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Inaugural Visiting Professorship in Arkansas
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Groups Reaffirm Position on Use of Vaginal Mesh for Surgical Treatment of Stress Urinary Incontinence
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Former SUFU Presidents Winters and Rovner still at work, serving up beverages at the 2016 Annual SUFU Research Foundation Resident Preceptorship! A fun time was had by all at the Park Grill in Millennium Park in Chicago.
Announcing the SUFU Visiting Professorship
This 1-day visiting professorship will be offered to interested training programs and will consist of a lecture series from a member of the SUFU Executive Committee encompassing all aspects of FPMRS, Urodynamics, and Neurourology.
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Overactive Bladder Clinical (OAB) Care Pathway
SUFU is providing the Overactive Bladder Clinical Care Pathway for use by providers and patients.
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US DHHS AHRQ SIP Notification on Nonsurgical Treatments for Urinary Incontinence
The Effective Health Care (EHC) Program at the Agency for Healthcare Research and Quality (AHRQ) is developing an evidence review on Nonsurgical Treatments for Urinary Incontinence in Adult Women: A Systematic Review Update....
SUNA Core Curriculum for Urologic Nursing
The first edition of the SUNA Core Curriculum for Urologic Nursing is now available. This comprehensive publication is an excellent resource for all urologic nurses....
ICS-SUFU Early Career promotion
ICS now offers a special reduced rate for SUFU early career professionals. For just £40 you can become an ICS early career professional member! ...
2017 Early-Career Investigators Workshop (ECIW) | Now Accepting Nominations
Nominations are now being accepted for the 2017 Early-Career Investigators Workshop! The deadline to submit nominations is Friday, March 31, 2017. ...
Neurourology and Urodynamics
Neurogenic bowel dysfunction: Clinical management recommendations of the Neurologic Incontinence Committee of the Fifth International Consultation on Incontinence 2013
Thursday, June 22, 2017
Background Evidence‐based guidelines for the management of neurological disease and lower bowel dysfunction have been produced by the International Consultations on Incontinence (ICI). These are comprehensive guidelines, and were developed to have world‐wide relevance. Aims To update clinical management of neurogenic bowel dysfunction from the recommendations of the 4th ICI, 2009. Materials and Methods A series of evidence reviews and updates were performed by members of the working group. The resulting guidelines were presented at the 2012 meeting of the European Association of Urology for consultation, and modifications applied to deliver evidence based conclusions and recommendations for the scientific report of the 5th edition of the ICI in 2013. Results The current review is a synthesis of the conclusions and recommendations, including the algorithms for initial and specialized management of neurogenic bowel dysfunction. The pathophysiology is described in terms of spinal cord injury, multiple sclerosis, and Parkinson's disease. Assessment requires detailed history and clinical assessment, general investigations, and specialized testing, if required. Treatment primarily focuses on optimizing stool consistency and regulating bowel evacuation to improve quality of life. Symptom management covers conservative and interventional measures to promote good habits and assist stool evacuation, along with prevention of incontinence. Education is essential to achieving optimal bowel management. Discussion The review offers a pragmatic approach to management in the context of complex pathophysiology and varied evidence base.
Frequency‐dependent inhibition of bladder function by saphenous nerve stimulation in anesthetized rats
Thursday, June 22, 2017
Aims Percutaneous tibial nerve stimulation (PTNS) is an effective neuromodulation therapy for treating overactive bladder (OAB). The therapeutic effects are achieved by repeatedly applying electrical stimulation through a percutaneous needle electrode that is used to target the tibial nerve (TN). Anatomical studies indicate there can be multiple saphenous nerve (SAFN) branches located near the site of electrical stimulation, and therefore we investigated the possibility of evoking a bladder‐inhibitory reflex by electrically activating the SAFN. Materials and Methods Acute experiments were conducted in 26 urethane‐anesthetized rats. Changes in bladder contraction rate (BCR) and bladder capacity were measured in response to 10‐min SAFN stimulation trials. Electrical pulses were applied at 25 µA and at stimulation frequencies between 2 Hz and 50 Hz. Results We report that SAFN stimulation at 20 Hz was most effective at reflexively decreasing the BCR (53.8 ± 5.4% from baseline) and also increasing the bladder capacity (145.8 ± 43.5% from baseline). In contrast, SAFN stimulation at other frequencies yielded inconsistent changes in bladder function. Carry‐over effects were minimized by randomizing the sequence of SAFN stimulation trials and also by allowing the bladder to return to the baseline conditions. Conclusions With notable changes in both the BCR and bladder capacity, our findings provide evidence of a novel bladder‐inhibitory reflex in anesthetized rats that is mediated by the SAFN. Further work is needed to determine the clinical relevance of this neural pathway.
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