Getting Ready For Your Surgery
You and your care team will work together to get ready for your surgery.
Help us keep you safe during your surgery by telling us if any of the following statements apply to you, even if you arent sure.
- I take a blood thinner, such as:
About drinking alcohol
The amount of alcohol you drink can affect you during and after your surgery. Its important to talk with your healthcare providers about how much alcohol you drink. This will help us plan your care.
- If you stop drinking alcohol suddenly, it can cause seizures, delirium, and death. If we know youre at risk for these complications, we can prescribe medications to help keep them from happening.
- If you drink alcohol regularly, you may be at risk for other complications during and after your surgery. These include bleeding, infections, heart problems, and a longer hospital stay.
Here are things you can do before your surgery to keep from having problems:
If you smoke, you can have breathing problems when you have surgery. Stopping even for a few days before surgery can help. Your healthcare provider will refer you to our Tobacco Treatment Program if you smoke. You can also reach the program by calling .
About sleep apnea
Please tell us if you have sleep apnea or if you think you might have it. If you use a breathing device for sleep apnea, bring it with you the day of your surgery.
Ask about medications
What Should I Do After My Surgery To Treat Stress Urinary Incontinence
- Continue with annual check-ups and follow-up care, notifying your health care provider if complications develop, such as persistent vaginal bleeding or discharge, pelvic or groin pain, or pain during sexual intercourse. There is no need to take additional action if you are satisfied with your surgery and are not having complications or symptoms.
- If you have complications or other symptoms:
- Discuss complications and treatment options with your health care provider. Only your health care provider can give you personalized medical advice.
- Consider getting a second opinion from a surgeon who specializes in female pelvic reconstruction if you are not satisfied with your discussion with your health care provider.
Causes Of Urinary Incontinence
Incontinence can happen for many reasons. For example, urinary tract infections, vaginal infection or irritation, constipation. Some medicines can cause bladder control problems that last a short time. When incontinence lasts longer, it may be due to:
- Weak bladder muscles
- Overactive bladder muscles
- Weak pelvic floor muscles
- Damage to nerves that control the bladder from diseases such as multiple sclerosis, diabetes, or Parkinsons disease
- Blockage from an enlarged prostate in men
- Diseases such as arthritis that may make it difficult to get to the bathroom in time
- Pelvic organ prolapse, which is when pelvic organs shift out of their normal place into the vagina. When pelvic organs are out of place, the bladder and urethra are not able to work normally, which may cause urine to leak.
Most incontinence in men is related to the prostate gland. Male incontinence may be caused by:
- Prostatitisa painful inflammation of the prostate gland
- Injury, or damage to nerves or muscles from surgery
- An enlarged prostate gland, which can lead to Benign Prostate Hyperplasia , a condition where the prostate grows as men age.
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Urinary Incontinence Hampers Normal Life May Cause Depression
Urinary incontinence can be brought on due to physical changes like menopause or childbirth in women. And while women make up the majority of those with incontinence in the United States, men too may develop the problem.1 An enlarged prostate, neurological problems, chronic coughing, obesity, and old age are some of the possible causes of incontinence in men.2
This problem can affect your self-esteem as well as your ability to function normally at home or in the workplace. It can also hamper your activity levels and mobility in general and take its toll on your sexual activity. It isnt surprising that it is also a trigger for depression in many people. Thankfully, some simple, nonsurgical ways can improve your condition and gain control over this otherwise potentially debilitating problem.3 What follows are some exercises you can do anytime, anywhere to help strengthen your pelvic floor muscles and regain proper control.
What If All The Screening Test Results Come Back Normal
If all the tests results come back normal, then the inappropriate urination may be due to:
A) Behavioral problems including:
- Submissive urination. A puppy that rolls on its back and urinates is being submissive. It usually happens when the puppy is approached by a larger dog or an adult member of the family.
- Territorial marking. If there are multiple pets in the household, competition between animals may lead one or more of them to urinate inappropriately to mark their territory.
- Cats and their litter boxes. Some cats prefer not to use a dirty litter box and may urinate elsewhere. Male cats with a history of painful urinary blockage may associate pain with using the litter box and will choose to urinate somewhere else.
B) Hormone responsive urinary incontinence. In this condition, there is a slow, involuntary leaking of urine from the bladder when the pet is lying down or sleeping. It is usually seen in older spayed female dogs and is associated decreasing levels of estrogen in the blood, which causes weakening of the muscles that control urination.
