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Patient update Covid-19

After weeks of lockdown and remote consultations for our patients, we are very pleased to once again to be able offer face to face consultations for our patients where appropriate. Needless to say we will continue to put patient safety first, use appropriate social distancing measures, and also provide telehealth (remote consultations).

For any specific questions on how the service is running please give us a call on 0333 772 0768 or drop us a line info@manchesterurology.org.uk  #StaySafe

Incontinence is the involuntary leakage of urine.  It can be a very debilitating symptom.  Many suffer in silence because of the embarrassment or think of it as a natural consequence of ageing.  Sufferers are often not aware that there are very effective treatments available.  These depend on the type of incontinence.  There are basically two types:

 

Stress incontinence

The most common type is stress incontinence. Urinary leaks occur when physical stress is put on the pelvic floor muscles, such as when lifting heavy objects, laughing, sneezing, climbing steps or running. Women are more often affected by stress incontinence than men. This is due to the anatomical differences between both genders; more precisely, differences in the pelvic floor muscles which have a critical function in bladder closure.

 

Urge incontinence

Another type of incontinence is urge incontinence caused often by bladder spasms.  These cause patients to experience urinary urgency, a sudden and compelling desire to pass urine which is often difficult to control and may result in frequent urination, night time urination and urinary leakage.  There are many reasons for this including bladder irritation from infection, caffeine intake and nicotine consumption, your initial assessment by your Manchester Urology Consultant will enable identification of this and other potential causes for bladder spasm to facilitate prompt and effective therapy.

 

Mixed incontinence

Sometimes both types of incontinence occur at the same time and the condition is referred to as mixed incontinence.

 

Investigation and Treatment

Successful treatment is dependent on a careful understanding of the underlying cause of the incontinence.  A careful history and examination is an important part of this process. To distinguish between the types of incontinence, an out-patient investigation known as urodynamics may be required. This simple test enables your doctor to determine the behaviour of the bladder whilst filling and then when passing urine and from this can determine the correct treatment.

 

Links

http://www.baus.org.uk/_userfiles/pages/files/Patients/Leaflets/Urodynamics14.pdf