Showing papers by "Stuart L. Stanton published in 1988"

The standardisation of terminology of lower urinary tract function. The International Continence Society Committee on Standardisation of Terminology.

Abstract: We updated the terminology in the field of paediatric lower urinary tract function. Discussions were held of the board of the International Children’s Continence Society and an extensive reviewing process was done, involving all members of the International Children’s Continence Society as well as other experts in the field. New definitions and a standardised terminology are provided, taking into account changes in the adult sphere and new research results. Reprinted with permission of the Journal of Urology and Elsevier. First published 2006: The Journal of Urology. July 2006; 176(1): 314-324. NOTE: The article will be reproduced in two parts. Part II is to be published in the next edition of the Australian and New Zealand Continence Journal.

Distress and delay associated with urinary incontinence, frequency, and urgency in women

Abstract: Correspondence to: Mr S L Stanton, Urodynamic Unit, Department of Obstetrics and Gynaecology, St George's Hospital, Cranmer Terrace, London SW17 0RE. It is ironic that though many personal topics may be openly discussed with patients or in the media, uro logical symptoms are still largely avoided. Yet urinary complaints are common among women, although exact prevalence is difficult to estimate because various researchers use different definitions of severity and patients have different thresholds for complaint. Nemir and Middleton1 found occasional stress inconti? nence in half of the premenopausal women they studied, and Brocklehurst2 estimated the prevalence of urgency, frequency, and nocturia in elderly women to be 60%. Using stricter criteria, Yarnell et al found that 3-7% of women in the general population complained of "significant" urinary incontinence.3 It seems that patients who present to their doctor complaining of various urinary symptoms, from occasional episodes to constant leakage, share one common factor: the problem has become so personally worrying that the patient is compelled to seek medical advice. Thomas et al found that only a third of women complaining of moderate or severe incontinence were receiving medical care or help from the social services.4 In the study by Yarnell et al of the women who reported that urinary symptoms interfered with social or domestic life, only half had sought medical advice.3 Thus patients with urinary symptoms who seek medical advice represent only the tip of the iceberg, and many who are troubled by their urinary complaints may delay seeking treatment. Although such delay is a common clinical impression, it has not been previously investigated. The purpose of this study was to examine initial delay and reasons for delay in seeking treatment among women who were ultimately referred to a urodynamic clinic. Since delay might be justified if symptoms are not unduly troublesome to the woman restriction of activities and feelings of stigma were also assessed.