Extracorporeal Magnetic Resonance Therapy
Extracorporeal magnetic resonance therapy has been introduced as a therapy for stress incontinence. The NeoControl unit was approved by the Food and Drug Administration for this purpose in 2000. Resonating magnetic flux within a magnetic field induces electrical depolarization of targeted nerves and muscles. No probes are required. The patient simply sits on a chair containing the magnetic device.
A small study achieved an improvement rate of 77% after 8 weeks of therapy, with 56% of patients being completely dry. However, a 3-year follow-up study found that the benefits tend to be temporary: at 6 months, the recurrence rate was 53%.
Scheduled Toilet Trips For Training
A patient with urinary incontinence may end up scheduling life around the fact that they are unable to control their urination, though bladder training is an excellent way to alleviate this issue. Scheduled toilet trips will help teach the body when it is appropriate to urinate, which helps eliminate some of the issues with voluntary control. The scheduled trips will also help an individual learn how to control urination and their bladder again.
Scheduled toilet trips can also help keep urine from building up in the bladder, reducing the amount of leakage. The scheduling usually begins after an individual has kept a bathroom diary for a time, allowing the person to best determine when the bathroom trips should actually be scheduled.
Why Do Prostate Cancer Treatments Cause Urinary Incontinence
It helps to know a bit about how the bladder holds urine. When urine is emptied into the bladder from the kidneys, it is stored inside the bladder until you have the urge to urinate. The bladder is a hollow, muscular, balloon-shaped organ. Urine flows out of the bladder, and leaves the body through a tube called the urethra. Urination happens when the muscles in the wall of the bladder contract, forcing urine out of the bladder. At the same time, muscles that surround the urethra relax and allow the flow of urine. The prostate gland surrounds the urethra. Because an enlarged prostate gland can obstruct the urethra, it can cause urination retention or other problems with urination.
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Removing the prostate through surgery or destroying it through radiation can disrupt the way the bladder holds urine and can result in urine leakage. Radiation can decrease the capacity of the bladder and cause spasms that force urine out. Surgery can, at times, damage the nerves that help control bladder function.
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What To Do About Incontinence
The first step is to locate a health care provider, such as a urologist, who is interested in and well-informed about treating incontinence. He or she will want to become familiar with your medical history and the way in which incontinence affects you. Be sure to come prepared for your visit with: a list of all the medications you are currently taking, including those you purchase without a prescription the dates and outcomes of any bladder-related tests or surgical procedures you may have had and a bladder diary.
If you are seeking products to help with incontinence, click below to visit the Urology Health Store.
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Do Pelvic Floor Muscle Exercises
Strong pelvic floor muscles hold in urine better than weak muscles. You can strengthen your pelvic floor muscles by doing Kegel exercises. These exercises involve tightening and relaxing the muscles that control urine flow. Researchers found that women who received pelvic floor muscle training had fewer leaks per day than women who didnt receive training.6 You should not do pelvic floor exercises while youre urinating.
Men can also benefit from pelvic floor muscle exercises. Strengthening these muscles may help a man leak urine less often, especially dribbling after urination.
A health care professional, such as a physical therapist trained in pelvic floor therapy, can help you get the most out of your Kegel exercises by helping you improve your core muscle strength. Your core includes your torso muscles, especially the lower back, pelvic floor muscles, and abdomen. These muscles keep your pelvis lined up with your spine, which helps with good posture and balance. Your physical therapist can show you how to do some exercises during daily activities, such as riding in a car or sitting at a desk.
You dont need special equipment for Kegel exercises. However, if you are unsure whether you are doing the exercises correctly, you can learn how to perform Kegel exercises properly by using biofeedback, electrical stimulation, or both. Biofeedback uses special sensors to measure muscle contractions that control urination.
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Related Conditions And Causes Of Urinary Incontinence
Fecal incontinence is light to moderate bowel leakage due to diarrhea, constipation, or muscle or nerve damage.
As described in the section above on causes of urinary incontinence, common conditions may contribute to chronic urinary incontinence, including: urinary tract infection , constipation, interstitial cystitis or other bladder conditions, nerve damage that affects bladder control, side effects from a prior surgery, and neurological disorders.
Why Is Urinary Incontinence So Embarrassing
He explained that urinary incontinence often causes great embarrassment and shame in many patients, who may prefer to pay the heavy price of not talking about it rather than going for treatment.
He said that he encourages speaking to a family doctor and urologist in any situation of urinary incontinence. Though it is not a matter of life and death but it can affect the quality of life.
