Micturition requires coordination of several physiological processes. Somatic and autonomic nerves carry bladder volume input to the spinal cord, and motor output innervating the detrusor, sphincter, and bladder musculature is adjusted accordingly. The cerebral cortex exerts a predominantly inhibitory influence, whereas the brainstem facilitates urination by coordinating urethral sphincter relaxation and detrusor muscle contraction.
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Bladder retraining. This involves increasing the intervals between using the bathroom over the course of about 12 weeks. This helps retrain your bladder to hold urine longer and to urinate less frequently.
OnabotulinumtoxinA (Botox) is a toxin that is injected directly into the bladder muscle with a cystoscope and may be repeated every four to six months. The effects of the toxin are to prevent the release of chemicals from the nerves that supply the bladder, preventing stimulation of the bladder muscle. As the chemical cannot spread very far when injected, to treat the bladder adequately, multiple injections of a small amount of the toxin are necessary for the treatment to be effective. In most individuals, this can be done in the office. The treatment does not cause permanent changes and thus will require periodic retreatments for the effect to be continued. Serious side effects are unusual but may include difficulty breathing, difficulty swallowing, difficulty talking, muscle weakness, and more commonly, urinary tract infection and urinary retention. Individuals undergoing injection of Botox into the bladder muscle must be willing to perform clean, intermittent catheterization to empty the bladder.
Kegel Exercises: These exercises require you to contract and release your pelvic floor muscles. These are the same muscles that you use when you try to stop and restart the flow of urine. By toning these muscles you could improve overall bladder control and reduce the urgency as well as the frequency at which you urinate. Kegel exercises are effective if they are practiced with regularity.
A catheter is a long, thin tube inserted up the urethra or through a hole in the abdominal wall into the bladder to drain urine (suprapubic catheter). Draining the bladder this way has been used to treat incontinence for many years. Bladder catheterization may be a temporary or a permanent solution for urinary incontinence.
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.
Absorption – The McKesson Protective Underwear Ultra is designed for moderate to heavy absorption needs. It contains a dual core that will quickly wick away any fluids from the skin and retain it in the center core. This also neutralizes the pH to reduce odor at the same time.
Urodynamic testing evaluates the ability of the urethra, sphincters, and bladder to hold and expel urine. The following are urodynamic tests: electromyography, pressure flow study, cystometric testing, uroflowmetry, postvoid residual measurement, leak point pressure measurement, and video urodynamic tests.
^ Jump up to: a b c d e f g h i j Tadataka Yamada, David H. Alpers, et al., eds. (2009). Textbook of gastroenterology (5th ed.). Chichester, West Sussex: Blackwell Pub. pp. 1717–1744. ISBN 978-1-4051-6911-0.
Even though overactive bladder is a benign condition, it impacts the quality of life of those who suffer from it. Fear and embarrassment from urinary urgency, frequency, and incontinence in public and among family and friends may result in social isolation, guilt, depressive symptoms, and intimacy issues. Family members of the elderly with OAB are often dealt the burden of assisting their loved ones with toileting, cleaning, hygiene, and personal distress.
Some obvious findings may also give clues to the cause of polyuria. For example, polyuria that starts during the first few years of life is likely caused by an inherited disorder such as central or nephrogenic diabetes insipidus or type 1 diabetes mellitus.
Sacral nerve stimulation involves a health care professional implanting a battery-operated stimulator beneath the skin in the lower back near the sacral nerve. The procedure takes place in an outpatient center often with local anesthesia. Based on the person’s feedback, the health care professional can adjust the amount of stimulation so it works best for that individual. The electrical pulses enter the body for minutes to hours, two or more times a day, either through wires placed on the lower back or just above the pubic area—between the navel and the pubic hair—or through special devices inserted into the vagina. Sacral nerve stimulation may increase blood flow to the bladder, strengthen pelvic muscles that help control the bladder, and trigger the release of natural substances that block pain. The person can turn the stimulator on or off at any time. If a period of test stimulation is successful, a health care professional will implant a device that delivers regular impulses to the bladder. A health care professional places a wire next to the tailbone and attaches it to a permanent stimulator under the skin of the lower abdomen.
Typically speaking, Pollakiuria is a benign condition and often appears as numerous small voids in a potty-trained toddler. There is often no other underlying condition other than the need to urinate frequently. Doctors do not believe in treating Pollakiuria with drugs as the condition resolves on its own in about seven to 12 months.
Making modifications to your diet is one of the first steps in dealing with the problem of frequent urination. Fortunately, there are many dietary adjustments that you can make, in order to alleviate the problem of going to the washroom every now and then.
Our Care Experts will help answer these and any other questions you have with a personal consultation. We stand by the “fit and comfort” policy with our customers. Using your current waist/hip dimensions, current needs and body type we will filter out a select group of products that we feel will work for you.
