By Ahura Mujuni Mark
Urinary incontinence a taboo topic! Sufferers are still too ashamed to go to the doctor because of their urinary incontinence. The good news: in meantime the medicine has made an enormous progress.
It is estimated that one in four women and one in ten men suffer later in life from urinary incontinence. Most react shocked when involuntary loss of urine becomes the norm. Nevertheless, it sometimes takes years for those affected to speak about their problem and to seek medical help.
Urinary incontinence can occur in various forms and degrees of severity. These kinds are particularly common:
Stress incontinence: Most often it occurs in women. “It results in stress on the pelvic floor by an increase in pressure in the abdomen,” says Prof. Dr. Christoph Seif, leading urological specialist in Germany. “When coughing, laughing, sneezing, or by overweight go smaller or larger amounts of urine lost. “Responsible is often a weak pelvic muscle, caused by overweight, hormone deficiency in menopause or childbirth. In men, a prostate surgery causes stress urinary incontinence. An important tool is the pelvic floor training.
Urge incontinence: “Suffering by an overactive bladder, also called irritable bladder, the patient has constantly the feeling to void – in extreme cases up to 30 times a day! In some cases, the urge is accompanied by involuntary loss of urine.” explains Prof. Dr. Seif.
Urge incontinence is usually treated with tablets first, so-called anticholinergics. They should cause bladder relaxation. “However, these medications often have side effects such as dry mouth, constipation, and dizziness,” says Prof. Dr. Seif. “In addition, there are patients who do not respond or only insufficiently to these tablets.”
An advanced treatment method comes from the cosmetic surgery: botulinum toxin A, better known as Botox. “Tough it is diluted injected with a fine needle at various points in the bladder muscles,” explains the urologist. “There it paralyzes the overactive muscles and thereby reduces the urge to void. The bladder keeps urine again more over a long period. ”
Disease of male: enlarged prostate
Even men who suffer from urge incontinence due to a benign enlarged prostate or have difficulties in urinating the Botox treatment provides effective relief. “The tissue of the prostate overgrows usually inwards and constricts with time the urethra,” says Prof. Dr. Seif. “The urine stream starts then delayed and weaker. The men have to go to the toilet more often, even at night a couple of times.” Next to tablets, in advanced stages often a surgery is advised.”. Redundant tissue can be vaporized by an electric sling or laser,” explains Prof. Dr. Seif. “Possible although rare are side effects such as incontinence and impotence or ejaculation disorders.
A good alternative is a Botox treatment of the enlarged prostate. It is regarded as very few side effects and reversible.” Botulinum toxin can be ultrasonically guided precisely injected into the prostate. This has the consequence that the volume of the prostate gland decreases and thereby reduces the symptoms fully already 10 to 14 days after the treatment. The treatment takes approx. 30 minutes maximum and can be performed without or under local anesthesia. The effect lasts for about nine to 12 months.
If, then again it comes to discomforts, the treatment can be repeated.
The treatment is already since a couple of years accredited in Germany and performed only by certified physicians and clinics. Germany is with its high quality medical standard and excellent educated doctors, medical destination number one for foreign patients. Foreign patients get full service around their stay and treatment, and have no language barrier to consider thanks to the service of the health care facilitator Boto Medical.
Irritable bladder – that you can do yourself
Much fluid is important: For the nagging urge to urinate does not become a permanent companion, you should drink plenty of fluid. This may sound paradoxically, but if the urine is too concentrated, the problem is exacerbated. In addition, at least two liters of fluid a day are useful that germs do not adhere to the bladder mucosa and trigger inflammation additionally. However: To not disturb the sleep as little as possible, it may help from about two hours before bedtime to drink less or nothing any more. Coffee, black or green tea and alcoholic drinks have a diuretic effect.
However, kidney- bladder- and nettle teas reinforce the urine formation. Directly before bedtime, avoiding these drinks is best.
Exercise slows the urge: Slow down the constant need to void you can use special bladder training. This is based on a diary. There you can write for two to four days, how often you go to the toilet, how much your urine you urinate, how much fluid you drink throughout the day.
Also details of medication and situations where you accidentally lose urine are important. Your records may help in a conversation with your doctor and provide important information of your discomfort. Instructions for a bladder training you get, among other things with your physiotherapist. With the help of the training the time between the toileting can be extended slowly. It teaches the bladder to get used to the normal filling state. It is suitable for all kinds of bladder weakness.
Boto Medical is a health care facilitator based in Germany, It specializes in treatment of enlarged prostate and urinary incontinence by leading and renowned specialists in Germany. It takes care of patients treatment and their entire stay whist they are in Germany.