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urine control
Discussion in 'All Categories' started by ramkishangupta - Jul 10th, 2012 10:36 am.
after the opration of gaduud i had no control on urine.when i am in the position of standing my urine evaculate auto matecally.please advise what should be do.thanks
re: urine control by Dr J S Chowhan - Jul 13th, 2012 10:11 am
Dr J S Chowhan
Dr J S Chowhan
Dear Mr Gupta

You have developed urinary incontinence after prostate surgery. Incontinence is understood to be accidental leakage of urine, and one from the big difficulties for it is that patients think it is embarrassing to speak about. Coughing, sneezing, laughing, walking and lifting can be triggers for urinary incontinence following prostate surgery.

Although urinary incontinence is extremely common within the immediate after the prostate surgery, for many patients it's a temporary problem. The majority of cases improve with time alone in the first six months to some year. After that one-year mark, it is very unlikely that the incontinence goes away untreated - and several men are reluctant to seek treatment since they are still hoping it will disappear by itself.

The underlying cause of post-prostatectomy incontinence is weakness within the urinary sphincter, a diamond ring of muscles that control the flow of urine from the bladder. Although the exact cause of this sphincter deficiency is not known, we all do know that the experience of the surgeon performing the radical prostatectomy has a tremendous impact. Majority of surgeons do have better results with a lower chance of incontinence.

Treatments of incontinance include:

Pelvic floor exercises.
Many doctors would rather start with behavioral techniques that train men to manage their ability to keep in their urine. Kegel exercises strengthen the muscles you squeeze when attempting to prevent urinating mid-stream. These exercises can be combined with biofeedback programs which help you train these muscles even better.

Supportive care.
Laser hair removal includes behavior modification, such as drinking fewer fluids, avoiding caffeine, alcohol, or spicy foods, and not drinking before bedtime. Individuals are asked to urinate regularly and not hold back until the last moment possible before doing so. In some people, slimming down may lead to improved urinary control. Supportive care also involves changing any medications that interfere with incontinence.

A number of medications can increase bladder capacity and reduce frequency of urination. In the near future, newer medications will end up open to help stop some other forms of urinary leakage.

Neuromuscular electrical stimulation.
This treatment can be used to retrain and strengthen weak urinary muscles and improve bladder control. With this treatment, a probe is inserted in to the anus and a current is passed with the probe in a level underneath the pain threshold, creating a contraction. The individual is expected to squeeze the muscles once the current is on. Following the contraction, the current is turned off.

Surgery, injections, and devices.
Numerous techniques may improve bladder function.

Artificial sphincter.
This patient-controlled set up is made of three parts: a pump, a pressure-regulating balloon, along with a cuff that encircles the urethra and prevents urine from leaking. Using the artificial sphincter can cure or greatly improve more than 70% to 80% of the patients.

Bulbourethral sling.
For many types of leakage, a sling may be used. A sling is a device accustomed to suspend and compress the urethra . It is produced from synthetic material or from the patient's own tissue and is accustomed to create the urethral compression necessary to achieve urinary control.

Other surgery.
Your doctor can also perform a surgery which has helped some men. It involves placing rubber rings round the tip from the bladder to help hold urine.

With regards
J S Chowhan
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