Tuesday, October 4, 2022

How To Treat Urinary Urgency

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Scheduling Appointments For Enlarged Prostate Treatment At New York Urology Specialists

5 Tips to Treat Urinary Urgency|Best Treatment Overactive Bladder-Dr.Girish Nelivigi|Doctors’ Circle

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Dr. Alex Shteynshlyuger is a board-certified urologist and specialist in the treatment of urinary problems in men. He is one of the few urologists who offers a full range of treatment options for BPH . He specializes in all aspects of care for men with an enlarged prostate and urinary problems, including frequent urination at night, difficulty emptying the bladder, urinary urgency, and incontinence. He has successfully treated thousands of men with urinary problems, including urinary retention, painful urination, and frequent urination.

Pomegranate For Excessive Urination

Pomegranate is a medically proven home remedy for frequent urination because it contains antioxidants that fight off bacteria in the urinary tract. It also contains Vitamin C that cleanses toxins from the kidneys and bladder. Hence, it is one of the best home remedies for frequent urination caused by urinary tract infection.

How To Control Frequent Urination With Pomegranate?

You must drink 2 glasses of pomegranate juice every day when suffering from repeated urination. You can also use a pomegranate mask to cure pain during urination.

Required Ingredients

Steps To Make And Apply Pomegranate Paste For Excess Urination

  • Peel a pomegranate and crush the seeds in a mixer
  • Stir until you get a semi-liquid consistency
  • Wash the pelvic area and apply the paste
  • Wash after 15 minutes with cold water
  • Use it 3 times a day for a week for maximum relief in pain during urination

Why It Works?

Vitamin C in pomegranate makes white blood cells strong enough to battle against bacteria and aloe vera cools down the burning and painful sensation caused by inflammation.

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Other Bladder Control Medications

If symptoms of urinary incontinence are thought to be caused by an enlarged prostate, different medications can be offered to reduce these symptoms. The prostate gland wraps around the urethra , and if it is enlarged, it could squeeze the urinary passage tight, making the emptying of bladder more difficult and incomplete.

In brief, the following categories are available for the treatment of urinary symptoms caused by an enlarged prostate :

  • Alpha-blockers, terazosin , doxyzosin , alfuzosin , silodosin , and tamsulosin , work by relaxing the muscles around the urethra and prostate, thus, making urination more comfortable and complete. These medications start to relieve symptoms within a few weeks, but they do not affect the prostate size.
  • 5-alpha reductase inhibitors, finasteride and dutasteride , work by reducing the size of the prostate gland. They may take several months to become effective.

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Why Choose New York Urology Specialists For Treatment Of Enlarged Prostate Problems

  • All treatment is performed by a board-certified urologist experienced in treating men with symptoms of frequent urination, urinary urgency, urinary incontinence, and bladder pain using medical therapy, minimally invasive therapies, lasers, and open surgery.
  • We are one of the few practices in the region to offer a full range of options for the treatment of urinary problems caused by an enlarged prostate in men.
  • We offer treatment options for enlarged prostate, overactive bladder, UTI, and urinary incontinence in our office, which avoids the risks, costs, and recovery from general anesthesia.
  • Extensive experience: Thousands of men have been treated successfully using medical therapy, surgery, and minimally invasive procedures such as Urolift procedure, Rezum surgery, Botox for overactive bladder, Interstim for frequent urination, and tibial neuromodulation.
  • We also offer laser surgery for BPH , Bipolar TURP, traditional TURP, open suprapubic prostatectomy, robotic suprapubic prostatectomy for BPH.
  • We offer diagnostic testing in our office, which avoids hospital costs.
  • Confidential and Understanding Care. We understand that most of our patients desire privacy. We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
  • We are conveniently located within a 30-60 minute commute to men who are seeking BPH treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.

What Are The Specific Symptoms Of Overactive Bladder

What is urinary incontinence?

Overactive bladder represents a collection of symptoms that can include:

  • Urinary urgency: This is a failure to be able to postpone the need to urinate. When you feel you need to urinate, you have a limited amount of time to get to a bathroom.
  • Frequency of urination: People who experience this symptom need to urinate very often. Typically its an increase in the number of times you urinate compared to what you previously experienced.
  • Urge incontinence: In this case, there can be a leakage of urine when you get the urge to urinate.
  • Nocturia: This symptom is characterized by the need to get up and urinate at least two times each night.

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Cost Of Enlarged Prostate Treatment Without Insurance

At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.

At New York Urology Specialists, we offer a flat-fee all-cost-includedRezum procedure. The procedure is performed in our office under local anesthesia. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment. Please contact us for current prices and discounts for patients without insurance or with high insurance deductibles.

At New York Urology Specialists, we offer a flat-fee all-cost-includedUrolift procedure. The procedure is performed in our office under local anesthesia. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment.

