Women should let their health care provider, such as a family practice physician, a nurse, an internist, a gynecologist, urologist, or a urogynecologist—a gynecology doctor who has extra training in bladder problems and pelvic problems in women—know they have UI, even if they feel embarrassed. To diagnose UI, a health care professional will take a medical history and conduct a physical exam. The health care professional may order diagnostic tests, such as a urinalysis.
Adult diapers ; Pullups and Straps; small medium large and Ex large R55,00 per 10 packBaby Diapers; All sizes R30.00 per 20 packAdult and Baby; Linen savers R45 per 10 packSanitary Pads; R5.00 per 10 packPanty Liners R12.00 per 50 pack
If bladder spasms occur or there is no urine in the drainage bag when a catheter is in place, the catheter may be blocked by blood, thick sediment, or a kink in the catheter or drainage tubing. Sometimes spasms are caused by the catheter irritating the bladder, prostate or penis. Such spasms can be controlled with medication such as butylscopolamine, although most patients eventually adjust to the irritation and the spasms go away.
urinary incontinence (incontinence of urine) loss of control of the passage of urine from the bladder; see also enuresis. It can be caused by pathologic, anatomic, or physiologic factors affecting the urinary tract, as well as by factors entirely outside it. See also urinary elimination, altered.
Sling. The doctor performs sling procedures through a vaginal incision and uses natural tissue, man-made sling material, or synthetic mesh tape to cradle the bladder neck or urethra, depending on the type of sling procedure being performed. The doctor attaches the sling to the pubic bone or pulls the sling through an incision behind the pubic bone or beside the vaginal opening and secures it with stitches.
Rugrats Go Wild.The Rugrats embark on a relaxing family “cruise,” only to have a storm sink their boat! They find themselves marooned on an island with no phone, radio, or…diapers! The adults, thinking they’re on a deserted island, try to find a way to survive. Meanwhile Tommy Pickles and the other babies run into the Thornberrys!Tommy is sure that his hero, Nigel Thornberry, can help them get o …
Prostate problems . An enlarged prostate can press against the urethra (the tube that carries urine out the body) and block the flow of urine. This causes the bladder wall to become irritable. The bladder begins to contract even when it contains small amounts of urine, causing more frequent urination.
People with urge incontinence cannot hold their urine long enough to get to the toilet in time; it is also called overactive bladder. Healthy people can have urge incontinence, but it is often found in elderly people or in those who have diabetes, stroke, Alzheimer’s disease, Parkinson’s disease, or multiple sclerosis.
Midurethral slings are newer procedures that you can have on an outpatient basis. These procedures use synthetic mesh materials that the surgeon places midway along the urethra. The two general types of midurethral slings are retropubic slings, such as the transvaginal tapes (TVT), and transobturator slings (TOT). The surgeon makes small incisions behind the pubic bone or just by the sides of the vaginal opening as well as a small incision in the vagina. The surgeon uses specially designed needles to position a synthetic tape under the urethra. The surgeon pulls the ends of the tape through the incisions and adjusts them to provide the right amount of support to the urethra.
Vulvovaginitis is the irritation of the skin in and around the vagina for girls and the opening of the urethra for boys. This condition can cause symptoms similar to any urinary tract infection, and frequent urination is one of them. This condition usually occurs in girls before puberty when the skin around the vaginal area becomes highly sensitive.
Disposable briefs are the most common solution to total bowel or bladder control loss. Of all the types of incontinence products out there, these protective adult briefs offer the most consistent leakage protection, the highest absorbency and the most security. They generally feature a cloth-like or plastic outer surface, a highly absorbent inner core, leg elastics, and either tape tabs or hook-and-loop fasteners.
If you are incontinent because your bladder never empties completely-overflow incontinence-or your bladder cannot empty because of poor muscle tone, past surgery, or spinal cord injury, you might use a catheter to empty your bladder. A catheter is a tube that you can learn to insert through the urethra into the bladder to drain urine. You may use a catheter once in a while or on a constant basis, in which case the tube connects to a bag that you can attach to your leg. If you use an indwelling-long-term-catheter, you should watch for possible urinary tract infections.
Fastened Style – This type of adult diaper is better suited for those who are bedridden and not mobile on their own. They have fasteners on the sides just like regular diapers and go on and off the same way. For this reason, if the wearer is mobile and self sufficient, this style is not very practical or easy to put on.
Although many people will improve their continence through medications, pelvic-muscle exercises, and bladder training, some will never achieve complete dryness. Sometimes treatment failures are due to concurrent use of other necessary medications, such as diuretics (water pills that increase urination), that actually can cause incontinence. Others may have dementia or other physical impairments that keep them from being able to perform pelvic-muscle exercises or retrain their bladders. Many will be cared for in long-term care facilities or at home. The following recommendations can help keep the chronically incontinent drier and reduce their cost of care:
You can get on track for good urologic health with better eating habits and small changes to your lifestyle. Read our Living Healthy section to find healthy recipes and fitness tips to manage and prevent urologic conditions.
However, it is possible to have a functionally small bladder, which means your for any number of reasons, can’t hold a lot of urine. Bladder muscles (detrusor) and/or the bladder sphincter muscles become overactive and as a result there is a constant need to void.
What you should know – This is a brief with tabs (built like a large baby diaper with tabs on the side as opposed to a pull up like underwear) that secures well around the waist and leg openings. This is the alternative to the pullup style Tranquility Premium Overnight Disposable Underwear. For some people, the pullup style does not work for different reasons. This product gives you the same maximum capacity and the same high quality as product #1 above.
