Saturday, December 07, 2013

Video: Urinary Incontinence

Continence Part 1 of 2 

Uploaded on Feb 19, 2011

Discusses how a stroke can effect continence and the patient's recovery process. Examines the various treatments or techniques that can help to overcome or better manage continence.


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Continence Part 2 of 2 

Uploaded on Feb 19, 2011

Discusses how a stroke can effect continence and the patient's recovery process. Examines the various treatments or techniques that can help to overcome or better manage continence.

Standard YouTube License @ AGWSCS





Foley Catheter Insertion

Uploaded on Jul 16, 2008

Male and female Foley catheter insertion into bladder. Using mannequins. For full details, visit http://pocketsnips.org - it's free. Creative Commons licensing - attribution, non-commercial, share-alike.

Although care has been taken in preparing the information shared in all components of the PocketSnips project, the PocketSnips project does not and cannot guarantee the accuracy thereof. Expert medical opinion should be sought out, when determining a clinical approach. These videos are not a substitute for such medical expertise.


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GeeWhiz Instructions

Uploaded on Jan 11, 2011

Interview with innovator Mr. Paul Dwork at the Abilities Expo California 2008. Paul demonstrates the use of the GeeWhiz male catheter system.


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What is Urinary Incontinence?

Uploaded on May 11, 2011

Dr. Bob talks about urinary incontinence. For more health tips and information visit http://www.DrBobShow.com.

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Take Control of Incontinence

Uploaded on Dec 10, 2009

From the website http://www.webchats.tv

If you suffer from bowel or bladder control problems, you are not alone. The NHS estimates that up to 6 million people in the UK have some degree of urinary incontinence and studies suggest that in the UK "major faecal incontinence" affects 1.4% of the general population over 40 years old. However, for sufferers, the condition can be highly embarrassing and can severely impact on quality of life bringing with it a loss of self-esteem, sleep deprivation, and even symptoms of depression or anxiety.

Bowel and bladder control problems are caused by damage to the muscles or nerves. This can be related to pregnancy and childbirth, obesity, weak pelvic muscles, diabetes, prostate cancer, bladder cancer or stones, and neurological disorders. While it is not a natural part of aging, your risk also increases as you get older.

There are a number of ways you can take control of incontinence. Non-surgical techniques such as pelvic muscle exercises and absorbent products can help and some medication can be effective to reduce the impact of faecal or urinary incontinence. There are also reversible surgical options such as InterStim therapy.

If you have incontinence, or know someone who does, it is important to seek appropriate diagnosis and treatment. Don't suffer in silence. For expert advice on dealing with this sensitive issue, log onto our live and interactive WebTV show with Colorectal Surgeon Mr Andrew Clarke who recently appeared on Channel 4's Embarrassing Bodies. He'll be here to answer all your questions and will give you the help you need to take control and live the life you want to.

Mr Andrew Clarke, Colorectal Surgeon, from Poole Harbour BMI Hospital joins us to discuss bladder and bowel problems and the potential treatments to cure this common issue.

For more information visit www.bowel-control.co.uk and www.bladder-control.co.uk

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What is Overactive Bladder? (Part 1 of 2) | HealthiNation 

Published on Apr 12, 2012

Overactive Bladder is a very common problem for both men and women. Learn how the bladder works in this video.

TRANSCRIPT:

An estimated 13 million Americans suffer from bladder problems, or Urinary Incontinence (UI). The condition is often associated with age, gender, and physical changes that occur with surgery, pregnancy, or menopause. Regardless of the cause, bladder control problems aren't just a normal part of aging and can be treated.

How Bladder Problems Develop

The bladder is the organ that stores urine. It has a small tube, called the urethra, that allows urine to pass from the body. Beneath the bladder is a muscle called the "pelvic floor muscle." This muscle is usually contracted, which helps support the bladder and keep urine from leaking. During urination, the neck of the bladder relaxes and the urethral sphincter opens. At the same time, the bladder muscle, called the detrusor muscle, contracts to expel the urine.

Types of Bladder Problems

Stress Incontinence. This is the most common type of bladder problem. It's the loss-or leakage-of urine caused by pressure on your bladder from a sneeze or cough, or exercise. This typically affects women, but it can occur in men after the removal of the prostate gland.

Urge Incontinence. This is sometimes called Overactive Bladder. It happens when the bladder muscle contracts, even when the bladder isn't full. This is characterized by a sudden urge to urinate, which sometimes causes accidents. The condition can be caused by side effects of drugs, nerve damage, stroke, or neurological diseases such as MS, Alzheimer's and Parkinson's Disease. Sometimes, the cause of urge incontinence just can't be explained.

