urge incontinence…

Medical experts recommend this detailed explanation.

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female urinary tract, male urinary tract, overactive bladder, detrusor instability, detrusor hyperreflexia, irritable bladder, spasmodic bladder, unstable bladder, incontinence, urge, urge incontinence, strong, sudden need to urinate immediately followed by a bladder contraction, resulting in an involuntary loss of urine, ability, hold urine, maintain continence is dependent on normal function, the lower urinary tract, kidneys, nervous system, plus the physical, psychological ability to recognize, urge to urinate, bladder's ability to fill, store urine, a functional sphincter, muscle controlling output, a stable bladder wall muscle, detrusor, process of urination involves two phases, filling, storage phase, emptying phase, filling, storage phase, bladder begins to fill, stretching to accommodate the increasing amount, urine, bladder of an average person, hold 350 ml to 550 ml of urine, first sensation, the need to urinate occurs, approximately 200 ml of urine is stored, nervous system responds by alerting you, urinate also allowing the bladder to continue to fill, emptying phase, the ability, the detrusor muscle to appropriately contract, forcing urine out, the bladder, body must also be able to simultaneously relax the sphincter, the urine to exit, bladder of an infant contracts automatically, a certain volume of urine is collected, in the bladder, the individual learns to control urination, bladder muscle contraction is prevented by constant inhibition, cerebral cortex, the brain, allows urination to be delayed, individual is ready, undesired bladder muscle contraction, the result of a break, in the neurological pathway, brain, bladder, occur bladder is irritated, normal neurological impulses to inhibit urination, insufficient to keep the bladder relaxed, fills, urge incontinence, urge incontinence is basically a storage problem, the bladder muscle contracts inappropriately, contractions occur regardless, urine that, in the bladder, urge incontinence, result from neurological injuries, spinal cord injury, stroke, neurological diseases, multiple sclerosis, infection, bladder cancer, bladder stones, bladder inflammation, bladder outlet obstruction, majority of cases, idiopathic, a specific cause cannot be identified, urge incontinence, occur in anyone at any age, more common in women, elderly, second only to stress incontinence, the most common cause of urinary incontinence, involuntary loss of urine, 1% to 2% of adult females, urge incontinence, in men, urge incontinence, due to secondary bladder injuries, benign prostatic hypertrophy, bph, bladder outlet obstruction, enlarged prostate, sudden, urgent need to urinate, urinary urgency, frequent urination, daytime, at night, abdominal distention, discomfort, involuntary loss of urine, a physical examination, examination, the abdomen, rectum, women, pelvic exam, men, genital exam, in most cases the physical exam reveals nothing abnormal, neurologic causes, neurologic abnormalities found, post-void residual, pvr, to measure amount, urine left after urination, urinalysis, urine culture to rule out urinary tract infection, urinary stress test, patient stands, a full bladder, coughs, pad test, after placement of a pre-weighed sanitary pad, patient exercises, pad is weighed, urine loss, pelvic, abdominal ultrasound, x-rays, contrast dye, cystoscopy, inspection, the inside, the bladder, urodynamic studies, measurement of pressure, urine flow, emg, myogram, rarely needed, further tests, performed to rule out incontinence, the "q-tip test", which measures the change, in the angle, the urethra at rest, straining, an angle change of greater than 30 degrees often indicates significant weakness, the muscles that support the bladder, is common in stress incontinence, several different approaches that used in managing, treating urge incontinence, evidence of infection is found in urine culture, antibiotics, choice of a specific treatment, depend on the severity, extent that the symptoms interfere, lifestyle, three main approaches to treatment, retraining, surgery, medications, treat urge incontinence, aimed at relaxing the involuntary contraction, the bladder, improving bladder function, several types of medications that used alone, in combination, anticholinergic agents, propantheline, antispasmodic medications, oxybutynin, tolterodine, flavoxate, tricyclic antidepressants, imipramine, doxepin, calcium channel blockers, tolterodine, beta agonist, terbutaline, oxybutynin, ditropan, tolterodine, detrol, antispasmodic medications that relax the smooth muscle, the bladder, the most commonly used medications, urge incontinence, once-a-day formulation that makes dosing easy, side effects of oxybutynin, tolterodine, minimal, the most common dry mouth, constipation, medications cannot be used by patients, narrow angle glaucoma, dicyclomine, bentyl, another antispasmodic medication that relaxes the bladder, side effects, dry mouth, dizziness, drowsiness, increased heart rate, difficulty urinating, reported in, half, the people who, taking it, another antispasmodic drug is flavoxate, urispas, inconsistent benefit in controlling symptoms of urge incontinence, anticholinergic medications block inappropriate contractions, the bladder, were widely used, in the past to treat urge incontinence, relatively