what every man needs to know about their prostate and the key to curing those painful urine infections: how to beat health problems when your plumbing goes wrong - absorbent pads medical
The problem with our personal pipeline is very common.
After delivery, or after prostate problems, from bladder to incontinence.
In the last part of our series, we will learn about possible problems with your water plant --
And what can be done to help. . .
Although few people talk about it, incontinence affects millions of people in the UK.
It seems that many people do not even dare to talk about it with their doctors --
A survey found that 60% of women with incontinence do not seek help from general practitioners.
But putting up with it means you miss treatment that can improve the situation.
There are many types of incontinence for different reasons, so different solutions are needed.
But the point is, you don't have to put up with it.
A tiny leak of urine is called stress incontinence when you cough or laugh.
This happens when the bladder neck cannot remain closed under body pressure.
Mike Bowen said: "In women, this may occur after delivery, where the neck is stretched during delivery, or when the pelvic floor muscles are weakened, causing the neck to sag, "A gynecologist at nuffield Health Oxford hospital.
In men, the prostate is removed (prostatectomy)
Giles Hellawell, a urological consultant at the London Clinic and Imperial College Healthcare NHS Trust, said "the main cause of stress urine leakage ".
This may be temporary.
Although men may have to wear pads when it settles down.
To diagnose stress incontinence, the general practitioner can perform a bladder stress test, usually done by lying down: inserting the liquid into the bladder using a thin tube
You will be asked to cough and the doctor will check for fluid loss.
Standing up may repeat the test.
There is also a pad test when you wear a water suction pad for a period of time.
After that, it will be weighed to calculate how much urine you lose without going to the toilet.
Pelvic floor exercises are very effective in relieving stress incontinence.
A review of the study published in 2010 found that after proper exercise, female stress incontinence symptoms improved by 70 (
How to do this, and gadgets that can help, see the back).
There are surgical options for stress incontinence that persist and seriously affect quality of life.
In the last decade or so, women have been given synthetic mesh slings, also known as vaginal slings or tension slings
Free vaginal tape (TVT)
Support internal organs and "lift" the neck and urethra of the bladder.
However, concerns have recently been raised about these materials in crushing and cutting the bladder and nearby tissues.
From 2007 to 2015, more than 92,000 women in the UK underwent vaginal implant surgery, and 2012 of the government reported complications in some women.
Activists, including affected doctors and women, have called for the restoration of the use of old sling techniques, including the open Burch colposusionsion, to rebuild a stable pelvic floor with women's own organization.
There is a new Sling program called SpanTape of obturator (or TOT)—
Available in NHS and private-
It supports the urethra with tension
Free tape between two closed cell holes (
Holes in the pubic bone of the pelvis, allowing nerves and blood vessels to pass through).
Unlike TVT surgery, the tape does not approach the bladder to keep it in its correct position. ‘Trans-
Bowen said the success rate of obturator sling surgery was 85.
Studies have shown that this disease is much less likely to cause bladder injury.
Men with stress incontinence after prostate surgery, which has not improved after 18 months, can also choose a sling operation in which a synthetic mesh is placed at the support of the urethra.
Not long ago-
The term data for this relatively new procedure, but so far about men have been able to stop using mats after the event, or to halve urine leakage.
When you can't feel near
It's often necessary to urinate, or feel like you can't "stick" when you do need to go, which can be urge incontinence.
This is different from the stress urination disorder when the pelvic floor muscles are too weak to prevent urination.
Urgency incontinence is twice that of men in women and is caused by bladder or muscle nerve damage, bladder stones, infection, or bladder inflammation.
But in most cases, the reason cannot be found.
Leakage occurs because the bladder muscles squeeze or contract at the wrong time, not just when your bladder is full.
Overactivity of the bladder, when the bladder muscles contract excessively, is one of the causes of urge incontinence.
It creates an uncomfortable feeling of wanting to urinate all the time.