Overflow Incontinence. People with Overflow Incontinence dribble or leak urine on a frequent or constant basis. This occurs because the bladder doesn't empty completely during urination. Overflow Incontinence can be caused by prostate problems, nerve damage from diabetes or even as a side effect of some medications. It far more frequent in men than women.

Mixed Incontinence. This is the presence of more than one of the above conditions. Typically, the problem stems from a combination of Stress and Urge Incontinence.

Functional Incontinence. This type usually affects older adults, and is especially prevalent in individuals residing in nursing homes. This type of incontinence usually results from a physical disability like arthritis or a neurological disease like Alzheimer's.

Overnight Incontinence. This can happen in adults who take certain medications or drink too much alcohol. This can also happen in children who are either toilet trained or are still toilet training.

Sources:

  • Alhasso AA, McKinlay J, Patrick K, Stewart L. Anticholinergic drugs versus non-drug active therapies for overactive bladder syndrome in adults. Cochrane Database of Systematic Reviews 2009, Issue 1.
  • Wallace SA, Roe B, Williams K, Palmer M. Bladder training for urinary incontinence in adults. The Cochrane Database of Systematic Reviews 2009, Issue 1.


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Treating Overactive Bladder (Part 2 of 2) | HealthiNation

Published on Apr 12, 2012

Some simple exercises and techniques that can help many cases of overactive bladder. In some situations, there are medications that may help.

TRANSCRIPT:

Incontinence should be treated under the supervision of your doctor. Treatments fall into four main categories:

Behavioral Techniques. Behavioral treatments focus on lifestyle changes and also on strengthening the muscles involved in urination. This is usually done with "Kegel" exercises. Kegel exercises are a good way to strengthen the pelvic floor muscle (the muscle you tighten to hold your urine or when you're trying to keep from passing gas).

Other behavioral techniques include bladder training and timed urination. Bladder training means teaching the bladder to hold urine for a certain amount of time after you feel the urge to go to the bathroom. Your doctor may start by asking you to delay bathroom trips for five minutes after the urge. That delay will be extended as you progress in treatment.

Another bladder training method is called double voiding. This means trying to empty the bladder for a second time soon after an initial urination. This ensures that the bladder is completely empty, and should cut down episodes of overflow incontinence.

Medications. Medications to treat bladder problems have proven to be successful, usually when used in combination with behavioral techniques. Before taking any of these medications, talk to your doctor about side effects. Antispasmodic medications work by stopping frequent bladder contractions. They are prescribed for those with Urge Incontinence. Certain anti-depressants can relax the bladder muscle, resulting in fewer urges to go to the bathroom. Antibiotics may be used if the cause of incontinence is an infection of the urinary tract or an enlarged prostate. Hormone therapy treatments are available for women after menopause or for children.

Medical Devices. Some medical devices can help stop urinary incontinence by either closing the urethra, or supporting the bladder, like the pelvic floor muscle does.

Surgery. Surgery is usually done as a last resort and may not be right for everyone.

Sources:


  • Alhasso AA, McKinlay J, Patrick K, Stewart L. Anticholinergic drugs versus non-drug active therapies for overactive bladder syndrome in adults. Cochrane Database of Systematic Reviews 2009, Issue 1.
  • Wallace SA, Roe B, Williams K, Palmer M. Bladder training for urinary incontinence in adults.The Cochrane Database of Systematic Reviews 2009, Issue 1.


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How to do Kegel Exercises that Strengthen Your Pelvic Floor 

Uploaded on Mar 1, 2010

Learn how to kegel and strengthen with expert Physical Therapist practical tips and step-by-step guidelines from http://www.pelvicexercises.com.au. Learn how to feel your kegel exercises and how to kegel to strengthen your pelvic floor. This kegel exercise video is suited to women who have difficulty feeling their pelvic exercises, and those women seeking to strengthen and tone up their pelvic floor.

This pelvic floor training video is presented by Pelvic Floor Physio Michelle Kenway author of Inside Out- the essential women's guide to pelvic support available from Pelivc Exercise

http://www.pelvicexercises.com.au/pelvic-exercise-products/pelvic-exercise-books/inside-out-michelle-kenway/ For more information on how to kegel after prolapse surgery or after hysterectomy see Michelle's You Tube training video for successful Pelvic Floor Exercises after Vaginal Surgery at http://www.youtube.com/watch?v=JX6cniZFXyw&list=UUPQS5BOA_GLQKCc07ZCOjJg&index=19&feature=plcp.

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