inexpensive yet effective, oxybutynin, tolterodine have virtually replaced the use of these medications, they have fewer side effects, tricyclic antidepressants have also been, treat urge incontinence, ability to inhibit, "paralyze" the bladder smooth muscle, side effects include fatigue, dry mouth, dizziness, blurred vision, nausea, insomnia, surgery, goal of any surgery to treat urge incontinence is aimed at increasing the storage ability, the bladder decreasing the pressure, the bladder, surgery is reserved, severely debilitated by incontinence, an unstable bladder, severe inappropriate contraction, poor ability to store urine, augmentation cystoplasty, most frequently performed surgical procedure, severe urge incontinence, in this reconstructive surgery, a segment, the bowel is removed, replace a portion, the bladder, complications include those of any major abdominal surgery, bowel obstruction, blood clots, infection, pneumonia, risk of developing urinary fistulae, abnormal tubelike passages, abnormal urine drainage, urinary tract infection, difficulty urinating, augmentation cytoplasty is also linked to a slightly increased risk of developing tumors, diet, experts recommend a regimen of, controlled fluid intake, therapies, in the management of urge incontinence, goal of this program, distribute the intake of fluids throughout the course, the day, bladder, does not need to handle a large volume of urine at one time, not drink large quantities of fluids, meals, limit intake to less than 8 ounces at one time, sip small amounts of fluids between meals, stop drinking fluids approximately two hours, bedtime, additionally, to eliminate intake of foods, irritate the bladder, caffeine, spicy foods, carbonated drinks, highly acidic foods citrus fruits, juices, bladder retraining, urge incontinence, a program of bladder retraining, electrical stimulation, biofeedback therapy used in conjunction, bladder retraining, a program of bladder retraining involves becoming aware of patterns of incontinence episodes, relearning skills necessary, storage, proper emptying, the bladder, bladder retraining alone is successful in 75% of people treated, urge incontinence, bladder retraining consists of developing a schedule of times, urinate, trying to consciously delay urination between these times, one method, force yourself to wait 1 to 1 1/2 hours between urinations, despite any leakage, urge to urinate in between these times, become skilled at waiting, gradually increase the time intervals by 1/2 hour, urinating every 3 to 4 hours, kegel exercises, pelvic muscle training exercises, kegel exercises, primarily, treat people, stress incontinence, exercises, beneficial in relieving the symptoms of urge incontinence, principle behind kegel exercises, strengthen the muscles, the pelvic floor, thereby improving the urethral sphincter function, success of kegel exercises depends on proper technique, adherence to a regular exercise program, another approach, use vaginal cones to strengthen the muscles of pelvic floor, a vaginal cone, weighted device that is inserted, vagina, woman contracts the pelvic floor muscles in an effort, hold the device the place, contraction, up to 15 minutes, performed twice daily, 4 to 6 weeks, 70% of women trying this method had some improvement in symptoms, biofeedback and electrical stimulation, unsure, performing kegel exercises correctly, biofeedback, electrical stimulation, help identify the correct muscle group to work, biofeedback, method of positive reinforcement, electrodes, placed on the abdomen, anal area, therapists place a sensor, in the vagina, women, anus, men, to assess contraction, the pelvic floor muscles, a monitor, display a graph showing which muscles, contracting, at rest, therapist, identify the correct muscles, performing kegel exercises, 75% of people who use biofeedback to enhance performance of kegel exercises report symptom improvement, 15% considered cured, electrical stimulation involves using low-voltage electric current to stimulate the correct group of muscles, current delivered using an anal, vaginal probe, electrical stimulation therapy performed, in the clinic, at home, treatment sessions, last 20 minutes, performed every 1 to 4 days, clinical studies have shown promising results in treating urge incontinence, electrical stimulation, urge incontinence, find it helpful to avoid activities that irritate the urethra, bladder, taking bubble baths, using caustic soaps, in the genital area, monitoring, urinary incontinence, chronic, long-term, problem, considered cured by various treatments, should continue, provider to evaluate the progress of symptoms, monitor, complications of treatment, alleviated, accurate diagnosis, adequate treatment regimens, many patients must try many different therapies, multiple simultaneous therapies to alleviate symptoms, a good working relationship, instant improvement is unusual, perseverance, patience, improvement, a small number of patients, not helped by conservative medical therapies, require surgical intervention, physical complications, rare, psychosocial problems, arise, incontinence results, inability to get, bathroom, urgency arises, moderate, severe, incontinence occurs often, not on rare occasions, pelvic discomfort, burning, urination occurs, symptoms occur daily, early initiation of bladder retraining techniques useful in reducing the severity of symptoms.