Clinical Management in Female Urology

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Nephrology & Urology".

Deadline for manuscript submissions: closed (20 January 2024) | Viewed by 4462

Special Issue Editor


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Guest Editor
Department of Urology and Renal Transplantation, University of Foggia, Foggia, Italy
Interests: female urology; overactive bladder; urinary incontinence; urinary retention; recurrent urinary tract infection; interstitial cystitis/bladder pain syndrome; pelvic organ prolapse; pelvic floor disorders

Special Issue Information

Dear Colleagues,

Female urology is a sub-specialty of Urology, and it covers a group of conditions that are experienced by women with a deep influence on their quality of life.

This evolving field is powered by significant advances in areas including urinary incontinence, recurrent UTIs, overactive bladder, pelvic organ prolapses, pelvic floor disorders, bladder pain syndrome, urinary tract fistulae, and urinary microbiome.

Many healthcare professionals, such as urologists, gynecologists, nurses, and physiotherapists, are involved in the management of women affected by these urological diseases supporting an interdisciplinary approach to achieve the best results for women.

In the last few years, following clinical and translational research, many innovations (robot-assisted surgery, mini-invasive procedures, and new conservative pharmacological solutions) have been introduced in real-life practice with great impact on personal and public health.

Despite the availability of several international guidelines, there are some uncovered “grey zones” that require further clinical experience and a more accurate scientific debate.

Dr. Vito Mancini
Guest Editor

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Keywords

  • female urology
  • overactive bladder
  • urinary incontinence
  • recurrent urinary tract infection
  • interstitial cystitis/bladder pain syndrome
  • pelvic organ prolapse
  • pelvic floor disorders

Published Papers (2 papers)

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13 pages, 737 KiB  
Article
Assessment by Women on Selected Aspects of Quality of Life and on Disease Acceptance after Undergoing Urogynecological Procedures for Urinary Incontinence
by Bożena Baczewska, Katarzyna Wiśniewska, Bożena Muraczyńska, Małgorzata Pasek, Jolanta Słuszniak, Katarzyna Gębicka and Beata Guzak
J. Clin. Med. 2023, 12(15), 4894; https://doi.org/10.3390/jcm12154894 - 26 Jul 2023
Cited by 1 | Viewed by 951
Abstract
Urinary incontinence is a common social and health problem that affects both men and women. Women, however, are twice as likely as men to experience unintentional and involuntary bladder emptying due to their anatomical structure and biological functions. Urinary incontinence is associated with [...] Read more.
Urinary incontinence is a common social and health problem that affects both men and women. Women, however, are twice as likely as men to experience unintentional and involuntary bladder emptying due to their anatomical structure and biological functions. Urinary incontinence is associated with great discomfort, a sense of shame, and a significant reduction in self-esteem, often resulting in the limiting of, or withdrawing from, professional, social, and community life. The aim of this study was to evaluate selected aspects of the quality of life and disease acceptance by women who had undergone urogynecological procedures for urinary incontinence. The study encompassed 77 women. The diagnostic tools used in the study were the Polish versions of the King’s Health Questionnaire (KHQ), the Acceptance of Illness Scale (AIS), and the authors’ own survey questionnaire. From the undertaken research, we found that women with urinary incontinence who underwent urogynecological procedures rated their overall health well. What worsened the most regarding the quality of life of women post-procedure for urinary incontinence was the impact of bladder problems on their lives and the discomfort they felt due to bladder problems. The relationship between the time elapsed since the procedure and the quality of life of the respondents with regard to the emotions they experienced was also found to be significant. The longer the time since the procedure, the lower the intensity of negative emotions, and thus the higher the quality of life. Despite the varied opinions of the respondents about the impact of bladder dysfunction on various areas of their lives, acceptance of the disease, as measured by the AIS scale, appeared to be high. Full article
(This article belongs to the Special Issue Clinical Management in Female Urology)
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Case Report
Gynecological Diagnosis and Treatment of Ectopic Ureter Insertion into Vagina: Analysis of Five Cases and a Literature Review
by Qijing Wang, Zaigui Wu, Fengbin Zhang, Rubab Akbar, Yiyun Lou, Jianhong Zhou and Fei Ruan
J. Clin. Med. 2022, 11(21), 6267; https://doi.org/10.3390/jcm11216267 - 24 Oct 2022
Cited by 1 | Viewed by 3066
Abstract
An ectopic ureter is a ureter that does not correctly connect to the trigone of the bladder and drains outside of the bladder. Here, we presented five cases of ectopic ureter opening into the vagina, whose clinical symptoms and malformations were rarely described [...] Read more.
An ectopic ureter is a ureter that does not correctly connect to the trigone of the bladder and drains outside of the bladder. Here, we presented five cases of ectopic ureter opening into the vagina, whose clinical symptoms and malformations were rarely described in previous case reports. All five patients were hospitalized with complaints of gynecologic disease. Three of the five cases did not present the typical symptoms of urinary incontinence. Three of these cases showed congenital malformations of the female genital tract. Four cases were diagnosed in adulthood. All patients were analyzed using various imaging examinations. This study suggests that the ectopic ureter should be considered in the differential diagnosis of a pelvic mass in a patient with urinary and reproductive system abnormalities. It is essential to comprehensively evaluate complex malformations of the genitourinary system with multiple imaging tests. Full article
(This article belongs to the Special Issue Clinical Management in Female Urology)
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