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Pendahuluan: Masa postpartum sangat penting, karena sering terjadinya komplikasi antara lain infeksi genetalia. Beberapa faktor penyebab terjadinya infeksi adalah kurang nutrisi, kurang menjaga kebersihan diri atau perineum, kurang istirahat, kurang mobilisasi dan olah raga serta karena peningkatan frekuensi berkemih yang dapat menimbulkan infeksi di sekitar genetalia. Tujuan penelitian: ini adalah untuk menganalisis bagaimana pengaruh latihan kegel terhadap frekuensi BAK pada ibu postpartum di Praktik Mandiri Bidan Husniyati Palembang. Metode penelitian: ini adalah quasi eksperimen dengan disain post test only non equivalent control group yaitu pengukuran dilakukan setelah kelompok intervensi diberikan perlakuan, kemudian hasil pengukuran atau observasi dibandingkan dengan hasil observasi pada kelompok kontrol, dengan variabel terikat adalah frekuensi BAK dan variabel bebas adalah latihan kegel. Sampel penelitian diambil menggunakan teknik purposive sampling, terdiri dari 30 ibu postpartum yang dibagi dalam 2 kelompok: kelompok latihan kegel; kelompok kontrol. Analisis yang digunakan adalah analisis univariat dan bivariat. Hasil penelitian: dari hasil uji statistik Kendall’s tau, tidak ada pengaruh latihan kegel terhadap frekuensi berkemih ibu postpartum di PMB Husniyati Kota Palembang dimana p value 0,063 (> 0,05). The postpartum period is very important, because frequent complications include genetal infection. Some of the factors causing infection are lack of nutrition, lack of personal hygiene or perineum, lack of rest, lack of mobilization and exercise as well as due to increased frequency of urination which can cause infection around genetalia. The purpose of this study was to analyze how the effect of Kegel exercises on the urinate frequency in postpartum mothers in the PMB Husniyati Palembang. The method in this study is a quasi-experimental design with a post-test only non-equivalent control group that is the measurement carried out after the intervention group is given treatment, then the measurement or observation results are compared with the results of observations in thecontrol group, with the dependent variable being the frequency of BAK and the independent variable is the kegel exercise. The research sample was taken using a purposive sampling technique, consisting of 30 postpartum mothers divided into 2 groups: the kegel exercise group; control group. The analysis used is univariate and bivariate analysis. The results of Kendall's statistical test results know, there is no effect of Kegel exercises on the urinate frequency of postpartum maternal at PMB Husniyati Palembang where p value is 0.063 (> 0.05).

We present the results of botulinum toxin type A (BT-A) treatment in 49 women (aged 41-65 years) with bladder pain syndrome. Previously, all patients underwent oral and intravesical drug therapy in addition to hydrodistention of the bladder without significant clinical effect. BT-A at a dose of 100 U (20 points at 5 units) was injected into the bladder under general anesthesia. Treatment results were evaluated 3 months after the treatment using specialized questionnaires such as the Pelvic Pain and Urgency/Frequency (PUF) Scale, O’Leary-Sant Symptom Index and Interstitial Cystitis Scale, visual analogue pain scale (VAS), and urinary diaries. Remarkably, the treatment was effective in 46 (93.8%) patients. By the end of the third month after the BT-A injection, the PUF Scale score, the O’Leary-Sant Symptom and Interstitial Cystitis Scale, and VAS reduced by 41.3%, 32%, and 34%, respectively, and urination frequency decreased by 38.5%. Thus, BT-A is an effective method for treating bladder pain syndrome in patients who are refractory to other treatment methods. (For citation: Al-Shukri SH, Kuzmin IV, Slesarevskaya MN, Ignashov YuA. Botulinum toxin type A in the treatment of bladder pain syndrome in women: initial results. Urologicheskie vedomosti. 2018;8(2):5-10. doi: 10.17816/uroved825-10).

[Purpose] To clarify factors contributing to habituation of pelvic floor muscle training (PFMT) for urinary incontinence. [Subjects and Methods] We included 13 healthy females and examined diurnal and nocturnal urination frequency at initial program participation and at 3 months. The survey used the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), a 10-level self-assessment of anxiety associated with urinary incontinence, and a 10-level self-evaluation of PFMT understanding and skill acquisition. We evaluated PFMT practice at home and postures that facilitated PFMT. The practice of PFMT at home was surveyed during a 3-month period. [Results] Compared to baseline, the level of skill acquisition assessed by the ICIQ-SF and PFMT according to the 10-level self-evaluation improved significantly at 3 months. The rate of PFMT sessions performed at home per week was high. The number of times PFMT was performed per day was positively correlated with level of understanding and acquisition of skills pertaining to PFMT, according to the 10-level self-assessment. [Conclusion] By incorporating behavior modification techniques appropriate for urinary incontinence and by increasing the level of understanding regarding incontinence and PFMT, as well as the level of skill acquisition, self-efficacy increased. This may have motivated habituation of PFMT.