How Is Urinary Urgency And Frequency Treated

Treatment will depend on the type and cause of your urination problems. You may need any of the following:

  • Medicines may be given to relax your bladder and decrease urination. You may also need antibiotics if your symptoms are caused by a bacterial infection.
  • Sacral nerve stimulation sends electrical signals to your sacral nerve through a small device implanted under your skin. Your sacral nerve controls your bladder, sphincter, and pelvic floor muscles.
  • Botox injections into your bladder may help relax your bladder muscle to decrease urgency and frequency.
  • Surgery may be done if all other treatments cannot help you control your bladder.

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Anticholinergic Drugs For Overactive Bowel

This particular class of medication is used to control the muscle spasms that lead to overactive bladder. Anticholinergic drugs focus on blocking the nerve signals that typically trigger inopportune bladder contractions, reduce the frequency, and the severity of your urge to urinate.

There are several anticholinergic drugs to choose from and they all require a doctors prescription. Most people have very favourable reactions to anticholinergics, though there are a few possible side effects which may include dry mouth, constipation, increased heartbeat and/or drowsiness.

Getting Help For Overactive Bladder

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The first step in treatment is to ask for help. It may feel funny talking to your doctor about something as private as urinary issues, but rest assured that your doctor is a professional and is here to help. Be prepared before your appointment by keeping a bladder diary for a few days. This will help your doctor see the extent of your problem, and may help him or her to see any triggers that may be causing your urinary urgency issues.

Be prepared to have a thorough discussion with your doctor about your overactive bladder symptoms, as well as any other symptoms you may be experiencing. You should also let you doctor know if you suffer from any other conditions, such as diabetes, and provide a list of medications youre currently taking, which may be contributing to your symptoms.

Making a list of questions beforehand is also a great idea to ensure that you dont forget anything during your appointment. You may want to ask your doctor about different treatment options that he thinks may be a good fit for you, or about any options youve read about that youre interested in trying. Make sure you find out about the potential side effects for any treatment your doctor proposes, as well as what you can expect in terms of a success rate.

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What Is The Link

During perimenopause, a persons hormone levels begin to change. Before this, high levels of the hormone estrogen help keep the muscles around the bladder and pelvic organs strong. After menopause, the ovaries make very low levels of estrogen, and this dramatic drop can weaken the bladder and the urethra.

According to the North American Menopause Society, low estrogen levels can cause the urethral and vaginal tissues to thin, and pelvic floor muscles can relax as a side effect of aging. This can lead to a person experiencing OAB and urinary incontinence.

Hormone changes can also lead to urinary tract infections , which can cause similar symptoms to OAB. People should always consult a healthcare professional when they experience any new urinary symptoms.

Office on Womens Health , multiple treatments are available for OAB, such as:

What Is Urinary Incontinence

Urinary incontinence is the accidental loss of urine. According to the National Association for Continence, over 25 million adult Americans experience temporary or chronic urinary incontinence. UI can occur at any age, but it is more common among women over 50. Urinary incontinence may be a temporary condition that results from an underlying medical condition. It can range from the discomfort of slight losses of urine to severe, frequent wetting.

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Signs And Symptoms Of Frequent Urina

If your frequent urination is caused by an overactive bladder , you may or may not display some or all of the aforementioned symptoms.

Serious symptoms may include urinal bleeding, at which point, its advised that you visit a doctor.

If the symptoms are mild, and you just have a frequent urge to go, then there are some great home remedies that you can try to reduce that urge and make your overactive bladder less active.

How Well Do Medicines For Urinary Urgency And Incontinence Work

(PDF) Practical aspects of lifestyle modifications and ...

For duloxetine, one study showed that in about 6 in 10 women who took duloxetine, the number of urine leakages halved compared to the time before they took the medication. Therefore, on its own, duloxetine is not likely to cure the incontinence but may help to make it less of a problem. However, duloxetine in addition to pelvic floor exercises may give a better chance of curing the incontinence than either treatment alone.

Antimuscarinic medicines are all thought to be as effective as each other. They may improve symptoms in some cases but not in all. The level of improvement varies from person to person. You may have fewer toilet trips, fewer urine leaks and less urgency. However, it is uncommon for symptoms to go completely with medication alone.

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How Is Urinary Incontinence Treated

You and your doctor or nurse will work together to create a treatment plan. You may start with steps you can take at home. If these steps do not improve your symptoms, your doctor or nurse may recommend other treatments depending on whether you have stress incontinence or urge incontinence or both.

Be patient as you work with your doctor or nurse on a treatment plan. It may take a month or longer for different treatments to begin working.

How To Use It And How Much

You can consume green tea orally. Mix a teaspoon of green tea to a cup of hot water. Let it steep for 5-7 minutes. Filter it through a sieve and add a small amount of honey to create some delicious green tea. You can drink it twice a day.

Remember that green tea wont be of much help if your frequent urination is a consequence of some other condition rather than a UTI. The tea is a powerful diuretic, so it may increase your frequency of urination in cases other than UTIs.

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Overactive Bladder Treatment Options

Research indicates that most people believe the symptoms of an overactive bladder are an inevitable and normal part of growing older, rather than a treatable medical problem. This couldnt be further from the truth.

