The health care professional will take a medical history and ask about symptoms, patterns of urination and urine leakage, bowel function, medications, history of childbirth, and past pelvic operations. To prepare for the visit with the health care professional, a woman may want to keep a bladder diary for several days beforehand. Information that a woman should record in a bladder diary includes
Additional Products or Alternatives – You also can add booster pads to add to the capacity of the product (see honorable mention below). Additionally, a good product for daytime use with same features is the Tranquility Slimline Disposable brief.
There is nothing more annoying at work, or during a social event, than to have to constantly get up to use the bathroom. Not only is it uncomfortable and it can also be quite embarrassing for some. The good news is that you’re not necessarily stuck with a lifetime of frequent visits to the “loo.” Instead, it’s likely just a sign that something in your health or diet is out of balance.
You may be wondering how much is “normal” to pee in one day? The typical urine output in a 24-hour period varies between 4-8 times daily, depending on food and liquid intake and activity level. You may be peeing more often because its hot outside and you’re drinking more water, or perhaps work has been busy and your caffeine intake has increased. On the other hand, increased urination can also be a red flag for more serious medical conditions.
Overactive bladder can occur at any age, but it is most common in the elderly population. Recent surveys have suggested a prevalence of 10%-20% in the population over 40 years of age with similar numbers in men compared to women. It is worth mentioning, however, that men tend to develop this condition later in life than do women.
Incontinence occurs when micturition physiology, functional toileting ability, or both have been disrupted.  The underlying pathology varies among the different types of incontinence (ie, stress, urge, mixed, reflex, overflow, and functional incontinence).
While the first mention of urinary incontinence occurs in 1500 BC in the Ebers Papyrus, the first mention of FI in a medical context is unknown. For many centuries, colonic irrigation was the only treatment available. Stoma creation was described in 1776, FI associated with rectal prolapse in 1873 and anterior sphincter repair in 1875. During the mid 20th Century, several operations were developed for instances where the sphincters were intact but weakened. Muscle transpositions using the gluteus maximus or the gracilis were devised, but did not become used widely until later. End-to-end sphincteroplasty is shown to have a high failure rate in 1940. In 1971 Parks and McPartlin first describe an overlapping sphincteroplasty procedure. Biofeedback is first introduced in 1974. In 1975, Parks describes post anal repair, a technique to reinforce the pelvic floor and EAS to treat idiopathic cases. Endoanal ultrasound is invented in 1991, which starts to demonstrate the high number of occult sphincter tears following vaginal deliveries. In 1994, the use of an endoanal coil during pelvic MRI shows greater detail of the anal canal than previously. During the last 20 years, dynamic graciliplasty, sacral nerve stimulation, injectable perianal bulking agents and radiofrequency ablation have been devised, mainly due to the relatively poor success rates and high morbidity associated with the earlier procedures.
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.
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.
Nocturia is a symptom where the person complains of interrupted sleep because of an urge to void and, like the urinary frequency component, is affected by similar lifestyle and medical factors. Individual waking events are not considered abnormal, one study in Finland established two or more voids per night as affecting quality of life.
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Overfilling of the bladder can occur if the outlet from the bladder is obstructed so urine backs up in the bladder or if the bladder muscle does not work so urine is not completely expelled from the bladder during urination. People with overflow incontinence may feel like the bladder does not empty completely, their urine flows out slowly, and/or that urine dribbles out after voiding. Symptoms of overflow incontinence may be similar to those of mixed incontinence. A small amount of urine may be lost when intra-abdominal pressure is increased. There may be symptoms of frequency and urgency as the detrusor muscle attempts to expel urine.
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Laxity of the pubourethral ligaments (ie, anterior zone of damage), mid vagina (ie, middle zone), and uterosacral ligaments (ie, posterior zone) make the usual tridirectional support of the vagina ineffective. With the vagina no longer properly tethered to the pelvic girdle, the usual neuromuscular actions that occur during increases in intra-abdominal pressure or pelvic floor relaxation during voiding are not translated as effectively into urethral closure and opening, respectively.
Urge incontinence is involuntary urine loss associated with a feeling of urgency. The corresponding urodynamic term is detrusor overactivity, which is the observation of involuntary detrusor contractions during filling cystometry. [16, 17] These contractions may be voluntary or spontaneous and may or may not cause symptoms of urgency and/or urgency incontinence.
If you lose urine for no apparent reason after suddenly feeling the need or urge to urinate, you may have urge incontinence. A common cause of urge incontinence is inappropriate bladder contractions. Abnormal nerve signals might be the cause of these bladder spasms.
^ Jump up to: a b c d Norton, C; Cody, JD (Jul 11, 2012). “Biofeedback and/or sphincter exercises for the treatment of faecal incontinence in adults”. Cochrane Database of Systematic Reviews. 7: CD002111. doi:10.1002/14651858.CD002111.pub3. PMID 22786479.
