Important contributions to the understanding of the structure and functioning of the lower urinary tract include an improved understanding of the anatomy and dynamic functioning of the pelvic floor and its contribution to continence. In addition, much study has been conducted to bolster the understanding of the neurophysiology of the bladder, urethra, and pelvic floor. Finally, interest in the diagnosis and treatment of incontinence is ongoing.
Studies show that many things increase risk. For example, aging is linked to urinary incontinence. Pregnancy, delivery, and number of children increase the risk in women. Women who have had a baby have higher rates of urinary incontinence. The risk increases with the number of children. This is true for cesarean section (c-section) and vaginal delivery.
Side-effects are quite common with these medicines but are often minor and tolerable. Read the information sheet which comes with your medicine for a full list of possible side-effects. The most common is a dry mouth and simply having frequent sips of water may counter this. Other common side-effects include dry eyes, constipation and blurred vision. However, the medicines have differences and you may find that if one medicine causes troublesome side-effects, a switch to a different one may suit you better.
5-alpha reductase inhibitors. Finasteride (Proscar) and dutasteride (Avodart) block the production of the male hormone dihydrotestosterone, which accumulates in the prostate and may cause prostate growth. These medications may help to relieve urgency incontinence problems by shrinking an enlarged prostate.
A person may sometimes experience these symptoms and yet not realize the degree to which they have them. There are several tools that can help assess the likelihood that the symptoms may be related to overactive bladder.
FOB Price: ( Negotiable ) Get Latest Price Min Order: 2000 Carton Supplying Ability: 100000 Carton / Month Payment Terms: L/C, T/T Business Type: Trading No. of Employees: 51-100 Tags: Babys Diapers | Adults Diapers | Sanitary Papers
An artificial urinary sphincter (AUS) made of silicone can be used in someone with total incontinence resulting from irreparable damage to the sphincter. The AUS consists of a small cuff that is placed around the urethra (bladder tube), with a reservoir (balloon) that is placed in the lower belly next to the bladder. Both of these are connected with a small tube to a valve placed in the scrotum, which the person then uses to inflate or deflate the cuff. An AUS is very effective, but it is quite expensive, and there is a risk of infection or erosion of the synthetic material.
If the doctor doesn’t find anything strange in the urinalysis, it is best to restrict your child’s fluid intake or get through this phase of fascination. You can also adopt retention control where you encourage your kid to control the urine as long as possible to increase the capacity of the bladder. Regardless of the measure you choose, make sure you get the go-ahead from your pediatric urologist before using it.
S2-S5 nerve root injury (herniation) can cause bladder dysfunction. Cauda equina syndrome can develop in patients with a large centrally protruding disk. Symptoms include bilateral leg pain and weakness, saddle anesthesia, urinary retention or incontinence, and fecal retention or incontinence. It is important to recognize this syndrome early because there is a high risk for chronic neurologic deficits if treatment is delayed.
A cystogram helps to confirm a diagnosis of stress incontinence, the degree of mobility of the urethra, and the presence of cystocele (a condition occurring in women in which the wall between the bladder and vagina weakens and allows the bladder to droop into the vagina, which may cause discomfort and problems with emptying the bladder). These radiographs (X-rays) also may demonstrate problems with the sphincter muscle (intrinsic sphincter deficiency). The presence of an abnormal connection between the bladder and the vagina (vesicovaginal fistula) also may be documented in this fashion.
The health care professional will also perform a limited physical exam to look for signs of medical conditions that may cause UI. The health care professional may order further neurologic testing if necessary. The health care professional may also perform pelvic and rectal exams.
A person with OAB can keep a diary of urinary habits, including bathroom trips, leakage, and symptoms of urgency. Based on the patterns noticed from the diary, they can begin to schedule trips by adding on 15 minutes to the usual urination times.
Surgery to increase bladder capacity. This procedure uses pieces of your bowel to replace a portion of your bladder. This surgery is used only in cases of severe urge incontinence that doesn’t respond to any other, more-conservative treatment measures. If you have this surgery, you may need to use a catheter intermittently for the rest of your life to empty your bladder.
Note: botulinum toxin A has now been approved (licensed) for the treatment of OAB syndrome in the UK. Make sure that you discuss this procedure fully with your doctor and understand all its risks and benefits before you go ahead with it.
In a cross-sectional analysis of women who participated in the 2005-2006 National Health and Nutrition Examination Survey (NHANES), Nygaard et al demonstrated that the prevalence of urinary incontinence increased with age, but reported a lower overall prevalence than other researchers. The prevalence was 6.9% in women aged 20-39 years, 17.2% in those aged 40-59 years, 23.3% in those aged 60-79 years, and 31.7% in women older than 80 years. 
Fit -The Attends Extra Absorbent Breathable Brief is contour shaped for a better form fit to your body. There are no leg gathers, the product is cut to fit properly between your legs with no added bulk. The extra wide, soft, flexible flex tabs fasten anywhere to allow for a custom fit at the leg and waist openings.
