Increasing Worsening Or Changing Symptoms
If any of your symptoms increase, worsen or change from the normal UTI symptoms, it might be an STD instead. If symptoms start to include ones like discharge or smell, its far more likely to be one of the most common STDs instead.
For any repeated urinary tract infections that appear to keep coming back, see your doctor: There are many things that can cause repeated UTIs. The same is true for any symptoms that can point to more than just an STD: Again, see your doctor.
Fast Facts On Urinary Incontinence
- Urinary incontinence is more common in females than in males.
- There are a number of reasons why urinary incontinence can occur.
- Obesity and smoking are both risk factors for urinary incontinence.
Urinary incontinence is when a person cannot prevent urine from leaking out.
It can be due to stress factors, such as coughing, it can happen during and after pregnancy, and it is more common with conditions such as obesity.
The chances of it happening increase with age.
Bladder control and pelvic floor, or Kegel, exercises can help prevent or reduce it.
Treatment will depend on several factors, such as the type of incontinence, the patients age, general health, and their mental state.
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.
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Treatments For Male Urinary Incontinence
There are a number of treatment approaches for urinary incontinence to improve bladder control for men, depending on how severe it is and its underlying cause. A combination of treatments might be necessary. There are several categories of medications to treat overactive bladder and relax the bladder muscles and medications for men with incontinence caused by an enlarged prostate. Neuromodulation techniques include percutaneous tibial nerve stimulation, Botox injections in the bladder, and Interstim implantation. When indicated, surgical procedures are available to help alleviate incontinence issues.
How To Reduce Post Micturition Dribble
To push the last remaining drops of urine from the urethra the technique is as follows:
This technique can be practiced at home. When in public toilets it can be done discreetly, with a hand inside a trouser pocket. It only takes a few seconds and may avoid the problem of wet trousers.
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Dribbling After Urination For A Male What Causes It
Involuntary dribbling after urination when you think youre finished is a type of urinary incontinence called Post Micturition Dribble . More commonly known as after dribble.
This type of dribbling is different than dribbles that youcan shake out while still at the toilet.
And, its also different than squirts and dribbles from pressure or stress on the bladder, like when coughing or lifting something heavy.
PMD dribble after urination occurs because some of the urine gets left behind in a curve of the urethra behind the base of Its commonly causedpelvic floor muscles.
Weaker muscles dont contract as effectively to push the urine along the urethra, and thats why some gets left behind. Although PMD can affect both men and women its more common in men.
And, for men, PMD can also be caused by health conditions like an enlarged prostate or bladder/pelvic infections, or behavioral factors such as having a smokers cough or being overweight.
What Are The Treatments For Overflow Incontinence
Treatments for overflow incontinence depend on the reason youre not emptying your bladder and include:
- Medications to shrink an enlarged prostate.
- Surgery to remove a blockage.
- Self-catheterization to empty your bladder by inserting a catheter through your urethra and into your bladder.
- Indwelling catheterization to place a permanent catheter into your bladder that empties into a urine drainage bag outside of your body.
- Suprapubic catheter, which is a permanent catheter the goes through your lower abdominal wall directly into your bladder to avoid using your urethra.
- Nerve stimulation to send electrical pulses to nerves and strengthen bladder muscles. Types include percutaneous tibial nerve stimulation and sacral nerve stimulation.
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When To See A Health Care Provider And What To Expect
Talk to your health care provider if you have urinary incontinence or any signs of a bladder problem, such as:
- Needing to urinate more frequently or suddenly
- Urinating eight or more times in one day
- Passing only small amounts of urine after strong urges to urinate
- Trouble starting or having a weak stream while urinating
Your doctor may recommend urodynamic testing and perform the following to try to figure out what might be causing your bladder problem:
- Give you a physical exam and take your medical history.
- Ask about your symptoms and the medications you take.
- Take urine and blood samples.
- Examine the inside of your bladder using a cystoscope a long, thin tube that slides up into the bladder through the urethra. This is usually done by a urinary specialist.
- Fill the bladder with warm fluid and use a cystoscope to check how much fluid your bladder can hold before leaking.
