{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T07:25:44Z","timestamp":1780471544442,"version":"3.54.1"},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,6,20]],"date-time":"2013-06-20T00:00:00Z","timestamp":1371686400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100011326","name":"Shiga University of Medical Science","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100011326","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Challenging Exploratory Research","award":["21659518"],"award-info":[{"award-number":["21659518"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["LUTS"],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To verify the effectiveness of support power of underwear (the shaper) to elevate bladder neck and to reduce symptoms of stress urinary incontinence (<jats:styled-content style=\"fixed-case\">SUI<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a single\u2010arm pilot study conducted in <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>apan by using the shaper (<jats:styled-content style=\"fixed-case\">SLIM<\/jats:styled-content>\u2010up\u2010<jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>ants with <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>tyle <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>cience, <jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>acoal <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>orporation, <jats:styled-content style=\"fixed-case\">K<\/jats:styled-content>yoto, <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>apan). The bladder neck position in a sitting posture was recorded using an open\u2010configuration magnetic resonance system and then compared between parous women with <jats:styled-content style=\"fixed-case\">SUI<\/jats:styled-content>, without and with the shaper. Women wore the shaper during the daytime for 12\u2009weeks, followed by one\u2009week during which they did not wear the shaper. The symptoms of urinary incontinence (<jats:styled-content style=\"fixed-case\">UI<\/jats:styled-content>) were assessed based on the 1\u2010h pad test, the <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>apanese version of the <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>nternational <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>onsultation <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>ncontinence <jats:styled-content style=\"fixed-case\">Q<\/jats:styled-content>uestionnaire\u2010<jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>hort <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>orm, and the incontinence diary.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010five Japanese women with <jats:styled-content style=\"fixed-case\">SUI<\/jats:styled-content>, aged between 27 and 65\u2009years, were included. When the shaper was worn, the bladder neck was found to be significantly elevated by 11.5\u2009mm (median; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05\/6\u2009=\u20090.008). After 12\u2009weeks, all symptoms of <jats:styled-content style=\"fixed-case\">UI<\/jats:styled-content> decreased significantly (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05\/3\u2009=\u20090.016), and the bladder neck was further elevated by 4.7\u2009mm (median; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) even when not wearing the shaper. In addition, after one\u2009week of not wearing the shaper, the bladder neck position remained elevated and symptoms of <jats:styled-content style=\"fixed-case\">UI<\/jats:styled-content> did not recur immediately.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The shaper was considered to be effective in elevating the bladder neck and reducing symptoms of <jats:styled-content style=\"fixed-case\">UI<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/luts.12023","type":"journal-article","created":{"date-parts":[[2013,6,21]],"date-time":"2013-06-21T04:31:00Z","timestamp":1371789060000},"page":"81-87","source":"Crossref","is-referenced-by-count":6,"title":["Single\u2010Arm Pilot Study to Determine the Effectiveness of the Support Power of Underwear in Elevating the Bladder Neck and Reducing Symptoms of Stress Urinary Incontinence in Women"],"prefix":"10.1111","volume":"6","author":[{"given":"Sanae","family":"NINOMIYA","sequence":"first","affiliation":[{"name":"Department of Nursing Kyoto Koka Women's University  Kyoto Japan"},{"name":"Department of Clinical Nursing Shiga University of Medical Science  Shiga Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Izumi","family":"SAITO","sequence":"additional","affiliation":[{"name":"Department of Nursing Kobe University Graduate School of Health Science  Kobe Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiyoko","family":"MASAKI","sequence":"additional","affiliation":[{"name":"Department of Clinical Nursing Shiga University of Medical Science  Shiga Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihiro","family":"ENDO","sequence":"additional","affiliation":[{"name":"Department of Clinical Nursing Shiga University of Medical Science  Shiga Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigehiro","family":"MORIKAWA","sequence":"additional","affiliation":[{"name":"Department of Fundamental Nursing Shiga University of Medical Science  Shiga Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisayo","family":"OKAYAMA","sequence":"additional","affiliation":[{"name":"Department of Clinical Nursing Shiga University of Medical Science  Shiga Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,6,20]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(97)00578-5"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2009.04.006"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.21145"},{"key":"e_1_2_6_5_1","first-page":"S3","article-title":"The definition, prevalence, and risk factors for stress urinary incontinence","volume":"6","author":"Luber KM","year":"2004","journal-title":"Rev Urol"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8545(05)70039-5"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2010.02.2369"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10052"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa021788"},{"key":"e_1_2_6_10_1","first-page":"112","article-title":"Stress urinary incontinence in women: magnetic resonance assessment","volume":"89","author":"Armillotta M","year":"1995","journal-title":"Radiol Med"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiographics.22.2.g02mr25295"},{"key":"e_1_2_6_12_1","first-page":"227","article-title":"Symptom and QOL questionnaire for urinary incontinence, scored ICIQ\u2010SF (International Consultation on Incontinence Questionnaire: Short Form)","volume":"12","author":"Gotoh M","year":"2001","journal-title":"JNBS"},{"key":"e_1_2_6_13_1","volume-title":"Incontinence, 1st International Consultation on Incontinence","author":"Abrams P","year":"1998"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.171.6.9843296"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-007-0525-3"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.1990.tb08027.x"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181cbd35f"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-011-0779-8"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.01742.x"},{"key":"e_1_2_6_20_1","first-page":"113","volume-title":"Evidence\u2010based Physical Therapy for the Pelvic Floor. 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