Astronauts wear trunklike diapers called “Maximum Absorbency Garments”, or MAGs, during liftoff and landing. On space shuttle missions, each crew member receives three diapers—for launch, re-entry and a spare in case re-entry has to be waved off and tried later. The super-absorbent fabric used in disposable diapers, which can hold up to 400 times its weight, was developed so Apollo astronauts could stay on spacewalks and extra-vehicular activity for at least six hours. Originally, only female astronauts would wear Maximum Absorbency Garments, as the collection devices used by men were unsuitable for women; however, reports of their comfort and effectiveness eventually convinced men to start wearing the diapers as well. Public awareness of astronaut diapers rose significantly following the arrest of Lisa Nowak, a NASA astronaut charged with attempted murder, who gained notoriety in the media when the police reported she had driven 900 miles, with an adult diaper so she would not have to stop to urinate. The diapers became fodder for many television comedians, as well as being included in an adaptation of the story in Law & Order: Criminal Intent, despite Nowak’s denial that she wore them.
In 2006, seventeen students taking a geriatrics pharmacotherapy course participated in a voluntary “diaper experience” exercise to help them understand the impact incontinence has on older adults. The students, who wore adult diapers for a day before writing a paper about it, described the experience as unfamiliar and physically challenging, noting that being in diapers had a largely negative impact on them and that better solutions to incontinence are required. However, they praised the exercise for giving them insight into incontinence and the effect it has on peoples’ lives.
The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) has many research programs aimed at finding treatments for urinary disorders, including urinary incontinence. The NIDDK is sponsoring the Urinary Incontinence Treatment Network (UITN), a consortium of urologists and urogynecologists who are evaluating and comparing treatment methods for stress and mixed incontinence in women. The goal of the first study, completed in 2007, was to learn which treatment methods have the best short- and long-term outcomes for treating stress urinary incontinence in women. Ongoing studies focus on treatments for urge incontinence and minimally invasive treatments for stress incontinence.
^ a b Bø, Kari; Herbert, Robert D. (2013-09-01). “There is not yet strong evidence that exercise regimens other than pelvic floor muscle training can reduce stress urinary incontinence in women: a systematic review”. Journal of Physiotherapy. 59 (3): 159–168. doi:10.1016/S1836-9553(13)70180-2. ISSN 1836-9553. PMID 23896331. There is not yet strong evidence that alternative exercise regimens can reduce urinary leakage in women with stress urinary incontinence.
The urinary bladder is comprised of nerves, muscles, and connective tissue. The most important muscle in the bladder is the detrusor muscle. In normal circumstances, when the bladder fills with urine, it can stretch to hold the urine. When the volume in the bladder reaches close to 300 cc, the stretch in the wall of the bladder can trigger a nerve response to initiate urination (micturition). This reaction results in loosening of the sphincter in the neck of the bladder (connecting the bladder to the urethra) and contraction of the detrusor muscle so that urination can ensue. This response can be overridden voluntarily by an individual to prevent urination if it is not the right time or place.
In bladder filling, sympathetic nerve fibers that originate from the T11 to L2 segments of the spinal cord, which innervate smooth-muscle fibers around the bladder neck and proximal urethra, cause these fibers to contract, allowing the bladder to fill. As the bladder fills, sensory stretch receptors in the bladder wall trigger a central nervous system (CNS) response. During bladder filling, the intravesical pressure remains low as a result of the viscoelastic properties of the bladder and antagonism of the parasympathetic nervous system (PNS).
Schedule trips to the bathroom. You can keep a journal to see how often you need to go and delay that time. You can start with 10 minute delays and work your way up to every three to four hours. Most women should be able to wait three to six hours between bathroom breaks.
Imagine not being able to travel, enjoy a movie and dinner with your partner, work out at your gym, lift your child or groceries, as you may have an accident. You can not be away from home any length of time, you absolutely must know where the bathrooms are located in the shopping mall, you are embarrassed to have intimate relations with your mate and in some cases individuals have quit their jobs.
Once thought to be biologically inert, the urothelium may also have a role in OAB (see the image below). The urothelium communicates directly with suburothelial afferents acting as luminal sensors. Low pH, high potassium concentration, and increased osmolality in the urine can influence sensory nerves. Activation of suburothelial afferent fibers without changes in the smooth muscle may lead to urgency. Activation of the suburothelial afferents in the presence of enhanced smooth-muscle coupling may lead to urgency and unstable detrusor contractions. [8, 9]
Although overactive bladder isn’t thought to be a life-threatening condition, the condition can greatly affect a person’s quality of life. Many treatments are available to lessen symptoms, although doctors can’t cure the condition.
Retraining: Your doctor may recommend keeping a diary of your bladder control. It might include how much fluid you consume, how often you feel like you have to go to the bathroom, and whether you had any leakage. This might help you plan trips to the bathroom and fluid intake.
Stress incontinence is characterized by urine leakage associated with increased abdominal pressure from laughing, sneezing, coughing, climbing stairs, or other physical stressors on the abdominal cavity and, thus, the bladder. [2, 3] Urge urinary incontinence is involuntary leakage accompanied by or immediately preceded by urgency. Mixed urinary incontinence is a combination of stress and urge incontinence; it is marked by involuntary leakage associated with urgency and also with exertion, effort, sneezing or coughing.
Odor Reduction – The Tranquility Slimline has the peach mat core. This core wicks away any fluids so quickly that it eliminates any chance of odor. By retaining the fluid in the core, it eliminates the tell-tale odors.
Scheduled toilet trips. Setting a schedule for toileting — for example, every two to four hours — gets you on track to urinate at the same times every day rather than waiting until you feel the urge to urinate.