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Urinary incontinence: Common and manageable

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October 18, 2017

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Comments

Christine
December 7, 2017

I have had mixed incontinence for close to 20 yrs now, since I was 45. It has only grown worse, though has been helped somewhat by repeated PT rounds, & continious strengthening of core muscles, something I discovered mostly by myself. Declaring urininary incontinence, “manageable” does not feel true in my experience. I bought electric unit on my PT’s suggestion, supposedly to “calm down” OAB……slightly helpful. Most Drs. do not seem to put any stock in PT, focusing only on drugs and surgeries. I am not overweight, very physically active. Still I have accidents every day, urges I cannot control, not manageable to me. Would like to hear more about options w. Botox & other newer therapy modalities

Dr NimerAlkhatib
November 8, 2017

I thank you for your informative article,Iam working as family doctor in my private clinic and I saw many patients with this problem , and the best way ,which I found, is to strengthen the pelvic floor muscle by Kegel squeezing exercises that using sphencters of both anus and urethra.Dr Nimer Alkhatib

Susan McKee
November 8, 2017

For unknown reasons I lost all feeling from my bladder. Have done the pt and bio, medication, cut back on fluids in the evening, and still go through 3-5 overnight diapers a day. Have had bleeding and clots, 2 subsequent infections and am now on 30 days of preventative antibiotics. I also have to cath 3 times a day as my bladder does not empty. I am only 58 and refuse to go through this the rest of my life plus being disabled I can not afford too. I am going to push my urologist for surgery per my endocrinologists recommendation

Zoey
November 7, 2017

It was really helpfull article .👍

Peter
November 7, 2017

This really is a big issue! But this article sums up all the mainstream solutions. My wife really tried all kind of kegel exercises, but they do not work. I do not see any new solutions to this huge problem.

And men: on a certain age, the prostate starts to grow. After 40 / 50.
Then it is time to take natural tinture to prevent this. The growing prostate first starts to prevent emptying the complete blader, hence dripping as a result. Later it will be the main reason for cancer.
I do not know why this is not common knowledge.

Monique Tello, MD, MPH
November 7, 2017

Thanks for reading- I suggest that your wife seek formal pelvic floor physical therapy (which is far, far more than Kegels) and also inquire about biofeedback, if that is available where you are.

Scott Holmgren
November 6, 2017

We men have this issue too: Urinary incontinence!

Not to be one sided about this important matter (especially with us having prostate cancer operations and all!

How about issuing a similar piece to us as
well!?!

Scott Holmgren 517.648.5723 (scottholmgren@Comcast.net)

Monique Tello, MD, MPH
November 7, 2017

Thanks- urinary issues in men are common and need to be discussed. These issues are also physiologically quite distinct from those in women, and deserve a separate article. As I am principally a women’s health physician, I will ask our editors to approach one of our men’s health experts about addressing male urinary incontinence and prostate issues.

Reginald
November 6, 2017

How about men I had prostate removed and 3 yrs later I still have urinal incontinence What can be done to help men like me?

Monique Tello, MD, MPH
November 7, 2017

Thanks- urinary issues in men are common and need to be discussed. These issues are also physiologically quite distinct from those in women, and deserve a separate article. As I am principally a women’s health physician, I will ask our editors to approach one of our men’s health experts about addressing male urinary incontinence and prostate issues.

Genia
November 6, 2017

Good article. I will try to stop my intake of fluids at least 2 hours before bedtime

Stephen Draper
November 6, 2017

I would agree that an article addressing Male incontinence issues would be appreciated.

Monique Tello, MD, MPH
November 7, 2017

Thanks- urinary issues in men are common and need to be discussed. These issues are also physiologically quite distinct from those in women, and deserve a separate article. As I am principally a women’s health physician, I will ask our editors to approach one of our men’s health experts about addressing male urinary incontinence and prostate issues.

Murali Banerjee
November 6, 2017

I have the same question put forward by David zeiger.

Siegfried Othmer
November 6, 2017

It’s nice to see that the author recommends holding off on surgery and medication in favor of an initial trial of physical and behavioral therapies. Kegel exercises are mentioned. Kegel supported his work with instrumentation, and his early work blossomed over the years into a major preoccupation with incontinence within the field of biofeedback. There is simply no question any more that physical therapy for incontinence is substantially aided if appropriate biofeedback instrumentation is introduced, so that trainees can get feedback on their initial success. The value of such reinforcements throughout the training process is simply no longer in question. Physical therapy for incontinence cannot be declared to have failed unless biofeedback instrumentation was used. Lately there have been developments in this area that allow the training to be accomplished without the intrusive instrumentation such as was utilized by Kegel.

Monique Tello, MD, MPH
November 7, 2017

Yes, biofeedback in conjunction with pelvic floor physical therapy can be more effective than pelvic floor PT alone.

john
November 6, 2017

Was disappointed that male urinary incontinence was not addressed. This problem is very annoying to aging males most of which have BPH [Benign prostatic hypertrophy) or have had therapy for prostatic carcinoma which frequently leads to incontinence ( although most of these men will be treated by their urologist).

Carole Lyle
November 6, 2017

I am postmenopausal and had bladder infections due to drying and thinning in the vaginal area. I had a fabulous gynecologist who pinpointed the issue as atrophy of the surrounding tissue. I was prescribed a topical and intravaginal cream and it made all the difference in the world. I also am very carful about the products I use to cleanse with and the quality of TP. Don’t wipe, just pat dry. I also only use cotton underwear. I couldn’t have imagined going on with the constant urges to go to the bathroom. One thing women need to know is the brain changes when you have recurrent infections and will trigger urges when you no longer actually need to go. So I had to do a lot of self talk after beginning treatment to “retrain” my brain.

Monique Tello, MD, MPH
November 7, 2017

Thank so much for sharing your experience!

John Tempest
November 6, 2017

What about for men with these issues?

sgk123
November 6, 2017

What an outstanding article. Full of great advice and good sense.
Especially appreciated the intelligent comments on the use of medication in the middle age/elderly

Thank you.

Monique Tello, MD, MPH
November 7, 2017

Thanks, appreciate your positive feedback!

Deborah Culbertson
November 6, 2017

Nothing worked until…I had an interstim implanted. Voila! Much better! Amazing!
See Medtronic manufacturer.

david zeiger
November 6, 2017

How about an article that would address MALE urinary incontinence?

John Tempest
November 6, 2017

Can you comment on these issues for men please?

Monique Tello, MD, MPH
November 7, 2017

Thanks- urinary issues in men are common and need to be discussed. These issues are also physiologically quite distinct from those in women, and deserve a separate article. As I am principally a women’s health physician, I will ask our editors to approach one of our men’s health experts about addressing male urinary incontinence and prostate issues.

Don
November 6, 2017

No mention of men dealing with the same issue?

Monique Tello, MD, MPH
November 7, 2017

Thanks- urinary issues in men are common and need to be discussed. These issues are also physiologically quite distinct from those in women, and deserve a separate article. As I am principally a women’s health physician, I will ask our editors to approach one of our men’s health experts about addressing male urinary incontinence and prostate issues.

Lisa Graham
November 6, 2017

Do you have any information or articles on urinary incontinence after having spinal anesthesia for a joint replacement?

Monique Tello, MD, MPH
November 7, 2017

This is potentially an intraoperative complication, a specific problem that requires a specialist input, and I recommend that the patient seek care from a urologist.

Commenting has been closed for this post.

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