Urology Today.net

Site updated at Thursday, 12 May 2016

Common Urological Problems

Urinary Incontinence

Anatomy of Pelvic Support

Anatomy of Pelvic Support   



Pelvic Circulation

The arterial blood supply to the pelvis and perineum are briefly reviewed. Venous drainage for the most part parallels the arterial vessels. The aorta bifurcates at the level of the fourth lumbar vertebrae into the common iliac arteries (Fig. 8). The arteries run anterior and lateral to the veins at this level (1).… Pelvic Circulation   



Female Pelvic Viscera

Lower Urinary Tract
The bladder is comprised of the body and the trigone and normally serves to store urine at low pressures and effectively contract to urinate (7). The bladder is composed of an inner transitional epithelium, a multilayer muscular wall, and an outer serosal covering.  The exact dimensions and configuration of the… Female Pelvic Viscera   



Urodynamic Assessment of Overactive Bladder - Neurogenic and Nonneurogenic

Introduction
Urodynamic studies (UDS)  generate information about bladder function that, currently, no other testing can provide. Though clearly not necessary to evaluate all lower urinary tract symptoms (LUTS), UDS can be useful when confronted with situations in which the normal noninvasive parameters used to assess LUTS, such as questionnaires, flow rates, and postvoid… Urodynamic Assessment of Overactive Bladder - Neurogenic and Nonneurogenic   



Key Components in Urodynamic Testing of Overactive Bladder

After the decision is made to proceed with urodynamic testing, the next consideration is the type of testing to be conducted. Most current urodynamic machines offer only multiple-channel testing because single-channel testing is prone to considerable artifacts.

In general, because it is difficult to predict for the presence of specific voiding dysfunction in… Key Components in Urodynamic Testing of Overactive Bladder   



Findings in NonNeurogenic Overactive Bladder

Although no clear criteria exist for differentiating neurogenic from idiopathic DO, it has been suggested that unstable bladder contractions occurring as a result of neurological disease may be more likely to result in urge incontinence (17) and have a greater amplitude. Regardless, perhaps the most common urodynamic pattern seen in patients with idiopathic OAB… Findings in NonNeurogenic Overactive Bladder   



Findings in Neurogenic OAB

Patients with neurogenic OAB tend to have severe symptoms that are more difficult to treat pharmacologically. It is not immediately clear that the overactive contractions experienced by patients with neurological conditions are necessarily of greater amplitude or occur earlier during filling, although there is some indirect evidence to support this contention (13). Phasic detrusor… Findings in Neurogenic OAB   



Urodynamic Evaluation of Female Stress Urinary Incontinence

Introduction
The American Urological Association has published guidelines for the surgical management of female stress urinary incontinence (1). According to these guidelines, the objective demonstration of stress urinary incontinence should be documented prior to initiating surgical therapy.  This can be accomplished with physical examination (filling the bladder and observing stress incontinence with cough… Urodynamic Evaluation of Female  Stress Urinary Incontinence   



Timer may help kids’ bladder control problems

Wearing a programmable wristwatch could help children manage their daytime bladder control problems, a new study suggests.

For children with urinary incontinence, the first approach to treatment is usually behavior modification - sometimes called bladder training or “urotherapy.” Tactics like changing drinking habits and taking scheduled trips to the bathroom can be effective, but… Timer may help kids’ bladder control problems   



Prostate cancer screening may help healthy men only

Screening men for prostate cancer makes sense only if they are generally healthy, U.S. researchers said on Monday.

They found that even if screening doesn’t help men live longer overall—as shown by a large U.S. study last year—it’s possible that some may still benefit.

Today, doctors commonly screen men over 50 for prostate cancer… Prostate cancer screening may help healthy men only   



Genes an important factor in urinary incontinence

Much of the risk of developing incontinence before middle age is determined by our genes. Genetic factors can explain half of people’s susceptibility to urinary incontinence, a study of twins at the University of Gothenburg and Karolinska Institutet (Sweden) reveals.

Urinary incontinence is very common, especially among women, with around one in three affected… Genes an important factor in urinary incontinence   



Urinary incontinence doubles risk of postpartum depression

Researchers from Boston University School of Medicine (BUSM) have found that among HIV-infected adults with alcohol problems, measuring their carbohydrate-deficient transferrin (CDT) biomarker was a poor and inaccurate method for detecting unhealthy drinking. These findings currently appear on-line in AIDS Care.

Unhealthy alcohol use is common in HIV-infected persons. It can interfere with HIV… Urinary incontinence doubles risk of postpartum depression   



Botox Injections Now Used for Severe Urinary Incontinence

When you think of Botox injections, you probably think of getting rid of unwanted wrinkles around the eyes or forehead, but recently the US Food and Drug Administration (FDA) approved using the injections to help patients with neurological conditions who suffer from incontinence, or an overactive bladder.

Botox injections paralyze the bladder muscle to… Botox Injections Now Used for Severe Urinary Incontinence   



Caffeine not tied to worsening urinary incontinence

Women with urinary incontinence who also enjoy their regular cup of coffee or tea don’t have to worry about the extra caffeine making their condition worse, suggests a new study.

The new research stands in contrast to the common recommendation that women with leaky bladders stay away from caffeinated foods and beverages.

“If a… Caffeine not tied to worsening urinary incontinence   



Pre-surgery bladder tests often unnecessary: study

Uncomfortable and expensive tests sometimes done before surgery to treat the most common cause of urine leakage in women may be unnecessary, according to a new study involving 630 volunteers at 11 medical centers.

Researchers found no difference in the success rate of urinary incontinence surgery for patients that received the testing and women… Pre-surgery bladder tests often unnecessary: study   



Prostate Cancer: Men Should Skip Common Blood Test, Panel Says

Men should not be screened for prostate cancer with a common blood test, a widely followed federal advisory panel recommended Monday.

But the report is not likely to quell a dispute about whether the test’s risks outweigh its potential benefits.

The US Preventive Services Task Force recommended a “D” grade for prostate-specific-antigen, or PSA,… Prostate Cancer: Men Should Skip Common Blood Test, Panel Says   



Prostate surgery tied to need for bladder surgery

One in 20 men who have their prostate gland removed may need a second surgery for severe loss of bladder control, new research from Canada suggests.

Based on more than 25,000 men who had prostate surgery, the study also found that rates of subsequent surgery for urinary incontinence doubled between five and 15 years… Prostate surgery tied to need for bladder surgery   



Leaky bladder affects young women too

Bladder control problems may be seen as a problem of older people, but a good percentage of college-age women have symptoms too, a study published Monday suggests.

In a survey of 1,000 young Australian women, researchers found that 13 percent said they’d had urinary incontinence in the past month. That meant problems like leaking… Leaky bladder affects young women too   



Surgery unneeded for most early-stage prostate cancer, study says

Most patients diagnosed with early-stage prostate cancer will live just as long if they simply watch their cancers rather than have them surgically removed, according to the results of a landmark clinical trial that could upend the medical approach to a disease that affects 1 in 6 men.

The study, which focused on cancers… Surgery unneeded for most early-stage prostate cancer, study says   



U-M guidelines help family physicians evaluate, manage urinary incontinence for women

Millions of women experience a loss of bladder control, or urinary incontinence, in their lifetime.

It’s a common and often embarrassing problem that many patients don’t bring up with their doctors - and when they do, it may be mentioned as a casual side note during a visit for more pressing medical issues.

Now,… U-M guidelines help family physicians evaluate, manage urinary incontinence for women   



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