• Title/Summary/Keyword: urinary incontinence

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Effects of Intensive Pelvic Floor Muscle Exercise on Recovery of Genitourinary System, Sexual Life and Daily Life after Normal Delivery (골반근육강화훈련이 산후 비뇨생식기 회복, 성생활 및 일상생활 불편감에 미치는 효과)

  • Choi, Euy-Soon;Park, Chai-Soon;Lee, In-Sook;Oh, Jeong-Ah
    • Women's Health Nursing
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    • v.8 no.3
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    • pp.412-423
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    • 2002
  • This study was designed to evaluate the effect of pelvic floor muscle exercise using biofeedback and electrical stimulation after normal vaginal delivery. The data were collected from November 1999 to April 2000 at a university hospital located in Seoul, Korea. Out of 49 women with normal vaginal delivery, 25 of experimental group(with exercise) and 24 of control group(without exercise) were questioned about lower urinary symptoms, discomfort during sexual intercourse and daily life. The maximum pressure of pelvic floor muscle contraction(MPPFMC) and duration of pelvic floor muscle contraction(DPFMC) were measured at pre-treatment, the end of treatment and 8 weeks after a treatment program. The pelvic floor muscle exercise program(using biofeedback and electrical stimulation) was applied to the experimental group twice a week for 4 weeks at the incontinence clinic and the pelvic floor muscle exercise at home for that time and more 8 weeks. Data were analyzed by t-test, $x^2$-test, Fisher's exact test and the repeated measures ANOVA. The results were as follows; 1) MPPFMC(p=0.000) and DPFMC(p=0.021) were significantly increased in the experimental group. 2) In the lower urinary symptoms, daily frequency(p=0.001), nocturia(p=0.002), incontinence episode(p=0.016), stress incontinence(p=0.012), quantity of incontinence(p=0.026), straining(p=0.041), and strength of stream(p=0.009) were significantly decreased in the experimental group. 3) Discomfort during sexual intercourse had not a significant difference between the two groups, which was not significantly decreased as time passed. 4) In the discomfort during daily life, activity restriction(p=0.042), exercise restriction (p=0.008), interpersonal relationship restriction(p=0.046), and discomfort of general life(p=0.027) showed a significant difference between the two groups, which were not significantly decreased as time passed. In conclusion, it is suggested that the pelvic floor muscle exercise using biofeedback and electrical stimulation might be a safer and more effective program for the improvement of postpartum pelvic muscle contraction.

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A Study on the Lower Body Torso Shape in 40s, 50s and 60s Women for Development of Urinary Incontinence Panty

  • Cha, Su-Joung
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.10
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    • pp.163-173
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    • 2022
  • This study attempted to categorize the lower body torso type and investigated its characteristics for women in their 40s, 50s, and 60s, who increase the frequency of incontinence. This study analyzed the 8th human dimension survey data of Korean Agency for Technology and Standards. The data were analyzed by SPSS 26.0 program. It was analyzed that the height item of the lower body torso decreased, the width item widen as the age increases, and the waist and abdomen circumference of the circumference item increased and the hip circumference decreased. Body length decreased with age. The components of the lower torso were classified into the lower torso horizontal factor, height factor, lower factor, and vertical factor. The lower body torso type was classified into a long inverted triangular body type, a short and high body type, a body fat body type, and a low triangular body type. It was analyzed that type 3 was the largest in the horizontal factor and height factor, and type 1 was the largest in the vertical factor and the lower part factor. A new drafting method was required in setting the horizontal part of the incontinence panty, the front and the back length.

The Effect of Pelvic Floor Muscle Strengthening Exercise Treatment Program For Stress Incontinence of The Older Women (노인여성의 복압성요실금에 대한 골반저근육강화 운동치료 프로그램의 효과)

