Tuesday, October 4, 2022

Causes Of Urinary Urgency In Males

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What Medications Can I Use For Overactive Bladder

Urgency Urinary Incontinence

Your doctor may suggest trying behavioral techniques before having you use a medication to treat overactive bladder. However, medications can work very well to return normal function to the bladder. Ask your doctor about the risks and benefits of using the following commonly prescribed medications:

Anticholinergic medications

These medications control muscle spasms in the bladder:

  • Oxybutynin , oxybutynin XL , oxybutynin TDDS .
  • Tolterodine .
  • Mirabegron .

Impact Of Urinary Incontinence

Urinary incontinence has a significant impact on the patient, family members and healthcare system. In men it has been less thoroughly investigated than incontinence in women, due to the assumption that male incontinence is less of a problem socioeconomically and epidemiologically. However, urinary incontinence has a significant psychosocial impact in men, reducing their quality of life with abstinence from daily activities and higher rates of depression.

Every year around 100 million adult men are affected by incontinence worldwide. The prevalence of urinary incontinence in men increases with age, although prevalence rates are nearly half those of women in the same age group. However, men are also more reluctant to seek help for their incontinence problem compared with women. For example, in a population-based study conducted in the USA, 22% of men in the community who experience an episode of incontinence per week sought care, compared with 45% of women.

Medication For Stress Incontinence

If stress incontinence does not significantly improve, surgery for urinary incontinence will often be recommended as the next step.

However, if you are unsuitable for surgery or you want to avoid having an operation, you may benefit from a medication called duloxetine. This can help increase the muscle tone of the urethra, which should help keep it closed.

You will need to take duloxetine by mouth twice a day and will be assessed after two to four weeks to see if the medicine is beneficial or if it is causing any side effects.

Possible side effects of duloxetine can include:

Do not suddenly stop taking duloxetine as this can also cause unpleasant effects. Your GP will reduce your dose gradually.

Duloxetine is not suitable for everyone, however, so your GP will discuss any other medical conditions you have to determine if you can take it.

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Overactive Bladder In Men: Causes Diagnosis And Treatment

What is an overactive bladder?

Overactive bladder is a relatively common condition. Typical symptoms include frequent urination, frequent nighttime urination, persistent urge to urinate, and urine leakage or incontinence.

An estimated 33 million Americans have OAB, reports the Urology Care Foundation, and as many as 30 percent of men experience symptoms. Its possible that even more men have the condition, but never seek help. If you suspect you have OAB, talk to your doctor. There are a variety of treatments options that may help.

How To Control Frequent Urination

What Can Cause Urge Incontinence and How is it Treated?

The management or treatment of frequent urination depends upon its underlying cause. If the symptoms begin to disrupt the quality of your life, you should instantly seek medical intervention.

Your urologist will perform a variety of tests and analysis to diagnose the correct cause of frequent urination. Here is what you can expect during the diagnosis:

  • Detailed consultation: Your healthcare provider will ask you a variety of questions. They will aim to get a better understanding of your symptoms and your medical history of the illness.
  • Physical exam: Your doctor will analyse your general wellbeing. At the physical exam, you will be checked for your weight, blood pressure, heart rate and overall health.
  • Urine analysis: Urine analysis is a series of tests for visual and microscopic examination of the components of urine such as the presence of blood, bacteria, red blood cells, white blood cells, crystals, proteins, pH and more.
  • Ultrasound: Ultrasound scans of the kidney or bladders can help your doctor to visualise abnormalities.
  • Urodynamic test: Through urodynamic tests, your doctor assesses the strength and effectiveness of your bladder.

Your healthcare provider may order additional tests to confirm the diagnosis if they suspect the need for it.

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What Is The Long

If you are experiencing any symptoms of urinary incontinence, it is important to speak with your doctor right away. It is easy to treat bladder control problems, especially when they are diagnosed early.

When you work closely with your doctor and follow the advised treatment plan carefully, you can regain control of your bladder, and urinary incontinence doesnt have to interfere with your livelihood or quality of life.

In This Article

Pelvic Floor Muscle Training

Your pelvic floor muscles are the muscles you use to control the flow of urine as you urinate. They surround the bladder and urethra .

Weak or damaged pelvic floor muscles can cause urinary incontinence, so exercising these muscles is often recommended.

Your GP may refer you to a specialist to start a programme of pelvic floor muscle training.

Your specialist will assess whether you are able to squeeze your pelvic floor muscles and by how much. If you can contract your pelvic floor muscles, you will be given an individual exercise programme based on your assessment.

Your programme should include doing a minimum of eight muscle contractions at least three times a day and doing the recommended exercises for at least three months. If the exercises are helping after this time, you can keep on doing them.

Research suggests that women who complete pelvic floor muscle training experience fewer leaking episodes and report a better quality of life.

In men, some studies have shown that pelvic floor muscle training can reduce urinary incontinence particularly after surgery to remove the prostate gland.

