Doctor insights on:
Physical Therapy Urinary Incontinence
Is pelvic floor rehabilitation therapy effective for interstitial cystitis (aka: painful bladder syndrome)?
Incontinence denotes involuntary leaks of body wastes from urethra or anus; that from urethra is urinary incontinence, which may be classified as stress, urge, mixed (stress + urge), total, & overflow urinary incontinence, signifying its timing & specifics; that from anus is fecal incontinence, which may be urge, stress, total, etc. reflecting the ...Read more
See below: Pelvic floor rehab can be done for a variety of reasons including pelvic pain, incontinnence problems (particularly after delivery for women), painful sexual issues etc. It usually involves some type of strengthening exercises for the pelvic diaphragm muscles which work like a sling to keep the pelvic floor stable. It may also involve biofeedback to improve coordination and decrease spasm. ...Read more
25 y/o history of 2 pregnancies with chronic urinary incontinence.Done kegals and bladder training.Any other suggestions? Its embarassing&smelly.
See your doctor!: Lots of new and exciting treatments now are available for different types of incontinence -- outpatient, one-stitch sling procedures to cure stress (cough, sneeze) incontinence; new, effective medications with fewer side effects to treat oab (over-active bladder); and newer, more accurate, in-office testing to confirm the diagnosis and the right treatments. ...Read moreSee 2 more doctor answers
Depends: Usually stretching and range of motion. There are very specific programs for therapy in disc herniation. Some are flexion exercises, some are extention exercises. A lot would depend on the level of the disc, the symptoms, your general condition and health and the presscription given by your doctor. Some therapist use computer guided machines very specific to the rehabilitation of the back. ...Read moreSee 1 more doctor answer
Pelvic Floor Rehab: A specialized physical therapy rehab program usually performed by female physical therapists for female patients. The therapists have specialized training to identify insufficient muscle strength or muscle coordination. The use of deep heat modalities may help if increased tone of muscles that are not coordinated. Biofeedback allow you to understand which exercises fire which muscles. ...Read moreSee 2 more doctor answers
Surgery: If one develops severe urianry incontinence after radical surgery and has failed conservative management and medications, then surgery is the next option. This includes collagen injection to help close the bladder opening or placement a sling underneath the urethra. A fianl measure would be to place an artificial (plastic) sphincter to close the urethral while not urinating. ...Read moreSee 2 more doctor answers
there are indication: That many people have gotten excellent relief with ozone and accompanying that with physical therapy can be beneficial. Prolotherapy is also excellent to use and ozone offers additional benefits with prolotherapy. Visit www.Getprolo.Com or www.Aaomed.Org 4 information and to find a doctor. ...Read more
Effective for many: Performed by urologists ; uro-gynecologists after suitable urodynamic studies have been performed. Presume you developed after childbirth ; sling has been advised. This is s a very satisfactory treatment option, however might be good to delay until after a future pregnancy if you intend to have any more children. ...Read more
Yes: Male slings have been shown to be of great assistance in helping men with certain types of incontinence after prostate surgery. I suggest you talk to the urologist who performed the prostatectomy or find one of the younger robotic trained urologists who might be more aware of new technology to help with incontinence after prostatectomy. ...Read moreSee 1 more doctor answer
Deoends: Technically, there is not one syndrome called "groin syndrome." groin pain can result from adductor tendonitis, a sports hernia, an inguinal hernia, hip joint problems, osteitis pubis, pubic bone stress fractures & pelvic nerve problems...Just to name a few. Physical therapy can be helpful for tendonitis, some hip joint issues & sports hernias, but it's always best to get a definitive diagnosis. ...Read more
Can vesicare (solifenacin) or other overactive bladder medications cause urethral irritation? I've been have urethral urgency.
No: There are of course different type of prostate surgery. Postate removal for cancer has a severe incontinence rate of 3-5% and a mild to moderate incontinence rate of 10-15%. Both are very treatable in hands of surgeons who treat this often. Prostate scraping and laser treatments for benign disease rarely lead to incontinenece buts is also very treatable. Bottom line:it happens and is treatable. ...Read moreSee 1 more doctor answer
1) can parkinsonism cause bladder dysfunction& symptoms that mimic urinary infection? 2) how to diagnosing neurogenic bladder? 3) whom to consult?
