DOCSLIB.ORG

Overactive Bladder.Pdf

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text

Load more

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.
Recommended publications
  • Urinary Incontinence: Impact on Long Term Care

    Urinary Incontinence: Impact on Long Term Care

    Urinary Incontinence: Impact on Long Term Care Muhammad S. Choudhury, MD, FACS Professor and Chairman Department of Urology New York Medical College Director of Urology Westchester Medical Center 1 Urinary Incontinence: Overview • Definition • Scope • Anatomy and Physiology of Micturition • Types • Diagnosis • Management • Impact on Long Term Care 2 Urinary Incontinence: Definition • Involuntary leakage of urine which is personally and socially unacceptable to an individual. • It is a multifactorial syndrome caused by a combination of: • Genito urinary pathology. • Age related changes. • Comorbid conditions that impair normal micturition. • Loss of functional ability to toilet oneself. 3 Urinary Incontinence: Scope • Prevalence of Urinary incontinence increase with age. • Affects more women than men (2:1) up to age 80. • After age 80, both women and men are equally affected. • Urinary Incontinence affect 15% to 30% of the general population > 65 years. • > 50% of 1.5 million Long Term Care residents may be incontinent. • The cost to care for this group is >5 billion per year. • The total cost of care for Urinary Incontinence in the U.S. is estimated to be over $36 billion. Ehtman et al., 2012. 4 Urinary Incontinence: Impact on Quality of Life • Loss of self esteem. • Avoidance of social activity and interaction. • Decreased ability to maintain independent life style. • Increased dependence on care givers. • One of the most common reason for long term care placement. Grindley et al. Age Aging. 1998; 22: 82-89/Harris T. Aging in the eighties. NCHS # 121 1985. Noelker L. Gerontologist 1987; 27: 194-200. 5 Health related consequences of Urinary Incontinence • Increased propensity for fall/fracture.
  • Kegels: Female Pelvic Floor Exercises What Are Kegel Exercises? Kegel Exercises Strengthen the Pelvic Floor Muscles

    Kegels: Female Pelvic Floor Exercises What Are Kegel Exercises? Kegel Exercises Strengthen the Pelvic Floor Muscles

    Kegels: Female Pelvic Floor Exercises What are Kegel exercises? Kegel exercises strengthen the pelvic floor muscles. These muscles support the bladder and bowel openings. Strengthening the muscles of the pelvic floor can aid in preventing leakage of urine or feces when you cough, sneeze, lift, or do other stressful movements. Other benefits of Kegels include: Enhanced sexual function Conditioned muscles to make childbirth easier Decreased or prevention of prolapsed pelvic organs Improved ability to pass stool © NIDDK Who should do Kegel exercises? Women with urinary and /or bowel incontinence Women who have demonstrated weakening of the pelvic floor Pregnant women or women who have previously had children Middle aged and older women Physical Medicine and Rehabilitation - 1 - What do I need to know about Kegels? Your success while doing Kegel exercises depends on you practicing them correctly and regularly. When doing the exercises, it is important to identify the correct muscles of the pelvic floor. At first, most people contract the abdominal or thigh muscles while forgetting the pelvic floor muscles. This could make pelvic floor tone and incontinence worse. If you are not sure that you are doing the Kegel exercise correctly, ask your doctor to refer you to a Pelvic Floor Physical Therapist (PT). The PT will evaluate you and provide specific instructions on how to do the exercises. “Kegel exercises diagram" by Gend27 - Own work. Licensed under CC BY-SA 3.0 via Commons You may do Kegels as part of biofeedback. Biofeedback consists of placing a sensor on the abdomen and around the anal area, which measures the tightening of the pelvic floor muscles.
  • Original Article Effects of Kegel Exercises Applied to Urinary Incontinence on Sexual Satisfaction

    Original Article Effects of Kegel Exercises Applied to Urinary Incontinence on Sexual Satisfaction

    Int J Clin Exp Med 2016;9(6):12365-12374 www.ijcem.com /ISSN:1940-5901/IJCEM0021587 Original Article Effects of kegel exercises applied to urinary ıncontinence on sexual satisfaction Şenay Topuz1*, Emine Ü Seviğ2* 1Department of Midwifery, Health Science Faculty, Ankara University, Ankara, Turkey; 2Department of Public Health Nursing, Health Science Faculty, Erciyes University, Kayseri, Turkey. *Equal contributors. Received December 10, 2015; Accepted March 19, 2016; Epub June 15, 2016; Published June 30, 2016 Abstract: This study is a semi-experimental study in order to explore the effect of Kegel exercises upon sexual sat- isfaction among the women who suffered from urinary incontinence. The sample of the study is consisted of 30 women who are diagnosed with urinary incontinence. Illustrative data form, GRISS were initially applied to women, kegel exercises were taught to women by the researcher and after 3 months of application were filled with scales. All of the women who were studied are at least primary school graduate and are married. Before the application it was seen that the women had problems in GRISS satisfaction, touch, vaginismus and anorgasmia sub groups. Yet, after the application its seen that the sexual satisfaction raised in these sub groups except vaginismus. A very important positive change was experienced in satisfaction and anorgasmia. A rise in sexual satisfaction was also detected after the application on thickness and avoidance sub groups and on total points. As a result of the study, it was detected that kegel exercises had positive effect on womens sexual satisfaction. However, performing of long term and broader sample studies shouldbe offered.
  • Preoperative Exercise Interventions to Optimize Continence Outcomes Following Radical Prostatectomy

    Preoperative Exercise Interventions to Optimize Continence Outcomes Following Radical Prostatectomy

    REVIEWS Preoperative exercise interventions to optimize continence outcomes following radical prostatectomy Sean F. Mungovan 1,2,3 ✉ , Sigrid V. Carlsson4,5,6, Gregory C. Gass2,7, Petra L. Graham 8, Jaspreet S. Sandhu4, Oguz Akin 9, Peter T. Scardino4, James A. Eastham4 and Manish I. Patel 10,11 Abstract | Urinary incontinence is a common and predictable consequence among men with localized prostate cancer who have undergone radical prostatectomy. Despite advances in the surgical technique, urinary continence recovery time remains variable. A range of surgical and patient- related risk factors contributing to urinary incontinence after radical prostatectomy have been described, including age, BMI, membranous urethral length and urethral sphincter insufficiency. Physical activity interventions incorporating aerobic exercise, resistance training and pelvic floor muscle training programmes can positively influence the return to continence in men after radical prostatectomy. Traditional approaches to improving urinary continence after radical prostatectomy have typically focused on interventions delivered during the postoperative period (rehabilitation). However, the limited efficacy of these postoperative approaches has led to a shift from the traditional reactive model of care to more comprehensive interventions incorporating exercise- based programmes that begin in the preoperative period (prehabilitation) and continue after surgery. Comprehensive prehabilitation interventions include appropriately prescribed aerobic exercise, resistance
  • Interstitial Cystitis/Painful Bladder Syndrome

    Interstitial Cystitis/Painful Bladder Syndrome

    What I need to know about Interstitial Cystitis/Painful Bladder Syndrome U.S. Department of Health and Human Services National Kidney and Urologic Diseases NATIONAL INSTITUTES OF HEALTH Information Clearinghouse What I need to know about Interstitial Cystitis/Painful Bladder Syndrome U.S. Department of Health and Human Services National Kidney and Urologic Diseases NATIONAL INSTITUTES OF HEALTH Information Clearinghouse Contents What is interstitial cystitis/painful bladder syndrome (IC/PBS)? ............................................... 1 What are the signs of a bladder problem? ............ 2 What causes bladder problems? ............................ 3 Who gets IC/PBS? ................................................... 4 What tests will my doctor use for diagnosis of IC/PBS? ............................................................... 5 What treatments can help IC/PBS? ....................... 7 Points to Remember ............................................. 14 Hope through Research........................................ 15 Pronunciation Guide ............................................. 16 For More Information .......................................... 17 Acknowledgments ................................................. 18 What is interstitial cystitis/painful bladder syndrome (IC/PBS)? Interstitial cystitis*/painful bladder syndrome (IC/PBS) is one of several conditions that causes bladder pain and a need to urinate frequently and urgently. Some doctors have started using the term bladder pain syndrome (BPS) to describe this condition. Your bladder is a balloon-shaped organ where your body holds urine. When you have a bladder problem, you may notice certain signs or symptoms. *See page 16 for tips on how to say the words in bold type. 1 What are the signs of a bladder problem? Signs of bladder problems include ● Urgency. The feeling that you need to go right now! Urgency is normal if you haven’t been near a bathroom for a few hours or if you have been drinking a lot of fluids.
  • Overactive Bladder: What You Need to Know Whiteboard Animation Transcript with Shawna Johnston, MD and Emily Stern, MD

    Overactive Bladder: What You Need to Know Whiteboard Animation Transcript with Shawna Johnston, MD and Emily Stern, MD

    Obstetrics and Gynecology – Overactive Bladder: What You Need to Know Whiteboard Animation Transcript with Shawna Johnston, MD and Emily Stern, MD Overactive bladder (OAB) is a symptom-based disease state, which includes urinary frequency, nocturia, and urgency, with or without urgency incontinence. Symptoms of a urinary tract infection (UTI) are similar but additionally include dysuria (painful voiding) and hematuria. OAB tends to be a chronic progressive condition, while UTI symptoms are acute and may be associated with fever and malaise. In patients whose symptoms are unclear, urinalysis and urine culture may help rule out infection. If symptoms point to OAB, you should rule out: 1. Neurological disorders, such as multiple sclerosis, dementia, parkinson’s disease, and stroke. 2. Medical disorders such as diabetes, and 3. Prolapse, as women with obstructed voiding, usually from advanced prolapse, can have symptoms that mimic those of OAB. It is important to delineate how OAB symptoms affect a patient’s quality of life. Women with OAB are often socially isolated and sleep poorly. On history, pay attention to lifestyle factors such as caffeine and fluid intake, environmental triggers, and medications that may worsen symptoms like diuretics. Cognitive impairment and diabetes can influence OAB symptoms. Estrogen deficiency worsens OAB symptoms, so menopausal status and hormone use are important to note. Physical exam includes a screening sacral neurologic exam, an assessment for pelvic organ prolapse and a cough stress test to rule out stress urinary incontinence. On pelvic exam, look for signs of estrogen deficiency. Investigations include urinalysis, urine culture, and a post-void residual volume measurement.
  • Kegel Exercises2

    Kegel Exercises2

    KEGEL EXERCISES A Kegel exercise, named after Dr. Arnold Kegel, consists of contracting and relaxing the muscles that form part of thepelvic floor (which some people now colloquially call the "Kegel muscles"). The aim of Kegel exercises is to improve muscle tone by strengthening the pubococcygeus muscles of the pelvic floor. Advantages of Kegel eercises are : Kegel is a popular prescribed exercise for pregnant women to prepare the pelvic floor for physiological stresses of the later stages of pregnancy and vaginal childbirth. Kegel exercises are said to be good for treating vaginal prolapse and preventing uterine prolapse in women . In men they say these are useful for treating prostate pain and swelling resulting from benign prostatic hyperplasia(BPH) and prostatitis in men. Kegel exercises may be beneficial in treating urinary incontinence in both men and women. Kegel exercises may also increase sexual gratification. Sexual function Kegel workouts can provide men with stronger erections. Research published in 2005 issue of BJU International, have shown that pelvic floor exercises could help restore erectile function in men with erectile disfunction. There are said to be significant benefits for the problem of premature ejaculation from having more muscular control of the pelvis.It is also possible that strengthening the pelvic floor may allow some men to achieve a form of orgasmwithout allowing ejaculation, and thereby perhaps reach multiple "climaxes" during sexual activity. In men, this exercise lifts up the testicles, also strengthening the cremaster muscle, as well as the anal sphincter, as the anus is the main area contracted when a Kegel is done.
  • Frequently Asked Questions About Overactive Bladder

    Frequently Asked Questions About Overactive Bladder

    ABOUT OAB Frequently Asked Questions about Overactive Bladder What is Overactive Bladder (OAB)? If you live with OAB, you may also: Overactive Bladder (OAB) isn’t a disease. It’s the u Leak urine (incontinence): Sometimes people name of a group of urinary symptoms. The most with OAB also have “urgency incontinence.” common symptom of OAB is a sudden urge to This means that urine leaks when you feel urinate that you can’t control. Some people will the sudden urge to go. This isn’t the same as leak urine when they feel this urge. Having to “stress urinary incontinence” or “SUI.” People urinate many times during the day and night is with SUI leak urine while sneezing, laughing or another symptom of OAB. doing other physical activities. (You can learn more about SUI at UrologyHealth.org/SUI.) How common is OAB? u Urinate frequently: You may also need to go OAB is common. It affects millions of Americans. to the bathroom many times during the day. As many as 30 percent of men and 40 percent The number of times someone urinates varies of women in the United States live with OAB from person to person. But many experts symptoms. agree that going to the bathroom more than eight times in 24 hours is “frequent urination.” Who is at risk for OAB? u Wake up at night to urinate: Waking from As you grow older, you’re at higher risk for sleep to go to the bathroom more than once a OAB. But no matter what your age, there are night is another symptom of OAB.
  • The Effect of Pelvic Floor (Kegel) Exercises on Sexual Satisfaction of 20-40-Year-Old Women Referring to Women′S Counseling Center in 2015: Rafsanjan Health Center No

    The Effect of Pelvic Floor (Kegel) Exercises on Sexual Satisfaction of 20-40-Year-Old Women Referring to Women′S Counseling Center in 2015: Rafsanjan Health Center No

    Focus on Sciences Original Article Feb 2018, Volume 4, Issue 1 The Effect of Pelvic Floor (Kegel) Exercises on Sexual Satisfaction of 20-40-Year-old Women Referring to Women′s Counseling Center in 2015: Rafsanjan Health Center No. 1 Mohammadreza Mirzabeigi 1, Batoul Shafiei Marji 2,*, Mohammadreza Mokhtaree 3 1 Assistant Professor, Psychiatry Department, Rafsanjan University of Medical Sciences, Rafsanjan, Iran 2 MSc, Department of General Psychology, Rafsanjan University of Medical Sciences, Rafsanjan, Iran 3 MSc, Department of Educational Psychology, Social Determinants of Health Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran * Corresponding author: Batoul Shafiei Marji, MSc, Department of General Psychol- ogy, Rafsanjan University of Medical Sciences, Rafsanjan, Iran. E-mail: bty.shafie@ yahoo.com Submitted: 12.13.2017 Abstract Accepted: 04.04.2018 Introduction: Sexual disorders are common among women. This study aimed to investigate the effect of pelvic exercises on women›s sexual satisfaction. Keywords: Methods: Fifty subjects among 20-40-year-old women referring to the counseling center Orgasm No. 1 of Rafsanjan Health Department were selected using convenient sampling and Pelvic Floor Exercises randomly divided into two experimental and control groups. The participants completed Kegel Linda Berg›s Sexual Satisfaction Scale in pretest and posttests. Five training sessions were © 2018. Focus on Sciences held on pelvic muscle (Kegel) exercises for the experimental group. The control group received no training.The collected data were analyzed using independent t-test, chi-square test and covariance analysis. Results: Sexual satisfaction did not differ between the two groups in pretest (P = 0.614). No high rate of sexual satisfaction was observed for both groups in the pre-test; however, the difference was significant between the pre- and post-test sexual satisfaction scores for the experimental group (P = 0.02).
  • The Effect of Pelvic Floor Muscle Training on Incontinence

    The Effect of Pelvic Floor Muscle Training on Incontinence

    JMHXXX10.1177/1557988318757242American Journal of Men’s HealthAydın Sayılan and Özbaş 757242research-article2018 Original Article American Journal of Men’s Health 2018, Vol. 12(4) 1007 –1015 The Effect of Pelvic Floor Muscle © The Author(s) 2018 Reprints and permissions: sagepub.com/journalsPermissions.nav Training On Incontinence Problems DOI:https://doi.org/10.1177/1557988318757242 10.1177/1557988318757242 After Radical Prostatectomy journals.sagepub.com/home/jmh Aylin Aydın Sayılan1 and Ayfer Özbaş2 Abstract The aim of the current study was to determine the effect of pelvic floor muscle exercises (PFME/Kegel) training administered to patients scheduled for robot-assisted radical prostatectomy on postprocedural incontinence problems. This study was a randomized controlled trial. Pelvic floor muscle exercises were applied to the procedure group three times a day for 6 months. No exercises were applied to the control group. Incontinence and quality-of-life assessments of the 60 patients in the experimental and control groups were performed on months 0 (10 days after removal of the urinary catheter), 1, 3, and 6 through face-to-face and telephone interviews. Total Incontinence Consultation on Incontinence-Short Form scores, which provide an objective criterion for the evaluation of individuals with incontinence problems, decreased over time. This decrease was statistically highly significant in the third and sixth months. Pelvic muscle floor exercises are suitable for patients experiencing incontinence after radical prostatectomy. Keywords urinary incontinence, prostatectomy, muscle stretching exercises. Received October 8, 2017; revised December 19, 2017; accepted January 3, 2018 Prostate cancer is one of the most common cancer types therefore involves noninvasive behavioral therapeutic in men, and the prevalence increases with age (Vidmar methods consisting of diet modification, bladder train- et al., 2017).
  • Paediatric Urinary Incontinence

