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Lalos, Othon
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Publications (10 of 36) Show all publications
Nilsson, M., Lalos, O., Lindkvist, H., Löfgren, M. & Lalos, A. (2012). Female urinary incontinence: patient-reported outcomes 1 year after midurethral sling operations. International Urogynecology Journal, 23(10), 1353-1359
Open this publication in new window or tab >>Female urinary incontinence: patient-reported outcomes 1 year after midurethral sling operations
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2012 (English)In: International Urogynecology Journal, ISSN 0937-3462, E-ISSN 1433-3023, Vol. 23, no 10, p. 1353-1359Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION AND HYPOTHESIS: Although midurethral slings have become standard surgical methods to treat stress urinary incontinence (SUI), little is known about women who still have urinary incontinence (UI) after surgery. This study assesses and compares the patient-reported outcome 12 months after tension-free vaginal tape (TVT), tension-free vaginal tape-obturator (TVT-O), and transobturator tape (TOT), with a special focus on women who still have urinary leakage postoperatively.

METHODS: This study analyzed preoperative and 12-month postoperative data from 3,334 women registered in the Swedish National Quality Register for Gynecological Surgery.

RESULTS: Among the women operated with TVT (n = 2,059), TVT-O (n = 797), and TOT (n = 478), 67 %, 62 %, and 61 %, respectively, were very satisfied with the result at the 1-year follow-up. There was a significantly higher chance of becoming continent after TVT compared with TOT. In total, 977 women (29 %) still had some form of urinary leakage postoperatively. Among the postoperatively incontinent women who expressed a negative impact of UI on family, social, work, and sexual life preoperatively, considerably fewer reported a negative impact in all domains after surgery. Of those in the postoperatively incontinent group who had coital incontinence preoperatively, 63 % reported a cure of coital incontinence.

CONCLUSIONS: The proportion of women very satisfied with the result of the operation did not differ between the three groups. TVT had a higher SUI cure rate than did TOT. Despite urinary leakage 1-year postoperatively, half of the women were satisfied with the result of the operation.

National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:umu:diva-55004 (URN)10.1007/s00192-012-1752-9 (DOI)22527550 (PubMedID)
Available from: 2012-05-07 Created: 2012-05-07 Last updated: 2018-06-08Bibliographically approved
Nilsson, M., Lalos, O., Lindkvist, H., Löfgren, M. & Lalos, A. (2012). Still urinary incontinent after mid-urethral sling operation: what's the impact?. Paper presented at 42nd Annual Meeting of the International-Continence-Society (ICS), OCT 15-19, 2012, Beijing, PEOPLES R CHINA. Neurourology and Urodynamics, 31(6), 1059-1060
Open this publication in new window or tab >>Still urinary incontinent after mid-urethral sling operation: what's the impact?
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2012 (English)In: Neurourology and Urodynamics, ISSN 0733-2467, E-ISSN 1520-6777, Vol. 31, no 6, p. 1059-1060Article in journal, Meeting abstract (Other academic) Published
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:umu:diva-57746 (URN)000306314700257 ()
Conference
42nd Annual Meeting of the International-Continence-Society (ICS), OCT 15-19, 2012, Beijing, PEOPLES R CHINA
Available from: 2012-08-20 Created: 2012-08-14 Last updated: 2018-06-08Bibliographically approved
Nilsson, M., Lalos, O., Lindkvist, H. & Lalos, A. (2011). How do urinary incontinence and urgency affect women's sexual life?. Acta Obstetricia et Gynecologica Scandinavica, 90(6), 621-628
Open this publication in new window or tab >>How do urinary incontinence and urgency affect women's sexual life?
2011 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 90, no 6, p. 621-628Article in journal (Refereed) Published
Abstract [en]

Objectives. To investigate the impact of urinary incontinence (UI) and urgency on women's sexual life and the prevalence of urinary leakage during sexual activity. A further aim was to explore factors affecting sexual desire and satisfaction with sexual life.

Design. A semi-structured questionnaire study.