We start with the best products and go down to the least most important, but they are all fantastic. These are all for urinary incontinence, and three of them work for bowel incontinence. If you have fecal incontinence, #5, #6, and #7 are the best in the list. Remember, for bowel issues, it is best to use bowel incontinence products that are specifically designed for that purpose. To learn more about fecal incontinence, visit this site.
Parkinson’s disease is a slowly progressive neurological disease characterized by a fixed inexpressive face, a tremor at rest, slowing of voluntary movements, a gait with short accelerating steps, peculiar posture and muscle weakness, caused by degeneration of an area of the brain called the basal ganglia, and by low production of the neurotransmitter dopamine. Most patients are over 50, but at least 10 percent are under 40.
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.
Urinary incontinence is any involuntary loss of urine even if that is not considered a problem. There are different types of incontinence whose symptoms may appear to be similar. To help avoid confusion, the different types of urinary incontinence are described below.
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Spicy and acidic foods irritate the bladder lining, causing discomfort and typically increasing the need for more bathroom visits. Dehydration also allows bladder irritants closer contact with the bladder lining, making their effect more intense.
The most common group of medications used to treat overactive bladder are the anticholinergic drugs. These medications work by diminishing the activity of and relaxing the detrusor muscle. As a group, they have similar side effects, including dry mouth, blurry vision, constipation, and confusion, especially in the elderly. These drugs for OAB are taken by prescription only and should be taken under the supervision of the prescribing doctor.
For occasional minimal urine loss, panty shields (small absorbent inserts) may be used. For light incontinence, guards (close-fitting pads) may be more appropriate. Absorbent guards are attached to the underwear and can be worn under usual clothing. Adult undergarments (full-length pads) are bulkier and more absorbent than guards. They may be held in place by waist straps or snug underwear. Adult briefs are the bulkiest type of protection, they offer the highest level of absorbency, and they are secured in place with self-adhesive tape. Absorbent bed pads also are available to protect the bed sheets and mattresses at night. They are available in different sizes and absorbencies.
There are several medications recommended for the treatment of overactive bladder. Using these medications in conjunction with behavioral therapies has shown to increase the success rate for the treatment of overactive bladder.
Some experts suggest that avoidance of certain foods, such as chocolate, spicy foods, alcohol, carbonated beverages, and nuts, can be beneficial in preventing symptoms of overactive bladder. Others encourage increasing the amount of dietary fiber for people with overactive bladder. Limiting fluid intake can also help to reduce urinary frequency.
Drugs. For urge incontinence, medications known as anticholinergics/antimuscarinics (Detrol, Ditropan XL, Enablex, Oxytrol, Urispas, and Vesicare) can prevent bladder spasms. Oxytrol, Detrol, Ditropan XL, Myrbetriq, and Vesicare also are approved for women with overactive bladder (OAB). Oxytrol is available without a prescription. OAB is a condition in which the bladder squeezes too often or without warning, resulting in incontinence. Also, Botox injected into the bladder muscle causes the bladder to relax, increasing its storage capacity and reducing episodes of urinary incontinence. It can be used for adults who do not respond to or can’t use the medications listed above.
Urgency, the hallmark of OAB, is defined as the sudden compelling desire to urinate, a sensation that is difficult to defer. Urgency urinary incontinence (UUI) is urinary leakage associated with urgency. UUI is one of the most common types of urinary incontinence. Some women may have both stress urinary incontinence and UUI, and this is called mixed urinary incontinence.
Saint S, Elmore JG, Sullivan SD, Emerson SS, Koepsell TD. The efficacy of silver alloy-coated urinary catheters in preventing urinary tract infection: a meta-analysis. Am J Med. 1998 Sep. 105(3):236-41. [Medline].
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Urinary incontinence. Urodynamic recording of bladder outlet obstruction due to benign prostatic hyperplasia (BPH) in a 55-year-old man. Note that during a pressure-flow study, his maximum flow rate (Qmax) is only 6 mL/s and detrusor pressure at maximum flow rate (Pdet Qmax) is very high at 101 cm H2O. He also has a small bladder capacity (50 mL) due to chronic bladder outlet obstruction. His flow curve is flat and “bread-loaf” in pattern, which is consistent with infravesical exact function and importance of these muscles are controversial. Some authors suggest that the urethrovaginal sphincter and the compressor urethrae may provide compression and increased pressure in the distal urethra during times of stress.
The bladder is made of muscle and stores the urine. It expands like a balloon as it fills with urine. The outlet for urine (the urethra) is normally kept closed. This is helped by the muscles below the bladder that surround and support the urethra (the pelvic floor muscles).