Background Urinary disorders in cats often require subjective caregiver quantification of clinical signs to establish a diagnosis and monitor therapeutic outcomes. Objective To investigate use of a video recording system (VRS) to better assess and quantify urination behaviors in cats. Animals Eleven healthy cats and 8 cats with disorders potentially associated with abnormal urination patterns. Methods Prospective study design. Litter box urination behaviors were quantified with a VRS for 14 days and compared to daily caregiver observations. Video recordings were analyzed by a behavior analysis software program. Results The mean number of urinations per day detected by VRS (2.5 ± 0.7) was significantly higher compared with caregiver observations (0.6 ± 0.6; P < .0001). Five cats were never observed in the litter box by their caregivers. The mean number of urinations per day detected by VRS was significantly higher for abnormal cats (2.9 ± 0.7) compared with healthy cats (2.1 ± 0.7; P = .02); there were no apparent differences in frequency between these groups reported by caregivers (0.7 ± 1.0 and 0.5 ± 1.0, respectively). There were no differences in mean urination time between healthy and abnormal cats as determined by VRS or caregivers. Mean cover-up time determined by VRS was significantly longer in healthy cats (22.7 ± 12.9 seconds/urination) compared with abnormal cats (8.7 ± 12.9 seconds/urination; P = .03); differences in cover-up time were not detected by caregivers. Conclusions and Clinical Importance Caregivers commonly underestimate urination frequency in cats when compared to video-based observations. Video recording appears to facilitate objective assessment of urination behaviors and could be of value in future clinical studies of urinary disorders in cats.

Diuretics is a substance that can stimulate of urine output. The content of flavonoid compunds contained in water extracts of avocado leaves have a diuretic activity. Testing is done withgiving a water extract of avocado leaves per oral to 30 male rats strain (Sparague-Dawley) with weight 200 grams were divided into 6 groups. Frequency of urination with water extract of avocado leaves 5 % , 10 % , 15 % and 20 % respectively which is 2 , 5 , 9 and 20 times with observation for 3 hours. Furosemide tablets urination frequency was 25 times over 3 hours. The result showed that the water extract of avocado leaves 20% have diuretic activity is equivalent to Furosemide tablets at a dose of 7.2 mg / 200 mg BB in male rats.

La asociación entre los órganos genitales y urinarios ha sido establecida desde hace muchos años. El papiro de Kahum, escrito en el antiguo Egipto 2000 años AC se dedica exclusivamente a las enfermedades de la mujer. En ese documento, las enfermedades de los órganos genitales femeninos son consideradas en conjunto con las enfermedades de la vejiga. En la sección 67 del papiro de Ebers, escrito 1500 años AC se describe las alteraciones de la micción con relación a su frecuencia, retención y la "quemazón"; así como el "tratamiento de la mujer que sufre enfermedades de su orina y útero". En la sección 24 de este mismo papiro se describe alteraciones ginecológicas y obstétricas, y contiene prescripciones sobre el tratamiento de las úlceras y de la inflamación de la vulva, del prolapso, de la esterilidad y de las menorragias, asimismo prescripciones sobre alteraciones de las vías urinarias.

WOS: 000384827400006, PubMed: 27621918, Introduction: Eosinophilic cystitis (EC) is a rare and poorly understood inflammatory condition, characterized by eosinophilic infiltration of all layers of the bladder wall, which mimics bladder tumors. EC may present with symptoms such as increased urination frequency, dysuria, gross/microscopic hematuria, suprapubic pain and urinary retention. Case Presentation: We present a 17-year-old male patient, who was continent night and day in his childhood, and was admitted to our clinic for complaints of hematuria and nocturnal enuresis for the past six months. His history and physical examination were unremarkable, and routine hematological and biochemical tests were normal. Cystoscopy revealed a 4 x 3 cm erythematous, polypoidal, solid lesion on the bladder dome. Histopathological examination of the lesion revealed transitional epithelium with stromaledema, where diffuse, dense infiltration of lamina propria by eosinophils and lymphocytes was also seen. According to these findings, a histopathological diagnosis of EC was made, and the patient was treated with corticosteroids, antimicrobial agents and antihistamines. His symptoms dramatically improved and nocturnal enuresis also recovered after treatment. Conclusions: Although it is a rare entity, EC should be kept in mind in the differential diagnosis of patients presenting with dysuria, hematuria and any kind of acquired voiding dysfunction, including frequency, pollakiuria and incontinence.