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Urinary Incontinence Treatment & Management
- Author: Sandip P Vasavada, MD Chief Editor: Edward David Kim, MD, FACS
Treatment is keyed to the type of incontinence. The usual approaches are as follows:
- Stress incontinence – Surgery, pelvic floor physiotherapy, anti-incontinence devices, and medication
- Urge incontinence – Changes in diet, behavioral modification, pelvic-floor exercises, and/or medications and new forms of surgical intervention
- Mixed incontinence – Anticholinergic drugs and surgery
- Overflow incontinence – Catheterization regimen or diversion
- Functional incontinence – Treatment of the underlying cause
Some experts recommend a trial of medical therapy before considering surgical treatment. Others believe that if the incontinence is severe and correctable by surgical means, a trial of medical therapy is not mandatory and need not be performed if the informed patient chooses to proceed directly to surgery.
Treatment of comorbid disease may minimize incontinence episodes. Measures such as smoking cessation, control of asthma, and relief of chronic constipation may be beneficial.
A network meta-analysis of 84 randomized trials of urinary incontinence concluded that behavioral therapies are generally more effective than pharmacologic interventions for stress or urge urinary incontinence, Findings included the following:
Home Remedies For Urinary Incontinence
Urinary incontinence can be described as the inability to control urination, leading to urine leakage or involuntary loss of urine.
It is a very common, and at times debilitating, urological disorder. According to the National Association for Continence , it affects about 25 million Americans.
Urinary incontinence can be divided into three main types:
- Urge incontinence occurs when an overactive or hyperactive bladder causes a sudden and intense urge to urinate causing involuntary loss of urine
- Stress incontinence occurs when physical activities like vigorous exercise, jumping, coughing, sneezing or even laughing put pressure on the bladder and it releases urine
- Overflow incontinence inability to completely empty the bladder, leading to frequent or constant dribbling of urine
Incontinence can be caused by a number of factors like age , weakened pelvic floor muscles due to surgery or childbirth, enlarged prostate, menopause, an overactive bladder, nerve damage, urinary stones, urinary tract infections and constipation.
Plus, certain foods, drinks and medications may stimulate your bladder and cause temporary incontinence.
It not only can cause discomfort and embarrassment, but can also be harmful if urine is left in the bladder creating a breeding ground for bacteria. Incontinence is not a disease in itself, but a symptom of an underlying condition or disorder.
Here are the top 10 home remedies for urinary incontinence.
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Stress Urinary Incontinence Treatment
The first treatment options for stress urinary incontinence are not pills or surgery. You can try:
- Changing living habits
If this isnt enough, and your quality of life is severely affected, look into the option of surgery. The most common procedures today are inserting a film that supports the bladder and the urethra and helps strengthen and support weaker pelvic muscles.
Postoperative pain is minor, the incontinence becomes insignificant, and success rates are very high. Another solution for women is the injection of a substance that narrows the width of the urethra, thus increasing the pressure that the urethra is able to create to prevent leaks.
For men, the most common phenomenon of stress incontinence is after prostatectomy due to cancer. “We see a significant percentage of people who leak urine after surgery,” said Stebholtz, “and quite a few of those male patients are the most embarrassed when it comes to urinary incontinence. They come to the clinic with their partners who encourage them.”
In this case, too, there is the possibility of a supporting film, and in slightly more complex cases there are also artificial brackets.
“It is a device that wraps around the urethra and has a small pump inside the scrotum and the patient can control for himself when to urinate and when not to. Most of the day this pump is closed,” Stebholtz explained.
What Are Kegel Exercises
Kegel exercises, also called Kegels or pelvic floor muscle training, are exercises for your pelvic floor muscles to help prevent or reduce stress urinary incontinence. Your pelvic floor muscles support your uterus, bladder, small intestine, and rectum.
Four in 10 women improved their symptoms after trying Kegels.9 Kegels can be done daily and may be especially helpful during pregnancy. They can help prevent the weakening of pelvic floor muscles, which often happens during pregnancy and childbirth. Your pelvic floor muscles may also weaken with age and less physical activity.
Some women have urinary symptoms because the pelvic floor muscles are always tightened. In this situation, Kegel exercises will not help your urinary symptoms and may cause more problems. Talk to your doctor or nurse about your urinary symptoms before doing Kegel exercises.
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When To Seek Medical Advice
Talk to your GP if you have any type of urinary incontinence. Urinary incontinence is a common problem. You shouldnt feel embarrassed talking to them about your symptoms. This can also be the first step towards finding a way to effectively manage the problem.
Urinary incontinence can usually be diagnosed after a consultation with your GP. They will ask about your symptoms. They may carry out a pelvic examination or rectal examination .
Your GP may also suggest you keep a diary to write down how much fluid you drink and how often you have to pee.
Other Types Of Urinary Incontinence
- Overflow incontinence This occurs when a person is unable to empty their bladder completely and it overflows as new urine is produced. It’s often found in people with diabetes or spinal cord injuries.
- Mixed incontinence You show evidence of more than one type.
- Functional incontinence This type of incontinence has less to do with a bladder disorder and more to do with the logistics of getting to a bathroom in time. It’s usually found in elderly or disabled people who have normal or near normal bladder control but cannot get to the toilet in time because of mobility limitations or confusion.
