Concerned About Urinary Incontinence Please Come See Us
If you are experiencing the embarrassment and inconvenience of urinary incontinence, please call 232-1919 to make an appointment with one of our Westchester Health urology specialists for an accurate diagnosis and immediate treatment. The sooner we can begin treatment, the faster you can control your bladder and enjoy life to the fullest. Whenever, wherever you need us, were here for you.
Treatment For Urinary Incontinence In Elderly Female
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Diagnosis Of Urinary Incontinence In Men
If you feel that you are going through this condition, then feel free to reach out to us at Bizrahmed, Dubai. At our clinic, you will be treated by an expert and experienced urologist specialist who will analyzed the case and determine the most appropriate medication for your urinary incontinence condition. A detailed biography and physical examination, including a pelvic examination, will be conducted initially.
Tests listed below may be recommended to help validate the diagnosis:
- Urinalysis: A sample of your urine is analyzed to check for infection, blood, or other abnormalities.
- Stress test: To determine whether stress on the bladder triggers leaking, you will be asked to cough or lean with a full bladder.
- Post-void residual urine measurement: A thin, soft tube called a catheter will be placed into the bladder to remove and measure the excess urine. This should be then checked to see if urine persists, once you have drained the bladder entirely. An ultrasound examination of the bladder will also be carried out.
- Cystoscopy: Inspecting the interior of the bladder with the aid of a viewing telescope called a cystoscope to physically search for irregularities.
- Urodynamic testing: This testing is done by placing a short tube into the bladder or probing the bladder with X-rays to assess the bladder and urethral sphincter muscle structure.
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The Use Of Incontinence Products
As you gradually strengthen your pelvic muscles and slowly take control of your bladder, you may need to use incontinence products to better manage your condition. Incontinence products include incontinence pads, reusable underpants, handheld urinals, urethral or vaginal inserts for women, and a catheter, clamp, or urine collector for men.
If after conservative treatment methods, urinary incontinence still remains an issue, your doctor may recommend the use of medication, bulking agents, medical devices, and even surgery.
Anticholinergic Drugs For Oab
The largest class of drugs used to treat OAB is anticholinergic drugs. They work by blocking a chemical in your body called acetylcholine. This chemical sends a message to your bladder to contract. By blocking this chemical, these drugs reduce the contractions that cause you to release urine. In studies that compared the drugs, all anticholinergics worked in treating OAB.
Anticholinergics are sold under different brand names. Some are also available as generic drugs. These medications include:
All of these drugs except for Oxytrol come as either tablets or capsules that you take by mouth. Oxytrol is available as a skin patch.
The most common side effects of anticholinergic drugs include:
- dry mouth
- blurry vision
Seniors have the greatest risk of side effects from these drugs. These medications may also cause drowsiness and an increased risk of falls in seniors. Oxybutynin may cause more side effects than the other drugs in this class. However, taking oxybutynin in its extended-release form may reduce some of the side effects. Anticholinergics may also worsen dementia symptoms and should be used with caution in people with this disease.
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How Is Urinary Incontinence Diagnosed
Talk with your health care team if you have a problem controlling your bladder. They will work with you to figure out the reason. They may recommend you writing down some details about your urination, including when you urinate, how often you urinate, and how much liquid is released. This is called a “voiding diary.” Your health care provider may also give you the following tests:
Tests on a sample of your urine to look for an infection or other problems.
A test where you cough as hard as you can when your bladder is full.
Tests to measure pressure in your bladder.
Tests to measure how well your urine is flowing.
An ultrasound. This uses sound waves to create a picture of your bladder and the other body parts that control urine.
A cystoscopy. This test uses a small, lighted tube to look inside your bladder.
An X-ray of your bladder.
Bladder Anatomy And Physiology
The anatomy and physiology of the bladder are complex, but a basic understanding of these topics is essential in order to appreciate the various types of UI and their management., illustrates the basic anatomic structures and nervous system wiring involved in bladder function, including the detrusor muscle, the internal and external sphincters , and their neurological components.
Bladder anatomy and physiology.
Reduced activation of the sympathetic nervous system results in relaxation of the detrusor muscle, closure of the sphincter, and bladder filling. When the volume of urine in the bladder reaches 200 to 400 mL, the sensation of urge to void is relayed via the spinal cord to the brain centers. Voluntary voiding involves the parasympathetic nervous system and the voluntary somatic nervous system. Influences from these systems cause contractions of the detrusor muscle and corresponding somatic nervous activity, leading to sphincter relaxation.
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Are There Other Ways To Treat Incontinence
Yes. Medicines or medical devices can treat some types of urinary incontinence. For example, estrogen cream to put in the vagina can be helpful for some women who have mild stress incontinence. Several prescription medicines are available to treat urge incontinence. For men, prescription medicine is available to shrink the prostate and improve flow of urine through the prostate. Talk to your doctor about possible medicine options for your type of incontinence.