    Paediatric Urinary Incontinence

    VOLUME 37 : NUMBER 6 : DECEMBER 2014 ARTICLE Paediatric urinary incontinence Gail Nankivell Senior physiotherapist1 SUMMARY Patrina HY Caldwell Staff specialist Urinary incontinence, both in the day and at night, is common in school-aged children and can be paediatrician1,2 very distressing for children and their families. 1 The Children’s Hospital An accurate history together with a thorough physical examination is essential for assessing and Westmead diagnosing urinary incontinence. 2 Discipline of Paediatrics Conservative treatment should be offered to all children. If that fails, treatment with anticholinergic and Child Health University of Sydney drugs could be tried in those with daytime urinary incontinence and overactive bladder. After addressing any daytime bladder symptoms, treatment with alarm therapy is recommended Key words for children with nocturnal enuresis. Desmopressin is another option. bedwetting, nocturnal enuresis Introduction During the day, voiding occurs when children synchronously contract their detrusor muscle and relax Aust Prescr 2014;37:192–5 Urinary incontinence in the day and at night is their urinary sphincters and pelvic floor muscles (usually common in school-aged children. Its causes can be in response to the sensation of bladder fullness). multifactorial. Daytime urinary incontinence occurs This allows the free flow of urine until the bladder is in about 17–20% of children1-3 with a further 6.6% empty. At night, with adequate bladder storage and of those having problems at night as well.2 The urine concentration, children usually sleep through the prevalence of nocturnal enuresis is 8–20% at five night without needing to urinate, but have the ability years of age, with a spontaneous remission rate of to wake up to void when they sense bladder fullness.
  • Pelvic Floor Muscle Exercise with Biofeedback Helps Regain Urinary

    Pelvic Floor Muscle Exercise with Biofeedback Helps Regain Urinary

    Original article eISSN 2384-0293 Yeungnam Univ J Med 2021;38(1):39-46 https://doi.org/10.12701/yujm.2020.00276 Pelvic floor muscle exercise with biofeedback helps regain urinary continence after robot-assisted radical prostatectomy Yeong Uk Kim1, Dong Gyu Lee2, Young Hwii Ko3 1Department of Urology, Yeungnam Hospital, of Medicine, Daegu, Korea 2Department of Physical Medicine and Rehabilitation, Yeungnam University College of Medicine, Daegu, Korea 3Department of Urology, Yeungnam University College of Medicine, Daegu, Korea Received: April 12, 2020 Revised: May 5, 2020 Background: To determine the benefit of pelvic floor muscle exercise (PFME) with visual biofeed- Accepted: May 7, 2020 back on promoting patient recovery from incontinence, we investigated variables associated with the early restoration of continence for patients who underwent robot-assisted radical prostatec- Corresponding author: tomy (RARP). Young Hwii Ko Methods: Of the 83 patients enrolled, 41 consecutive patients completed PFME (the exercise Department of Urology, Yeungnam group), and the other 42 consecutive patients just before the PFME program commenced (the University College of Medicine, 170 control group). The primary outcome was whether PFME engagement was associated with zero Hyeonchung-ro, Namgu, Daegu pad continence restoration within 3 months of surgery. 42415, Korea Results: Continence restoration percentages (defined as zero pads used per day) at 1, 3, and 6 Tel: +82-53-620-3694 Fax: +82-53-627-5535 months after surgery were 49.4%, 77.1%, and 94.0%, respectively. The exercise group achieved E-mail: [email protected] significantly higher recovery rates at 1 month (p=0.037), 3 months (p<0.001), and 6 months (p=023).