The urinary problems when they exist, often determine the future social and even the autonomy of senior. Yet, consider the prostate or the ravages of time as solely responsible is a simplistic solution. The urinary excretion is not the mere result of a drain tank … it really deserves being dealt!
Even though their frequency tends to increase with age, the problems are yet neither inevitable nor irreversible in most cases.
1 - dysuria: make efforts to urinate
Installation gradual, insidious, it does not necessarily point if we do not questioned. Often, moreover, the entourage which raises the problem. Remember that normal urination is immediate, easy and complete.
The dysuria is endless urination, a jet dropped (note the shoes!) And sometimes a ‘last straw’ long to come. The need to push sometimes leads to a sitting position and may in some cases even cause shortness of breath or angina pectoris.
2 - pollakiuria: want, and do often in small and medium quantity
It may accept as normal 4 to 5 urination during the day and night until age 60, a man without sleep (insomnia). After accepting a lift additional night per decade (2 to 70 years, 3 to 80 years, etc.)..
While that may appear in isolation, the pollakiuria dysuria are common.
3 - The pain
They should always draw attention. Gravity above the pubis, voiding burns.
4 - Leaks
The unstable bladder:
This is the ‘emergency Micturitional’: bladder contracts by accident, causing leakage is unpredictable, or desires controlled but urgent and numerous, especially at night.
Stress incontinence:
The loss of urine due to a weak sphincters and occur during effort causing pressure in the lower abdomen, as in sneezing, coughing, laughter, sport. Rare in humans, it usually follows the surgical removal of the prostate.
Urination by regorgement:
Resulting in periodic emptying of the bladder, unintentional and without need. The bladder is contracted more, or an obstacle (a big Prostatic for example) prevents the normal urinary flow. Therefore, urine ‘outside’ when the bladder is too full.
Sometimes, incontinence result of a physical disability (you can not get time alone or to the toilet), mental (dementia), or following the taking of certain drugs (diuretics, sedatives, muscle relaxants, and so on. ).
5 - Blocking
The acute retention of urine is part of emergency treatment: it is possible to urinate, the bladder becomes huge and envy as well. The pain is so intense that it can achieve a state of extreme agitation. The relief will be immediate from the drainage, urinary catheter or by direct puncture.
What should I do?
Urinary symptoms should always be consulted. The doctor will look first easily identifiable causes, often acute and transient, if they are diagnosed and treated …
The very first thing the doctor will do after reconstituted with you the history of troubles, will be whether the prostate has become an obstacle or not the evacuation. The digital rectal examination is essential. Sometimes an ultrasound (endorectal or not) and other tests such as flow meter (measuring the power of urinary) or intravenous urography (radiological assessment of the entire urinary tract, kidney to the urethra) will be needed.
The treatment: they exist!
They will be provided by your doctor agree with your urologist.
When the prostate is involved, drug treatments are relatively well adapted effective. The surgery will be considered only when important gene, or malignancy. If stress incontinence sometimes occurs after removal of the prostate, the fact that it takes more than 6 months after the intervention should be again. Advances in surgical techniques have dramatically reduced this risk.
When there is instability bladder, some rehabilitation exercises, the establishment of a voiding pace and a well-chosen medication regularly very successful!
Finally, if anatomically urinary tract is relatively simple, its operation is of great complexity. Do not lose sight of this concept will perhaps not be satisfied with hasty and simplistic explanations. Making an accurate diagnosis can offer the best solution: let us not forget that we are talking about quality of life.
Related posts:
