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Related Concept Videos

Nursing Assessment of the Genitourinary System I: Health History01:21

Nursing Assessment of the Genitourinary System I: Health History

The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
Urinary Tract Infection IV: Nursing Management01:17

Urinary Tract Infection IV: Nursing Management

In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs like...
The Micturition Reflex01:26

The Micturition Reflex

Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating urine...
Disorders of the Urinary System01:20

Disorders of the Urinary System

The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary Tract Infection I: Introduction01:26

Urinary Tract Infection I: Introduction

Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
Urinary Tract Infection II: Pathophysiology01:25

Urinary Tract Infection II: Pathophysiology

The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...

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Related Experiment Video

Updated: Jun 11, 2026

Recurrent Escherichia coli Urinary Tract Infection Triggered by Gardnerella vaginalis Bladder Exposure in Mice
08:53

Recurrent Escherichia coli Urinary Tract Infection Triggered by Gardnerella vaginalis Bladder Exposure in Mice

Published on: December 4, 2020

Recurrent urinary stress incontinence: an overview.

Kiran Ashok1, Alex Wang

  • 1PES Institute of Medical Science and Research, Kuppam, India.

The Journal of Obstetrics and Gynaecology Research
|July 6, 2010
PubMed
Summary

Recurrent urinary stress incontinence (USI) treatment failure affects 10-20% of patients. The transvaginal tape (TVT) procedure shows promise for recurrent USI, with advanced options available for refractory cases.

Area of Science:

  • Urology
  • Gynecology
  • Female Pelvic Medicine

Background:

  • Urinary stress incontinence (USI) affects a significant portion of women.
  • Recurrence of USI after initial treatment presents a clinical challenge.
  • Understanding risk factors for treatment failure is crucial for effective management.

Purpose of the Study:

  • To review literature on recurrent urinary stress incontinence (USI) after anti-incontinence procedures.
  • To analyze risk factors associated with the failure of various anti-incontinence procedures.
  • To discuss management options and future trends for recurrent USI.

Main Methods:

  • Comprehensive PubMed literature search (2001-2010) using MeSH terms: 'stress urinary incontinence', 'recurrence', 'treatment', 'failure'.

Related Experiment Videos

Last Updated: Jun 11, 2026

Recurrent Escherichia coli Urinary Tract Infection Triggered by Gardnerella vaginalis Bladder Exposure in Mice
08:53

Recurrent Escherichia coli Urinary Tract Infection Triggered by Gardnerella vaginalis Bladder Exposure in Mice

Published on: December 4, 2020

  • Inclusion of randomized control trials, meta-analyses, and prospective/retrospective cohort studies.
  • Analysis based on methodological quality and follow-up duration.

    • Main Results:

    • Despite available treatments, 10-20% of patients experience USI treatment failure.
    • Management of recurrent USI is complex for both surgeons and patients.
    • Transvaginal tape (TVT) demonstrates encouraging success rates for recurrent USI.

    Conclusions:

    • Transvaginal tape (TVT) is a high-priority option for recurrent USI.
    • For refractory USI, advanced procedures like bulking agents, adjustable continence therapy, and spiral sling systems are viable.
    • Further research into optimizing treatment strategies for recurrent USI is warranted.