• Title/Summary/Keyword: urinary incontinence symptoms

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The Relationship of Quality of Sleep, Depression, Late-life Function and Disability (LLFDI) in Community-Dwelling Older Women with Urinary Incontinence (노년기 요실금 여성의 수면의 질, 일상생활 수행능력과 우울)

  • Shin, Kyung-Rim;Kang, Youn-Hee;Oak, Ji-Won
    • Journal of Korean Academy of Nursing
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    • v.38 no.4
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    • pp.573-581
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    • 2008
  • Purpose: The purpose of this study was to investigate the relationships among quality of sleep, depression, late-life function and disability in community-dwelling older women with urinary incontinence. Methods: A stratified random sampling method was conducted to recruit participants from May 10 to August 17, 2007. Data were collected by questionnaires, which were constructed to include lower urinary tract symptoms, quality of sleep, depression, and late-life function and disability in 128 community-dwelling older women. Results: The major findings of this study were as follow: 1) 56.3% of participants belonged to urinary incontinence group. 2) There were significant relationships between depression and sleep latency, sleep duration, daytime dysfunction, quality of sleep, function component, frequency dimension, and limitation dimension. 3) Depression was significantly associated with frequency dimension, limitation dimension in capability which explained 44% of variance in depression. Conclusion: These results may contribute to a better understanding of sleep quality, depression, late-life function and disability in the community-dwelling older women with urinary incontinence. Therefore, health programs for prompting older women's health should be planned based on results of the study.

Three Cases of Severe Female Urination Disorder Treated with HongYi Pharmacopuncture (홍의약침을 단독 시술한 중증 여성 배뇨장애환자 치험 3례)

  • Hwang, Yun-kyeong;Kim, Won-ill
    • The Journal of Internal Korean Medicine
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    • v.39 no.1
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    • pp.69-75
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    • 2018
  • Objectives: This study was designed to report the effect of HongYi pharmacopuncture on three cases of severe female urinary disorder. Method: Patients were treated with HongYi pharmacopuncture alone for 4 weeks. The effect of treatment was assessed through scores obtained using International Prostate Symptom Score (IPSS) and International Consultation on Incontinence Modular Questionnaire-Female Lower Urinary Tract Symptoms (ICIQ-FLUTS). Result: After treatment, urinary symptoms, and the scores of IPSS and ICIQ-FLUTS were improved in all of the patients. Conclusion: HongYi pharmacopuncture shows a significant beneficial effect on female urination disorder. Further well-designed, controlled studies and more cases are needed to define the effect of HongYi pharmacopuncture.

Two Cases of The Urinary Incontinence Diagnosed as Deficiency Syndrome of yang of the kidneys Treated with Samboo-tang(Sanfu-tang) (신양허(腎陽虛)로 변증된 소편빈삭(小便頻數)에 삼부탕(蔘附湯)삼기탕가부자(蔘?湯加附子) 투여 2례)

  • Yun Sang-Pil;Lee Cha-Ro;Jung Woo-Sang;Moon Sang-Kwan;Kim Tai-Kyung
    • 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.

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Is Caffeine Intake Associated With Urinary Incontinence in Japanese Adults?

  • Hirayama, Fumi;Lee, Andy H.
    • Journal of Preventive Medicine and Public Health
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    • v.45 no.3
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    • pp.204-208
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    • 2012
  • Objectives: To investigate whether caffeine intake is associated with urinary incontinence (UI) among Japanese adults. Methods: A total of 683 men and 298 women aged 40 to 75 years were recruited from the community in middle and southern Japan. A validated food frequency questionnaire was administered face-to-face to obtain information on dietary intake and habitual beverage consumption. Urinary incontinence status was ascertained using the International Consultation on Incontinence Questionnaire-Short Form. Results: Mean daily caffeine intake was found to be similar between incontinent subjects (men 120 mg, women 94 mg) and others without the condition (men 106 mg, women 103 mg), $p$=0.33 for men and $p$=0.44 for women. The slight increases in risk of UI at the highest level of caffeine intake were not significant after adjusting for confounding factors. The adjusted odds ratios (95% confidence interval) were 1.36 (0.65 to 2.88) and 1.12 (0.57 to 2.22) for men and women, respectively. Conclusions: No association was evident between caffeine intake and UI in middle-aged and older Japanese adults. Further studies are required to confirm the effect of caffeine in the prevention of UI.