Some men have problems with excessive bladder activity and bladder flow due to prostate enlargement, which may clog the urethra
A tube that transports urine from the body.
In order to maintain the flow, the bladder must increase the pressure.
In the end, Mr. Hellawell said, it became unstable, resulting in excessive activity.
It can be diagnosed by a urodynamic test, including paying attention to whether someone can stop the flow of urine in the middle
Or use a sensor to check the pressure inside the bladder and measure nerve activity.
This can assess the storage and release of urine in the bladder, nipple and urethra.
Unlike stress incontinence, there is drug treatment for urge incontinence and excessive bladder activity.
It can be stabilized by an anti-Gallbladder-based drug that works by suppressing the autonomous nervous system or involuntary nervous system that controls the functions of organs such as the bladder, Heart, Lung and genitals. ‘But the side-
Herawell said the effects of these drugs are not great.
Not only will they reduce the contraction of the bladder, but they will also reduce the contraction of the intestines, resulting in constipation.
Anti-gallbladder drugs can also affect the tear and spit glands behind the eyes, allowing patients to complain about dry eyes and dry mouth.
It will take them 12 weeks to be fully effective.
While the idea is to take these drugs for life, it is unlikely that patients will want to take them for a long time.
But there is a new prescription drug called mirabegron, which is available in the form of Betmiga, which works by relaxing the muscles in the bladder.
The injection of Botox into the bladder muscles was found to be effective as it can cause muscle paralysis for up to two months.
Several centers on the NHS have this drug, but there is no permission to treat urge incontinence at the moment, so doctors need to go through all the risks before the patient decides to continue treatment.
When the bladder has never been completely emptied, a small amount of things are shipped out all the time, not only when the bladder is under pressure, it will lead to continuous trickle and pre-overflow incontinence.
People with this type of incontinence may not always feel that their bladder is full.
This is more common in older men, usually due to prostate enlargement.
Women may also have this type of incontinence when the urethra is blocked by a prostrate organ or kidney stone.
When someone often causes bladder infection due to the back, it is usually diagnosed
Urine breeds bacteria.
To diagnose it, you may be asked to go to the toilet to completely empty the bladder before the doctor inserts the catheter to see if there is more urine coming out --
If more urine is produced, this may indicate an overflow of urinary incontinence.
Men with enlarged prostate may be helped by a drug called alpha-adrenaline-stimulating agent, such as cola, which can reduce the impulse of bladder contraction and water.
It is also possible to prescribe drugs such as "Alpha barrier" tamsulocin and afzo in order to relax the prostate muscles and relieve the pressure on the urethra.
Many herbs and other alternative therapies can be found online, but there is no evidence that any therapy is effective in fighting prostate enlargement.
Leakage can be controlled by absorbing pads, or a man can use a urinary sheath, like a condom, with a tube leading to the bag.
For the treatment of female spilled urinary incontinence caused by sagging, see the right panel.
Going to the toilet at night is a problem for men and women over the age of 50, getting up every night to pee is normal, and men and women over the age of 65 pee twice a night.
Male prostate enlargement or (more rarely)
Prostate cancer may be a cause.
But because it happens to men and women, all the responsibility of the "Night Song --
Need to go at night-
Can't be placed on the prostate: disturbed sleep patterns and drugs including blood pressure drugs can all work.
Mr Hellawell said it was important to check that the problem was not an undiscovered heart problem and that it would cause fluid retention.
Life style can play a role.
"My patient ended up drinking a few espresso or tea.
Caffeine promotes urination and can cause instability in the bladder.
Lead to frequent or urgent weeing needs.
How to treat the painful urinary infection caused by the inflammation of the bladder is one of the most common types of urinary tract infection (UTI)
More women are affected.
Con Kelleher explained that this is usually caused by bacteria invading the bladder wall, and Con Kelleher is an obstetrician and gynecologist at Guy and the St. Thomas NHS Foundation Trust.