Core strengthening: Once you get the ok to exercise from your doctor, work on strengthening your abs and back muscles which will be protective of your spine. You need to do them in a way so as to not cause pain or other injury. Best to work with a physical therapist to develop a home exercise program. ...Read moreSee 1 more doctor answer
Stress incontinence: While many procedures and devices have come along for stress incontinence (i have tried them all as a urologist) the gold standard remains the mid-urethral sling. Peri-urethral bulking agents may help some temporarily. Renessa and other gimmicks done in the office have failed miserably for most women. This is a years old device being re-introduced to a new generation of doctors. ...Read moreSee 2 more doctor answers
When excessive thirst, dilute urine, and urinary incontinence are involved what would these symptoms signify? Treatments?
What type of procedure(s) can correct urinary incontinence if Oxybutin doesn't work? Can't hold my bladder long enough to make it to bathroom.
Is it harmless doing Kegel Exercise when I (31 yrs old male) don't have any urinary incontinence? Could doing "Kegel' regularly cause ED or lead to any negative side effects? Are there any sexual benefits of doing "Kegel exercise"?
How are Kegel exercises going to stop urinary incontinence if I don't have a Prostate to support the urethea?
Urinary incontinence and pelvic pain. Urologist can't detect issues. Light dribble during the day. Heavy at night. Don't feel it.
Many: Some high blood pressure medications (eg hytrin) affect urethral tone and cause incontinence. Diurectics cause the bladder to fill quickly & can aggravate incontinence (but should not be stopped w/o dr's ok). Muscle relaxants can aggravate incontinence. And certain medications such as for myasthenia gravis can affect bladder function. Any drug that worsens constipation can worsen bladder function. ...Read moreSee 3 more doctor answers
Type matters: If you have urge incontinence (leakage with the "gotta-go" feeling), then treatments include bladder training with diet modifications, medications, Botox injections into the bladder wall, or implanted neuromodulating devices. If you have stress incontinence (leakage with cough, lifting, exercise, laughing, etc), then treatments include kegel exercises, vaginal pessaries, or surgery. ...Read moreSee 1 more doctor answer
Depends on cause: Urinary incontinence in men can result from different things. For instance, some men have leakage due to urinary retention leading to "overflow" incontience. Others may have overactive bladders causing urge incontience. Still others may have leakage results from surgery. Only a healthcare provider can help you determine what type of incontinence you have and how best to treat it. ...Read moreSee 1 more doctor answer
Yes: Children can experience urge incontinence, this may be a condition they're born with, or related to UTI (bladder infection) and is often associated with constipation. Children, esp heavy sleepers can experience incontinence at night or bedwetting. Athletic preteens and teens often experience incontinence with high impact sports- esp gymnastics, basketball and track. ...Read moreSee 3 more doctor answers
Need to see Doctor: Firstly, rinalysis in case incontinence is due to a urinary infection.Need to consult urologist it wetting isn't due to a UTI. Will include detailed medical history, complete physical examination including genitalia, abdomen, nervous system & digital rectal examination (for prostate).X-rays,Sonogram, Urodynamic studies may be indicated. May respond to medication, Kegel exercises & possibly surgery ...Read moreSee 1 more doctor answer
Squeeze before Sneez: Some women find it difficult to locate their kegel muscles. Think about what you do when in an elevator and you don't want to pass gas? That's right you keep your tummy muscles soft and tighten your bottom. Those muscles close your urethra so urine doesn't leak (and also your vaginal opening for improved sex). Practice a few times a day. So remember when you feel a cough or a sneeze... Squeeze. ...Read moreSee 4 more doctor answers
Many: For urge incontinence, medications known as anticholinergics are (pills, skin patch or skin gel)are used. Botox (injected into the bladder) is newly fda approved to treat neurogenic urge incontinence (off -label for other urge incontinence). A type of antidepressant known as tricyclic can help urge incontinence. Duloxtine, an antidepressant, can improve symptoms of stress incontinence. ...Read moreSee 5 more doctor answers
Stress & incontinenc: The stress in stress incontinence means an increase of pressure like cough sneeze lift or weight causes the leak. Emotional stress increases tone and tends to help close the bladder opening more. Kegels exercises can help increase this tone as well and stop leakage as can biofeedback. ...Read moreSee 2 more doctor answers
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