Consider Psychologic Evaluation for Children With Urinary Incontinence
Urinary incontinence (UI) minimally affected academic performance except in children with psychiatric disorders. Children with UI and attention deficit-hyperactivity disorder had the worst academic outcomes versus reference groups. The authors recommended a psychiatric evaluation for children with UI before starting treatment. Pediatric urinary incontinence (UI) did not appear to substantially affect academic performance but the […]
Non-Ablative Intervention for BPH/LUTS Reduces Symptoms With Low Retreatment Rate
LAS VEGAS — A novel, non-ablative intervention for lower urinary tract symptoms (LUTS) produced rapid, durable symptom relief with no adverse effect on sexual function, long-term results from prospective study showed. Five years after treatment with the Optilume BPH catheter system, urinary flow rate (Qmax) improved by 63% and post-void residual volume (PVR) remained substantially […]
At Long Last, Hard Data to Support Artificial Urinary Sphincter in Male Incontinence
LAS VEGAS — After decades of use, the artificial urinary sphincter (AUS) finally has high-level evidence of its safety and efficacy for stress urinary incontinence (SUI) in men. What’s more, patients like it. More than 90% of patients had at least a 50% reduction in sanitary pad weight over 12 months; daily pad use declined […]
Women Happier With Vaginal Tape Slings for Stress Urinary Incontinence
Women with stress urinary incontinence were more satisfied with outcomes when treated with a tension-free vaginal tape (TVT) procedure rather than bulking therapy with transurethral polyacrylamide hydrogel injection. However, a high percentage of women in both groups appeared to be satisfied with outcomes over the long-term. More women were objectively cured with TVT, but most […]
Novel Oral Antibiotic Effective Against Uncomplicated UTIs
Gepotidacin — a first-in-class oral antibiotic — appeared effective and safe for the treatment of uncomplicated urinary tract infections (UTIs) in a pair of large, phase III non-inferiority studies. In the two trials — EAGLE-2 and EAGLE-3 — the therapy was shown to be noninferior to nitrofurantoin, an antibiotic commonly used as a first-line therapy […]
Shorter Antibiotic Course Noninferior for UTI Recurrence in Kids
Five days of oral antibiotic treatment for febrile urinary tract infections (UTIs) in kids was noninferior to the standard 10-day course, the randomized controlled STOP trial showed. The recurrence rate of all UTIs — febrile and non-febrile — within 30 days of treatment with oral amoxicillin-clavulanate acid was 2.8% in the short-term group compared with […]
FDA Grants De Novo Request for Neuromodulatory System for Urge Incontinence
The FDA has granted a de novo marketing request for the Revi System for tibial neuromodulation to treat urinary incontinence with or without urinary urgency, BlueWind Medical announced on Thursday. The de novo request allows for treatment of men and women with urge urinary incontinence (UUI). Clinicians should follow applicable clinical guidelines and use professional […]
Postoperative Urinary Retention Common After Hernia Surgery
Postoperative urinary retention (POUR) was common following inguinal hernia surgery in an international cohort study. Among 4,151 adults across 32 countries, incidence of needing bladder decompression by catheterization due to inability to void after inguinal hernia repair (IHR) was 5.8% in men and 2.9% in women, reported Stefanie Croghan, MSc, of the Royal College of […]
Shorter Antibiotic Course Not as Effective for Children With UTIs
Abbreviated antibiotic treatment didn’t measure up for children with urinary tract infection (UTI), the SCOUT trial found. Stopping antibiotics when symptoms improved after an initial 5-day course yielded a 4.1% rate of persistent symptomatic UTI by follow-up at day 11-14 compared with 0.6% when kids had the full 10-day course, Nader Shaikh, MD, MPH, of […]
Sublingual Vaccine Shows Promise in Women With Recurrent UTIs
CHICAGO — A sublingual vaccine not only reduced the risk of recurrent urinary tract infections (UTIs) in women, it also appeared to enable a significant number of these women to be completely UTI-free, according to a North American study. Among 67 women with three or more UTIs per year, 40.6% of those receiving a 3-month […]