Pain when frequent urination or frequent urination, a small amount of urine is a manifestation of prostatitis.
The same is true of the blood in the urine, which may make the urine pink and turbid
But it can also show other problems, such as bladder tumors, so be sure to talk to your GP.
This is more common in women than men.
The anus is closer to the urethra [
Passage to drain urine from the bladder out of the body]
Mr. Kelleher explained that women and the urethra were short.
This makes it more likely that bacteria will invade.
"Utis should not be ignored because when bacteria travel up from the bladder, they can lead to more serious complications such as kidney infections," said Emma Soos . ", Nurses with special interest in urology and director of women's health clinics.
Drink plenty of water to help clear bacteria for mild prostatitis.
Although many people think cranberry juice is helpful, recent research has not found any effect on bacteria in urine from cranberry juice taken as a capsule.
Three phosphorus antibiotics (Monotrim)
It is the main treatment and engineering of 80% infection.
Urine tests should be performed on adults who do not respond to treatment to identify the bacteria that cause the problem so that they can target with the most effective drug.
Professor James Malone
Lee, based at the University College Hospital, advocated for some patientsdose, long-
Targeted antibiotics prescribed by experts, plus an antibacterial drug called Hiprex.
To prevent UTIs, wear clean cotton underwear and avoid perfume products and wipes that stimulate the skin and wipe the frontto-
It's effective to come back.
Always urinate before bed and after sex
During this period, bacteria can be transferred to the urethra-can also help.
Although it is possible for men to get a certain amount of inflammation, prostatitis is more common.
Prostate inflammation affects half of men, sometimes called "male cells ".
Symptoms include pain in urinating, frequent urination, and much needed water, turbidity, or blood in the urine, as well as pain in the abdomen, groin, or lower back.
Sometimes it can cause problems such as low sexual desire and erectile dysfunction.
Prostatitis is diagnosed by excluding other diseases that may cause symptoms, such as cancer.
The doctor may give you a physical examination, check the urine and blood, and sometimes check your urinary tract and prostate to check for potential problems.
In the case of about ten per cent, it may be bacterial infection.
This type will appear soon, causing high fever, chills, muscle pain and joint pain, pain around the base of the genitals and penis, difficulty in urination, said Professor Roger Kirby of the Prostate Center.
Treat with antibiotics.
Professor Kirby said that in severe cases, men may need antibiotics for 4 to 6 weeks, or even longer.
Professor Christopher Eden, urologist at Royal Surrey County Hospital, said quinolone antibiotics are most effective for entering the prostate.
He said that you often find that GPs has prescribed the wrong prescription, such as third-class cloazole, penicillin and nitrofurin, which will not have much effect.
The most common type of prostatitis is not caused by bacteria at all.
Chronic prostatitis without bacterial infection, also known as chronic pelvic pain syndrome (CPPS)
A man will be diagnosed when he complains about pain in the back passage and untimely urination
However, the test showed no bugs in the urine.
Most experts believe this is caused by scar tissue left after bacterial infection is resolved.
Professor Eden said that this can stimulate the nerves to continue to send a signal of inflammation to the brain.
New evidence suggests that this may be caused by chronic spasm at the pelvic floor.
The treatment of CPPS includes alpha inhibitors, which can be helped by relaxing muscle fibers in the neck and prostate of the bladder.
Some patients seem to benefit from Cialis in the treatment of erectile dysfunction, taking 5 mg a day, which can also improve sexual function.
Botox injected into the prostate to reduce muscle spasm.
Physical therapy to relax the pelvic floor muscles has proved to be helpful.
Frequent sex and masturbation are sometimes considered a way to relieve pain in prostatitis, but Professor Eden says it could be a myth.
But some people do say it helps.
"For some men, surgical removal of the prostate is the last resort to consider," Professor Eden added . ".
Prolapse: what really works?
The most serious cases of sagging will make women feel like their internal organs are really falling off.
But some people are too small to even cause symptoms and will find out when checking something else.