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What Can I Expect After A Urinary Incontinence Test
After the tests some people feel a slight stinging or burning sensation when they pass urine. If you drink plenty of fluids these symptoms should quickly settle. If discomfort lasts more than 24 hours, you should take a sample of your urine to your GP for testing because it may be a sign of infection.Some people find a small amount of blood in their urine when they go to the toilet. If this lasts more than 24 hours, you should also see your GP because it may be a sign of infection.After having Urinary incontinence tests there is a small possibility that you may develop a urinary tract infection. This is caused by putting the very thin tubes into your bladder during the test.
To help reduce the likelihood of developing an infection after the test, your hospital may advise you to:
- Drink extra fluids for 48 hours after the test. This will help you to ‘flush’ your system through. Aim to drink about two and a half litres a day for the 48 hours after the test .
- Cut down on your tea and coffee intake for 48 hours after the test. This will reduce bladder irritation until your bladder returns to normal. Drink water, herbal and fruit teas, juices and squash.
- When you go to the toilet to pass urine, take a bit longer to make sure that your bladder is fully empty. When you have finished passing urine, wait for a couple of seconds and then try again.
Recurrence Outside The Prostate
If tests show the recurrence is outside the prostate, this means there apparently is no cancer within the prostate and therefore no reason to remove it. It also means that even if the prostate had been removed surgically, there would have been a recurrence.
When there is a recurrence outside the prostate, the most common treatment prescribed is hormonal therapy. There are several different hormones used, and each case is different. Hormones may be used individually or in combinations. They could be used continuously, or intermittently. Intermittent Hormonal Therapy is becoming more common for treating prostate cancer that has recurred after any form of treatment. Many, if not most, respond well to this treatment for extended periods of time.
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How Do I Do Kegel Exercises
Kegel exercises are a simple way to build strength in your pelvic floor muscles. These exercises are done by lifting, holding and then relaxing your pelvic floor muscles. You can find these muscles by stopping the flow of urine mid-stream while youre urinating. Only do this until you learn how to find the muscles stopping the flow of urine mid-stream isnt healthy over a long period of time.
When youre doing Kegel exercises, start small. Only hold it for a few second. Over time you can slowly work your way up to longer and longer stretches of holding the muscles tight.
Unlike other types of workouts, no one can tell when youre doing Kegel exercises. Aim to do several sets of Kegel exercises twice a day.
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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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How Do Urinary Incontinence Tests Work
The first part of the tests checks how much urine leaves your bladder over a certain length of time. This is called the flow rate. A special toilet records the flow of your urine. A computer then checks for any abnormalities in flow rate.A decreased flow rate can indicate problems with bladder emptying. For example, this could be an obstruction to bladder drainage or underactivity of your bladder muscle.The second part of the tests is called filling cystometry. For this test, thin tubes called catheters are inserted into your bladder and your back passage or your vagina. These can measure the pressure in your bladder and tummy as your bladder fills with fluid. Using these measurements, doctors compare the different pressure readings.If urine leaks with no change in pressure in your bladder muscle, you may have stress incontinence. Leaking is brought on by an increase in pressure inside your abdomen – for example, when coughing.If involuntary bladder muscle activity causes an increase of pressure in your bladder and leads to leaking, you may have urge incontinence.
Keeping Up With Appointments And Screenings
Attending your doctors appointments after youve entered remission is very important. If you need to skip an appointment, you should make another appointment as soon as possible.
Use these appointments as a time to discuss any concerns you may have with your doctor. Your doctor can also conduct tests to check for the cancers return during these appointments.
Two tests to detect recurrent prostate cancer include a digital rectal exam and a PSA blood test. During a DRE, your doctor will insert a finger into your rectum. If your doctor detects something unusual, theyll likely ask for additional follow-up tests. These tests may include bone scans and imaging studies, such as an ultrasound or MRI.
Men often experience side effects from their prostate cancer treatments. Some of these side effects may be immediate and temporary. Others may take several weeks or months to show up and never fully disappear.
Common side effects from prostate cancer treatment include:
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How Is Urinary Incontinence Diagnosed
To diagnose the cause of your urinary incontinence, your doctor will do a physical exam and ask about your past health.