- Order or perform a bladder ultrasound to see if you are fully emptying your bladder with each void.
- Ask you to keep a daily diary of when you urinate and when you leak urine. Your primary care doctor may also send you to a urologist, a doctor who specializes in urinary tract problems.
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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What Causes Urinary Incontinence In Men
Different types of incontinence have different causes.
- Stress incontinence can happen when the prostate gland is removed. If there has been damage to the nerves or to the sphincter, the lower part of the bladder may not have enough support. Keeping urine in the bladder is then up to the sphincter alone. The sphincter may be too weak to hold back the urine. And any extra pressure from sneezing, coughing, or straining can cause urine to leak.
- Urge incontinence is caused by bladder muscles that squeeze so hard that the sphincter can’t hold back the urine. This causes a very strong urge to urinate. Doctors don’t know why this happens. But sometimes it can be caused by other urinary problems.
- Overflow incontinence can be caused by something blocking the urethra, which leads to urine building up in the bladder. This is often caused by an enlarged prostate gland or a narrow urethra. Over time, the bladder gets so full that pressure builds up and forces the extra urine to move past the blockage and out of the bladder. Overflow incontinence may also happen because of weak bladder muscles.
In men, incontinence is often related to prostate problems or treatments.
Drinking alcohol can make urinary incontinence worse. Taking prescription or over-the-counter drugs such as diuretics, antidepressants, sedatives, opioids, or non-prescription cold and diet medicines can also affect your symptoms.
When Should You Call Your Doctor
if your urinary incontinence does not go away or you also have:
- Weakness or numbness in your buttocks, legs, and feet.
- Fever, chills, and belly or flank pain.
- Blood in your urine or burning with urination.
- A change in your bowel habits.
- Your incontinence gets worse.
- Leaking urine is enough of a problem that you need to wear a pad to absorb it.
- Incontinence interferes with your life in any way.
- You have incontinence that begins suddenly . Acute incontinence is often caused by urinary tract problems or medicines. It can be easily corrected.
- You have a sudden change in your ability to urinate and you aren’t sure if it’s related to your urinary incontinence.
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What Are The Risk Factors For Overflow Incontinence
Men with prostate issues are most likely to develop overflow incontinence related to prostate problems. Conditions like an enlarged prostate or prostate cancer can block the urethra, allowing only small amounts of urine to come out when you pee. After prostate cancer surgery, radiation or other surgery on the urethra, you can develop scar tissue that causes a blockage, called a stricture. If you dont fully empty your bladder, the half-empty bladder fills again quickly. When it gets full, you can leak urine.
People with diabetes, nerve damage and spinal cord injuries are also more prone to overflow incontinence.
Do You Dribble Urine Each Time You Go We Can Help
Are you leaving the restroom only to find spots of urine on your underwear or pants? Youre not alone. Many men have this condition, called post-micturition dribble. But knowing youre in good company doesnt solve the problem.
At Urological Associates in Charlottesville, Virginia, our team of board-certified urologists helps diagnose and address many types of urinary issues, including dribbling after urination in men. Keep reading to learn what might be causing you to dribble and how we can help.
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What Can Help Me Stop Dribbling After Urinating
If youre experiencing PMD, its important to seek medical care for an accurate diagnosis and to rule out a more serious condition. The team at Urological Associates creates a personalized treatment plan for each patient, and the modalities recommended depend on the cause of your PMD. These may include:
- Managing fluid intake
Treatment Options For Weak Urine Flow At New York Urology Specialists
Patients with weak urine flow need to have their urinary function evaluated. At New York Urology Specialists, we are equipped in our office to evaluate your bladder and prostate with pelvic ultrasound, measure your urine flow with a uroflow test, and measure whether your bladder empties completely with postvoid residual measurement. These tests provide valuable information which guides our experienced urologists in treatment choices for your problem.
Cystoscopy offers a direct visual evaluation of the urethra and urinary bladder. Urodynamic testing can test the muscles of the urinary bladder to check if they are working well.
Patients with good bladder function that generates high pressure but low flow, usually have obstruction from urethral stricture or enlarged prostate. In this case, treatment with medications, office procedures or surgery to remove the obstruction is usually effective and provides significant relief of symptoms to men.