This study derived measures to reduce exposure doses by identifying factors which affect the external radiation dose rate of patients treated with radiopharmaceuticals for PET-CT tests. The external radiation dose rates were measured on three parts of head, thorax and abdomen at a distance of 50cm from the surface of 60 PET-CT patients. It showed there are changes in factors affecting the external radiation dose rate over time after the administration of F-18 FDG. The external radiation dose rate was lower in the patients with more water intake than those with less water intake before the injection of radiopharmaceuticals at all three points: right after the injection of radiopharmaceuticals (average 4.17 mins), after the pre-PEET-CT urination step (average 77.47 mins), and right after the PET-CT test (average 114.15 mins). The study also found there is a need to increase the amount of water intake before the injection of radiopharmaceuticals in order to maintain a low external radiation dose rate in patients. This strategy is only possible under the assumption that the quality of the video has not changed after conducting this study on the relations between the image and quality. This study also found a need to use radiopharmaceuticals with the minimum amount needed for each patient because F-FDG doses affects the external radiation dose rate at the point right after the injection of radiopharmaceuticals. Urination frequency was the most significant factor to affect the external radiation dose rates at the point right after the PET-CT test and the point after the pre-PET-CT urination step. There is a need to realize the strategy to increase the urination frequency of patients to maintain the external radiation dose rate low (average 77.47 mins) before and after the injection of radiopharmaceuticals. In addition, at this point, there is a need to take advantage of personal strategies because the external radiation dose rate is lower if the fasting time is shorter, the contrast medium is used, and the amount of water intake is increased after the administration of radiopharmaceuticals. Finally this study found the need to be able to generalize these findings through an in-depth research on the factors affecting the external radiation dose rate, which includes radiopharmaceutical dose, urination frequency, the amount of water intake, fasting time and the use of contrast medium.

Background: Health issues relating to the lower urinary tract are an increasing burden on the health economy. Measurement of urination frequency/volume using diaries to evaluate symptoms and assess severity is established in the management of these health problems. In current practice, these frequency volume diaries are completed by voiding into a measuring jug and the completion of paper or digital charts. Despite being shown useful to diagnosis, this can be a cumbersome method of data collection, leading to issues with patient compliance. In this paper we describe the established benefits of providing clinicians accurate micturition data followed by an analysis of the problems with the current data collection method. Methods: We introduce our prototype electronic device and accompanying method, which is designed to improve data accuracy and patient compliance, while reducing patient training requirements and clinician workload. Results: The device hardware calibration and testing procedure is described, and two sets of initial data from assumed healthy volunteers are presented, allowing us to demonstrate the advantages of digital data in the fast calculation of diary summary statistics and their potential use to clinicians. Conclusions: We discuss the design improvements to the UScale device, collection bag, and electronic medical records integration undertaken while validating our described method.

The overall evidence of an association between fluid intake and bladder cancer is not entirely consistent. We examined the fluid intake-bladder cancer relationship in the Los Angeles bladder cancer case-control study. A total of 1,586 cases and their age-, sex-, and race-matched neighborhood controls were interviewed in-person from 1987 to 1999. Information on total fluid intake was derived from the consumption of specific fluids including water, coffee, tea, alcohol, milk, juice, hot chocolate and soda. Total fluid intake was not associated with bladder cancer. Daily water intake was associated with a slight decrease in bladder cancer risk, with the protection more pronounced among women (p for trend = 0.039) than among men (p for trend = 0.62). Compared to drinking

Ultraviolet light has been used to examine urine marks deposited by adult male house mice on filter paper on the floors of their cages during overnight tests. Both the urination frequency and the pattern in which urine was deposited on the filter paper depended upon social rank. Dominant males vigorously marked their entire cage floor, whereas subordinate males typically voided urine in only two to four pools in the corners of their cages.

The radiation response of the mouse urinary bladder was assessed by measuring the urination frequency after localized irradiation with 1.8-MeV electrons. The onset of radiation-induced incontinence is late, no changes were observed before 5 months after doses of up to 40 Gy (4000 rad). Beyond this time good dose--response curves were obtained above a threshold dose of 15 Gy. The time of onset of radiation damage was earlier after higher doses, but in all cases the maximum damage was observed by 12 months. There was some recovery of bladder function, especially in the lower dose groups, by 16 months. The increased frequency at 5 to 12 months was associated with epithelial denudation and a loss of the specialized polyploid surface cells. Fibrosis of the deeper layers was not apparent until after 12 months. The increased urination frequency responses are correlated with the delayed compensatory proliferation of the epithelium and with the resistance of the bladder to inflation under applied pressure, which also gave a dose-response relationship at 18 months.