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Does Chemo Cause Urinary Incontinence

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What Is The Difference Between Urge Incontinence And Stress Incontinence

Urinary Incontinence after Radical Prostatectomy | Prostate Cancer Staging Guide

Urge incontinence and stress incontinence have different causes and symptoms.

  • Stress incontinence is due to abdominal pressure on your bladder. It causes you to leak small amounts of urine.
  • Urge incontinence results from an overactive bladder. It causes you to leak a lot of urine.

A note from Cleveland Clinic

Leaking urine for any reason isnt an unavoidable part of aging, so dont be embarrassed to talk to your healthcare provider. Treatments can help. You can learn pelvic floor exercises and use biofeedback to improve urge incontinence symptoms. If needed, you can try medications or nerve stimulation, too. With proper therapies, you can treat urge incontinence, regain control of your bladder and enjoy life more.

Last reviewed by a Cleveland Clinic medical professional on 11/05/2021.


What Are The Symptoms Of Advanced Bladder Cancer

Bladder cancer often produces noticeable symptoms, such as bloody urine. If enough blood is present, the urine may appear brown, dark red, orange or pink in color. Even if the urine does not change color, the presence of a small amount of blood can be detected through a urinalysis, a simple test that is typically included as part of a routine physical examination.

With that said, blood in the urine is not a definitive sign of bladder cancer. In fact, it more often indicates a less serious condition, such as infection, kidney stones, bladder stones or benign kidney disease. Even so, its important to identify the cause of bloody urine so it can be treated, if necessary.

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What Is Prostate Cancer Who Does It Affect

Prostate cancer also enlarges the prostate, due to a growing cancerous tumor within the prostate. According to the Prostate Cancer Foundation, Prostate cancer is the most common non-skin cancer in America, affecting 1 in 7 men. In 2015, approximately 220,800 men will be diagnosed with prostate cancer. The average age of men diagnosed are 65 or older, and it is rage before age 40. The majority of men are diagnosed at age 66. Apparently the risk of prostate cancer in younger men has increased nearly 6-fold in the past 20 years.


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What Can Someone With Incontinence Do At Home To Be More Comfortable

The easiest way to make living with incontinence more comfortable is to stock up on the necessary supplies. We recommend having the following items on hand:

  • Lotions, creams, and ointments to protect the skin

  • Pull-ups, adult diapers, or disposable briefs for regular changes

  • Fresh bedding thats clean and dry

  • Booster pads to extend the life of incontinence garments

  • Personal cleansing wipes

  • Bedside commode so that one does not have to rush to the bathroom

If your loved ones cancer-related incontinence is due to weak pelvic floor muscles, they might also benefit from lifestyle modifications like Kegel exercises or bladder training. Also try to limit caffeine intake, as it is a mild diuretic.

Could It Have Anything To Do With My Heart

Bladder Cancer Chemo Does Not Raise Surgery Complication Risks

When your ticker doesnât pump the way it should, fluid builds up. Youâll notice this especially in your ankles.

When you lie down, your body flushes out the extra fluid. That fills your bladder and wakes you up.

You might help control the swelling by resting with your feet up during the day, or by wearing compression socks.

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Should I Drink Less Water Or Other Fluids If I Have Urinary Incontinence

No. Many people with urinary incontinence think they need to drink less to reduce how much urine leaks out. But you need fluids, especially water, for good health.

Women need 91 ounces of fluids a day from food and drinks.11 Getting enough fluids helps keep your kidneys and bladder healthy, prevents urinary tract infections, and prevents constipation, which may make urinary incontinence worse.

After age 60, people are less likely to get enough water, putting them at risk for dehydration and conditions that make urinary incontinence worse.12

Severity Of Cipn And Luts

The mean score for CIPN symptoms was 20.17 points. The mean score for LUTS was 14.15 points. The mean score for voiding symptoms was 7.85 points, and the mean score for storage symptoms was 6.37 points. Nocturia was the most severe symptom, followed by weak urinary flow and straining . The average IPSS-QoL score was 3.15 points . Twenty-five participants had mild LUTS, 100 had moderate LUTS, and 32 had severe LUTS .

