• Clinical and Experimental Pediatrics
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• v.51 no.11
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• pp.1147-1151
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• 2008

Functional urinary incontinence, the absence of any neurologic or structural abnormality as a cause of urinary incontinence in children, is one of the most common clinical problems encountered in pediatric and urologic departments, and it can be socially and emotionally distressing for the affected children. The prevalence rates of functional urinary incontinence in school-aged children are not very high and differ between boys and girls. The underlying mechanisms of functional urinary incontinence are heterogenous and can be associated with the following dysfunctions of both the storage and voiding patterns of the bladder: overactive bladder, dysfunctional voiding, lazy bladder syndrome, HinmanAllen syndrome, giggle incontinence, and vaginal voiding. Treatment methods for urinary incontinence in children should be chosen according to these clinical conditions. Treatment modalities generally consist of the treatment of comorbid conditions such as urinary infection and constipation, behavior therapy to modify learned voiding patterns, and pharmacotherapy primarily with anticholinergics and ${\alpha}$-adrenergic blockers. This review discusses the optimal treatment modalities, including treatment of the underlying voiding disorders, and diagnostic approaches related to functional urinary incontinence in children.

• Journal of the Korea Society of Computer and Information
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• v.26 no.12
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• pp.201-212
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• 2021

This study attempted to compare the pattern with the absorption layer by analyzing the pattern of commercially available urinary incontinence panty products. Through this, it tried to obtain basic data necessary for the development of functional urinary incontinence panty for active seniors. Twelve commercially available products were decomposed to analyze size and patterns, and appearance and clothing pressure were evaluated through 3D simulation. As a result of comparing the size and pattern of urinary incontinence panty, it was analyzed that the size difference between parts was large even though the product was called the same. Products from the same brand also showed a big difference depending on design and absorption. As a result of the appearance evaluation for the 3D simulation, it was found that there were significant differences between products in all items such as the front, side, and back. Product No. 9 was analyzed to be the best except for the waist fit on the side. In the evaluation of clothing pressure, most of them were marked in red except for products 1, 2, and 8 due to the nature of the panty product. In the future, it is thought that actual wearing experiments and size standardization studies on urinary incontinence pants should be conducted.

• Archives of Plastic Surgery
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• v.50 no.6
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• pp.578-585
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• 2023

An artificial sphincter implanted in the bulbous urethra to treat severe postprostatectomy urinary incontinence is effective, but embedding-associated complications can occur. We assessed the feasibility, efficacy, and safety of urethral graciloplasty cross-innervated by the pudendal nerve. A simulation surgery on three male fresh cadavers was performed. Both ends of the gracilis muscle were isolated only on its vascular pedicle with proximal end of the obturator nerve severed and transferred to the perineum. We examined whether the gracilis muscle could be wrapped around the bulbous urethra and whether the obturator nerve was long enough to suture with the pudendal nerve. In addition, surgery was performed on a 71-year-old male patient with severe urinary incontinence. The postoperative 12-month outcomes were assessed using a 24-hour pad test and urodynamic study. In all cadaveric simulations, the gracilis muscles could be wrapped around the bulbous urethra in a γ-loop configuration. The length of the obturator nerve was sufficient for neurorrhaphy with the pudendal nerve. In the clinical case, the postoperative course was uneventful. The mean maximum urethral closure pressure and functional profile length increased from 40.7 to 70 cm H₂O and from 40.1 to 45.3 mm, respectively. Although urinary incontinence was not completely cured, the patient was able to maintain urinary continence at night. Urethral graciloplasty cross-innervated by the pudendal nerve is effective in raising the urethral pressure and reducing urinary incontinence.

• Journal of the Korea Fashion and Costume Design Association
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• v.17 no.1
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• pp.39-52
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• 2015

This study aims to analyze the characteristics of the male products for urinary incontinence by examining the types and characteristics of those registered in KIPO (Korean Industrial Property Office). Additionally, the types and characteristics, especially for the cloth products and the pads, of male panties for urinary incontinence on the market are analyzed. Men in their 60s with minor symptoms were selected as the subjects to evaluate the wearability. The results are as follows. 11 male products for urinary incontinence, registered in KIPO, are structurally different from those for women by having a separate pocket mainly for absorption. There are one disposable type and 7 cloth types, and the cloth panties can be classified as either united or separable type depending on the detachability of pads from the panties. The types of the panties vary according to the position, shape, and size of the attached pads on normal male panties (boxer, briefs, drawers). The fabrics for the urinary incontinence are usually piled in 3 to 5 layers by having the most absorptive layer on the top, the next with deodorizing characteristics, and the bottom with the waterproof fabric as basics with some additional layers of antibiotic or breathable fabrics. From the wearability test, it has been determined that the panties are not distinguishable in external appearance and the fitness is also not a problem since the size varies as the normal panties. It has been evaluated that the fitness of the panties is an important factor since the pad should be worn in any form; the pad sewed in the middle of the panties was evaluated to be more wearable than having a long pad. In case of separable panties, when the pattern and fabric is similar to the functional panties and the options such as the thickness of the pads or detachability are given to the users, it tends to be more satisfactory.