Dr. Philip Owen said that the ligaments and muscles that make up the bottom of the basin began to stretch, and the organs in the abdomen slipped down. The Glasgow Princess Royal Maternity Hospital Obstetrics and Gynecology consultant.
Stretching can be performed during pregnancy and childbirth.
Overweight and aging are risk factors.
According to the Royal Academy of Obstetrics and Gynecology, half of women over the age of 50 will have some degree of sagging.
As muscle tension deteriorates and estrogen levels decline, menopausal women are at risk, which causes the vaginal wall to become thin and unable to support themselves, Dr. Irwin said.
Vagina: The uterus is protruding from the vagina and will fall off in some cases.
Among women with children, there is up to the development of the uterus-
Vaginal sagging in later life.
As weight causes stress on the abdomen, they are common in post-menopause and overweight women.
Bladder: the bladder is pushed into the vagina, Dr. Irwin said, which may produce a "reservoir" of urine that cannot be emptied, resulting in irritation, cramps and incontinence.
When a woman laughs or coughs, it also causes a leak.
Rectocele: When the intestinal ring is squeezed into the vagina, S-is produced-
Where feces can be collected.
Dr. Owen explained that it is difficult for women to defecate in some cases.
Rectal resection mainly occurs in women after a uterine resection.
Weight loss helps to relieve stress in the abdomen.
Physical therapy can reduce the symptoms of sagging organs in any pelvic floor.
Your doctor can introduce you. Ring-
The shape of pessaries can add support in the vagina.
They wear out all the time and need to be replaced every six months.
Severe uterine sagging can be treated surgically.
One option is to support the synthetic mesh of the bottom of the basin, but this is related to the long-term sideeffects.
Other options include autologous slings made with female tissue.
If you have chronic constipation, please see a doctor because long-term tension can cause sagging.
Prostates: when it comes to the "pregnancy" issue for men, what everyone needs to know is that in many cases the culprit is the prostate, which produces fluid mixed with sperm to produce semen
There is no doubt that in a bad design, walnuts
The size of the prostate located below the bladder is wrapped around the urethra, which is a tube through which the urine is discharged from the body through the penis.
This arrangement works well when men are in prime time.
However, with the increase of male age, the prostate gradually increases, urinary tract pressure increases, and urine flow is disturbed.
Giles Hellawell, a urological consultant, said this is when most men start to ring the alarm.
Of course, prostate cancer is the first problem they think of, he said.
Common symptoms of prostate cancer are difficulty urinating or need to urinate more frequently.
But the first thing I said to the patient I mentioned is that about half of men over 50 years old have a certain degree of prostate enlargement --
A benign condition
A significant part of this will be less traffic.
In fact, most men who go to the GP are frightened by the symptoms caused by harmless prostate enlargement.
Their urine is not flowing well.
The river in the flood was once a stream.
Or, if they tolerate bad traffic for years like many men, they may have started to have a secondary effect on the bladder.
These effects may include "frequent urination "--
Have to go to the toilet often-
Or "urgencye", a sudden and intense urge to go.
But for many people, the fuse to visit a GP is to get up regularly once or twice in the evening to get through the water.
A gp faces a man who is worried about urinary problems and usually has a physical examination of the prostate to see if it does expand.
If so, the next step will be a blood test to check the protein level known as prostate-specific antigen or PSA.
This is produced by cancer cells in the prostate and also by normal cells, and PSA levels naturally rise as men age.
Mr Hellawell said that, as a result, the increase in PSA levels only indicated that further testing might be required.
PSA triggers "false positives" and many men with higher reading levels do not have prostate cancer.
In contrast, some men with low PSA readings do not often have this.
Therefore, we are more and more dependent on this, he said.
In my NHS practice, once the patient's PSA is elevated, we always do an MRI scan of the prostate before deciding whether to do a biopsy.
Ali Luk, a senior specialist nurse for prostate cancer in the UK, said prostate cancer affected more than 300,000 men in the UK and killed one man every 45 minutes.