In fact, fewer than half of individuals with incontinence actually consult a healthcare provider about their problem. This is unfortunate, since there are many treatments available to combat symptoms of OAB.

Even though it may feel embarrassing to talk about your condition, its important to talk to your doctor about your incontinence symptoms. Watch our short film below about the importance of speaking up about bladder leakage.

NAFC is excited to debut a short film about coming to terms with overactive bladder and incontinence. About just how challenging it can be to admit that there’s a problem. And also about how facing up to that reality can be an important first step towards drier days. Watch this short video about OAB, and about how not speaking up can create more problems than staying silent.

Cinnamon For Continuous Urination

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Cinnamon is one of the best natural medicine for frequent urination caused by urinary tract infection and vaginitis. It can kill fungus, bacteria, germs, and parasites. Thus, it also reduces the problems of excessive discharge, improper menstrual cycle, and bad vaginal odor.

How To Stop Frequent Urination Feeling With Cinnamon?

You should drink cinnamon tea regularly to avoid over urination in the first hand by keeping your system clean from infections. Otherwise, if you have already developed the problem of frequent urination, you can make a cinnamon paste for instant relief from repeated urination.

Required Ingredients

Steps To Make And Apply Cinnamon Paste To Cure Burning Sensation After Urination

  • Take 1 tsp cinnamon powder and ? tsp colorless henna in a bowl
  • Add cold distilled water in the bowl and stir until you get the desired semi-liquid consistency
  • Refrigerate the mixture for 15 minutes
  • In the meantime, massage your pelvic area and vulva with warm cinnamon oil
  • Apply the cold paste directly over the freshly massaged surface
  • Wash with clean water and apply every alternate day for 2 weeks to get rid of frequent urination feeling

Why It Works?

Cinnamon is anti-inflammatory, anti-fungal, anti-bacterial, and analgesic. It is rich in vitamin C, E, K, and riboflavin. Thus, it can treat all kinds of infections like UTI and vaginitis. On the other hand, colorless henna is a cooling agent that reduces burning sensation after urination.

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Altering The Bladder With Bladder Augmentation Surgery

When all other approaches to strengthen and retrain the bladder have failed, you may need to alter the bladder itself. This surgery is typically used as a last resort and in only the most severe cases of an overactive bladder.

Bladder augmentation involves enlarging the bladder with a section of your large intestine, so theres more physical space to store urine in and less pressure to urinate frequently. The surgery is the most invasive and complicated procedure for solving overactive bladder problems, and includes a long recovery time and possible lasting consequences. Once you have bladder augmentation surgery, you will cease to be able to urinate naturally you will have to use a catheter or stoma.

The good news is that many, if not most cases of an overactive bladder can be very well controlled with healthy lifestyle changes, and natural and traditional medical treatments. Its important to remember that not all of the listed treatment options may work for everyone.

Remember to discuss the above overactive bladder treatment options with your doctor before beginning them.

Other Treatments To Try

In rare cases when all OAB treatment fails and overactive bladder is severe, doctors may recommend one of several types of surgery.

A procedure called bladder augmentation uses part of the bowel to increase bladder capacity. Or, urinary diversion, an alternate route for bladder drainage for severe, complicated OAB patients.

Sacral nerve stimulation. Another procedure implants a small device, similar to a pacemaker, under the skin. The device is connected to a wire, which sends small electrical pulses to nerves around the pelvic floor that control the bladder and muscles surrounding it. This helps build bladder control. Itâs often called a bladder pacemaker. The main limitation with this treatment is that it keeps you from having a spinal MRI.

Percutaneous tibial nerve stimulation. The doctor places a needle on nerves near your ankle that affect bladder control. Youâll have one session a week for 12 weeks and then maintenance treatments as needed. This procedure is done in the office.

An overactive bladder doesnât have to get in the way of your daily life. With a little time, patience, and the right treatment, you can regain control — and peace of mind. Whatever treatment for overactive bladder you and your doctor decide upon, it’s important that you stick with it. If you do, chances are your condition will improve in time.

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How Bothersome Is It

Doctors use the International Prostate Symptom Score to measure how frequent a man’s symptoms are. It’s a seven-item questionnaire about typical BPH symptoms that provides a score from 0 to 35. You can see the questionnaire at health.harvard.edu/IPSS.

Typically, men who score 8 and above are more likely to think their condition needs treatment, but it varies from man to man. “Above a score of 8 there is actually a spectrum of bother,” Dr. Barry says. “Two men can have the same symptom score, and one can tolerate it just fine but the other can’t.”

The IPSS test cuts through the subjectivity with this additional question: “If you were to spend the rest of your life with your urinary condition just the way it is now, how would you feel about that?” If the answer is, “I could live with it,” then watchful waiting might be best for you.

But watchful waiting doesn’t mean “do nothing.” It should include strategies to lessen symptoms or make them easier to cope with. In one recent study, men who attended classes on such self-management techniques lowered their IPSS symptom scores by 6 points within three months. “Six points is a difference most men would perceive,” Dr. Barry says.

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