• Journal of the Korea Society of Computer and Information
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• v.27 no.11
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• pp.209-218
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• 2022

This study sought to measure the absorption of commercially available urinary incontinence panty by applying a method of measuring the maximum saline amount of adult diapers in an international standard. The subject was 15 products from 3 brands on the market, and the SPSS 27.0 program was used for analysis. As a result of measuring the maximum absorption of commercial incontinence panty, it was found that the maximum absorption of product B was the highest and the maximum absorption of product C was the lowest. Even though the product was marked with the same absorption amount, it showed differences in the same product of the same brand, and it also showed differences depending on the brand. The reflux amount of the injected physiological saline and the urinary incontinence panty showed a positive (+) correlation, and as the amount of the injected physiological saline increased, the reflux amount of the urinary incontinence panty increased. It was analyzed that the time when the leakage begins and the amount of leakage have a negative (-) correlation. In future research, it is believed that the development of functional pads that can increase absorption and reduce reflux and leakage should be carried out.

• The Journal of Internal Korean Medicine
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• v.24 no.2
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• pp.380-386
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• 2003

Patients with neurogenic bladder undergo morphometric and functional changes of their bladder and urethra. As a result, voiding symptoms such as frequency, nocturia, urgency and incontinence appear. We experienced two cases of the urinary incontinence treated with Samboo-tang(Sanfu-tang). In the point of Differentiation of Syndrome, two cases were diagnosed as Deficiency Syndrome of Yang of the kidneys. After Samboo-tang(Sanfu-tang) administration, the frequency of the urinary incontinence were decreased and the accompanied symptoms also improved. So, we report two cases with a brief view of related literatures.

• Korean Journal of Adult Nursing
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• v.14 no.1
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• pp.15-25
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• 2002

Purpose: This study was performed to identify the prevalence and type of urinary incontinence (UI) after a stroke, to find the differences in urinary symptoms according to continence or incontinence, and to find the degree of impact of UI on daily life. Method: For data collection, we had a structured interview with a questionnaire. The subjects were 239 post stroke patients. Results: Among the subjects(mean age: $65{\pm}10$), 66.1 percent had an infarction, and 25.5 percent had a hemorrhage. And 26.4 percent of subjects were within 2 weeks and 28.9 percent from 1 year to 5 years since their episodes of a stroke. Forty five point six percent of subjects had various types of UI: urge 25.7 percent, stress 14.7 percent, functional 20.2 percent, and mixed 39.4 percent. There were significant differences in frequency, nocturia, decreased stream, and incomplete emptying between the incontinent and continent groups. Subjects reported UI influenced various aspect of daily life, 54.1 percent as cause of distress, 53.2 percent on overall quality of life, and 40.4 percent on sleep. The Mixed UI, including urge UI, had higher impact on daily life than others. Conclusion: There was a high prevalence of UI, mixed, urge, and functional type as most prevalent, and it had a strong impact on daily life of post stroke patients.

• Advances in pediatric surgery
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• v.12 no.1
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• pp.115-125
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• 2006

Postoperative management of anorectal malformation consists of colostomy management and then management after definitive surgery. Colostomy management requires attention to certain details, i. e. complete decompression of the distal limb to avoid secondary megarectosigmoid and prevention and treatment of urinary tract infections in patients with rectourethral fistula. Management after definitive surgery requires the care of catheters placed in the rectourethral fistula or cloacal defect. Prevention and treatment of various complications after definitive operation, i. e. wound infection, anal stenosis or stricture, anal mucosal prolapse, and management of functional disorders, i.e. constipation, fecal incontinence and urinary incontinence are also necessary. In this review, recent trends for the prevention and treatment of the above mentioned problems after operation for anorectal malformation are presented.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.10
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• pp.4467-4474
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• 2011

The purpose of this study was to examine the factor of the quality of elderly women's sleep. The subjects in this study were 198 elderly women who were at the age of 60 and up. One instrument used to assess their quality of sleep was Buysse, et. al.(1989)'s Pittsburgh Sleep Quality Index(PSQI), and the other used to check their urinary incontinence was Jackson, et. al.(1996)'s Urination Symptom Inventory. The collected data were analyzed by the statistical package SPSS 18.0. The elderly women got $7.09{\pm}4.29$ in the quality of sleep of the PSQI, and 67.7 percent suffered from sleep disorders. Among the subfactors of the PSQI, their subjective quality of sleep was low, and the quality of sleep during, sleep latency was low as well. And their sleep disturbance was great. In contrast, the effectiveness of their habitual sleep was relatively good, and they didn't take medicine such as a sleep pill a lot, and their functional sleep disorder in the daytime wasn't great. There were differences in the quality of sleep according to their education, financial state, self-rated health status and family relations, and whether they worked out on a regular basis or not made a difference to that as well. No differences were found according to age, religion, occupation and having a coffee or not. There was a positive correlation between their quality of sleep in the PSQI and urinary incontinence(r=.51, p=.000). Out of the subfactors of the PSQI, the sleep disturbance factor was most closely linked to urinary incontinence(r=.465, p=.001). Finally, urinary incontinence and subjective health status were identified as the variables that exerted a statistically significant influence on the quality of sleep. Those variables made a 31% prediction of it.

• Journal of Physiology & Pathology in Korean Medicine
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• v.30 no.1
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• pp.73-79
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• 2016

It was aimed to report a case of both anterior cerebral artery territory infarction patient improved by korean medical treatment. The patient was diagnosed by brain magnetic resonance imaging(MRI) and magnetic resonance angiography(MRA). The symptoms were quadriplegia, urinary frequency, urinary incontinence and abulia. I applied herbal medicine, acupuncture, moxibustion, pharmacopuncture, cupping and physical exercise therapy. As a result of them, the symptoms of the patient were improved considerably. Status of the patient was evaluated by manaul muscle test(MMT), modified barthel index(MBI) and functional independence measure(FIM) and medical interview. MBI score was changed from 35 to 95 and FIM score was changed from 66 to 115. Therefore this report suggests that korean medical treatment could be effective to the anterior cerebral artery territory infarction.