Urinary Incontinence- Why It Happens and How to Make it Go Away

madman

Super Moderator
Incontinence is a condition where an individual is unable to control the urge to urinate or experience involuntary leakage of urine. This condition affects both men and women but is more common in women. It can be caused by several factors such as weak bladder muscles, nerve damage, enlarged prostate gland, medication side effects, or urinary tract infections. Treatment options for incontinence include bladder training exercises, medications, surgery, and lifestyle changes such as avoiding caffeine and alcohol, and maintaining a healthy weight.


Currently, the market for adult diapers in the US is almost as large as the market for baby diapers. Part of this trend is because birth rates have slowed down and longevity continues to lengthen but the other reason why almost 50% of adults experience some form of urinary incontinence is due to an increase in risk factors. Today, with my guest, urologist Dr. Rachel Rubin, I am taking on the taboo topic of urinary incontinence- why it happens and how to make it go away.


We discuss:


-The difference between urge, stress, and mixed incontinence

-Risk factors for developing stress incontinence

-Ways to manage incontinence.

-Diapers and pads

-Urine-absorbent underwear

-Pessaries and other vaginal support devices

-The impact of local vaginal estrogen on incontinence

-The impact of systemic estrogen on stress incontinence

-Why it is important to have an exam when treated for incontinence

-Strategies to treat a dysfunctional pelvic floor

-Pelvic floor physical therapy

-Kegel exercises- and why they rarely work

-Over the counter devices

-Why medications for overactive bladder do not work to treat stress incontinence

-Urethral bulking agents as an option

-When surgery is appropriate

-If a hysterectomy increases the risk of incontinence

-If Botox in the bladder will help

-How to find an expert in incontinence
 

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Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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