- Nocturia The need to urinate twice or more during the night, usually affecting men and women over the age of 60. In men, nocturia can be a symptom of an enlarged prostate.
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What Is A Urinary Tract Infection
UTI or urinary tract infection occurs when the bladder or urethra becomes infected with bacteria. It is also known as cystitis.
This generally happens due to lack of cleanliness but can be very painful and inconvenient, even causing death in some cases!
Painful urination is the first sign of a urinary tract infection.
Symptoms may include:
- Need to pee more frequently
- Urgent or burning or painful need to urinate
- Fever, chills, sweating, nausea, vomiting, etc.
Difficulties with bladder training are common in those who have had an extended period of time with untreated incontinence.
It is important that you understand how bladder training works, in order to get the most out of your treatment plan with your doctor.
What Is Incontinence
Urinary incontinence is a condition that impacts many peoples lives. When you have incontinence, you may experience bladder control issues and leak urine. This leakage is often uncontrollable and can negatively impact your life.
Your urinary system is made up of the kidneys, ureters, bladder and urethra. These parts do several jobs. They filter, store and remove waste from your body. Your kidneys are the filters of your body. Waste products are removed from your blood by the kidneys, creating urine. The urine then moves down through two thin tubes called the ureters. The ureters connect to the bladder, where the urine will collect until its time to leave the body. Your bladder is like a storage tank once the bladder is full, the brain sends a signal that its time to urinate. Urine then leaves the bladder when a muscle opens up , allowing the urine to flow freely out of the body through the urethra.
When this system is working smoothly, you usually have time to get to a bathroom before needing to urinate and you dont experience any leakage of urine. Urinary incontinence can happen when these parts dont operate as they should. This can happen for many different reasons throughout your life.
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Why Does This Happen
Urinary incontinence is a condition that originates when there is a loss of urine control. As a result, it becomes divided into several types, including urge urinary incontinence which is due to urgency. This can lead to loss of control in exertion like when people laugh, cough, run or lift grandchildren.
Get Rid Of Toxins With Panchakarma
In Ayurveda, urinary incontinence has its root in the aggravated Vata dosha. Thats why its important to animate the flow of urine and flush out the toxins and infections stored in the body. One of the best methods that can help in that is Panchakarma. Its a marvelous and holistic way to purify the organism and eliminate the causes of urinary incontinence. The treatment includes five natural methods of elimination and helps to balance three doshas Vata, Pitta, and Kapha. Of course, make sure that the cleansing therapy is tailored to your specific needs by the ayurvedic specialist.
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Medications For Urinary Incontinence
If medications are used, this is usually in combination with other techniques or exercises.
The following medications are prescribed to treat urinary incontinence:
- Anticholinergics calm overactive bladders and may help patients with urge incontinence.
- Topical estrogen may reinforce tissue in the urethra and vaginal areas and lessen some of the symptoms.
- Imipramine is a tricyclic antidepressant.
Try Drinking Some Unsweetened Cranberry Juice
While the research is a bit unclear, cranberries have been used as a prevention of UTI for generations. Studies have shown that cranberries actually make it harder for the bacteria that cause UTIs to stick to the urinary tract walls. So, while not really a remedy, if you frequently get UTIs, it might be worth drinking a couple of glasses of unsweetened cranberry juice, or snacking on the actual fruit .
Botulinum Toxin A Injections
Botulinum toxin A can be injected into the sides of your bladder to treat urge incontinence and overactive bladder syndrome .
This medication can sometimes help relieve these problems by relaxing your bladder. This effect can last for several months and the injections can be repeated if they help.
Although the symptoms of incontinence may improve after the injections, you may find it difficult to fully empty your bladder. If this happens, you will need to be taught how to insert a catheter into your urethra to drain the urine from your bladder.
Botulinum toxin A is not currently licensed to treat urge incontinence or OAB, so you should be made aware of any risks before deciding to have the treatment. The long-term effects of this treatment are not yet known.
Types Of Urinary Incontinence
1. Urge Incontinence
It happens when an overfilled or hyperactive bladder causes a sudden urge to urinate which results in spontaneous loss of urine.
2. Stress Incontinence
It happens when severe pressure on the urinary bladder causes unexpected urine release. Vigorous exercise, jumping, sneezing hard, uncontrollable cough and laughter may apply pressure to the bladder.
3. Overflow Incontinence
It happens when specific factors reduce the inability to empty the bladder, resulting in constant dribbling of urine.
- Specific food and drinks that stimulate bladder activity
Residual urine could spell out the danger in our body, as it tends to be breeding grounds that make it ideal for pathogens and bacteria to breed and infect the urinary tract, leading to UTIs, infection and even renal system failure.
Therefore, our aim should be to diagnose the problem and tackle it with a possible treatment. There are several medical treatments that are available to treat urinary incontinence, such as surgeries, and medication.
However, these tend to be very expensive and also have a higher failure rate. Hence, in this article, we will be exploring inexpensive yet extremely effective home remedies that will surely help you with your condition.
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