OBJECTIVETo evaluate the safety and effectiveness of a modified method of holmium laser enucleation of the prostate (HoLEP)--6-o'clock tunnel HoLEP for the treatment of benign prostate hyperplasia (BPH).

METHODSWe included 112 cases of BPH in this study, 57 treated by 6-o'clock tunnel HoLEP (experimental group) and the other 55 by conventional HoLEP (control group). We compared the operation time, volume of the resected prostatic tissue, intraoperative blood transfusion, volume of bladder irrigation solution, postoperative hemoglobin change, and incidence of urinary incontinence between the two groups.

RESULTSStatistically significant differences were observed between the experimental and control groups in the operation time ([56.01 ± 8.62] min vs [68.65 ± 9.08] min), cases of intraoperative blood transfusion (0 vs 2), volume of bladder irrigation solution ([27.51 ± 3.67] L vs [36.89 ± 6.47] L), postoperative hemoglobin decrease ([10.70 ± 2.50] g/L vs [12.60 ± 3.30] g/L), and cases of postoperative stress-induced urinary incontinence (2 vs 7) (all P <0.05). One-month follow-up revealed smooth urination in both groups of patients but no true urinary incontinence or secondary bleeding in either.

CONCLUSIONModified 6-o'clock tunnel HoLEP can significantly reduce the operation time, bladder irrigation, and intraoperative bleeding, and therefore can be used as a safe and effective option for the treatment of BPH.

Case-Control Studies ; Hemorrhage ; prevention & control ; Holmium ; Humans ; Laser Therapy ; methods ; Lasers, Solid-State ; therapeutic use ; Male ; Operative Time ; Postoperative Period ; Prostatic Hyperplasia ; surgery ; Therapeutic Irrigation ; statistics & numerical data ; Urinary Bladder ; Urinary Incontinence ; epidemiology ; etiology ; Urinary Incontinence, Stress ; etiology

OBJECTIVETo investigate the prevalence of urinary tract atrophy and related factors to urinary incontinence in postmenopausal women in the urban area of Beijing.

METHODSSubjects were selected from 4 central districts in Beijing with a multiple-stage randomly sampling procedure. A total of 1,257 postmenopausal women aged 60 years or over received interviews on lower urinary tract symptoms and physical examinations. The prevalences of different urinary tract symptoms were calculated. Logistic regression analysis was used to find the related factors of urinary incontinence.

RESULTSThe prevalence of urinary incontinence of postmenopausal women was 61.0%. Stress urinary incontinence had the highest prevalence (64.5%). While the prevalence of nocturia was 66.8%. Logistic regression analysis indicated that stress urinary incontinence in postmenopausal women was associated with the following factors: obesity, long education years, long-time standing, and low ability of bending or squatting. High grip strength might reduce the risk of urinary stress incontinence. Urge incontinence was associated with obesity, while higher education and high grip strength might reduce the risk of urge incontinence.

CONCLUSIONSIncontinence is very common in postmenopausal women. The prevalence in this study is even higher than that in other reports. Obesity and muscle strength are related to the prevalence of urinary incontinence in subjects over 60 in Beijing.

Aged ; China ; epidemiology ; Female ; Humans ; Logistic Models ; Middle Aged ; Postmenopause ; Prevalence ; Risk Factors ; Sampling Studies ; Surveys and Questionnaires ; Urban Health ; Urinary Incontinence ; epidemiology ; etiology ; prevention & control

PURPOSE: The aim of this study was to estimate the prevalence of urinary incontinence among nursing home residents and to identify the factors associated with this condition. METHOD: The data were collected from 618 subjects (146 males and 472 females; mean age 79.9+/-8.4 yr; range 65-102 yr) of 30 nursing homes in Seoul, Gyeonggi-do and Gangwon-do in this cross-sectional study. The data were analyzed by chi-square test, t-test, and multiple logistic regression by using the SPSS/PC ver 12.0 program. RESULTS: The prevalence of UI was 64.7% (64.6% in women; 65.1% in men). After adjustment for each of the variables considered in this study, six potential factors were strongly associated with UI: activities of daily living, comorbidity, age, cognition, specialty of the facility, and a bladder training program. CONCLUSION: Our finding suggests that it is necessary to develop a program for promotion of activities of daily living and to provide a bladder training program to prevent urinary incontinence among nursing home residents.
Activities of Daily Living ; Aged ; Aged, 80 and over ; Chi-Square Distribution ; Cross-Sectional Studies ; Female ; Geriatric Assessment ; Homes for the Aged ; Humans ; Male ; *Nursing Homes ; Prevalence ; Questionnaires ; Risk Factors ; Urinary Incontinence/*epidemiology/prevention & control

PURPOSE: This study was done to develop an evidence-based incontinence care protocol through an adaptation process and to evaluate the effects of the protocol. METHODS: The protocol was developed according to the guideline of adaptation. A non-randomized controlled trial was used for testing the effects of the new Incontinence Care Protocol. A total of 120 patients having bowel incontinence with Bristol stool type 5, 6, and 7 and admitted to intensive care units were recruited to this study. The newly developed incontinence care protocol was used with patients in the experimental group and conventional skin care was given to patients in the control group. Outcome variables were incontinence-associated dermatitis (IAD) severity, pressure ulcer occurrence and severity. RESULTS: The experimental group had significantly less severe IAD (t=6.69, p<.001), lower occurrence of pressure ulcers (chi2=7.35, p=.007), and less severity of pressure ulcers (Mann-Whitney=86.00, p=.009) than the control group. CONCLUSION: Use of this incontinence care protocol has the effects of preventing pressure ulcers and inhibiting worsening of IAD and pressure ulcers. Therefore, this incontinence care protocol is expected to contribute to managing IAD and pressure ulcers.
Aged ; Aged, 80 and over ; Dermatitis/pathology ; Evidence-Based Nursing/*standards ; Fecal Incontinence/pathology/*prevention & control ; Female ; Humans ; Intensive Care Units ; Male ; Middle Aged ; Pressure Ulcer/epidemiology/pathology ; Program Development ; *Program Evaluation ; Severity of Illness Index ; Skin Care ; Urinary Incontinence/pathology/*prevention & control

PURPOSE: The prevalence of urinary incontinence (UI) among community-dwelling older women in Korea is not well known. This study examined the prevalence of UI and UI-related knowledge among community-dwelling Korean women aged 55 and over. METHOD: A cross-sectional descriptive-correlational study was conducted. Data were collected from 276 women aged 55 and over in a metropolitan city using a structured questionnaire. RESULT: Of 276 respondents, 28.3% (n = 78) reported experiencing UI. More than 50% of respondents incorrectly agreed with the statement that UI is the result of normal aging, with only 20.9% realizing that there is an exercise that can control urine leaks when one coughs, sneezes, or laughs. Older women who had sought treatment had higher mean score for UI-related knowledge. CONCLUSION: This study revealed substantial misconception about UI among community dwelling older women, demonstrating that comprehensive educational programs need to be developed to increase knowledge of UI.
Age Distribution ; *Aged/psychology/statistics & numerical data ; Aged, 80 and over ; Aging ; Attitude to Health ; Cross-Sectional Studies ; Educational Status ; Exercise Therapy ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Korea/epidemiology ; Middle Aged ; Needs Assessment ; Patient Education as Topic/*standards ; Prevalence ; Questionnaires ; Residence Characteristics ; Risk Factors ; Self Care ; Socioeconomic Factors ; Urban Population/statistics & numerical data ; *Urinary Incontinence/epidemiology/etiology/prevention & control ; Women/*education/psychology