A Case Report of the Geriatric Stress Urinary Incontinence Patient Improved by Korean Medical Treatment (노인성 복압성 요실금(尿失禁)에 대한 치험 1례)

  • Park, Seung-Hyeok;Chae, Min-Soo;Jang, Jun-Bock;Lee, Jin-Moo;Lee, Chang-Hoon;Lee, Kyung-Sub;Hwang, Deok-Sang
    • The Journal of Korean Obstetrics and Gynecology
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    • v.27 no.4
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    • pp.133-140
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    • 2014
  • Objectives: This study aims to identify effects of Korean medical treatment for stress urinary incontinence patient. Methods: The patient was treated by moxibustion at Shuidao (ST28), Sa-Am acupuncture lung tonification, Bojungikkitang-gamibang and Boshimdan for 2 weeks. These treatments are Korean medical treatment, and non-invasive. Results: After 2 weeks of Korean medical treatment, the symptoms of stress urinary incontinence disappeared. Conclusions: This case report shows that non-invasive Korean medical treatments are effective against stress urinary incontinence.

Prevalence of Urinary Incontinence and Other Urologic Symptoms in a Community Residing Elderly People (일개지역 고령자의 요실금의 유병률, 지식 및 배뇨특성)

  • 김증임
    • Journal of Korean Academy of Nursing
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    • v.32 no.1
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    • pp.28-39
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    • 2002
  • The purpose of this study was to measure the prevalence of urinary incontinence (UI), urologic symptoms, chronic health problems they have, and to explore whether the differences in incidence of UI ware by age, sex, voiding pattern, and chronic health problems. Method: 298 subject were selected, age range from 60 to 94 years residing in one city, in republic of Korea. Data was collected presence of UI, urologic symptoms, chronic health problems, knowledge, and the discomfort with incontinent. Collected data was analyzed with frequency, percentage, t-test, and $\chi$2-test. Result: The results of this study are as follows: 1. Mean age was 71.4 years. Prevalent rate of UI was 17.0%, woman showed more than man. 2. UI incidence was significant in age (t=7.84, p=.000), sex ($\chi$2 =9.47, p=.002), and voiding frequency ($\chi$2=18.34, p=.000). Also, UI incidence was significant relationship with chronic health problem of heart disease ($\chi$2 =10.65, p=0.001), hypertension ($\chi$2=4.04, p= 0.046) and respiratory problem ($\chi$2=9.67, p=0.002). 3. The UI was grouped into urgent incontinence (45%), stress incontinence (33%), and combined (22%). UI occurred during the daytime 48% and 17% at night. 4. Only 9.8 % of the UI seek advice and/or treatment for their symptoms, almost 90 % remained untreated due to lack of knowledge or improper information. 5. The discomforts due to their UI was no significant difference in their condition, the urgent use of the rest room, leaking urine, and nocturia. Conclusion: This study suggests that 1 year and 3 year follow-up study is needed to compare health status of UI. Also suggests intervention study for urologic discomfort of incontinent and behavioral education for the elderly are needed.

