Forty-five Japanese women with SUI, aged between 27 and 65 years, were included. When the shaper was worn, the bladder neck was found Selleckchem Paclitaxel to be significantly elevated by 11.5 mm (median; P < 0.05/6 = 0.008). After 12 weeks, all symptoms of UI decreased significantly (P < 0.05/3 = 0.016), and the bladder neck was further elevated by 4.7 mm (median; P < 0.001) even when not wearing the shaper. In addition, after one week of not wearing the shaper, the bladder neck position remained elevated and symptoms of UI did not recur immediately. The shaper was considered to
be effective in elevating the bladder neck and reducing symptoms of UI. “
“We report a 3-year-old girl with dysfunctional voiding, febrile urinary tract infection
(UTI) and bladder over distention (BOD). After controlling UTI, repeat uroflowmetry depicted staccato flow pattern and postvoid residual (PVR) urine volume was >20 mL. Frequency/volume chart showed voided volume was frequently larger than >100% expected bladder capacity. BOD resulted in dysfunctional voiding and elevated PVR was impressed. Urotherapy with adequate fluids intake, and timed voiding to avoid BOD were taught. Subsequent frequency/volume chart disclosed that voided volume was not greater than 100% expected bladder capacity. Uroflowmetry curves were normalized and PVR decreased. Without prophylactic antibiotics, she was free of UTI for 12 months. Unfortunately, BCKDHA she held urine after attending kindergarten and got febrile UTI again. BOD was impressed and timed voiding was re-initiated after resolution selleck inhibitor of UTI. She was free of UTI and antibiotics for another 15 months. Bladder over distension may be the cause of dysfunctional voiding, vesicoureteral reflux and UTI. Through timed voiding, BOD may be reversed and UTI may be prevented. “
“Objectives: To evaluate the impact of tamsulosin treatment on erectile function in patients with lower urinary tract symptoms (LUTS). Methods: Seventy-five patients with LUTS received tamsulosin 0.2 mg once daily for 3 months. Subjective efficacy was assessed by International Prostatic Symptom Score
(IPSS) for LUTS and International Index for Erectile Function 5 (IIEF5) for erectile dysfunction (ED). Objective efficacy was assessed by prostate volume and urine flow rate. All measurements were performed at baseline and month 3. On the basis of IPSS ratio (month 3/baseline), the patients were classified into good responders (≤0.75) and poor responders (>0.75). Good responders to ED were defined as the patients who improved IIEF5 score 3 or more. Results: Seventy-four subjects completed the study. IPSS score showed significant improvement, but IIEF5 score showed no significant change. Forty-three patients (58%) were classified into good responders to LUTS. The baseline score of IIEF5 in the good responders was significantly higher than that in the poor responders.