For more information:

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Medication For Urinary Problems

Your doctor may suggest various medications to help ease your urinary problems, including:

  • medications to reduce the tone of the muscles of the urethra and prostate to minimise any constriction to urine flow caused when these muscles contract
  • medication to reduce the size of the prostate gland. These medications work by blocking the action of male hormones produced by the prostate gland
  • medications to relax the bladder, making unwanted contractions less likely and reducing the symptoms of urgency and frequency of urination
  • the over-the-counter preparation ‘saw palmetto’ is sometimes used. This may help some men, especially if frequent urination at night is a problem.

However, recent reviews of the evidence for using saw palmetto as a treatment for mild or moderate urinary symptoms did not show any improvement, compared to no treatment, in men with BPH.

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According to the Urology Care Foundation, women are at greater risk for UI than men because they have a shorter urethra than men. As a result, any weakness or damage to the urethra in a woman is more likely to cause urinary incontinence. This is because there is less muscle keeping the urine in your bladder until you are ready to urinate.

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Three Common Urinary Problems In Men And What You Can Do About Them

As you age you may notice changes in your urination. Perhaps you have noticed that you have difficulty starting or stopping the flow, or maybe the flow is weaker and slower than before. In addition to problems with flow, you might notice that you dont always empty your bladder completely and you always feel like you have to go. Or, perhaps you have just noticed that you are going to the bathroom more often, especially at night.

While many of these problems can be attributed to aging, there may be other issues besides aging that could be causing three of the most common urinary problems that occur in men, and many are treatable.

Clinical Evaluation Of Men With Urinary Incontinence

History and physical examination

A detailed history and physical examination are key to the management of male patients with urinary incontinence. Medical history is often sufficient to identify the predominant problem, the type of incontinence and the impact of this condition on the physical and psychological wellbeing of an individual. The presence of other lower urinary tract symptoms, such as voiding difficulties and terminal dribbling, can help the differential diagnosis. The amount of leakage, number of pads used and coping strategies the patient may have developed will all help to determine how bothersome the leakage is for the patient. Additionally, a detailed surgical and drug history should be noted. Patients should also be asked about the presence of any concomitant faecal incontinence.

A focused physical examination is the next step, with examination of the abdomen, pelvis and external genitalia followed by a digital rectal examination and palpation of the bladder after voiding to rule out any residual urine. Demonstration of stress urinary incontinence can also be performed by asking the patient to cough or strain. A brief neurological examination is also necessary to rule out any underlying problems of the nervous system.

Initial assessment

  • haematuria

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What Is Urinary Urgency

Urinary urgency is sometimes also referred to as frequent urination. This is not a condition on its own. Instead, urinary urgency is rather considered a symptom. Several conditions may lead to the development of urinary urgency as a symptom.

The main sign of urinary urgency tends to be a consistent urge to urinate. The patient may feel that their bladder is not emptying completely. The patient will feel like they have to urinate again shortly after urinating.

There are times were urinary urgency would not cause serious problems. In such a case, a few simple remedies and strategies may be used as treatment options. The patient will usually be able to continue with their daily life like they normally do.

This is not always the case, however. In certain scenarios, urinary urgency can be a more disruptive symptom. The patient may find that it greatly interferes with their ability to continue with their daily routine.

In more severe cases, urinary urgency may also lead to psychological complications. Anxiety is a common issue linked to urinary urgency. The patient may have anxious feelings when they visit a shop or when they are about to enter a meeting. They will be unsure if they will be able to make it through a specific event. The anxiety may be even greater when a bathroom is not close to the patient during such an event.

Quality Assessment And Rating The Body Of Evidence

Urinary Incontinence

Study quality was analyzed using the following criteria: subject selection, length and loss of follow-up, adjustment for confounding factors in observational studies and intention to treat principle in clinical trials, masking the treatment status, randomization scheme and adequacy, allocation concealment, and justification of sample sizes in RCTs.7 Incidence and prevalence of cases of incontinence, as well as RR of incontinence in categories of risk factors and clinical interventions, were abstracted.8,9 Baseline data were compared in different studies to test differences in the target population and unusual patterns in the data.10,11 Regression coefficients, absolute risk, and their 95% confidence interval were calculated from reported cases.8,9 The protocol for the meta-analyses was created according to recommendations for meta-analysis of RCTs, the Improving the Quality of Reports of Meta-Analyses of Randomized Controlled Trials statement,12 and the Meta-analysis of Observational Studies in Epidemiology group.13 We used the Grading of Recommendations Assessment, Development and Evaluation working group definitions to evaluate the overall strength of the evidence as high, moderate, low, very low, or insufficient.14,15

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Clinical Interventions For Ui In Community

Outcome: Continence. Behavioral interventions for UI in men with prostate diseases were examined in 10 RCTs .129137 Continence rates in the control groups were more than 60% across all RCTs, with no statistically significant differences compared with active treatments. The highest continence rate was reported in a large well-designed RCT of early pelvic floor rehabilitation in patients who had radical retropubic prostatectomy for clinical stage T1 or T2 prostate cancer136 . The majority of patients reported continence after the intervention that included verbal explanations, palpation, and Kegel exercises, with a small significant relative benefit compared with usual care .136 The relative effect in the same RCT was slightly larger when continence status was measured with a scale specific for UI .136 Pelvic floor muscle training combined with biofeedback resulted in greater self-reported continence compared with standard care , but the effect size was not consistent across the studies .131,136,137

Effects of conservative treatments on continence compared with regular care . RD, absolute risk difference NPT, negative pad test SR, self-reported ICS, completely dry in International Continence Society-male questionnaire VAS, visual analogue scale.