Kegel exercises: These are exercises in which you contract and release the pelvic floor muscles. These are the muscles you use when you voluntarily stop and then restart the flow of urine. Toning these muscles can help improve bladder control and reduce urinary urgency and frequency. Squeeze for three seconds, then relax for three seconds. Repeat 10 to 15 times per session, and do this at least three times a day. Kegel exercises are only effective when done regularly.
Liberman JN, Hunt TL, Stewart WF, Wein A, Zhou Z, Herzog AR, et al. Health-related quality of life among adults with symptoms of overactive bladder: results from a U.S. community-based survey. Urology. 2001 Jun. 57(6):1044-50. [Medline].
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Wallner LP, Porten S, Meenan RT, O’Keefe Rosetti MC, Calhoun EA, Sarma AV, et al. Prevalence and severity of undiagnosed urinary incontinence in women. Am J Med. 2009 Nov. 122(11):1037-42. [Medline]. [Full Text].
Bladder training can be difficult but becomes easier with time and perseverance. It works best if combined with advice and support from a continence advisor, nurse or doctor. Make sure you drink a normal amount of fluids when you do bladder training (see above).
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.
Mills and colleagues conducted a comparison study of bladder muscle strips from patients with severe idiopathic detrusor overactivity and from organ donors with no known urologic problems.  The following are some of the findings:
Frequent urination describes the need to urinate more often than usual. However, there is not really a clear definition of “frequent” when it comes to how often you urinate. The key to deciding if you have issues with frequent urination is whether… Read More
Stress incontinence can worsen during the week before your menstrual period. At that time, lowered estrogen levels might lead to lower muscular pressure around the urethra, increasing chances of leakage. The incidence of stress incontinence increases following menopause.
Urge incontinence occurs due to overactivity of the detrusor muscle. The hallmark symptom of this kind of urinary incontinence is a sudden, overwhelming urge to void, accompanied by loss of urine. Frequent urination and nighttime urination often occur with this type of urinary incontinence. The amount lost is variable. Hearing running water or changing position may trigger bladder contractions and lead to urine loss. This type of incontinence can occur in anyone of any age, but it is more typical with advancing age. Just 9% of women between the ages of 40 and 44 suffer from urge incontinence while 31% of women over the age of 75 suffer from the condition.
Less frequent causes of urinary incontinence include complications of urologic procedures or pelvic radiation therapy. In the pediatric population, it includes enuresis and congenital abnormalities of the genitourinary system.
In women without urethral hypermobility, the urethra is stabilized during stress by three interrelated mechanisms. One mechanism is reflex, or voluntary, closure of the pelvic floor. Contraction of the levator ani complex elevates the proximal urethra and bladder neck, tightens intact connective tissue supports, and elevates the perineal body, which may serve as a urethral backstop.
Mirabegron (Myrbetriq). Used to treat urge incontinence, this medication relaxes the bladder muscle and can increase the amount of urine your bladder can hold. It may also increase the amount you are able to urinate at one time, helping to empty your bladder more completely.
Absorbent incontinence products come in a wide range of types (drip collectors, pads, underwear and adult diapers), each with varying capacities and sizes. The largest volume of products that is consumed falls into the lower absorbency range of products, and even when it comes to adult diapers, the cheapest and least absorbent brands are used the most. This is not because people choose to use the cheapest and least absorbent brands, but rather because medical facilities are the largest consumer of adult diapers, and they have requirements to change patients as often as every two hours. As such, they select products that meet their frequent-changing needs, rather than products that could be worn longer or more comfortably.
^ Jump up to: a b c d e f g h Gormley, EA; Lightner, DJ; Burgio, KL; Chai, TC; Clemens, JQ; Culkin, DJ; Das, AK; Foster HE, Jr; Scarpero, HM; Tessier, CD; Vasavada, SP; American Urological, Association; Society of Urodynamics, Female Pelvic Medicine & Urogenital, Reconstruction (December 2012). “Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline”. The Journal of Urology. 188 (6 Suppl): 2455–63. doi:10.1016/j.juro.2012.09.079. PMID 23098785.
Men also may learn how to perform Kegel exercises properly by using biofeedback. Biofeedback uses special sensors to measure bodily functions, such as muscle contractions that control urination. A video monitor displays the measurements as graphs, and sounds indicate when the man is using the correct muscles. The health care professional uses the information to help the man change abnormal function of the pelvic floor muscles. At home, the man practices to improve muscle function. The man can perform the exercises while lying down, sitting at a desk, or standing up. Success with pelvic floor exercises depends on the cause of UI, its severity, and the man’s ability to perform the exercises.