ABSTRACT
BACKGROUND: Although there have been a number of reports on urinary voiding symptoms associated with surgical interventions for gynecologic cancer and post-voiding symptoms, there have been few reports on urinary storage symptoms such as urinary incontinence (UI) and overactive bladder (OAB). The purpose of this study was to examine the rates and impact on quality of life (QOL) of urinary storage symptoms after gynecologic cancer surgery. METHODS: A questionnaire survey, including Japanese-language versions of the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), Overactive Bladder Symptom Score (OABSS), and Incontinence Impact Questionnaire-7 (IIQ-7), was distributed to gynecologic cancer patients who underwent hysterectomy between 2008 and 2013. RESULTS: Of the 145 patients analyzed, 49 (33.8%) had UI pre-surgery, and 76 (52.4%) had UI post-surgery, including 34 (35.4%) first-time UI patients, with a significant difference between pre- and post-surgery. Of the 49 subjects with UI pre-surgery, 43 (87.7%) had stress incontinence, while of the 76 patients with UI post-surgery, 44 (57.1%) had stress incontinence, and 24 (31.2%) had mixed incontinence. Seven (4.8%) subjects had OAB pre-surgery, whereas 19 (13.1%) had OAB symptoms post-surgery (including 15 first-time OAB patients), with a significant difference between pre- and post-surgery. IIQ-7 scores were markedly higher for patients with mixed incontinence post-surgery than for those with stress incontinence, indicating a lower QOL. Logistic regression analysis identified the number of Cesarean sections and days of urinary bladder catheterization as risk factors for postoperative UI. CONCLUSIONS: UI and OAB rates were higher after gynecologic cancer surgery than in the general female population. The mixed incontinence rate was markedly higher post-surgery; QOL was low for such patients due to the combination of urge and stress incontinence. Multiple Cesarean sections and urinary bladder catheterization post-surgery were risk factors for post-surgical UI.
Subject(s)
Genital Neoplasms, Female/surgery , Postoperative Complications/epidemiology , Quality of Life/psychology , Urinary Bladder, Overactive/epidemiology , Urinary Bladder, Overactive/psychology , Urinary Incontinence/epidemiology , Urinary Incontinence/psychology , Adult , Aged , Aged, 80 and over , Cross-Sectional Studies , Female , Genital Neoplasms, Female/pathology , Humans , Japan/epidemiology , Middle Aged , Prevalence , Surveys and Questionnaires , Urinary Bladder, Overactive/etiology , Urinary Incontinence/etiology , Urinary Incontinence/prevention & controlABSTRACT
The 13th harmonic of a Ti:sapphire (Ti:S) laser in the plateau region was injected as a seeding source to a 250-MeV free-electron-laser (FEL) amplifier. When the amplification conditions were fulfilled, strong enhancement of the radiation intensity by a factor of 650 was observed. The random and uncontrollable spikes, which appeared in the spectra of the Self-Amplified Spontaneous Emission (SASE) based FEL radiation without the seeding source, were found to be suppressed drastically to form to a narrow-band, single peak profile at 61.2 nm. The properties of the seeded FEL radiation were well reproduced by numerical simulations. We discuss the future precept of the seeded FEL scheme to the shorter wavelength region.
ABSTRACT
A diode-pumped, cryogenically cooled Yb:LuLiF(4) regenerative amplifier has been developed for the first time to our knowledge. A chirped-seed pulse was amplified and compressed in the regenerative amplifier, simultaneously, which generated approximately 6 mJ, 13 ps pulses at 999 nm in wavelength without a pulse compressor. Simultaneous lasing at 999 and 1024 nm, respectively, was demonstrated, which could be used for different frequency generation in the terahertz region.
ABSTRACT
We report numerical results of second-harmonic generation in a type II potassium dihydrogen phosphate crystal with a time predelay for picosecond and/or femtosecond Yb-doped solid-state lasers, and clarify the dependence of the self compression in the second-harmonic laser pulse on the initial frequency chirp, fundamental duration and intensity, and phase-mismatching angle. We also show numerically the generation possibility of a self-compressed second-harmonic laser pulse near 20 fs.
