If you are suffering from bladder issues, the team of urology experts at the Crossing Rivers Health Center for Specialty Care - right here, in Prairie du Chien - can help. Complete the short appointment request form or call 608.357.2525 to schedule an appointment.
Common bladder issues
Urinary tract infections (UTIs) are very common- affecting more than three million people each year. The infection occurs more often in women, but can affect men as well. If you are among the unlucky few who get UTIs frequently, you dread the first tingle alerting you to yet another infection.
How can you avoid UTI's?
- Drink plenty of fluids. While drinking a lot of water probably won’t do much to cure a UTI if you already have one, staying hydrated is always a good idea. Drinking plenty of water not only keeps your kidneys and bladder functioning properly, it keeps your entire body running smoothly.
- Incorporate cranberry products into your diet. There’s conflicting evidence on the efficacy of cranberry in preventing UTIs. While it is by no means a silver bullet, it’s worth trying if you have recurrent infections. Don't drink sweetened cranberry cocktail drinks - they have very little or none of the active ingredient and are high in sugar. Taking cranberry extract supplements may also help.
- Watch your pH. Changes in vaginal pH, caused by menopause or frequent sexual activity (especially with multiple partners), can cause less good bacteria, leading to colonization by bad bacteria. Women with menopause can try topical estrogen replacement to help restore vaginal pH levels, however, those treatments do come with side effects. Sexually active women should try to include probiotics into their diet, through fermented foods or supplements. However, supplements aren’t regulated by the FDA, so it’s a good idea to get a doctor’s help in choosing the best one for you.
Being unable to control your bladder (incontinence) is a problem no one wants to talk about. It's frustrating and embarrassing. In most cases, however, it's also treatable.
Millions of Americans have urinary incontinence, according to the American Academy of Family Physicians, and it's most common in women age 50 or older. But the problem isn't necessarily associated with growing older and can occur in people of all ages.
The causes of incontinence
Incontinence can be caused by a number of factors including:
- Diseases or medical conditions such as stroke, Alzheimer's disease, Parkinson's disease, diabetes, cancer and bladder infections.
- Some medicines, such as diuretics, pain pills, sedatives or cold remedies.
- Conditions such as arthritis, which can make it difficult to reach a bathroom in time.
- Buildup of stool in your bowels.
- For women, weakened muscles around the bladder caused by childbirth, and drying of the skin around the vagina or the urethra—a problem that may be especially likely after menopause.
- For men, an enlarged prostate gland or the effects of prostate surgery.
Types of incontinence
There are several different types of incontinence:
- Stress incontinence occurs when there is pressure placed on the bladder, such as when you exercise, sneeze, cough, laugh or lift something heavy. It is the most common type, particularly in women, and can almost always be treated.
- Urge incontinence is when the need to urinate comes on so quickly you can't make it to a toilet. It's common in men and women.
- Overflow incontinence occurs when urine leaks. It is caused by an overfilled bladder and often occurs in men.
- Functional incontinence is when you have normal urine control, but a disease such as arthritis makes it difficult for you to get to the bathroom in time.
- Mixed incontinence involves two or more types of incontinence together.
Treating incontinence begins with a trip to your doctor. It's important that you discuss your symptoms with your doctor, even if it makes you uncomfortable. The doctor can usually identify the cause of the problem and present treatment options. These may include:
- A bladder-training program. With this treatment, your doctor will instruct you to urinate at specific times. Eventually, you can train your bladder so it only empties when you want it to.
- Kegel exercises. Kegel exercises can help strengthen the muscles that control the bladder. To do Kegel exercises, tighten the muscles you would use to stop urine flow and hold for a count of 10. Relax for a count of 10. Do this 10 to 20 times, 3 times a day. Men can do a similar exercise. Your doctor can help instruct you in doing this exercise.
- Medication. Medications can help tighten the muscles that control urine flow or help relax the bladder itself. Your doctor may also recommend changing the medicines you take for other conditions, if the medicines could be affecting bladder control.
- Weight loss. If you're overweight, shedding extra pounds may help.
- Incontinence pads. These pads soak up leaked urine. They are available in most drug stores and grocery stores.
- Biofeedback. Biofeedback uses machines to create pictures and sounds that show how well you are controlling your pelvic muscles. It may help you learn to control those muscles better.
- Injections. Materials can be injected to bulk up the tissue around the urethra, the tube that carries urine out of the bladder. This can make urine less likely to escape by accident.
- Devices. Women can wear devices called pessaries, which are inserted into the vagina and help support the bladder.
- Surgery. If other treatments don't work, or if the incontinence is severe, surgery may be helpful.
Bladder cancer is the fourth most common cause in men. Bladder cancer typically develops mid-to-late in life. There is not currently a routine screening for bladder cancer, however, blood in the urine is often one of the first signs. If blood is detected in the urine, it’s important to schedule an appointment with a member of the urology team.
Your urology team
The expert urology team at Crossing Rivers Health Center for Specialty Care includes Dr. Logan Hoxie, Dr. Steven Mindrup, and Dr. Thomas Richardson.