doctor male discussion

Most Transient SUI After HoLEP Resolves Within 6 Weeks

Most men who experience transient stress urinary incontinence (SUI) following holmium laser enucleation of the prostate (HoLEP) recover full bladder control within the first 6 weeks after the procedure, according to study findings presented at the International Continence Society’s 2018 annual meeting.  In addition, the study identified prostate size larger than 100 g and catheter dependency prior to HoLEP, and longer operative time as risk factors for transient SUI.  A retrospective review of 515 patients who underwent HoLEP showed that 53 (10.3%) experienced transient SUI, Jenny Guo, BS, and colleagues at Sidney Kimmel Medical College at Thomas Jefferson University in Philadelphia, reported. Transient SUI resolved within the first 6 weeks post-operatively in 47 (88.6%) of these patients and within 6 week to 3 months in 6 patients (11.3%). Read more.

Source: Renal and Urology News, August 30, 2018

bladder retraining timed intervals

Prostate Operation That’s Done Via Your WRIST Can Cut Threat of Incontinence

THE PATIENT. About eight years ago, I started needing the loo frequently at night. I put up with it at first, but it gradually got worse — at one point I needed to go five or six times a night. My GP told me to avoid alcohol and caffeine as these irritate the bladder, but this didn’t make a great difference and my symptoms continued to worsen.  By last year, I was getting up for the loo in the night so often it left me feeling tired during the day.  My GP suspected I had an enlarged prostate so referred me to a urologist. A few weeks later, I underwent various tests, including one where a machine measures the speed of your urine flow.  Read more.

Source: Daily Mail, August 7, 2017

 

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Uromedica Wins CMS Coverage for ProAct Continence Therapy Device

Uromedica said today it won a reimbursement code from the Centers for Medicaid and Medicare Services for its ProAct adjustable continence therapy for men, and that it launched the device in the US.  The ProAct system has FDA approval and is indicated for treating adult men with stress incontinence from intrinsic sphincter deficiency of at least 12 months following radical prostatectomy or TURP who have failed ot respond to conservative therapy, the Plymouth, Minn.-based company said. “The issuance of these codes will allow Uromedica to deliver its safe and effective therapy to improve the quality of life for men struggling with Stress Urinary Incontinence,” prez & CEO Tim Cook said in a press release. Read more.

Source: MassDevice Today, July 12, 2017

Kegel Exercises for Men for Pelvic Floor Strengthening

use kegel exercises to strenghten the male pubooccygeus muscle

Kegel exercises are done by tightening and relaxing the PC or pubococcygeus muscles located in the pelvic floor.

While many women are familiar with Kegel exercises for strengthening their pelvic floor muscle, Kegel exercises are also important for men. Keeping the pelvic floor muscle strong can be especially important for men prior to and after prostate surgery, for those with overactive bladder (OAB) and for those with chronic conditions, such as diabetes. Men who have urinary and/or fecal incontinence and light leakage of urine right after urinating will often also benefit from Kegel exercises.Continue reading

Electric Stimulation of the Pelvic Floor Muscles

During electric stimulation (or e-stim for short), sticky pads are stuck to the skin around the vagina or a little piece of plastic is placed into the vagina or rectum. A very small amount of electricity goes into this pad or piece of plastic and makes the muscles move and contract.  These contractions are exercises for the pelvic floor muscles. With these exercises, the pelvic floor muscles can get stronger — just like an arm muscle that gets regular exercise. E-stim is usually started by a doctor, nurse practitioner, nurse or physical therapist. He or she will work with you one or more times per week for several weeks.  Practitioners usually incorporate biofeedback at the same time as the e-stim, but not always.Continue reading