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Zhang L.,Peking Union Medical College | Zhu L.,Peking Union Medical College | Xu T.,Peking Union Medical College | Lang J.,Peking Union Medical College | And 4 more authors.
European Urology | Year: 2015

Background: Epidemiological studies of lower urinary tract symptoms (LUTS) are few in China, and none has been conducted nationwide. Objective: To estimate the prevalence and potential risk factors of LUTS and the bother they impose on adult women in China. Design, setting, and participants: This is the second analysis of a population-based crosssectional survey on urinary incontinence conducted between February and July 2006 in six regions of China. Cluster samples were randomly selected for interviews. Interventions: No intervention was implemented. Outcome measurements and statistical analysis: A modified Chinese Bristol Female Lower Urinary Tract Symptoms questionnaire was administered. The participants were asked about the presence of individual LUTS and rated their symptom bother. Descriptive statistics, x2 tests, receiver operating characteristic curves, and multivariate logistic regressions were used for data analysis. Results and limitations: A total of 18 992 respondents (94.96%)were included. The prevalence of any LUTS, storage symptoms, or voiding symptomswas 55.5%, 53.9%, and 12.9%, respectively, and increasedwith age.Nocturiawas themostcommonsymptom(23.4%), followedbyurgency (23.3%) and stress urinary incontinence (SUI; 18.9%). Nocturia was most frequently rated as bothersome (93.0%) but was generally minor (80.5%). Urgency and urgency urinary incontinence (UUI) were most frequently reported as severe (11.5% and 10.8%) ormoderate (18.5% and 16.8%) bothers. Any LUTSweremore prevalent in urbanwomen (57.1% vs 53.9%). Multiple factors increased the odds of bother and individual LUTS, and older age and coexisting pelvic organ prolapse were strong predictors (p < 0.05). This survey was conducted 8 yr ago and did not assess all LUTS. Conclusions: Half of adult women suffered with LUTS; nocturia, urgency, and SUI were more prevalent. Urgency and UUI were most frequently reported as severe or moderate bothers. Multiple factors influenced bother and individual LUTS. Patient summary: The prevalence of lower urinary tract symptoms is high and increases with age in adult women in China. Urgency and urgency urinary incontinence were most frequently regarded as severe or moderate bothers and should be targeted for medical intervention. © 2014 European Association of Urology. Published by Elsevier B.V. All rights reserved. Source

Gu J.,Maternal and Child Health Hospital of Wuxi | Ge Y.,Maternal and Child Health Hospital of Wuxi | Chen J.,Maternal and Child Health Hospital of Wuxi
Life Science Journal | Year: 2013

Objective: To investigate the laparoscopic radical hysterectomy perioperative nursing. Methods: From November 2011 to November 2012, 38 cases of laparoscopic radical hysterectomy in patients with perioperative nursing methods for analysis were selected retrospectively. Results: 38 patients in this group were targeted through perioperative care, 29 cases of extensive hysterectomy + dual oophorectomy, nine cases of extensive hysterectomy ovarian transposition, two cases of ureteral fistula, five cases after two weeks of poor voiding after catheter removal, 1 patient 10 days drainage fluid were more than 200ml, as a pale yellow peritoneal fluid drainage, carboplatin 500mg given intraperitoneal chemotherapy, remission, and the remaining patients had no abnormal was discharged. Conclusions: Laparoscopic radical hysterectomy significant treatment effect, trauma. Laparoscopic radical hysterectomy in patients with perioperative nursing interventions to enhance targeted surgical treatment can effectively improve the effectiveness and reduce the incidence of postoperative complications, and promote rapid recovery of patients. Source

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