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切迫性尿失禁(UI):トイレに行く前に尿が漏れる

Stress incontience

The definition of Urge urinary incontinence is a sudden sense of urinating which is very difficult to hold it, causing some urine leaking for sometimes. The etiology of UI can be categorized for 3 major causes.

  1. Overactivity of bladder muscle – Bladder is like water-pump its function is to contract all urine out of the bladder while the urine is full. In normal condition, when the bladder is demanding to contract, so sense of urinating will make us to be at the bathroom and urinate freely. But what if you lose control of bladder and experiencing a muscle contracting suddenly and a strong urge of urinating hits? Then you may not be able to make it to the bathroom in.
  2. Poor communicable of bladder muscle – Literally, a normal bladder also acting like a balloon- resilient to store urine as much as it can, any conditions that harm or reducing the bladder-recipient’s quality, so the urine will naturally seeking its way out and basically it will get through the urethra.
  3. Hypersensitivity of bladder sensorium – Another cause of urge incontinence happens while the sensory unit of bladder mucosa responds too strong with specific stimuli. So you will experience the dribbling before you’re in the bathroom.

Urge Incontinence (UI) has been reported as the 2nd most common incontinence after the stress incontinence. It is confirmed that aging and obesity really involved with UI. Surprisingly, UI is predominant in male.

Aging
Aging is one factor involved with UI.

When patients got into my urology’s office, the full history as well as physical examination along with necessary imaging is recommended to confirm the diagnosis of UI. The American Urological guideline has been recommended the treatment options for UI into 3 different levels.

  1. Behavioral therapies
    • Train your bladder and regulated proper time for bathroom in
    • Dietary modify changes
    • Avoid the irritation to the bladder such as caffeine or smoking
    • Pelvic floor muscle training
Caffeine
Avoid caffeine can possibly improve UI.
    • Antimuscarinic agents
    • Beta-3 agonists
  1. Intravesical botulinum toxin injection
    • The toxin will paralyze the bladder muscle and it works for the improvement of UI
    • If clinical improving, remains maintaining the injection for every 6 months as the requirement.
Botox
Endoscopic botox injection has a role in UI treatment.

Again, the prognosis of UI so varies among patients, that’s why Urologist must discuss with the patient in order to setting individual’s goal. If you have any questions, it is good to discuss with your very trusted urologist or it would be my honor if you text me. See you for the next content!

Urology
Urologist is a specialist who take care of UI.
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に関するトピック 女性泌尿器科

Stress incontinence Topic

腹圧性尿失禁:恥ずかしい症状

腹圧性尿失禁(SUI)は、腹腔内圧の上昇に関連する不随意の突然の尿の喪失です。 SUIは、鼻に非常に近い尿の刺激臭のために、患者が社会的相互作用に自信を持てないようにすることで、患者の生活の質に大きな影響を与えます。患者は常に泌尿器科のオフィスに同行します続きを読む “Stress urinary incontinence: The embarrassing symptom“

Incontinence Topic

尿失禁:一般的な考え方

尿失禁や不随意の尿漏れが私たちのトピックであり、今日はそれについて話し合うつもりです。この問題は生命を脅かす問題ではありませんが、経験した人が生活の質に深刻な影響を及ぼしたということをお伝えする必要があります。この恥ずかしい症状は、人が年をとるにつれてより頻繁に発生します。ザ・続きを読む “Urinary incontinence: General ideas“

BPS

膀胱痛症候群:QoLに長期的な影響を与える病気

ぼうこうの症状が気になる女性患者さんが大勢いらっしゃいました。患者さんは、自分たちの状態に合った特定の薬や治療法を探すという理由だけで、今は診療所や病院を巡回している段階にあることに気付くでしょう。そしてそれは続きを読む “Bladder pain syndrome: A disease which long-lasting impact on QoL“

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