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Yazar "Bal M.D." seçeneğine göre listele

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    Investigation of evidence-based tests which were used to evaluate and diagnose process of urinary incontinence [Üri?ner i?nkonti?nansin tani ve de?erlendi?rme süreci?nde uygulanan kli?ni?k testleri?n kanit temelli? i?ncelenmesi?]
    (2011) Yilmaz S.D.; Bal M.D.; Beji N.K.; Yalçin Ö.
    In this review we aimed to investigate the evidence-based clinical tests which were used to evaluate and diagnose the urinary incontinence. Urinary incontinence can be diagnosed in two ways. Two types of diagnosis can be made: symptomatic diagnosis and condition specific diagnosis. In general, symptomatic diagnoses are made in primary care using clinical history-taking, urinary diaries, pad tests and validated symptom scales. Condition-specific diagnoses are made by using urodynamic techniques. A large proportion of women with urinary stress incontinence can be correctly diagnosed in primary care from clinical history alone. On the basis of diagnosis the diary appears to be the most cost-effective of the three primary care tests (diary, pad test and validated scales) used in addition to clinical history. Ultrasound imaging may offer a valuable information about urinary incontinence The clinical stress test is effective in the diagnosis of urinary stress incontinence. Adaptation of such a test so that it could be performed in primary care with a naturally filled bladder may prove clinically useful. If a patient is to undergo an invasive urodynamic procedure, multichannel urodynamics is likely to give the most accurate result in a secondary care setting.
  • Küçük Resim Yok
    Öğe
    Lower urinary tract symptoms in diabetic women with and without urinary incontinence
    (Blackwell Publishing, 2014) Yilmaz S.D.; Bal M.D.; Celik S.; Beji N.K.; Dinccag N.; Yalcin O.
    Determination of lower urinary tract symptoms (LUTS) in diabetic women with and without urinary incontinence (UI) and its related factors is significant to define essential measures associated with prevention. The aim of this study is to compare the features of diabetes mellitus (DM) in diabetic women with and without UI, and to investigate LUTS and its related factors. Applying to the Diabetes Department of Istanbul Medical Faculty, Istanbul University (IMFIU) between May and December 2011, 77 diabetic women with the complaint of UI and 88 diabetic continent women were enrolled into the descriptive study. Data were collected via a questionnaire defining socio-demographic and clinical features, and The Bristol Female Lower Urinary Tract Symptoms (BFLUTS-SF) after obtaining an approval from the ethical board of the institution. It was found that diabetic continent women and those with UI showed no statistically significant difference regarding age, BMI and duration of DM (p>0·05). Among women with UI, levels of fasting blood glucose and HbA1c were significantly higher (p<0·05). The total BFLUTS-SF and subscale scores of women with UI were significantly higher than continent women (p<0·05). A significant correlation was determined between total BFLUTS-SF score, and fasting blood glucose (r=0·185), BMI (r=0·192), HbA1c (r=0·245), complaint of vaginal itching (r=0·629) and exposure to frequent vaginal infections (r=0·701; p<0·05). It was found that increased HbA1c was effective on total BFLUTS-SF. Consequently, diabetic women with UI show high rates of fasting blood glucose and HbA1c, compared to diabetic women without UI. Therefore, diabetic women should meticulously be followed and evaluated in terms of LUTS by health care professionals. © 2014 John Wiley & Sons Ltd.

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