Your doctor will ask about what and how much you drink. You will also be asked how much and how often you urinate and leak urine. It may be easier for you to answer questions if you keep track of these things using a bladder diary for 3 or 4 days before you see your doctor.
Your doctor may do some simple tests to look for the cause of your bladder control problem. For example, your doctor may ask you to cough while you are standing to see if you leak urine. If your doctor thinks that your problem may have more than one cause, you will likely have more tests.
Here are some tests that may be done to find the type and cause of your urinary incontinence.
Avoid High Impact Exercise: It Can Make Leakage Worse
If youre looking at losing weight or exercising to help your urinary incontinence, be aware that high impact exercise can actually make things worse by putting pressure on the pelvic floor muscles. Even sit-ups may prove problematic. So skip the aerobics classes and trade in your running shoes for some yoga or pilates. This will help you build core strength, stretch your body, and get a good workout without taking a toll on your pelvic floor muscles. Plus, as we saw, yoga has some asanas that are actually beneficial for the pelvic region.16
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Physical Activity Helps Prevent Incontinence
Physical activity helps prevent constipation by stimulating muscular activity of the bowel .
Exercise also helps to maintain a healthy body weight, which reduces pressure on the pelvic floor the sling of muscle directly responsible for bladder and bowel control.Suggestions for physical activity include:
- You dont have to choose an expensive activity a brisk 30-minute walk every day is free and great for your general health.
- Pick something thats fun you are more likely to stick to a regular exercise routine if you enjoy the activity.
- Keep your pelvic floor muscles in shape obesity, pregnancy, childbirth, regular heavy lifting, high impact exercise and a chronic cough can weaken the pelvic floor, but you can strengthen these muscles with specific exercises.
- If you havent done any physical activity for a while, see your doctor and complete an Adult Pre-Exercise Screening Questionnaire before starting.
How Can You Tell Dog Incontinence From Inappropriate Elimination
Other conditions can look like incontinence in dogs but may be caused by a different issue. Most of the following instances of inappropriate elimination are voluntary urinations in which the pet is aware, but loses control.
Submissive or excitement urination: This is a voluntary urination that has a behavioral component. Submissive urination often involves a small amount of urine and only happens when your dog is near a person or excited about an event.
Lack of proper house-training: Some dogs have not been consistently and positively trained to eliminate in appropriate spots. This can look like a normal amount of urine, and it tends to happen near a door or somewhere away from where your dog eats, sleeps, and plays.
Cognitive changes: Older pets can experience cognitive changes that alter their ability to recognize appropriate places to urinate. You will find a normal amount of urine in any place throughout the house.
Pain: Pain can lead to inappropriate elimination as well, as some pets find it difficult to posture or physically move to the correct location. Sometimes this can look like your dog is dripping urine as they try to make their way outside.
What Should I Do To Prepare For A Urinary Incontinence Test
If you are taking any medication for your bladder then it is likely that you will be asked to stop this for a week before this test.Your hospital may ask you to arrive for your test with a comfortably full bladder. If this is difficult, some hospitals may ask you to arrive a little early so that you can have a drink to fill your bladder.The test usually takes around 2-3 hours.
What Causes Incontinence
There are many different reasons that you could experience incontinence. These causes can vary depending on if youre a woman or man. Some causes are temporary health conditions that usually go away once treated. In those cases, your incontinence also usually stops once the condition is treated. Incontinence can be caused by long-term medical conditions. When you experience leakage issues because of a chronic condition, its usually something you will have to manage over a longer period of time. Even with treatment, chronic conditions usually dont go away. Incontinence may have to be managed over time as a symptom of your chronic condition.
Temporary or short-term causes of incontinence can include:
- Urinary tract infections : An infection inside your urinary tract can cause pain and increase your need to pee more often. Once treated, the urge to urinate frequently usually goes away.
- Pregnancy: During pregnancy, your uterus places extra pressure on the bladder as it expands. Most women who experience incontinence during pregnancy notice that it goes away in the weeks after delivery.
- Medications: Incontinence can be a side effect of certain medications, including diuretics and antidepressants.
- Beverages: There are certain drinks like coffee and alcohol that can make you need to urinate much more often. If you stop drinking these beverages, your need to urinate frequently typically goes down.
- Constipation: Chronic constipation can cause you to have bladder control issues.
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