Urinary Urgency In Men

The condition of urinary urgency in men could be caused due to a wide range of reasons. The following article provides information on the causes, associated symptoms, and treatment of this condition.

The condition of urinary urgency in men could be caused due to a wide range of reasons. The following article provides information on the causes, associated symptoms, and treatment of this condition.

Urinary urgency, as the name suggests, is the sudden or compelling need to pass urine. In severe cases, it might be accompanied by urinary incontinence. It is more likely to affect the elderly. Frequent urination is an associated problem, which is characterized by the need to pass urine more than usual.

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What Causes Overactive Bladder

An overactive bladder can be caused by several things, or even a combination of causes. Some possible causes can include:

  • Weak pelvic muscles: Pregnancy and childbirth can cause your pelvic muscles to stretch and weaken. This can cause the bladder to sag out of its normal position. All of these factors can cause leakage.
  • Nerve damage: Sometimes signals are sent to the brain and bladder to empty at the wrong time. Trauma and diseases can cause this to happen. These can include:
  • Pelvic or back surgery.
  • Stroke.
  • Medications, alcohol and caffeine: All of these products can dull the nerves, which affects the signal to the brain. This could result in bladder overflow. Diuretics and caffeine can cause your bladder to fill rapidly and possibly leak.
  • Infection: An infection, like a urinary tract infection , can irritate the bladder nerves and cause the bladder to squeeze without warning.
  • Excess weight: Being overweight places extra pressure on your bladder. This can lead to urge incontinence.
  • Estrogen deficiency after menopause: This hormonal change could contribute to a loss of urine due to urgency. Ask your doctor if vaginal-only estrogen therapy is right for you. This is different from systemic hormone therapy, which is absorbed throughout the body.
  • Often, there may be no specific explanation for why this is occurring.

    Who Is Most At Risk

    Urinary Incontinence & Urgency, Causes, symptoms, Treatment & Prevention | Peshab ka Control Na Hona

    In addition to the causes mentioned above, there are some things that can increase your risk of developing urinary incontinence without directly being the cause of the problem. These are known as risk factors.

    Some of the main risk factors for urinary incontinence include:

    • family history there may be a genetic link to urinary incontinence, so you may be more at risk if other people in your family have experienced the problem
    • increasing age urinary incontinence becomes more common as you reach middle age and is particularly common in people over 80
    • having lower urinary tract symptoms a range of symptoms that affect the bladder and urethra

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    Overactive Bladder Syndrome What Is It

    OAB is defined as the urgent desire to urinate which is usually associated with frequent urination as well as excessive urination at night. About 1/3 of people who suffer from OAB experience urinary incontinence, known as OAB wet, with the remaining 2/3 of people having OAB dry. It is important to ensure that other conditions causing irritation to the bladder lining are not mistaken for OAB, e.g. urinary tract infections, bladder stones, and bladder tumours.

    Diagnosis Of Frequent Urination

    Your doctor needs to know when the problem started, your lifestyle, your medical history, and how often you need to go to the bathroom. They will also conduct a physical examination to check for swelling and urine analysis to identify any infections.

    The doctor will evaluate several factors to determine an accurate diagnosis. These factors include:

    If you have started taking new medications Is your urine a different color than usual? Have you seen blood in the urine? Do you regularly drink caffeinated beverages? Are there any other symptoms? Is it painful to urinate?

    Depending on these answers, more diagnostic testing can be done, which includes:

    Cystometry, which is a test that measures the pressure inside the bladder to see how well it is working.

    Cystoscopy, which allows your doctor to look at the inside of the bladder and urethra using a thin, lighted instrument called a cystoscope

    Neurological testing to rule out possible nerve disorders

    Ultrasonography, which uses sound waves to visualize an internal body structure to help identify abnormalities in the structure

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    Problems With Enlarged Prostate Gland

    Benign enlargement of the prostate gland is more common as men get older. It can cause troublesome symptoms, although it doesnt always.

    The urethra passes through the prostate gland, so men may have problems urinating if the enlarged gland restricts the flow of urine. If the flow stops completely, a catheter is required to empty the bladder. It is rare for this form of acute urinary retention to cause kidney damage.

    An enlarged prostate doesn’t always cause urinary problems. Studies indicate that the size of a man’s prostate gland has little influence on the type or severity of his urination problems. BPH is just one possible cause of urinary symptoms.

    Another cause of urinary symptoms can be changes to the muscular wall of the bladder, which may cause spasms of the bladder or weaken the bladder, causing problems passing urine.

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