hypertension

CVD Factors, Especially High Blood Pressure, May Increase Risk of Severe Urge Incontinence

Patients with cardiovascular risk factors are more likely to also experience urgency urinary incontinence (UUI), according to UK researchers. They also said their study findings indicated that severe urgency UUI was a “distinct disease” from milder forms of the condition.The researchers, from University College London and King’s College London, looked at data on 1,762 participants in a Medical Research Council survey who reported having incontinence at the age of 68. The prevalence of urinary incontinence was 15% in men and 54% in women. UUI was the most common subtype in men, while there were similar proportions of UUI and stress urinary incontinence in women, with it being reported by 12% of men and 19% of women. Read more.

Source: Nursing Times online, March  9, 2018

sleep woman

Sleep Quality Improves with Help of Incontinence Drug

A drug used to curtail episodes of urinary incontinence in women also improves quality of sleep, a researcher at the Stanford University School of Medicine reports.  People who experience urinary incontinence, especially at night, often have trouble maintaining normal sleep cycles. Now, the Stanford researcher sees promise in using one drug to help remedy both problems.  “Two of the biggest quality-of-life factors for older women are poor sleep quality and incontinence, and the older you get, the more prevalent both conditions are, and they do seem to be correlated,” said Leslee Subak, MD, professor and chair of obstetrics and gynecology. “And so, if we can find a drug to treat one and effectively decrease the other too, that could be big for improving quality of life.”  Read more.

Source: Stanford Medicine News Center, January 11, 2018

You may also with to read:  Incontinence Drug May Help Sleep Dysfunction in Older Women

business buildings

Astellas Submits Supplemental New Drug Application for Mirabegron

Astellas Pharma Inc. (TSE: 4503, President and CEO: Yoshihiko Hatanaka, “Astellas”) announced today the submission of a supplemental New Drug Application (sNDA) to the U.S. Food and Drug Administration (FDA) seeking approval for the use of mirabegron in combination with solifenacin succinate 5 mg for the treatment of overactive bladder (OAB) with symptoms of urge urinary incontinence, urgency and urinary frequency. In the United States, mirabegron and solifenacin succinate are marketed as Myrbetriq® and VESIcare®, respectively. Each is approved by the FDA as a monotherapy for the treatment of OAB with symptoms of urge urinary continence, urgency and urinary frequency.  Read more.

Source: PRNewswire, June 29, 2017

hurrying with overactive bladder

Identifying Overactive Bladder Syndrome

An interview with Dr Michael Kennelly, urologist and Medical Director for the Charlotte Continence Center at Carolinas Medical Center, conducted by April Cashin-Garbutt, MA (Cantab)  What are the main symptoms of overactive bladder syndrome (OAB)?  Symptoms of OAB include leakage, the strong sudden need to “go right away,” and going to the bathroom too often. Read more.

Source: News-Medical.Net, June 28, 2017

operating room

StimGuard Enrolls First Patient in Office-Based Chronic Tibial Nerve OAB Incontinence Stimulation Study Utilizing the World’s Smallest Wireless System

StimGuard, a privately-held, pre-commercial stage medical device company, today announced the initiation and the first patient enrollment in a clinical trial of the world’s first miniature implantable device for the treatment of urgency urinary incontinence resulting from refractory overactive bladder (OAB) syndrome. The StimGuard device utilizes wireless technology and is placed through an introducer device the size of a needle at the tibial nerve to activate the afferent micturition (neural urinary) pathways. The clinical trial of this novel approach will launch this winter. Read more.

Source: Business Wire, December 15, 2016

pregnant woman birth childbirth

Women Who Have Not Given Birth Also Experience Urinary Incontinence, Study Finds

Women who have not given birth often end up under the radar for research on urinary incontinence. In a study of this group, however, one in five women over 45 years say they experience this type of incontinence.  “This confirms that problems are found in all groups, and that women have a weakness of the pelvic floor even if they have not previously given birth,” says Maria Gyhagen, gynecologist at Södra Älvsborg Hospital in Borås and researcher at Sahlgrenska Academy at Gothenburg University. Read more.

Source: News-Medical.net, November 9, 2016

Overactive Bladder (OAB) and Urge Urinary Incontinence (UUI)

hurrying with overactive bladder

You may find yourself hurrying a lot to find a bathroom if you have an overactive bladder.

Overactive bladder (OAB) is a condition in which the bladder can spasm and cause a sudden, intense and frequent urge to urinate. In some cases, these urges can lead to episodes of involuntary urine leakage, which is called urge urinary incontinence (UUI) or “UUI-wet.” Overactive bladder contractions that send you running to the bathroom quite frequently, without any leakage is referred to as “UUI-dry.”Continue reading

Mixed Incontinence

doctor and patient

Make sure you discuss your diagnosis with your doctor to rule out mixed incontinence.

In some cases, urinary incontinence can be a combination of both stress urinary incontinence (SUI) and urge incontinence. It is important to realize that if you have mixed incontinence, but only treat one of the two types, you will still have incontinence. In other words, both types of incontinence must be treated to see desirable results.Continue reading

Percutaneous Tibial Nerve Stimulation (PTNS)

percutaneous tibial nerve stimulation female patient

A female patient is using Percutaneous Tibial Nerve Stimulation (PTNS) to help control her urinary incontinence. An electrode is placed only at the ankle area.

Percutaneous Tibial Nerve Stimuation (PTNS) is a low-risk, non-surgical treatment. PTNS works by indirectly providing electrical stimulation to the nerves responsible for bladder and pelvic floor function. During PTNS treatment, the patient’s foot is comfortably elevated and supported. Also during treatment, a slim needle electrode is placed near the nerve at the ankle known as the tibial nerve. A device known as the Urgent PC Stimulator is connected to the electrode and sends mild electrical pulses to the tibial nerve. These impulses travel to the sacral nerve plexus, the group of nerves at the base of the spine responsible for bladder function. Continue reading

Prescription Drugs for Overactive Bladder (OAB)

drugs for overactive bladder (OAB)

There are several prescription drugs for overactive bladder (OAB).

The FDA approved medications, or drugs, currently available on the U.S. market for the treatment of urinary incontinence are for a specific condition called overactive bladder (OAB). Some are also used for OAB with urge urinary incontinence (UUI). You may have seen advertisements on television or in magazines for these medications. Most of the prescription drugs for OAB partially calm the bladder muscles that cause abnormal contractions, thereby reducing the frequency and severity of the overwhelming urge to urinate. Some of these drugs may also increase the bladder’s capacity to hold urine and delay the initial urge to void. This class of drugs is referred to as antimuscarinics.

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