  • Gu, Hui-Seo;Park, Jeong-Mi
    • Journal of Korean Physical Therapy Science
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    • v.9 no.2
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    • pp.49-66
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    • 2002
  • This study was designed to evaluate the effect of pelvic floor muscle strengthening exercise treatment program for the older women with stress incontinence. The researcher developed 8 weeks training program which was implemented at a social welfare center in Seoul. The exercise method followed the Kegel criteria. Verbal instructions were given to the subjects. Subjects were confirmed of the exercises and evaluated by description of the exercise method. Fourteen elderly women(mean age 75.7) with stress incontinence participated and completed this program. The training sessions were held twice a week and each session took 45 minutes ; 15 minutes for pelvic floor muscle strengthening program and 30 minutes for other physical therapy. Pelvic floor muscle strengthening exercise program was applied using verbal instruction and practice at social welfare center, twice a week and daily home exercise program were given to each individual. The results were as follows ; 1. There was significant decrease of lower urinary symptoms in the subjects (p = 0.00) 2 But there was no significant change in the sexual matters (p = 0.44) and the life style (p = 0.41) In conclusion, further study with larger sample group is suggested in order to confirm the study result. Because of limited sample size, the study results were not conclusive. But the pelvic floor muscle strengthening exercise treatment program could be a safe and effective program and is suggestive for the community residing older women with stress incontinence as a geriatric physical therapy intervention.

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Prognosis and Surgical Treatment of the Urethra Embedding Leiomyosarcoma in a Dog (개에서 요도를 포매한 평활근육종의 수술적 처치 및 예후)

  • Kim, Ji-Hyun;Lee, Jun-Am;Kim, Ill-Hwa;Jang, Dong-Woo;Kang, Hyun-Gu
    • Journal of Veterinary Clinics
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    • v.31 no.4
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    • pp.307-312
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    • 2014
  • A 16-year-old female Shih-Tzu, weighing 5 kg, presented with clinical symptoms of abdominal distension and urinary and fecal incontinence. Abdominal palpation detected a large mass. According to the radiographic findings, the bladder had been moved to the umbilicus by the mass and a large abdominal mass was confirmed in the lower abdominal area. Ultrasonography indentified a large heterogeneous mass with heterogeneous parenchyma and a focal anechoic area in the lower abdominal area. The complete blood count abnormalities suggested thrombocytosis and mild neutrophilia, and the serum chemistry indicated an elevated alkaline phosphatase value. During laparotomy, a firm mass that measured $10.5{\times}9.6cm$ was found between the uterine cervix and urinary bladder. The urethra was embedded in the mass. A diagnosis of leiomyosarcoma was established based on histopathology and histochemistry. One week after surgery, urinary retention symptoms that did not appear to be related to mechanical obstruction presented suddenly, but they did not respond to several drug treatments, thus long-term conservative therapy was adopted. The urinary symptoms disappeared on day 27 and the patient started to void large quantities of urine in a smooth and frequent manner. This case report describes the serial changes in the patient's status and the response after surgical remove of the urethra embedding leiomyosarcoma.

The Effectiveness of Bladder Training on Self Voiding after Removal of Catheter in Female Patients with Craniotomy (개두술 여성환자에게 시행한 방광훈련이 유치도뇨관제거후 자가배뇨에 미치는 효과)

  • Lee, Jung-Lim;Kim, Keum-Soon
    • The Korean Journal of Rehabilitation Nursing
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    • v.2 no.1
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    • pp.72-84
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    • 1999
  • The purpose of this study was to identify the effectiveness of bladder training on self voiding after removal of catheter in female patients with craniotomy, finally to develop a bladder rehabilitation program for cognitive impaired patients. Nonequivalent control group posttest design was used. The population of this study consisted of 34 hospitalized neurosurgical patients, all patients have been received craniotomy. 17 patients were assigned to the experimental group and another 17 patients to the control group. The homogeneity of general characteristics of the subjects was no significant difference. Bladder training program consisted of pre-training education, the bladder training, positive verbal reinforcement. The experimental group has been received bladder training and the control group has been received gravity drainage. The dependent variable, the frequency of voiding trial untill self voiding achieves, the frequency of urinary retention, the amount of residual urine, the occurrence, of urinary incontinence, were measured during 3 days after catheter removed. The data analyzed with SPSSWIN ; frequency, percentage, t-test and $X^2$-test were used to analyze homogeneity of general characteristics of subjects between the experimental and the control group. T-test, Mann-Whitney U test, and $X^2$-test were used to determine the effect of bladder training. The result of the study were as follows : There was significant difference in the frequency of voiding trial untill self voiding achieves between the experimental group and the control group. There was no significant difference in the frequency of urinary retention between the experimental group and the control group. There was no significant difference in the amount of residual urine between the experimental group and the control group. However, there was significant difference in the amount of residual urine in urinary retention patients. There was significant difference in the occurrence of urinary incontinence between the experimental group and the control group. In conclusion, bladder training program as a nursing intervention was effective in conclusion, bladder self voiding ability after removal of catheter for craniotomy patients. Therefore, it is recommended to use the bladder training program clinically for the bladder management of cognitive impaired patients.