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Temporary Causes Of Urinary Incontinence

There are a number of factors that can produce temporary incontinence. Certain foods, beverages or medications can result in incontinence. Temporary incontinence may also be related to an infection or another medical condition thats easily treatable.

Connect with others who are discussing womens health topics at Womens Health.

Learn more strategies and tips on how to improve bladder and bowel control with Mayo Clinic on Incontinence.

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Types Of Urinary Incontinence:

Treatment for Overactive Bladder & Urge Incontinence, Dr. Ja-Hong Kim | UCLAMDChat
  • Stress incontinence: People with stress incontinence may experience problems while they are laughing, coughing, sneezing, lifting, exercising or standing up.
  • Urge incontinence: Those with urge incontinence experience the need to urinate frequently. They must get to a restroom quickly to prevent leaking. The urge sensation can be uncomfortable or even painful.
  • Mixed incontinence: Individuals with mixed incontinence commonly experience a combination of stress and urge symptoms.
  • Overflow incontinence: Overflow incontinence occurs when some obstruction to the urine flow causes the bladder to overfill and leak small amounts. This can occur if the prostate is enlarged and squeezes the urethra or if the bladder valve does not open properly. There may be the feeling of having to urinate every few minutes because the bladder usually does not empty completely.

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Risk Factors For Bowel Incontinence

  • Chronic constipation
  • Constipation due to overflow that can occur when stool becomes backed up and unformed stool leaks around the blockage
  • Diarrhea as a result of Irritable Bowel Syndrome , Irritable Bowel Disease , diet, drugs, etc.
  • Neurological disability or nerve disorders
  • Cognitive impairment

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How Can Cystitis Be Prevented

Three treatments have been shown to help prevent cystitis, the drug mesnex , intravenous hyperhydration and continuous bladder irrigation.

Mesnex: The drug mesnex has been shown to prevent cyclophosphamide- and ifosfamide-induced cystitis., This drug works by binding to the metabolite acrolein in the bladder to form an inactive product that is then excreted. In this way, the bladder is protected, but the antitumor activity of the chemotherapy drug remains the same.

Hyperhydration: Another approach to preventing hemorrhagic cystitis is to increase fluid intake to help flush the bladder. Researchers have shown that hyperhydration by IV saline with administration of furosemide , a diuretic drug to maintain a urine output, effectively prevented hemorrhagic cystitis in patients who received high-dose cyclophosphamide before a bone marrow transplant.5

Continuous bladder irrigation: Cystitis may also be prevented by continuously flushing the bladder, also called continuous bladder irrigation. This technique has been shown to decrease the incidence of hemorrhagic cystitis in patients receiving a stem cell transplant.1

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What Else Can I Do To Stop Urinary Incontinence

Urinary incontinence happens for a variety of reasons beyond chemotherapy. When bladder leaks are related to stress or urge incontinence, there are ways you can try to alleviate symptoms without undergoing more formal treatment. If you are suffering from bladder leaks but arent currently able to obtain treatment for urinary incontinence, the following tips may be helpful.

  • Practice diaphragmatic breathing

  • Do a pelvic squeeze to engage your pelvic floor if you feel a cough or sneeze coming

  • Drink enough water and ensure you empty your bladder whenever you need to

  • Eat foods rich in fibre to support bowel health and reduce constipation

  • Try yoga or Pilates to promote pelvic floor strength

  • Do Kegels when you can, seeour guide to an effective Kegel to ensure you are targeting the pelvic floor

Undergoing cancer treatments is a lot for anyone to endure, both physically and mentally. Urinary incontinence may become a part of your journey as you obtain the life-saving treatment you need. At V Lounge, we want you to know you arent alone. If you feel that Emsella® may be the right treatment option for you, we are always here to support you. Considerbooking a free demo to learn more about how Emsella® can help you regain your continence.