Commonly used medications for BPH are Rapaflo, Uroxatral and Flomax. Effective procedures that can unblock urethral obstruction from an enlarged prostate include Rezum procedure for BPH and Urolift. Other procedures such as iTind for BPH, and Aquablation BPH treatment are being studied. Bipolar TURP and HoLap for BPH are effective surgical treatment options for urinary retention and enlarged prostate.
If you have any questions, to schedule a consultation or if you need a second opinion, pleasecontact us or call:
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When To Seek Medical Advice
See a GP if you have any type of urinary incontinence. Urinary incontinence is a common problem and you should not feel embarrassed talking to them about your symptoms.
This can also be the first step towards finding a way to effectively manage the problem.
The GP may also suggest you keep a diary in which you note how much fluid you drink and how often you have to urinate.
Find out about diagnosing urinary incontinence.
What Are The Risks Of Urinary Retention
Urinary retention exposes men to a number of risks and requires prompt evaluation.
Is very important to find out the cause of urine retention. Prostate enlargement can be caused by prostate swelling from infection, enlargement of the prostate that slowly grows beginning at around age 40. Urinary obstruction and urine retention can also be caused by prostate cancer and other serious problems, including bladder cancer and urinary stricture.
Urinary retention man can lead to damage to the kidneys and occasionally leads to a need for dialysis and kidney transplantation if not addressed promptly.
Urinary retention can also cause UTIs, urinary incontinence, and if not treated promptly, can over time cause damage to the bladder to the point that it will not work.
Did you know?Dr. Shteynshlyuger has performed over 1,000 surgeries and procedures for enlarged prostate, including Rezum, Urolift, prostate enucleation, laser ablation of the prostate, and TURP. He performs over 100 prostate procedures a year.
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Urinary Incontinence In Older Adults
Urinary incontinence means a person leaks urine by accident. While it can happen to anyone, urinary incontinence, also known as overactive bladder, is more common in older people, especially women. Bladder control issues can be embarrassing and cause people to avoid their normal activities. But incontinence can often be stopped or controlled.
What happens in the body to cause bladder control problems? Located in the lower abdomen, the bladder is a hollow organ that is part of the urinary system, which also includes the kidneys, ureters, and urethra. During urination, muscles in the bladder tighten to move urine into the tube-shaped urethra. At the same time, the muscles around the urethra relax and let the urine pass out of the body. When the muscles in and around the bladder dont work the way they should, urine can leak, resulting in urinary incontinence.
Incontinence can happen for many reasons, including urinary tract infections, vaginal infection or irritation, or constipation. Some medications can cause bladder control problems that last a short time. When incontinence lasts longer, it may be due to:
- Weak bladder or pelvic floor muscles
- Overactive bladder muscles
- Damage to nerves that control the bladder from diseases such as multiple sclerosis, diabetes, or Parkinsons disease
- Diseases such as arthritis that may make it difficult to get to the bathroom in time
Most incontinence in men is related to the prostate gland. Male incontinence may be caused by:
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
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Treating Dribbling Urine In Male Dogs
The treatment of the condition depends on the vets diagnosis. For instance, they may treat your canine companion with antibiotics if he has an infection. But it depends on the dogs underlying health condition.
The good news is that in most cases, the vet can successfully treat the condition causing the problem. And then your dog wont dribble urine any longer!
So, if your dog is dribbling urine, be sure to get him to the vet. Chances are, he has a medical issue that needs to be treated.
Kim
Review symptoms, medications & behavior to keep your pets healthy with a Vet Online in just minutes.
When To See Your Doctor
Itâs time to get things checked out if:
- You have to go to the bathroom a lot more than usual, and often canât hold in your urine until you get to the toilet
- You leak when you sneeze, cough, or even stand up
- You leak at random times, even if you didnât cough or sneeze
- You feel like your bladder still has urine in it, even after you go
- Your stream of urine is weak
- You have to strain when you urinate
- It hurts to urinate
- You feel pressure in your lower abdomen
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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.
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.
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