Setting and Sample. Sexually active women (n=147) aged 18-74years with UI and urgency were recruited from four outpatient clinics.

Methods. The women completed questionnaires concerning medical history, psychosocial situation, partner relationship, sexual life, and answered the Bristol Female Lower Urinary Tract Symptoms questionnaire. All underwent clinical evaluation.

Main outcome measures. Prevalence of urinary leakage during sexual activity, factors affecting sexual desire and sexual satisfaction.

Results. The vast majority considered sexuality to be important in their lives. One-third of the women had urinary leakage during sexual activity. Half reported that sexual life was more or less spoiled due to their UI or urgency, they were worried about having urinary leakage during intercourse and almost two-thirds worried about odor and felt unattractive. The women's dissatisfaction with sexual life was strongly correlated to unsatisfying psychological health, orgasmic disability and worry about urinary leakage during intercourse. Insufficient vaginal lubrication, unsatisfying psychological health, and their partners' ill health were significantly correlated to decreased sexual desire.

Conclusion. UI and urgency have a negative impact on women's sexual life. Thus, a dialogue about sexual function in women with urinary symptoms should become an integral component in clinical management.

Place, publisher, year, edition, pages
Wiley, 2011
Keywords
Female, sexual life, urgency, urinary incontinence
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Obstetrics and Gynaecology
Identifiers
urn:nbn:se:umu:diva-42135 (URN)10.1111/j.1600-0412.2011.01120.x (DOI)21371000 (PubMedID)
Available from: 2011-04-06 Created: 2011-04-06 Last updated: 2018-06-08Bibliographically approved
Nilsson, M., Lalos, O., Lindkvist, H. & Lalos, A. (2011). Impact of female urinary incontinence and urgency on women's and their partners' sexual life. Neurourology and Urodynamics, 30(7), 1276-1280
Open this publication in new window or tab >>Impact of female urinary incontinence and urgency on women's and their partners' sexual life
2011 (English)In: Neurourology and Urodynamics, ISSN 0733-2467, E-ISSN 1520-6777, Vol. 30, no 7, p. 1276-1280Article in journal (Refereed) Published
Abstract [en]

Aims: To assess the impact of female urinary incontinence (UI) and urgency on women's and their partners' sexual life in sexually active couples and to elucidate the concordance of answers within couples.

Methods: Women aged 18-74 years with UI and/or urgency (n = 206) were consecutively recruited from four outpatient clinics. Those with a partner (n = 170) completed a questionnaire regarding relationship and sexual life and gave a similar questionnaire to him. The present paper focuses on 99 couples with an active sexual life.

Results: Twenty-two percent of the men and 43% of the women stated that the female urinary symptoms impaired their sexual life. Forty-nine percent of the women expressed worries about having urinary leakage during sexual activity, but most of their men, 94%, did not. Twenty-three percent of the men and 39% of the women responded that the woman leaked urine during sexual activity. The majority, 84%, of women considered this a problem, but 65% of their partners did not. Except for this disparity, the rest of the answers were significant concordant within the couples.

Conclusions: Female UI and urgency negatively affected sexual life in almost half of the women and in every fifth partner. A need for information and advice concerning sexual issues due to the woman's urinary disorder was found in one fifth of the couples. The majority of women with urinary leakage during sexual activities considered this as a problem, but most of their partners did not. Overall, the concordance of the answers within the couples was high.

Place, publisher, year, edition, pages
Wiley, 2011
Keywords
female, male partner, sexual life, urgency, urinary incontinence
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:umu:diva-42136 (URN)10.1002/nau.21039 (DOI)21351129 (PubMedID)
Note
Article first published online: 23 FEB 2011Available from: 2011-04-06 Created: 2011-04-06 Last updated: 2018-06-08Bibliographically approved
Margareta, N., Ann, L. & Othon, L. (2009). The impact of female urinary incontinence and urgency on quality of life and partner relationship. Neurourology and Urodynamics, 28(8), 976-981
Open this publication in new window or tab >>The impact of female urinary incontinence and urgency on quality of life and partner relationship
2009 (English)In: Neurourology and Urodynamics, ISSN 0733-2467, E-ISSN 1520-6777, Vol. 28, no 8, p. 976-981Article in journal (Refereed) Published
Abstract [en]

AIMS: To examine the impact of female urinary incontinence, urgency and frequency on quality of life, and partner relationship in women (18-74 years) and their partners, and make comparisons with the corresponding age groups in a Swedish population-based study.