In some cases, surgery may be an option. Treatment depends on what type of urinary incontinence you have and what is causing it.
Pads Or Adult Diapers
Alright, lets not beat around the bush here. Adult diapers, really? No one should be in adult diapers until it comes to the point where it is extremely difficult to get to a toilet. But unfortunately, women wear them to absorb their uncontrollable bladder leakage.
This is one of the more popular treatments because pads are readily available in all supermarkets and convenience stores. But here is what I was talking about when I say this is a treatment. This does not fix your problem of urinary incontinence it hides your problem.
Pads or adult diapers are extremely absorbent and can absorb most leakages throughout the day. Many women like this option because it is basically 24-hour protection, and they can easily carry pads anywhere they go.
However, ladies, as we all know pads, are not comfortable what so ever. Not only does it feel like you have a wedgie 24/7, but pads are also irritating and bulky that can cause rashes due to the urine coming in contact with the skin. As if that isnt bad enough, there can be smells associated with pads or adult diapers just from urine or leakage sitting over time.
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Eating To Reduce Constipation
Sometimes constipation can place extra pressure on your bladder. You can prevent constipation by exercising regularly and including more fiber in your diet. Foods high in fiber include beans, whole-wheat breads, fruits, and vegetables.
The Cleveland Clinic recommends eating 2 tablespoons of a mixture of 1 cup of applesauce, 1 cup unprocessed wheat bran, and 3/4 cup of prune juice every morning to promote bowel regularity.
Choosing The Best Treatment
Treatment options have expanded rapidly over the last few years, making solutions much more feasible for women of all ages. These include:
For both stress and urge incontinence:
- Physical therapy Considered an effective and non-invasive treatment, physical therapy that includes techniques such as pelvic floor muscle exercise , bladder retraining and biofeedback can reduce or eliminate both stress and urge urinary incontinence in most women. Youll want to find a physical therapist specially trained in the area of incontinence ask your doctor for a referral. The physical therapist will create a treatment plan designed to meet your needs.
For urge incontinence:
For stress urinary incontinence:
- Vaginal devices Some devices, inserted vaginally, can help improve stress urinary incontinence without the risks of surgery. A pessary is a silicone ring inserted into the vagina by your doctor, similar to a vaginal contraceptive diaphragm. The pessary helps support the urethra to prevent leakage. It can remain in place long-term but needs monitoring by the doctor to avoid problems with vaginal abrasions.Another device, called Impressa®, can be inserted by a woman like a tampon to lift and give support to the urethra. It can reduce or prevent urine leaks for up to eight hours.
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What Causes Bladder Leaks
There are two main types of urinary incontinence:
If you have this type, activities that raise the pressure inside your abdomen cause urine to leak through the ring of muscle in your bladder that normally holds it in. Coughing, sneezing, jumping and lifting heavy objects could lead to a leak.
Going through childbirth, smoking or being overweight can raise the risk of stress incontinence for women, Wright says. Stress incontinence in men is rare, and when it arises, its often due to prostate cancer treatment, such as radiation or surgery.
With this type, your brain, spinal cord and bladder dont work together properly to allow you to hold and release urine at the right time. Your bladder may suddenly empty itself without warning. Or you may feel like you need to urinate frequently, a problem called overactive bladder.
Some diseases that affect the nervous system, such as multiple sclerosis or stroke, can cause this kind of incontinence, says Wright. In men, an enlarged prostate may be the culprit. But in many cases, doctors dont know what causes urge incontinence.
It is possible to have both types of incontinence at the same time.
TRY IT: Keep Records
Your doctor will want to know as much as possible about your bladder leakswhen they occur, how much urine comes out, and what youre doing when leaks happen. Consider keeping a diary of when you urinate and when you have leaks, recommends Wright.
What Are The Symptoms Of Incontinence
The main symptom of incontinence is a leakage of urine. This could be a constant dripping of urine or an occasional experience of leakage. If you have incontinence, you might have large amounts or small amounts of leaked urine. You might experience leakage for a wide variety of reasons often depending on the type of incontinence you have.
You might leak urine when you:
- Have an urge to urinate, but cant make it to the toilet on time.
- Have to get up in the middle of night to urinate .
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Treatments For Urinary Incontinence
Healthcare providers can help find the best treatment for urinary incontinence. There are many different options available such as:
If you have urinary incontinence, your provider might prescribe a catheter A balloon holds the tube inside your bladder. The catheter drains urine out of the bladder into a bag outside the body.
Urine drainage bags
If you have urinary incontinence, your provider might prescribe a urine drainage bag to help collect urine coming out of the bladder. You can hide it under clothing and strap it to your leg. Your doctor can help you find a urine drainage bag thats the right size for you and feels comfortable to wear.
