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[Article in German]. -This review sought to look into the literature to determine the incidence of urinary and fecal incontinence as well as different measures for treatment or improvement. -Consisted of a review of three studies with a total sample size of n = 1077. Comparing urge incontinence between women with and without PD, they found an incidence of 25% and 7%, respectively. Similarly, they found an incidence of 28% and 6% in men with and without PD, respectively. -Suggest that pelvic floor muscle exercises as well as botulinum toxin A injections can reduce urinary incontinence, but the review doesn't offer recommendations
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- Aim: To assess severity of bladder dysfunction in.
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•• Winge K, Nielsen KK. Bladder dysfunction in advanced Parkinson's disease. Neurourol Urodyn. 2012;31(8):1279-83. - Aim: To assess severity of bladder dysfunction in PD as stratified by symptomatic treatment, specifically DBS and Apomorphine vs medical treatment. - Used two validated questionnaires: DanPSS and IPSS. Used these to assess symptomatology and impact on quality of life. - The analysis found that in the conventional group, the severity of bladder dysfunction (DanPSS ≥ 10) correlated with a greater PD stage (based on the modified Hoehn and Yahr PD staging from 0 to 5). This did not hold for the nonconventional group, however, which included those treated with DBS or apomorphine and also did not hold when given the IPSS validated questionnaire. - They completed a further analysis based on specific symptoms and found that DBS patients had significantly less nocturia (as defined by > 2 episodes of voiding per night) and were less bothered by it. - Drawbacks: ○ Definition of nocturia in the DanPSS isn't rigorous as the established ICS definition of nocturia (minimum one episode of waking to void that is preceded and followed by sleep) ○ Low N in general (N=107), but specifically in Apomorphine group (n=9). Unable to draw substantial conclusions from such a low sample size. ○ Only looked into questionnaire-based evaluation. Lacks the objectivity of other studies, as it doesn't include urodynamic testing, etc.
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(2012)
Neurourol Urodyn
, vol.31
, Issue.8
, pp. 1279-1283
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Winge, K.1
Nielsen, K.K.2
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