METHODS: Women with urinary incontinence, urgency and frequency (n = 206) completed specific questionnaires concerning medical history and the Bristol Female Lower Urinary Tract Symptoms questionnaire. Women who had a stable relationship (n = 170) also answered a questionnaire regarding psychosocial situation, partner relationship and sexual life, and were asked to give a similar questionnaire to their partner. Totally, 109 partners participated.

RESULTS: The vast majority of the women considered that their urinary problems affected their physical activities negatively and almost half reported negative consequences for social life and joint activities. One third of both women and men experienced a negative impact on their relationship and about every fifth felt it had a harmful influence on physical proximity, intimacy, affection, and warmth. Compared to the older women, the younger were less satisfied with their psychological health, sexual life, leisure and financial situation, and compared to the younger men, the young women were less content with their somatic health. Overall, women with urinary problems and their partners were less satisfied with their somatic health than the corresponding age groups in the national population-based study.

CONCLUSIONS: Female urinary incontinence, urgency and frequency significantly impair the quality of life in both younger and older women, and also have negative effects on the partner relationship and the partner's life.

Keywords
frequency;partner relationship;quality of life;urgency;urinary incontinence
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:umu:diva-36783 (URN)10.1002/nau.20709 (DOI)19229955 (PubMedID)
Available from: 2010-10-11 Created: 2010-10-11 Last updated: 2018-06-08Bibliographically approved
Lalos, O., Kjellberg, L. & Lalos, A. (2009). Urinary, climacteric and sexual symptoms 1 year after treatment of cervical cancer without brachytherapy. Journal of Psychosomatic Obstetrics and Gynaecology, 30(4), 269-274
Open this publication in new window or tab >>Urinary, climacteric and sexual symptoms 1 year after treatment of cervical cancer without brachytherapy
2009 (English)In: Journal of Psychosomatic Obstetrics and Gynaecology, ISSN 0167-482X, E-ISSN 1743-8942, Vol. 30, no 4, p. 269-274Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: Prospective studies elucidating the impact of the treatment of cervical cancer on urinary and climacteric symptoms and sexual life are relatively rare. The aim of this study was to seek information about the occurrence of urinary, climacteric and sexual symptoms in women with cervical cancer before and 1 year after treatment without brachytherapy. METHODS: This prospective study evaluated 39 women treated for cervical cancer. Data were collected by two questionnaires (before and 1 year after treatment). In order to supplement the data from the questionnaires, some data were selected from the patient's medical records. RESULTS: The number of voluntary micturitions, urgency, urinary incontinence and climacteric symptoms had not increased 1 year after treatment. Vaginal dryness and dyspareunia had increased and sexual desire was reduced 1-year post-treatment. CONCLUSION: This study has shown that urinary and climacteric symptoms are not frequent 1 year after treatment of cervical cancer without brachytherapy. However, there is an increased occurrence of vaginal dryness and sexual disorders 1-year post-treatment, mainly in the form of dyspareunia and reduced sexual desire. Taken together these symptoms affect the women's quality of life and it is, therefore, crucial that the medical providers become more aware of and skilled to deal with these conditions before and after treatment.