Sacral Nerve Stimulation for Treatment of Intractable Pain Associated with Cauda Equina Syndrome

  • Kim, Jong-Hoon;Hong, Joo-Chul;Kim, Min-Su;Kim, Seong-Ho
    • Journal of Korean Neurosurgical Society
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    • v.47 no.6
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    • pp.473-476
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    • 2010
  • Sacral nerve stimulation (SNS) is an effective treatment for bladder and bowel dysfunction, and also has a role in the treatment of chronic pelvic pain. We report two cases of intractable pain associated with cauda equina syndrome (CES) that were treated successfully by SNS. The first patient suffered from intractable pelvic pain with urinary incontinence and fecal incontinence after surgery for a herniated lumbar disc. The second patient underwent surgery for treatment of a burst fracture and developed intractable pelvic area pain, right leg pain, excessive urinary frequency, urinary incontinence, voiding difficulty and constipation one year after surgery. A SNS trial was performed on both patients. Both patients' pain was significantly improved and urinary symptoms were much relieved. Neuromodulation of the sacral nerves is an effective treatment for idiopathic urinary frequency, urgency, and urge incontinence. Sacral neuromodulation has also been used to control various forms of pelvic pain. Although the mechanism of action of neuromodulation remains unexplained, numerous clinical success reports suggest that it is a therapy with efficacy and durability. From the results of our research, we believe that SNS can be a safe and effective option for the treatment of intractable pelvic pain with incomplete CES.

Overflow Urinary Incontinence with Herniated Lumbar Disc Managed by Korean Medicine Therapy: A Case Report (요추 추간판 탈출증 환자의 일류성 요실금에 대한 한의 진료의 경과: 증례 보고)

  • Koo, Ji-Eun;Lee, Hee-Won;Kwon, Yong-Su;Yu, Jae-Eun;Bae, Jun-Hyo;Park, Ji-Won;Yoon, Joo-Young;Choi, Sung-Won;Kim, Ka-Hyun
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.3
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    • pp.125-131
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    • 2021
  • This study reports the effectiveness of Korean medicine therapy by improving symptoms in patients with herniated lumbar disc (HLD) diagnosed with chronic overflow urinary incontinence (OUI). The patient was treated with two types of herbal medicine and electroacupuncture for 10 days. We used diary of voiding and incontinence, Overactive Bladder Symptom Score (OABSS), Bristol Female Lower Urinary Tract Symptoms questionnaire (BFLUTS) and numeral rating scale (NRS) to assess the symptoms. After treatment, the number of nocturia decreased from 5 to 2.5. OABSS decreased from 9 to 2 and BFLUTS decreased from 95 to 87. The NRS of back pain decreased from 7 to 3. This study may suggest that Korean medicine therapy can be effective therapy for OUI with HLD.

A Study on Male Panties for Urinary Incontinence (남성 요실금 팬티에 관한 연구)

  • Lee, Jung-Soon
    • 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.

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The Effect of Bojungikgi-tang on Stress Urinary Incontinence: A Systematic Review and Meta-Analysis (복압성 요실금에 대한 보중익기탕의 효과 : 체계적 문헌고찰과 메타분석)

  • Nam, Hyun-seo;Baek, Tae-hyun
    • The Journal of Internal Korean Medicine
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    • v.42 no.3
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    • pp.293-307
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    • 2021
  • Objectives: This study investigates the effects and safety of Bojungikgi-tang for stress urinary incontinence by systemic review and meta-analysis of randomized controlled trials (RCTs). Methods: RCTs were selected from articles published until December 2019 in seven domestic and foreign databases. The quality of the literature was evaluated using Cochrane's risk of bias (RoB) tool, and RevMan 5.3 was used to synthesize the results. Results: A total of 694 patients with stress urinary incontinence participated in eight RCTs. Meta-analysis showed that the total effective rate of treatment that combines pelvic floor muscle training (PFMT) and Bojungikgi-tang was significantly higher than that of PFMT alone. The volume of urine leakage per hour after the combined treatment was significantly lower than that of PFMT alone. The International Consultation on Insurance Questionnaire-Short Form (ICIQ-SF) scores from combining PFMT and Bojungikgi-tang were significantly lower than those for PFMT alone. Conclusion: This study suggests that Western medical treatment combined with Bojungikgi-tang for urinary incontinence from stress might be more effective in improving symptoms than conventional Western medical treatment alone. However, the number of studies included in the meta-analysis was insufficient, and the quality of the selected literature was generally low. Therefore, high-quality clinical studies on herbal medicine treatment for urinary incontinence would be required in the future.