Catheters for intermittent catheterization
Your doctor may recommend a catheter that you dont have to wear all the time. Instead, you or your healthcare provider can insert and remove clean catheters 3 to 5 times a day. This helps decrease the chance of infection.
Some providers may recommend that you use adult pads or adult diapers. These products help absorb urine leaking from the bladder, which helps protect your skin and clothes. You have the option of purchasing absorbent products that you throw away after each use, or you can purchase reusable products.
Some people who experience urinary incontinence may have concerns about getting to a toilet in time. Toilet substitutes like commodes can provide convenience and peace of mind.
How Is Female Incontinence Diagnosed
Because there are many different factors that can contribute to urinary incontinence, a doctor will first take a take a detailed medical history and conduct a physical exam. A qualified nurse practitioner will also perform a test for involuntary urine loss by inserting a small catheter to empty the bladder completely and then fill it with water. With a bladder full of water, you will be asked to cough and bear down, and the nurse will measure the amount of water that escapes
This evaluation will help determine if the condition is severe enough to warrant a urodynamic study, which measures the activity of the bladder as it fills and empties. This will help determine the cause and severity of the problem and guide the best treatment.
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Urinary Incontinence For Women
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Diagnosis Of Female Incontinence
Tests and procedures to determine incontinence in women include:
- Medical history
- Cough stress test
- Cystoscopy enables an urologist to view the inside of the bladder and urethra via a thin tube.
- Urodynamics tests help your doctor or nurse see how well your bladder and sphincter muscles work.
- Voiding diary
Treatment for overflow incontinence may involve:
- Medication or surgery to remove possible obstruction
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Treatment For Urinary Incontinence In Men
Urinary incontinence treatment in Dubai depends on the form, severity, and root cause of incontinence. By changing a couple of routines and doing workouts to improve the muscles that keep urine in the bladder, many men recover their urinary function. The patient will be recommended to take some drugs if certain behavioral therapies fail.
Surgery is the only suitable alternative in some situations. Your urology specialist will let you know all the possible treatment options that include:
- Bladder training- This helps to avoid urination after the patient experiences the need to urinate. The goal of this treatment is to extend the time lapse between your urge to urinate.
- Double voiding- This involves urinating followed by standing, and then trying it again for a few minutes. To prevent leakage incontinence, this is expected to make the patient aware of how to drain their bladder fully.
- Scheduled bathroom visits- This involves urinating every two or four hours daily rather than waiting for the need to go.
- Pelvic floor muscle workouts- This aim to strengthen the muscles that help regulate urination. These techniques, known as Kegel exercises, help strengthen weak pelvic muscles and enhance control of the bladder
Certain surgical interventions can cure the complications inducing urinary incontinence if other therapies fail to manage symptoms.
What The Caregiver Can Do
- Encourage or help the patient with appropriate skin care after using the bathroom. Use warm water and pat the area dry.
- Help the patient keep a diary that records specific foods or drinks that may affect how frequently the patient goes to the bathroom.
- Help the patient maintain a bladder or bowel plan.
- Encourage the patient to go to the bathroom at consistent time frames during the day, like after a meal.
- Encourage regular daily exercise, as permitted by the health care team.
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Diagnosis For Urinary Incontinence
Only a licensed healthcare professional can diagnose urinary incontinence. The best treatment for urinary incontinence depends on the underlying cause and the type of urinary incontinence you have. To determine a diagnosis, your doctor may have you undergo a physical exam and complete other tests.
You will record how much you drink and urinate each day and whether you experienced bladder leakage or a strong desire to urinate.
Post-void residual measurement
Your doctor will ask you to urinate into a container. The doctor checks the amount of urine left in your bladder using ultrasound . The doctor can help determine if you have an obstruction in your bladder or a problem with your bladder or nerves.
Urinary Incontinence In Queens Creek: Get Reliable Help
The urinary bladder has two main functions. First, it stores urine when you dont want to urinate and empty on demand when you are ready to go. Unfortunately, the bladder doesnt work as we wish to, especially in an adult woman. Urinary incontinence or the leakage of urine is a common concern in women. It cannot be very comfortable and affects life.
Check out the two primary types of incontinence that are explained as follows:
Urge incontinence is also known as overactive bladder, and this condition mainly affects older adults. It occurs when the primary contractile muscle of the bladder fails to control storing and releasing urine. As a result, you may feel suddenly feel like pee or unexpected leakage before you make it to the bathroom.
Stress incontinence affects both men and women. But it commonly affects women who have previously birthed children. It is recognized by urine that leaks when you sneeze, cough, laugh, or lift something. So, although you may feel issues while jumping a rope or using a trampoline for bladder leakage. It means you suffer from stress incontinence on some level. Weak pelvic floor muscles are the culprit.
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