Keywords
Cervical cancer, dyspareunia, sexual disorders, urinary symptoms, climacteric symptoms
Identifiers
urn:nbn:se:umu:diva-36780 (URN)10.3109/01674820902789225 (DOI)19922400 (PubMedID)
Available from: 2010-10-11 Created: 2010-10-11 Last updated: 2018-06-08Bibliographically approved
Lalos, A., Gottlieb, C. & Lalos, O. (2007). Legislated right for donor-insemination children to know their genetic origin: a study of parental thinking.. Human Reproduction, 22(6), 1759-1768
Open this publication in new window or tab >>Legislated right for donor-insemination children to know their genetic origin: a study of parental thinking.
2007 (English)In: Human Reproduction, ISSN 0268-1161, E-ISSN 1460-2350, Vol. 22, no 6, p. 1759-1768Article in journal (Refereed) Published
Keywords
Female, Humans, Insemination; Artificial; Heterologous/*ethics, Interviews, Male, Parent-Child Relations/*legislation & jurisprudence, Parents/*psychology, Sweden, Thinking, Truth Disclosure/*ethics
Identifiers
urn:nbn:se:umu:diva-16452 (URN)10.1093/humrep/dem063 (DOI)17522083 (PubMedID)
Available from: 2007-10-04 Created: 2007-10-04 Last updated: 2018-06-09Bibliographically approved
Daniels, K., Lalos, A., Gottlieb, C. & Lalos, O. (2005). Semen providers and their three families. Journal of Psychosomatic Obstetrics and Gynaecology, 26(1), 15-22
Open this publication in new window or tab >>Semen providers and their three families
2005 (English)In: Journal of Psychosomatic Obstetrics and Gynaecology, ISSN 0167-482X, E-ISSN 1743-8942, Vol. 26, no 1, p. 15-22Article in journal (Refereed) Published
Keywords
Adult, Attitude, Family, Humans, Insemination; Artificial; Heterologous/legislation & jurisprudence, Male, Middle Aged, Occupations, Questionnaires, Spermatozoa, Sweden, Tissue Donors/legislation & jurisprudence
Identifiers
urn:nbn:se:umu:diva-16456 (URN)15962718 (PubMedID)
Available from: 2007-10-04 Created: 2007-10-04 Last updated: 2018-06-09Bibliographically approved
Lalos, O., Lundqvist, S. & Sjödin, J.-G. (2004). [Calculi formation in female urethral diverticula. Extremely rare--but can be the cause of recurrent urinary tract infections]. Läkartidningen, 101(14), 1290-1291
Open this publication in new window or tab >>[Calculi formation in female urethral diverticula. Extremely rare--but can be the cause of recurrent urinary tract infections]
2004 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 101, no 14, p. 1290-1291Article in journal (Refereed) Published
Keywords
Calculi/*complications/diagnosis/surgery, Diverticulum/*complications/diagnosis/surgery, Female, Humans, Middle Aged, Rare Diseases, Recurrence, Tomography; X-Ray Computed, Urethral Diseases/*complications/diagnosis/surgery, Urinary Tract Infections/diagnosis/*etiology
Identifiers
urn:nbn:se:umu:diva-16454 (URN)15101216 (PubMedID)
Available from: 2007-09-27 Created: 2007-09-27 Last updated: 2018-06-09Bibliographically approved
Lose, G., Mattiasson, A., Walter, S., Lalos, O., van Kerrebroeck, P., Abrams, P. & Freeman, R. (2004). Clinical experiences with desmopressin for long-term treatment of nocturia.. Journal of Urology, 172(3), 1021-1025
Open this publication in new window or tab >>Clinical experiences with desmopressin for long-term treatment of nocturia.
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2004 (English)In: Journal of Urology, ISSN 0022-5347, E-ISSN 1527-3792, Vol. 172, no 3, p. 1021-1025Article in journal (Refereed) Published
Keywords
Adult, Aged, Aged; 80 and over, Deamino Arginine Vasopressin/adverse effects/*therapeutic use, Female, Humans, Male, Middle Aged, Quality of Life, Urination/drug effects, Urination Disorders/*drug therapy/physiopathology
Identifiers
urn:nbn:se:umu:diva-16459 (URN)10.1097/01.ju.0000136203.76320.f6 (DOI)15311028 (PubMedID)
Available from: 2007-09-28 Created: 2007-09-28 Last updated: 2018-06-09Bibliographically approved
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