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autonomic nerves

Prevalence of Urological Complications Among People Who Have Type 1 Diabetes

Major complications of type 1 diabetes include retinopathy, nephropathy, neuropathy, and cardiovascular disease. Other complications that are less studied are urological conditions. Urological complications can be severe for people who have type 1 diabetes.  Some complications include sexual dysfunction, urinary tract infections, lower urinary tract symptoms, and urinary incontinence. Quality of life is a major concern with urological conditions and can negatively affect a person’s health. In addition, these issues are associated with higher A1C levels. The Urologic Epidemiology of Diabetes Interventions and Complications (UroEDIC) was established to study these complications. Read more.

Source: Diabetes in Control, December 22, 2018

mother post pregnancy

Risk of Pelvic Floor Disorders Varied by Child Delivery Mode

The risk of pelvic floor disorders for women years after childbirth varied depending on mode of delivery, researchers found. Women with cesarean delivery had a lower hazard of stress urinary incontinence, overactive bladder, and pelvic organ prolapses compared with women with spontaneous vaginal deliveries, reported Joan L. Blomquist, MD, of Greater Baltimore Medical Center in Maryland, and colleagues. By contrast, women with operative vaginal delivery were associated with a higher hazard of anal incontinence and pelvic organ prolapse, they wrote in JAMA.  Read more.

Source: MedPage Today, December 18, 2018

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InterStim Incontinence and Bladder Control Implant Now Controlled via App

Medtronic won FDA approval to introduce the InterStim smart programmer to control the company’s InterStim neurostimulation system used to manage overactive bladder, bowel incontinence, and some types of urinary retention.  The InterStim system delivers sacral neuromodulation therapy via an implant that looks similar to a cardiac pacemaker.  Read more.

Medgadget, December 17, 2018

imaging brain head

Certain Sites of Brain Lesions in MS Tied to Bowel Incontinence

Specific locations of cerebral multiple sclerosis lesions appear to be associated with bowel incontinence, according to a study published online Dec. 11 in the Journal of Neuroimaging.  Kilian Frohlich, M.D., from the University Hospital Erlangen in Germany, and colleagues used a voxel-wise lesion symptom mapping analysis to assess associations between bowel incontinence and cerebral multiple sclerosis lesions identified on magnetic resonance imaging of 51 patients. The researchers found associations between fecal incontinence in a total of 93 lesioned voxels, with 63 voxels located in the gray matter and 30 voxels in the white matter.  Read more.

Source: Practice Update, December 17, 2018

PTNS Urgent PC Cogentix

Nocturia, Overactive Bladder Improved With PTNS

Percutaneous tibial nerve stimulation (PTNS) improves overactive bladder (OAB) symptoms and decreases the number of nocturia episodes in patients who do not respond well to medication therapy, new study findings suggest. In a retrospective study of 183 female patients (mean age 74 years; 83% white) treated at a urogynecology center, 12 weeks of PTNS (30 minutes per week) reduced voiding frequency by 1 hour, nocturia episodes by 0.8, and urge incontinence by 10 episodes per week, Shilpa Iyer, MD, of the University of Chicago, and colleagues reported in International Urogynecology Journal. Previously, patients voided every 1.6 hours, awoke 2 to 3 times nightly to void, and averaged 3 urge incontinence episodes daily. Read more.

Source: Renal & Urology News, December 12, 2018

sleep woman nocturia

As Waking Up Multiple Times a Night to Urinate Can Lead to Memory Deficits, Obesity, Lowered Sex Drive, Falls and Depression, a New Council Urges Awareness and Action

Nov. 25-30 acknowledges Nocturia Awareness Week, part of Bladder Health Month, which encourages people to take control of their urinary health. Nocturia, a treatable medical condition that forces you to wake up multiple times a night to urinate, affects nearly 50 million Americans and is a leading cause of sleep disruption.1,[2] Nocturia can have mental and physical consequences, including: impaired memory3 and concentration, moodiness, depression, obesity, diabetes and a weakened immune system. However, most Americans have never heard of nocturia and think waking multiple times at night to urinate is normal. To help inform Americans so they do not unknowingly endure the consequences of nocturia, Avadel Pharmaceuticals, a leader in urological health and education, has brought together the most influential patient advocacy groups across specialty areas to form the Nocturia Council: American Alliance for Healthy SleepCaregiver Action NetworkHealthy WomenMen’s Health Education CouncilMen’s Health NetworkMultiple Sclerosis Association of AmericaNational Association for ContinenceNational Sleep FoundationSimon Foundation for Continence and ZERO – The End of Prostate Cancer. Over the next few months, the Nocturia Council, with support from Avadel Pharmaceuticals, will kick off several educational initiatives to lessen the stigma of night-time urination and promote conversations with a healthcare professional about managing nocturia. Read more.

Source: Globe Newswire: November 29, 2018