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Overactive Bladder.Pdf C O N R A D | PEARSON CLINIC OVERACTIVE BLADDER OVERACTIVE BLADDER BLOOD IN URINE medications. Treatments for BPH vary Anytime there is blood in the urine, further from watchful waiting for mild symptoms THE CONRAD PEARSON CLINIC UROLOGY CENTER OF THE SOUTH evaluation is needed. By far the most common to medications or surgery for more severe Common Steps cause of the blood in the urine is infection, situations. Two classes of medication are in Evaluation even in the absence of any major symptoms. commonly used. Alpha-blocker medications While there are many other causes of blood (Flomax, Uroxatral, and Doxazocin) relax John R. Adams, Jr., M.D., FACS Perry J. Larimer, M.D., FACS History in the urine, your physicians will want to the muscle tone of the prostate and relieve Ravi D. Chauhan, M.D., FACS H. Benjamin Maddux, Jr., M.D., FACS the blockage of BPH. 5-alpha-reductase make sure that there is no chance of bladder Physical Exam and Pelvic Exam Lynn W. Conrad, M.D., FACS H. Michael McSwain, M.D., FACS cancer as the cause. Bladder cancer can give inhibitors (Proscar, Finasteride, and Avodart) Paul R. Eber, M.D. Richard M. Pearson, M.D., FACS the same symptoms as overactive bladder, can physically shrink the prostate and thus Urinalysis Howard B. Hasen, Jr., M.D. omas B. Shelton, M.D., FACS but bladder cancer also usually has blood in help to reduce obstruction of urine ow. If Ultrasound for Post Void Residual the urine. To rule out bladder cancer, your medications are unsuccessful, more aggressive H. David Hickey, Jr., M.D., FACS Carla Dirmann, FNP Voiding Diary physician will likely recommend a CT scan treatments can remove the blocking Robert S. Hollabaugh, Jr., M.D., FACS prostate tissue. Laser treatments, Microwave and a cystoscopy. Possible Procedures: treatments, and even surgical trimming of - Cystoscopy Overactive Bladder in Men the prostate may be helpful. Occasionally, a - CT Scan of Abdomen and Pelvis combination of overactive bladder medicines - Urodynamics By Robert S. Hollabaugh, Jr. MD Overactive bladder symptoms in a man may and prostate medicines will be needed. In Overactive Bladder indicate other problems. Urinary frequency, some cases of huge prostate enlargement, Overactive bladder (OAB) is a condition rechecked to see if any blood remains. If urgency and nocturia in a man are often use of an overactive bladder medicine may that a ects approximately 33 million blood is still present, further evaluation will related either to benign prostate hyperplasia Do you have an cause a man to be unable to urinate (urinary Americans. It can disrupt activities of daily be recommended to exclude bladder cancer, (BPH) or to prostatitis. Prostate-related Other Conditions with retention). us, it is very important for an life. For many “Getting to the bathroom in kidney cancer, urinary stones, and urinary Overactive Bladder? urinary troubles need to be treated carefully, urologist to evaluate the urinary symptoms in Similar Symptoms time” and “knowing where the bathroom blockages as possible sources. and in general involve other types of men and decide on appropriate medical (or is” become major concerns. e estimated medications. Prostatitis is generally treated ough the underlying cause of OAB is ese questions can help you decide surgical) treatment. economic impact of OAB in the U.S. with antibiotics and anti-in ammatory Urinary Tract Infection unknown, the nervous system is thought to if you need further evaluation for an exceeded $12 billion dollars in 2000. Women play an important role in the irritability and overactive bladder: Diabetes (polyuria) tend to be a ected more commonly than men, overactivity of the bladder. Processes such Do you go to the bathroom so often at Pelvic Radiation and it occurs more frequently as people age. as diabetes, Parkinson’s disease and multiple night that it interrupts your sleep (2 or BPH e most common symptoms that suggest Neurologic Disorders sclerosis, which a ect the nervous system, can more times)? overactive bladder are: initially present with urinary complaints. Low Parkinson’s Disease Do you go to the bathroom so often that » urinating frequently (more than 8 times) back pain in association with OAB raises the it interferes with your daily activities Multiple Sclerosis during the day (frequency) possibility of a “slipped disc” with nerve root (more than 8 times in 24 hours)? irritation. Bladder pain accompanying OAB Disc Disease » Sudden strong urges to urinate (urgency) may be the rst signs of interstitial cystitis, Do you always have to know where » Having to wake from sleep to urinate Colorectal Cancer which follows a di erent treatment approach. the bathroom is because of frequent, more than twice each night (nocturia) A thorough medical history and exam can strong, sudden urges to urinate? Bladder Cancer » Leaking urine before you get to the usually