However, if discovered early, it is a disease that can be successfully treated.
In many cases, prostate cancer has no symptoms at all, especially in the early stages.
She said, therefore, it is vital to be aware of your own risks and to be the best line of defense for men.
Men over the age of 50, black men, or fathers or brothers who suffer from the disease are at a higher-than-average risk.
"If you're in such a situation --
Risk groups, or have noticed any changes in your water plant, it is important to have a conversation with your GP about your risks.
Anyone worried about prostate cancer can contact a British prostate cancer specialist nurse at 0800 074 83.
If cancer is excluded, benign prostate enlargement can be treated.
This could mean a change in lifestyle.
Reduce caffeine and alcohol that stimulates the bladder, and usually drink less at night --
Learn "double deficiency": Pee, wait a few seconds, and then pee.
Some men with an enlarged prostate will have overflow incontinence.
Where they leak urine.
View previous pages).
In the case of "chronic urinary retention", if it is really difficult to pee, a man may have to regularly insert the catheter into the penis to discharge the bladder.
When cancer is found, or in the case of some severely enlarged but benign prostate, a resection of the prostate will be performed and partial or complete prostate resection will be performed.
This can cause other problems.
The problem is that the prostate is not a very large organ: it is very close to the bladder and the casual anus, which allows you to relax and take a break.
Mr Hellawell said that you must be careful if surgery is to be removed.
Even so, the risk of incontinence after standard prostate resection is about 5 cents or more.
Sometimes it's just temporary.
Mr. Hellawell explained that we usually wait 12 to 18 months after surgery to see what the final baseline incontinence level would be, and fortunately, in most patients, this situation does
Men may have to wear pads during this time.
More surgery can be done without improvement.
This includes the insertion of an internal urethra sling, a synthetic mesh that is positioned to provide some support to the urethra.
Still a relatively new innovation for men and women, no longer
The long-term outcome of this procedure usually requires two nights in hospital.
But in the short term
The success rate of the word is about 80.
Success was defined as being able to stop using the pad or see half of the leak.
For severe incontinence cases, an artificial urethra can be installed to replace a weakened muscle ring that contracts to prevent urine from leaving the bladder.
The manual is filled with liquid to compress the urethra, operated by a small hand pump hidden in the penis.
Patients aged 70 or over are more likely to undergo radiotherapy to reduce the volume of prostate enlargement than to undergo radical surgery.
There is little evidence that one surgery is better than the other, but for older patients it is more prudent to give anesthesia and perform long-term surgery.
When you find the lump. .
It is understandable that many men will be worried when they find their scrotal mass.
But only four out of 100 people may be cancer patients.
Giles Hellawell says they often find a harmless testosterone cyst.
By the age of 50, men between 15 and 20 may have some degree of testosterone cyst, which they can feel on the top of a testicle.
The cyst is located in a vassal, a catheter that carries sperm from the testicles and is usually tender in itself.
Mr. Hellawell said that, normally, there is a slight tenderness in the attachment of someone, which may be caused by inflammation and they will check and find the lump.
But in fact it is not in the testicles, but in the position above.
Mr. Hellawell said it would be better not to have a cyst.
It rarely causes pain or discomfort, and removing it is not an impossible consequence: "The testicle area is not a good place for surgery because the risk of infection is so high.
In order to reassure the man that his lump is harmless, we will almost automatically receive an ultrasound scan, and of course, it may be over 40 years before the age of 40.
This can also cause hernia and stagnant water in the testicles, which is a structure-
Fluid around the testicles.
Fiona Osgun, senior health information officer for cancer research in the UK, said men should understand their usual look and feel, which can help you find out if there is any change.
The doctor should check for any lump, swelling, change in hardness or texture of the testicles, or the weight or pain of the testicles or testicles.
This addition was contributed by Jinan Harb, Lucy Elkins and Anna hochkis.