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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Urodynamic Studies: Uroflowmetry01:19

Urodynamic Studies: Uroflowmetry

Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
Urinary Bladder01:23

Urinary Bladder

The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
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Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
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...

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Related Experiment Video

Updated: Jun 21, 2026

Nerve-sparing Mid-urethral Obstruction (NeMO) in Female Small Rodents
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Goal Achievement in Women With Urinary Incontinence After Midurethral Sling.

Julia K Shinnick1, Vivian W Sung1, Emily S Lukacz2

  • 1Department of Obstetrics & Gynecology, Division of Urogynecology, Warren Alpert Medical School of Brown University, Providence, RI.

Urogynecology (Philadelphia, Pa.)
|June 19, 2026
PubMed
Summary

Most women undergoing midurethral sling (MUS) surgery for mixed urinary incontinence (MUI) achieve their treatment goals, especially with added behavioral and physical therapy (BPT). Goal achievement correlates with improved patient-reported outcomes.

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Area of Science:

  • Urology
  • Women's Health
  • Surgical Outcomes

Background:

  • Mixed urinary incontinence (MUI) affects many women, with midurethral sling (MUS) surgery being a common treatment.
  • Treatment goals and their achievement after MUS surgery, particularly with adjunctive therapies, are not well understood.

Purpose of the Study:

  • To describe treatment goals in women with MUI undergoing MUS surgery.
  • To assess goal achievement and identify predictors of success.
  • To evaluate the impact of perioperative behavioral and physical therapy (BPT) on treatment goals.

Main Methods:

  • A multicenter randomized trial involving 366 women undergoing MUS surgery with or without BPT.
  • Patient-reported outcome measures and a goal achievement questionnaire were used at baseline, 6, and 12 months.
  • Self-identified goals and preset goals related to stress and urgency incontinence were analyzed.

Main Results:

  • The majority of women (95%) considered stress incontinence goals highly important; 87% prioritized urgency incontinence goals.
  • Overall goal achievement was high (94.5%) by 12 months, with no significant differences between groups for most goals.
  • The MUS with BPT group showed higher odds of achieving urgency-related goals at 6 months (aOR=2.90).
  • Goal achievement was linked to improved patient-reported outcomes.

Conclusions:

  • Women undergoing MUS surgery for MUI place high importance on both stress and urgency-related goals.
  • Most treatment goals are achieved by 12 months post-surgery.
  • Perioperative BPT may enhance the achievement of urgency-related goals.