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Intrapelvic Urethral Anastomosis in a Dog with Complete Obstruction of Proximal Membranous Urethra (막성요도 근위부 완전폐쇄를 지닌 개에서 골반내 요도문합술)

  • Yoon Hun-Young;Kim Jun-Young;Han Hyun-Jung;Jang Ha-Young;Lee Bo-Ra;NamKung Hyo-Sun;Jeong Soon-Wuk
    • Journal of Veterinary Clinics
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    • v.23 no.1
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    • pp.61-64
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    • 2006
  • A 4.65 kg 13-month-old male Pekingese dog was referred to veterinary teaching hospital of Konkuk University for evaluation of dysuria. On physical examination, severe distention of urinary bladder was found in abdominal palpation. Urinary catheter could not be guided into urinary bladder. On serum biochemistry, blood urea nitrogen (35.6 mg/dl) and creatinine (1.9 mg/dl) were increased. Obstruction part of proximal membranous urethra was founded on urethrogram. The length (13 mm) of obstruction part was callipered by cystourethrogram and urethrogram on operation. Surgical resection of obstruction part of urethra was performed without pubic osteotomy, and anastomosis was performed with 5-0 polyglycolic acid. Omentum was placed around the urethral anastomosis. On first day after surgery, appetite was good. On day 5, complete blood count and serum biochemistry showed normal range but mild urinary incontinence was showed after removing catheter. On day 7, urinalysis showed normal condition. On day 14, no leakage of surgical site was observed in excretory urogram. On day 21, no more urinary incontinence and good micturition were found. On 1 year later, the patient showed healthy condition without recurrence.

An Unusual Cervical Spinal Meningioma in a Child

  • Cho, Hyok-Rae;Lee, Jong-Koo;Paik, Ae-Lan;Jang, Woo-Young
    • Journal of Korean Neurosurgical Society
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    • v.53 no.2
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    • pp.129-131
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    • 2013
  • The incidence of spinal meningioma is very rare in children. A 14-year-old girl presented with right arm weakness, gait disturbance, and urinary incontinence. Cervical magnetic resonance imaging revealed an intradural extramedullary tumor dorsal to the spinal cord in the level of C1. The tumor was totally removed despite the severe cord compression. Meningotheliomatous meningioma was diagnosed after histological examination.

Development of Pocket Insertion style Magnetic Curer that Apply $2^{loop}\;3^{pulsed}$ Variable Magnetic type Probe for Urinary Treatment

  • Kim, Whi-Young
    • Journal of information and communication convergence engineering
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    • v.6 no.1
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    • pp.73-79
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    • 2008
  • Result that study magnet nerve curer for treatment induced current generation and current of ion for development in main point incontinence, prostate, sphincter, nervous system, rigidity, headache, retrogression arthritis, ligament damage, Rheumatism arthritis, peripheral nerve etc., can classify by 4. Embodied do first, full bridge magnet occurrence chapter, and communication with PC is available, confirmed various action loops an experiment. Could confirm correct treatment probe second, woman and man disease person. Third, derived so that healing may be possible naturally by addition of apron form according to disease. Because composition of finally, treatment probe composes by act of negative plate form, manufacture is easy and cooling designed for easy direction. More superior result of cooling appeared than existing in incidental and ingredients, cooling efficiency, composition, complexity, convenience etc. that expense and composition manufacture very straightforwardly and experimental by 2 - Tank ways.

Case Report of Both Anterior Cerebral Artery Territory Infarction (양측 전대뇌동맥영역 뇌경색 환자의 증례보고)

  • Yun, Jong Min
    • 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.

Agenesis of the vulva in a Poodle dog

  • Lee, Jae-il;Lee, Ok-Keun;Kim, Yong-suk;Kim, Myung-Jin;Hong, Sung-Hyeok
    • Korean Journal of Veterinary Research
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    • v.47 no.2
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    • pp.229-231
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    • 2007
  • Vulvar agenesis in an eight-month-old toy poodle dog is described. Urinary incontinence and dysuria were the main clinical signs. The morphology of the urogenital system was assessed with contrast radiography. The constructers of lower urinary tract and reproductive system except for the vulva were normal features. Through episiostomy, a perineal stoma, resembling a vulva, was created, resulting in complete resolution of the clinical signs.