diagnose these problems. Do you sometimes have trouble making Gynecologic Conditions bathroom (urge incontinence) Once the doctor has eliminated other it to the bathroom in time? » Unconscious leakage of urine Pregnancy causes of frequency and urgency, treatment Many other symptoms may accompany these, Do you wear pads to protect your of OAB can proceed. Management of Uterine Fibroids clothes from getting wet? some of which deserve particular attention. If Overactive Bladder usually involves Ovarian Cysts there is burning on urination, the possibility medicines called anti-muscarinics (common Do you limit the amount of uids that of urinary infection must be investigated brand name medications include Detrol, you drink? Endometriosis with a urinalysis. Once an infection has been Ditropan,Vesicare, Sanctura and Enablex). If you answered “YES” to more than Before Treatment After Treatment treated, any remaining symptoms should be ese drugs are very safe, e ective, and quick two of these questions, make sure to re-evaluated. Many times, a urinary tract in onset. ey improve quality of life by ask your doctor about evaluation and infection may have been causing all of the dramatically cutting down on the frequency treatment for an overactive bladder. e symptoms, mimicking an overactive bladder. of urination, both daytime and nighttime, Wolf River O ce and Surgery Center Methodist North O ce sooner you begin, the sooner you can Blood in the urine (hematuria), whether and the severity of urgency. Overall, 1325 Wolf Park Drive, Suite 102 3950 New Covington Pike, Suite 340 phone: 901.252.3400 return to more normal living Germantown, TN 38138 Memphis, TN 38128 visible or microscopically detected, needs the side-e ects of the anti-muscarinic fax:901.763.4305 to be further evaluated. e most common medications are minimal and may include Southaven O ce West Memphis O ce Please visit our website at cause of blood in the urine is a urinary dry mouth, constipation and rarely mental 125 Guthrie Drive 228 West Tyler, Suite 202 www.conradpearson.com tract infection (UTI). Several weeks after confusion. Some medical conditions may Southaven, MS 38671 West Memphis, AR 72301 treatment of the UTI the urine should be C O N R A D | PEARSON CLINIC OVERACTIVE BLADDER C O N R A D | PEARSON CLINIC OVERACTIVE BLADDER Bladder Retraining Technique FEMALE ANATOMY (helps the bladder hold urine better) Timed Voiding Technique Dietary and Lifestyle » (Helps to avoid abrupt urges to urinate) e uterus is the organ Modi cations When you feel the urge to urinate, that holds the baby when STOP what you are doing, sit down » Determine usual frequency you are pregnant » Avoid CAFFEINE (Co ee, Tea, or STAND STILL, and remain still. of “emergencies.” Colas, Chocolate) » SQUEEZE your pelvic muscles quickly » For example, if you have emergencies e bladder » Avoid CARBONATED SODAS several times, but do not completely every 2 hours, plan trips to the collects and » Avoid CITRUS JUICES and relax the muscles in between. bathroom every 90 minutes holds urine. FRUITS » Relax the rest of your body by taking » When successful for several days in a e cervix is the narrow » Avoid ALCOHOL several DEEP BREATHS. row, increase the interval by lower part of the uterus. » Avoid SPICY FOODS (Italian, » CONCENTRATE on suppressing 15 minutes Chinese, and Mexican type dishes) the urge, and wait a few minutes to let » Target an interval of 4 – 6 hours e urethra is the tube the urge subside. that carries the urine » Stop Smoking (Smoking causes » MUST stick to the plan out of the body. bladder muscle irritability) » en WALK, DO NOT RUSH, to » Plan to devote 4 – 6 months » Lose Weight (Extra weight can the bathroom. to “recondition” place extra pressure on » REPEAT this routine whenever e urethral e vagina is the canal your bladder) abrupt urges begin sphincter helps from your uterus to the keep urine in the outside of your body. bladder. is not exercising the proper muscles. Kegel’s count of 5, then relax it. A repetition of Kegels cause may be the prostate. e symptoms, are NOT simply “tightening up the belly means you “Tighten-count to 5-Relax” ve in general, are identical. Your urologist can muscles” or “clinching the buttocks.” e times in a row. is should be done multiple determine which is the appropriate focus of be worsened by these medications, such usually a last resort and is recommended only will give additional information to help your best way to correctly perform Kegels is as times each day as a daily exercise. Try to do treatment. follows. For the rst week, learn to isolate the it every time you come to a stoplight in your as Alzheimer’s disease, gastroparesis, or when more conservative medications and doctor decide what other forms of treatment URINARY INFECTION proper muscle for urinary sphincter control. car or every time you see a commercial on the narrow-angle glaucoma.
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