กลั้นปัสสาวะไม่อยู่ (UI): ปัสสาวะรั่วก่อนเข้าห้องน้ำ

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The definition of Urge incontinence is a sudden sense of urinating which is very difficult to hold it, causing some urine leaking for sometimes.

The etiology of Urge incontinence 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.

กลั้นปัสสาวะไม่อยู่ (UI): ปัสสาวะรั่วก่อนเข้าห้องน้ำ
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
Avoid caffeine can possibly improve UI.
  1. Medications
    • Antimuscarinic agents
    • Beta-3 agonists
  2. 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.
Endoscopic botox injection has a role in UI treatment.

Again, the prognosis of Urge incontinence 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!

Urologist is a specialist who take care of UI.
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Female abnormal voiding: Underactive bladder disease

Female abnormal voiding: Underactive bladder disease

After 5 years of urology practicing in Cambodia, a female abnormal urination problem is getting more and more common in my female urology clinic. Today we will discuss about “Underactive bladder” disease in female. Normally, the bladder’s function is to store urine and squeezing all urine out when we urinate, but this kind of diseaseอ่านต่อ “Female abnormal voiding: Underactive bladder disease“

หัวข้อ AUR หญิง

การเก็บปัสสาวะเฉียบพลัน (AUR) ในเพศหญิง

ก่อนอื่นต้องบอกว่าภาวะกลั้นปัสสาวะไม่อยู่ของผู้หญิงเป็นภาวะที่ค่อนข้างหายากหากจะเปรียบเทียบกับเพศชาย มีวรรณกรรมที่แสดงให้เห็นว่าอัตราส่วนอุบัติการณ์ระหว่างหญิงและชายต่ำเป็น 1:13 คำอธิบายคือผู้หญิงไม่มีต่อมลูกหมากซึ่งอาจไปอุดท่อปัสสาวะเมื่ออ่านต่อ “Acute Urinary retention (AUR) in Female“

Transcient Topic

การเก็บปัสสาวะชั่วคราว: การจัดการ

Urinary retention is a common complaint at my Urology office. Urinary retention being defined as the acute retention of urine, affects millions of people all over the world with the prevalence increasing in elderly. Patients more likely terrifying with their first episode of retention and trying to seek a medical profession for specific treatment. Goodอ่านต่อ “Transient Urinary Retention: Management“


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