inclusion criteria underwent the TVT-O procedure. During the study period, no patients were lost to follow-up, and all women completed the last evaluation at the 17-year mark. At the 17-year mark of follow-up, 62 out of 70 patients (81.4%) were subjectively cured, and 56 out of 70 (80%) patients were objectively cured. These data do not reveal any significant variation in the surgical outcomes over the follow-up period. We recorded seven (10%) tape exposure (three occurred after 10 years and four after 17 years). Among these, one woman was symptomatic for dyspareunia and “hispareunia”. All patients with mesh exposure were treated with partial removal and re-suture of the vagina, but only one developed the recurrence of SUI that required a second treatment with a urethral bulking agent (UBA). In all other cases, women reported a complete resolution of symptoms without any worsening of the urinary continence. No significant bladder or urethral erosion was recorded. Conclusions: The 17-year evaluation of the TVT-O procedure has shown that it is a highly effective and safe option for the treatment of female SUI. Although there was an increased risk of tape exposure 17 years after implantation, no serious complications were reported, and no patient required the total removal of the sling. Full article
(This article belongs to the Special Issue Latest Advances in Urinary Incontinence: Part II)
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12 pages, 1927 KiB  
Article
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
Cited by 1 | Viewed by 1875
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 [...] Read more.
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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