Urge incontinence. You have a sudden, intense urge to urinate followed by an involuntary loss of urine. You may need to urinate often, including throughout the night. Urge incontinence may be caused by a minor condition, such as infection, or a more-severe condition such as a neurologic disorder or diabetes.
Certain medications may lead to symptoms of OAB. Diuretics can cause urge incontinence because of increased bladder filling, stimulating the detrusor. Bethanechol can also cause urge incontinence through its stimulation of bladder smooth-muscle contraction.
For an ultrasound, or sonography, a technician holds a device, called a transducer, that sends harmless sound waves into the body and catches them as they bounce back off the organs inside to create a picture on a monitor. In abdominal ultrasound, the technician slides the transducer over the surface of your abdomen for images of the bladder and kidneys. In transrectal ultrasound, the technician uses a wand inserted in the rectum for images of the prostate.
The second mechanism involves intact connective tissue support to the bladder neck and urethra. The pubocervicovesical or anterior endopelvic connective tissue in the area of the bladder neck is attached to the back of the pubic bone, the arcus tendineus fascia pelvis, and the perineal membrane. The pubourethral ligaments also suspend the middle portion of the urethra to the back of the pubic bone.
For individuals with a decompensated bladder that does not empty well, the postvoid residual urine can lead to overgrowth of bacteria and subsequent urinary tract infection (UTI). Untreated UTIs may lead to urosepsis and death.
Another common symptom of OAB is urge incontinence. This happens when the urge to urinate is so strong that you can’t control it, causing urine to leak before you make it to the bathroom. It may occur when you laugh, sneeze, cough, or exercise.
In women with stress urinary incontinence, either or both mechanisms may be present, although some authors hold that stress incontinence does not develop in patients with poor pelvic support unless intrinsic sphincter deficiency is also present. Intrinsic sphincter deficiency, resulting from loss of function of both the internal and the external sphincter mechanism, is the only cause of stress incontinence in males.
The only two functions of the bladder are to store urine and to expel urine in a co-ordinated fashion under appropriate circumstances. The bladder needs to be of adequate capacity and compliance in order to store urine. The tone within the bladder neck and sphincter (valve) prevents urine from leaking from the bladder. During voiding the bladder muscle contracts while the sphincter relaxes in a coordinated fashion.
Percutaneous tibial nerve stimulation uses electrical stimulation of the tibial nerve, which is located in the ankle, on a weekly basis. Anesthesia is not normally needed for the procedure. In an outpatient center, a health care professional inserts a battery-operated stimulator beneath the skin near the tibial nerve. Electrical stimulation of the tibial nerve prevents bladder activity by interfering with the pathway between the bladder and the spinal cord or brain. Although percutaneous tibial nerve stimulation is considered safe, researchers continue to study the exact ways it prevents symptoms and how long the treatment can last.
UTIs can develop anywhere in the urinary system, but they commonly occur in the bladder and urethra. They’re more common in women than men because women have a shorter urethra. This allows bacteria to travel more easily to the bladder and cause infection. The symptoms of a UTI include:
Will send condoms (trust etc ) and adult diapers, and pregnancy test kits direct to your doorstep with the required privacy. Will quote for product and delivery using urgent mail to the buyer,no one else. Anywhere in south africa
We provide free patient education materials on urologic health to patients, caregivers, community organizations, healthcare providers, students and the general public, pending availability. Take advantage by building your shopping cart now!
In case the problem is caused by a medical health condition, you need to go through the right treatment. However, after going through the required tests, if you have confirmed that the frequent urination is not a result of an underlying medical problem, you could try a few self-help steps and home, to deal with the inconvenience you are going through. Given below are a few simple remedies for frequent urination:
FI affects virtually all aspects of peoples’ lives, greatly diminishing physical and mental health, and affect personal, social and professional life. Emotional effects may include stress, fearfulness, anxiety, exhaustion, fear of public humiliation, feeling dirty, poor body-image, reduced desire for sex, anger, humiliation, depression, isolation, secrecy, frustration and embarrassment. Some people may need to be in control of life outside of FI as means of compensation. The physical symptoms such as skin soreness, pain and odor may also affect quality of life. Physical activity such as shopping or exercise is often affected. Travel may be affected, requiring careful planning. Working is also affected for most. Relationships, social activities and self-image likewise often suffer. Symptoms may worsen over time.
Urinary incontinence is an underdiagnosed and underreported problem that with age—affecting 50-84% of the elderly in long-term care facilities  —and at any age is more than twice as common in females than in males.
In total, an estimated $12.6 billion per year is spent in OAB-related costs in the United States (see the image below). Some of these costs (eg, those related to physician visits, protective devices, management of UTIs, and skin infection and irritation) are obvious. Others are not. For example, decreased productivity and lost wages due to OAB is estimated to cost $841 million per year.
In 1989, the National Institutes of Health Consensus Development Conference estimated the annual cost of urinary incontinence in the United States to be $12.4 billion. Some experts believe that this is a conservative estimate. True costs can be difficult to estimate because many individuals do not come to the attention of medical specialists.