Life After Prostate Cancer Treatment

Earthwide Surgical Foundation: CERVICAL CANCER

Adjusting to life after prostate cancer treatment can take time. For some men, the emotional impact of what they have been through may not hit them until they have finished treatment. For others, working through the physical side effects is their immediate focus.

Although prostate cancer treatment can be lifesaving, it can also take a toll on the body. This can result in a disruption to normal urinary, bowel and sexual function.

Whether you have surgery, radiation or hormone therapy, you are likely to have side effects.

Its important to talk with your health care provider about these side effects before you start treatment, so you can learn about the range of options to treat them, says Anne Calvaresi, DNP, CRNP, RNFA, Urology Nurse Practitioner at the Kimmel Cancer Center, Thomas Jefferson University in Philadelphia.

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Urinary Frequency And Urgency

Some men find they need to urinate more often after having radiotherapy , or get a sudden urge thats hard to ignore . You may also need to urinate more often at night . It usually only lasts for a few months after radiotherapy, but if it happens, it might help to drink less in the two hours before you go to bed, and to avoid drinks that irritate the bladder

A small number of men leak urine before they can reach the toilet . This happens when the bladder muscles twitch and squeeze without you controlling them. This pushes urine out before youre ready.

Expert Review And References

  • Urinary incontinence. American Society of Clinical Oncology . Cancer.Net. Alexandria, VA.: American Society of Clinical Oncology 2013.
  • Landier W, Smith S. Late effects of cancer treatment. Yarbro, CH, Wujcki D, & Holmes Gobel B. . Cancer Nursing: Principles and Practice. 7th ed. Sudbury, MA: Jones and Bartlett 2011: 71: pp. 1756-1779.
  • Shenot PJ. Urinary incontinence in adults. Beers, M. H., & Berkow, R., . Merck Manual for Healthcare Professionals. Rahway, NJ: Merck Research Laboratories 2012.
  • Vorvick LJ. Urinary incontinence. PubMed Health. U.S. National Library of Medicine 2011.

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Urinary Incontinence In Men: Causes Symptoms And Treatment

Written byDr. Victor MarchionePublished onAugust 8, 2016

Urinary incontinence or loss of bladder control in men is not uncommon, but it can be treated once the cause is determined.

Uncontrollable urine in men or urinary incontinence occurs in eleven to 34 percent of older men, but it is not just an issue that impacts the aging. Younger men can also experience UI due to health problems. Urinary incontinence also happens to women, but the biggest issue with UI in men is that they are less likely to speak with their doctors about it. This means that the statistics could actually be much higher in men that the current numbers indicate. Discussing the problem is the first step to addressing the symptoms and finding a treatment.

Urinary incontinence often results in the accidental leakage of urine from the body, so it can be uncomfortable and inconvenient. A man can feel a strong, sudden need to urinate just before losing a large amount of urine. Doctors refer to this as urgency incontinence. For some people, this condition keeps them from enjoying certain activities, including sports and exercise. It can also cause a lot of emotional distress.

There are different types of urinary incontinence, so it is important to get a proper assessment from a doctor to determine what type you might have and how to go address it. The types of UI men experience include urgency incontinence, stress incontinence, functional incontinence, overflow UI, and transient UI.

Causes Of Urinary Incontinence In Dogs

Types of Urinary Incontinence EXPLAINED, Stress, urge, functional, overflow incontinence

There are many causes of incontinence in dogs, including:

  • Urinary tract infection
  • Inherited medical condition that occurs at or before birth
  • Hormonal imbalance
  • Prostate disorders
  • Diseases that cause excessive drinking of water, for example, diabetes, kidney disease, and Cushingâs disease
  • Some medications, like corticosteroids

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What Is Enuresis In Children

Urinary incontinence is the loss of bladder control. In children younger than age 3, its normal to not have full bladder control. As children get older, they become more able to control their bladder. Wetting is called enuresis when it happens in a child who is old enough to control his or her bladder. Enuresis can happen during the day or at night. It can be a frustrating condition. But its important to be patient and remember that its not your childs fault. A child does not have control over enuresis. And there are many ways to treat it and help your child.

