Faculty of Medicine
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Item type:Publication, QUALITY OF LIFE IN WOMEN WITH STRESS URINARY INCONTINENCE(Institute of Knowledge Management, 2023-03); Murtezani, SejlanThe aims of the study were to make a comparison between the quality of life in women with stress urinary incontinence before and 6 months after operative treatment, that is, before and after plicated colposuspension and to prove that women after colposuspension have a better quality of life. The study is a prospective, crosssectional study. Material is represented by 66 women, diagnosed with stress urinary incontinence of moderate and severe degree, aged 35 to 75 years. The study did not include: women with overactive bladders or mixed urinary incontinence; women with fistulas of the urinary tract; women with congenital or acquired defects of the urethra or bladder; women with urinary tract infections and women taking medications that contribute to an overactive bladder. The study was conducted from January 2020 to January 2023 at the University Clinic for Gynecology and Obstetrics in Skopje, Department of Urogynecology. In all women, we performed: urinary status with urine sediment and urine culture; ultrasound examination; Marshall's tests; urodynamics; plicated colposuspension; a survey questionnaire containing questions about women's demographic characteristics, social status, economic status, gynecological and reproductive history, life habits and the Incontinence Quality of Life (I-QOL) questionnaire, assessing two time periods: before surgery and six months after surgery. Our study showed an improvement in the quality of life in women with stress urinary incontinence after operative treatment, i.e. after plicated colposuspension. The improvement is shown by analyzing the answers in the three domains of the quality of life questionnaire [Avoidance and limitation of behaviors (p=0.018); Psychosocial influences (p=0.001); Social shame (p=0.012)]. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, “Bladder Effect” - An Urodynamic Parameter to Distinguish Subtypes of Urinary Incontinence in Women(2018-04-14); ; ; Aleksandar SikoleAbstract BACKGROUND: Urinary incontinence (UI) is defined by the International Continence Society (ICS) as the involuntary loss of urine that represents a hygienic or social problem to the individual. The aetiology is multifactorial. The diagnosis of UI is important because it can result in the application of appropriate therapy. Urodynamics is a golden standard, without which every UI diagnosis is insufficient. AIM: The goal of this study was, based on urodynamic results, to prove the existence of evident differences between the subtypes of UI. METHODS: Eighty patients with UI were evaluated (50 with urinary stress incontinence-USI and 30 with detrusor instability-DI) according to a standard evaluation protocol. Exclusion criteria were: mixed UI and diseases that simulated UI. All patients were 36-65 years of age (mean 56). The following parameters were measured: maximal and average flow, maximal and average voiding pressure. These parameters were compared between both groups, to determine the diagnostic significance of the parameter “Bladder Effect” (BE). It is a product of the urine flow and the pressure during voiding. RESULTS: The results showed a significant difference with a high confidence interval. Mean BEmax was 577 units in the patient group with USI, and 1014 in the DI group. Similarly, BEav was 313 units in the USI group, and 499 units in the DI group, with a significant difference and a high interval of confidence. CONCLUSION: In conclusion, the results of the study suggested that BE could be a useful diagnostic parameter to distinguish between USI and DI.