Incontinence Research Today is a free monthly online journal that collates and summarizes the latest research about Incontinence, including details on urinary incontinence, bladder control, treatment, causes.

Matching patient safety goals to the nursing specialty: using wound, ostomy, continence nursing services.

Jankowski IM

Beth Israel Medical Center, 16th St & 1st Ave, New York, NY 10003, USA. ijankowski@chpnet.org

With increasing nursing specialization, administrators may not have clear guidelines directing which specialists should be targeting specific patient populations and specific patient care issues. Because pressure ulcers are an important indicator of quality of care, this discussion focuses on selecting the appropriate wound, ostomy, continence specialist to develop and support programs that are designed to prevent pressure ulcers, treat patients with pressure ulcers, as well as management of other types of wounds, stomas, fistulas, incontinence, and skin breakdown. Nurse leaders are in a position to ensure that appropriate resources are available to support the development of hospital programs that will promote safe, efficient, and cost-conscious patient care.

Published 16 December 2009 in J Nurs Adm, 40(1): 26-31.
Full-text of this article is available online (may require subscription).

Articles on Incontinence published 16 December 2009:

Repeat synthetic mid urethral sling procedure for women with recurrent stress urinary incontinence.   J Urol, 183(1): 241-6.

PURPOSE: We reported and compared the outcomes of repeat mid urethral sling with primary mid urethral sling in women with stress urinary incontinence. MATERIALS AND METHODS: A total of 1,225 consecutive women with urodynamic stress incontinence underwent a synthetic mid urethral sling procedure (955 retropubic, 270 transobturator) at our institution between 1999 and 2007. Of the patients 91% (1,112) were interviewed via telephone call with a structured questionnaire and were included in the ... [Abstract] [Full-text]

Patient perceived effectiveness of a new male sling as treatment for post-prostatectomy incontinence.   J Urol, 183(1): 247-52.

PURPOSE: Objective measures show the AdVance() sling provides some benefit in post-prostatectomy incontinence. To our knowledge no validated, patient determined outcomes have been used to assess this procedure. We described the patient perceived effectiveness and postoperative complications. MATERIALS AND METHODS: A retrospective chart review was followed by a telephone survey consisting of the Patient Global Impression of Improvement, Patient Global Impression of Severity, and questions about ... [Abstract] [Full-text]

Brain activity measured by functional magnetic resonance imaging is related to patient reported urgency urinary incontinence severity.   J Urol, 183(1): 221-8.

PURPOSE: We investigated the relationship between experimental neuroimaging and self-reported urinary incontinence measures. MATERIALS AND METHODS: We evaluated 14 functionally independent, community dwelling women older than 60 years with moderate to severe urgency urinary incontinence. All underwent detailed clinical assessment (3-day bladder diary, 24-hour pad test and quality of life assessment), urodynamic testing and functional brain scanning. Brain activity during reported urgency was ... [Abstract] [Full-text]

Articles on Incontinence published 7 December 2009:

Thromboembolic complications of sling surgery for stress urinary incontinence among female Medicare beneficiaries.   Urology, 74(6): 1223-6.

OBJECTIVES: To determine the rate of thromboembolic complications after sling surgery for stress urinary incontinence among female Medicare beneficiaries aged 65 and older. METHODS: We analyzed the 1999-2001 Medicare public use files provided by the Centers for Medicare and Medicaid Services on a 5% national random sample of beneficiaries. Women undergoing sling procedures from January 1, 1999 to July 31, 2000 were identified by the Physicians Current Procedural Terminology Coding System (4th ... [Abstract] [Full-text]

Incontinence due to fragmentation of forgotten ureteral stent: an unusual complication.   Urology, 74(6): 1230-1.

We present an unusual case of a fragmented, long forgotten double-J stent with incontinence as a result of partial extrusion of the lower fragment across the urinary sphincters. After reviewing the published data, incontinence as a presenting complaint, to the best of our knowledge, has not been reported for this condition previously. [Abstract] [Full-text]

Articles on Incontinence published 25 November 2009:

Transobturator tape compared with tension-free vaginal tape for stress incontinence: a randomized controlled trial.   Obstet Gynecol, 114(6): 1287-94.

OBJECTIVE: To compare the effectiveness of transobturator tape with tension-free vaginal tape (TVT) in terms of objective cure of stress urinary incontinence (SUI) at 12 months postoperatively. METHOD: Women with SUI were randomly allocated to either transobturator tape or TVT procedures and reviewed at 12 months after surgery. The primary outcome was objective evidence of "cure," evaluated by standardized pad test (cure defined as less than 1 g urine leaked). Other outcomes included ... [Abstract] [Full-text]

Forecasting the prevalence of pelvic floor disorders in U.S. Women: 2010 to 2050.   Obstet Gynecol, 114(6): 1278-83.

OBJECTIVES: To estimate the number of women who will have symptomatic pelvic floor disorders in the United States from 2010 to 2050. METHODS: We used population projections from the U.S. Census Bureau from 2010 to 2050 and published age-specific prevalence estimates for bothersome, symptomatic pelvic floor disorders (urinary incontinence [UI], fecal incontinence, and pelvic organ prolapse [POP]) from the 2005 National Health and Nutrition Examination Survey. We abstracted data regarding the ... [Abstract] [Full-text]

Articles on Incontinence published 12 November 2009:

Outpatient mid urethral tissue fixation system sling for urodynamic stress urinary incontinence: 1-year results.   J Urol, 182(6): 2810-3.

PURPOSE: We tested the feasibility of using the tissue fixation system to create a mid urethral sling for urodynamic stress urinary incontinence at a freestanding outpatient facility. The tissue fixation system is a new mini sling device with a 1-way tightening system. MATERIALS AND METHODS: We performed 44 mid urethral tissue fixation system sling operations between December 2006 and March 2008 at Yokohama Motomachi Women's Clinic LUNA. All patients had urodynamic stress urinary incontinence, ... [Abstract] [Full-text]

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