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
Bowel and Bladder Health
Underactive Bladder (UAB)
While you may have heard about Overactive Bladder (OAB) due to lots of media attention, many do not know about Underactive Bladder (UAB). UAB is a syndrome that includes the urinary symptoms of hesitancy, straining and incomplete bladder emptying in the absence of any blockage of the bladder or the urethra. The current definition of underactive bladder (UAB) states, “UAB is characterized by a slow urinary stream, hesitancy, and straining to void with or without a feeling of incomplete bladder emptying, sometimes with storage symptoms.”
What Is Underactive Bladder?
UAB is a serious, ongoing, and difficult disease and it has serious consequences if not treated. Your healthcare professional may refer to underactive bladder as detrusor underactivity, hypotonic bladder, flaccid bladder, lazy bladder, and detrusor hypoactivity. A diagnosis of UAB is usually confirmed with pressure flow urodynamic tests and patient history. How many people have UAB is not known, and studies are needed to determine its prevalence.
Stress Urinary Incontinence (SUI)
Stress Urinary Incontinence (SUI) is the most common type of incontinence. The “stress” in this incontinence refers to a physical stress that’s placed on the urinary system, such as a cough, sneeze, or laugh. About 50% of women occasionally experience SUI. While women experience stress incontinence more often then men, some men do experience it as well.Continue reading
Nocturia – Nighttime Trips to the Bathroom
While most adults are able to sleep 6 – 8 hours a night, you may find yourself having to wake up several times during the night to go to the bathroom. This is a condition called nocturia.*
Nocturia can leave you feeling like you were up all night long, and you may feel extremely tired when morning arrives. Nocturia negatively affects a person’s quality of life by interrupting sleep, increasing the risk of nighttime falls, causing fatigue and/or depression, and decreasing work efficiency, among other possible problems. Men are much more frequently affected by nocturia than women are, and those who have difficulty walking are at increased risk of injury. Nocturia is also highly prevalent in individuals over 60 years of age.Continue reading
When you don’t feel the urge to urinate, the bladder may become overfilled, and urine may start to leak out. You may also not completely empty your bladder, causing urine to back-up and overflow. This condition is called overflow incontinence, or sometimes called “chronic retention of urine” or “chronic urinary retention”.Continue reading
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
Functional incontinence is urinary or fecal leakage that occurs when the urinary or fecal body systems, respectively, are physiologically working fine. Functional incontinence is the result of mobility challenges with getting to the bathroom and/or dexterity challenges with removing clothing in a reasonable amount of time.Continue reading
Bowel Incontinence or Accidental Bowel Leakage (ABL)
Bowel incontinence, which may also be referred to as fecal incontinence, anal incontinence or Accidental Bowel Leakage (ABL), is when stool or gas unexpectedly leaks from your rectum. Sometimes you feel the urge to have a bowel movement, but can’t reach a bathroom in time.
The U.S. National Institutes of Health’s Bowel Control Awareness Campaign reports that more than 18 million Americans have bowel incontinence. As with urinary incontinence, bowel incontinence affects people of all ages, races, and both sexes. However, it is more common in women than in men, and it affects the elderly more often than younger adults (although it is not a normal part of aging).Continue reading
Vaginal Weights or Cones for Women
Have you seen people exercise by lifting small weights over and over? This builds up muscles. Vaginal weights or cones are used the same way to help women do weight-lifting exercises for the pelvic floor.
Vaginal weights or cones are usually ordered through a catalog or website. They usually come as a set having several different weights. The vaginal weights are smooth and are made of plastic on the outside with a metal weight inside. They have a string to help you pull them back out when you are done with them (like a tampon). They are usually shaped like a V or cone.Continue reading
Urostomy or Urinary Diversion
A urostomy, or urinary diversion, is a surgical opening that is created to drain urine from the body after the bladder has been removed or bypassed. The urostomy allows urine to flow out of the body and into a plastic pouch that is worn to collect the urine. This allows for the preservation of normal kidney function.
A urostomy may be performed when a person has had bladder cancer, trauma to the bladder, severe incontinence that does not respond to other therapies or treatments, painful bladder, congenital abnormalities, neurological conditions and diseases, spinal cord injury, chronic inflammation of the bladder, interstitial cystitis, surgery, or radiation damage.Continue reading