There are 4 types of enuresis. A child may have 1 or more of these types:

  • Nighttime enuresis. This means wetting during the night. Its often called bedwetting. Its the most common type of enuresis.

  • Daytime enuresis. This is wetting during the day.

  • Primary enuresis. This happens when a child has not fully mastered toilet training.

  • Secondary enuresis. This is when a child has a period of dryness, but then returns to having periods of wetting.

Urinary Dysfunction After Prostate Cancer Treatment

The term urinary dysfunction includes:

  • Urinary incontinence, which can range from some leaking to complete loss of bladder control

  • Irritative voiding symptoms or urinary bother, including increased urinary frequency, urgency, and pain upon urination

Bladder obstruction caused by an enlarged prostate is the typical reason for these symptoms initially. However, after therapy, they are typically caused by damage to the nerves and muscles used in urinary control.

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Bladder Cancer Risk And Causes

Although definite causes are unknown at this stage, certain factors are known to be associated with the risk of developing the disease. These include:

  • Smoking smokers are three to four times more likely to get the disease than nonsmokers.
  • Age the older you are the more susceptible you are to the disease
  • Gender men are four times more likely to develop bladder cancer
  • Exposure to chemicals especially in the textile, petrochemical and rubber industries
  • Repeated chronic bladder infections particularly if inflammation from foreign objects is ever-present
  • Treatments for other cancers including some chemotherapy and radiography treatments

How Is Urinary Incontinence After Prostate Surgery Treated

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If you find youre having issues with mild to moderate leakage after surgery, your healthcare provider might suggest starting with noninvasive therapies like medications or physical therapy exercises for the pelvic floor muscles. These treatments may also cut down on the number of times that you have to get up each night to pee.

These methods can sometimes help men who have mild to moderate leakage. Men who have persistent leakage or a more severe problem may need surgery if they do not want to continue to use pads.

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Symptoms Of A Urinary Problem

Talk with your doctor or nurse to learn what symptoms you may experience and when you may need to seek medical help. Some urinary or bladder changes may be normal, such as changes to the color or smell of your urine caused by some types of chemotherapy. Your health care team will determine what is causing your symptoms and what steps to take to feel better. Side effects may include:

Irritation of the bladder lining :

  • pain or a burning feeling when you urinate
  • blood in your urine
  • trouble emptying your bladder completely
  • feeling that you need to urinate urgently or frequently
  • leaking a little urine when you sneeze or cough
  • bladder spasms, cramps or discomfort in the pelvic area

Urinary tract infection :

  • pain or a burning feeling when you urinate
  • urine that is cloudy or red
  • a fever of 100.5 degrees or higher, chills and fatigue
  • pain in your back or abdomen
  • difficulty urinating or not being able to urinate

In people being treated for cancer, a UTI can turn into a serious condition that needs immediate medical care. Antibiotics will be prescribed if you have a bacterial infection.

Symptoms that may occur after surgery:

Treating And Managing Urinary Incontinence

Today, there are more treatments and ways to manage urinary incontinence than ever before. The choice of treatment depends on the type of bladder control problem you have, how serious it is, and what best fits your lifestyle. As a general rule, the simplest and safest treatments should be tried first.

A combination of treatments may help you get better control of your bladder. Your doctor may suggest you try the following:

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Proton Therapy And Urinary Problems

Studies show that more than 50 percent of patients with underlying moderate to severe urinary symptoms pre-treatment report a significant improvement following proton therapy at the 5-year followup. In addition, more than 40 percent of patients report that urinary symptoms remained stable after proton therapy for prostate cancer. Only 3 percent of patients reported a decline in terms of urinary symptoms 5 years after proton therapy. In patients who had only mild urinary symptoms pre-treatment, the symptoms remain stable at the 60-month follow-up.

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