OBJECTIVE To evaluate the effectiveness of the Continence Clinic for managing retention of urine in older patients. DESIGN Retrospective study. SETTING Continence Clinic, Fung Yiu King Hospital, Hong Kong. SUBJECTS AND METHODS Case notes of 58 patients seen at the Fung Yiu King Hospital Continence Clinic from October 1997 to September 2001 were reviewed. The patients had retention of urin...

To examine the outcomes of patients with high-risk prostate cancer (PCa) treated by robot-assisted radical prostatectomy (RARP) and evaluate the value of multi-parametric magnetic resonance imaging (MRI) in estimating tumor stage, extracapsular extension, and grade, and the application of nerve sparing (NS) techniques. Patient demographics, preoperative imaging, surgical parameters, pathologica...

OBJECTIVE To evaluate our experience with tension-free transvaginal tape (TVT) placement for the management of stress urinary incontinence (SUI) in women who had previously undergone a failed midurethral synthetic sling (MUS) procedure. MATERIALS AND METHODS Ten women underwent retropubic TVT insertion for continued or recurrent SUI following a prior MUS procedure. No attempt was made to remo...

AIM To explore the relationship between such a construct and an existing continence score. METHODS A retrospective study of incontinent patients who underwent anal physiology (AP) was performed. AP results and Cleveland Clinic Continence Scores (CCCS) were extracted. An anal physiology score (APS) was developed using maximum resting pressures (MRP), anal canal length (ACL), internal and exter...

BACKGROUND Fecal incontinence is a common and severely disabling disorder. For patients with severe fecal incontinence, surgery may prove to be the only adequate treatment option. METHODS This study reports on 43 patients that were treated with a prosthetic sphincter system between 2005 and 2009 in three coloproctological centres. MAIN OUTCOME MEASURES complications, anal pressures before a...

Influences of sacral anomalies on the postoperative continence of imperforate anus were evaluated clinically and experimentally. Postoperative continence was clinically assessed by the quantitative scoring system for 77 patients (44 of high-type anomalies and 33 of low-type anomalies). Incidence of combined sacral anomalies was 28.6% (38.6% in high type anomalies and 15.2% in low type anomalies...

BACKGROUND Many young people with chronic ill health use technology for self-care activities, but little is known about the use of telehealth amongst those with spina bifida. The limited availability of specialist continence nurses in primary care settings, for this client group in the UK, exacerbates their reliance on parents or carers. OBJECTIVES 1. Exploring the way in which home-based and...

Background and Purpose: Chronic constipation and encoporesis present many psychosocial problems for patients and their families. Therapy with the antegrade continence enema was initially described by Malone in 1990. We present a series of patients in which a Malone antegrade continence enema was created laparoscopically. Patients and methods: Eight patients between 2 and 15 years of age present...

PURPOSE We analyzed the benefit of the early combined use of functional pelvic floor electrical stimulation and biofeedback in terms of time to recovery and rate of continence after radical prostatectomy. MATERIALS AND METHODS A total of 60 consecutive patients who underwent radical prostatectomy were included in the study. Patients were prospectively randomized to a treatment group (group 1)...

Objective Exploring urinary continence (UC) assessment and management practices in Australian nursing homes. Design Mixed method using a questionnaire and interviews. Setting Five nursing homes in Australian metropolitan cities. Subjects Participants 121 staff: mostly female (91%) with a range of roles including personal care assistants (PCAs) (63%), enrolled nurses (ENs) (11%), registered nurs...