Posts Tagged ‘urinary leakage’

6 Ways To Reduce Risk for Pelvic Problems: Urinary Leakage, Dropped Bladder & Sexual Issues

November 4, 2017

Andrew Siegel MD  11/4/17

shutterstock_femalebluepelvic

Ease into this topic with a write-up by Melanie Hearse about altered vaginal anatomy after childbirth and what to do and not to do about it, from BodyandSoul.com Australia: This woman has a warning about ‘fixing’ your downstairs after birth.

Our health culture in the USA is largely reactive as opposed to proactive.  Undoubtedly, a better model is prevention as opposed to intervention.  Attention to a few basic measures can make all the  difference in your pelvic health “destiny”:

  • Maintain a healthy lifestyle. Weight gain and obesity increase the occurrence of urinary control problems, dropped bladder, sexual, and other pelvic issues. Follow the advice of Michael Pollan: “Eat food. Not too much. Mostly plants.”  Consume a nutritionally-rich diet with abundant fruits and vegetables (full of anti-oxidants, vitamins, minerals and fiber) and real food, versus processed and refined food products.  A healthy diet (quality fuel) is essential for ongoing tissue repair, reconstruction and regeneration. Stay physically active, obtain sufficient sleep, manage stress as best as possible, avoid tobacco (an awful habit, with chronic cough contributing to pelvic floor issues) and consume alcohol moderately.  Physical activity should include aerobic (cardio), strength, flexibility and core training (yoga, Pilates, etc.), the latter of which is especially helpful in preventing pelvic issues since the pelvic floor muscles form the floor of the core. A recent Harvard Medical School health report entitled “Best exercises for your body” recommended swimming, Tai chi, strength training, walking and Kegel exercises.
  • Prepare before pregnancy. Pregnancy, labor and vaginal delivery are the most compelling risk factors for pelvic floor issues. Commit to healthy lifestyle measures and pelvic floor muscle training as detailed above even before considering pregnancy in order to prevent/minimize the onset of pelvic issues that commonly follow pregnancy and childbirth.  The following article, written by Corynne Cirilli for Refinery 29 on October 6, addresses this issue in detail and is well worth reading: Why Aren’t We Talking About Pre-Baby Bodies?
  • Pelvic floor muscle training. Kegel exercises to increase pelvic muscle strength and endurance are vital to prevent pelvic floor issues. The Kegel Fix is a paperback book that guides you how to do Kegel contractions properly, provides specific training programs for each pelvic issue and teaches you how to put this skill set into practical use—Kegels “on demand.”
  • Avoid constipation and other forms of chronic increased abdominal pressure. Chronic constipation (bowel “labor”) can be as damaging to the pelvic floor as vaginal deliveries. Coughing, sneezing, heavy lifting (particularly weight training) and high impact sports all increase abdominal pressures, so take measures to suppress coughing, treat allergies to minimize sneezing and not overdo weight training and high-impact sports.
  • Consider vaginal estrogen therapy. After menopause, topical estrogen can nourish and nurture the vaginal and pelvic tissues that are adversely affected by the cessation of estrogen production. Low dose topical therapy can be effective with minimal systemic absorption, providing benefits while avoiding systemic side effects.
  • Get checked! Be proactive by periodically seeing your physician for a pelvic exam. It is best to diagnose a problem in its earliest presentation and manage it before it becomes a greater issue.

Bottom Line: Prepare and prevent rather than repair and prevent!

Wishing you the best of health,

2014-04-23 20:16:29

A new blog is posted weekly. To receive a free subscription with delivery to your email inbox visit the following link and click on “email subscription”:  www.HealthDoc13.WordPress.com

Dr. Andrew Siegel is a physician and urological surgeon who is board-certified in urology as well as in female pelvic medicine and reconstructive surgery.  He is an Assistant Clinical Professor of Surgery at the Rutgers-New Jersey Medical School and is a Castle Connolly Top Doctor New York Metro Area, Inside Jersey Top Doctor and Inside Jersey Top Doctor for Women’s Health. His mission is to “bridge the gap” between the public and the medical community.

Dr. Siegel has authored the following books that are available on Amazon, iBooks, Nook and Kobo:

 MALE PELVIC FITNESS: Optimizing Sexual & Urinary Health

THE KEGEL FIX: Recharging Female Pelvic, Sexual and Urinary Health 

PROMISCUOUS EATING: Understanding and Ending Our Self-Destructive Relationship with Food

Cover

These books are written for educated and discerning individuals who care about health, well-being, fitness and nutrition and enjoy feeling strong and confident.

 

 

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Urethral Compression Devices To Manage Male Urinary Incontinence

July 8, 2017

Andrew Siegel MD  7/8/17

Male urinary leakage can often be cured or significantly improved with behavioral treatments, pelvic exercises, medications, or surgery. However, there are times when incontinence cannot be satisfactorily addressed by these means. Furthermore, there are circumstances in which medications or surgery cannot be considerations and situations in which patients want only simple and basic management.

This entry reviews the following male urinary incontinence appliances: “Dribblestop,” “Regain,” “Acticuf,” and “Urostop.” They all have in common a pinching mechanism that is applied to the urethra, similar to squeezing your penis between thumb and forefinger to prevent urinary leakage. The goal of using these devices is to stop the urinary leakage while keeping the blood circulation to the penis intact and maintaining a comfortable fit. This can be accomplished because only a minimum amount of pressure on the urethra is required to stop the unwanted flow of urine.

Dribblestop is a foam-padded, lightweight plastic clamp for men with moderate to severe leakage. It works by applying compression pressure to the top and bottom of the penis to pinch the urethra closed.  The device is worn just behind the head of the penis. A set contains two clamps that are held together by adjustable links (of 3 varying lengths) to calibrate the urethral compression.  The compression can be further fine-tuned by choosing one of two notches on the clamps.

dribblestop

Dribblestop 

 

Regain is a flexible plastic compression device for men with mild to moderate leakage. It consists of upper and lower arms connected by hinges. A foam pad that compresses the urethra is present on the lower arm and an elastic Velcro strap is attached to the upper arm. The penis is placed through the central opening and the device is bent to envelop the penis. The elastic strap is wrapped around to hold the device in place and to apply light pressure to the underside of the penis.  It is available in 3 sizes: small (penile circumference < 2.5 inches), medium (2.5 – 4 inches), and large (> 4 inches).  A package contains 3 devices, each providing about one week’s usage.

regain

Regain

regain2

Regain deployed

 

Acticuf is a disposable pouch for mild-moderate urinary leakage. It is an absorbable pocket closed on the deep end that has a mouth that opens and closes to contain the penis and compress the urethra.  The pouch is held horizontally between thumb and forefinger and squeezed to open it. The penis is inserted in the pouch as deeply as possible and the Acticuf mouth snugs down on the penis.  It can be loosening up by squeezing and releasing the compression mechanism a few times. It should be repositioned every 3-4 hours or so and not worn while sleeping.  It should be removed and discarded when saturated. A set consists of 10 pouches.

acticuff

Urostop is used for preventing urinary leakage that occurs at the time of sexual activity, whether during foreplay, intercourse or climax.  It consists of an adjustable tension silicone loop that is cinched down to occlude the urethra.  It is placed at the base of the penis prior to sex. The ring is slid down until it is adjacent to the ends of the loop and the erect penis is placed within the loop and the device is slid down to the penile base.  The end of the tubing without the ball is pulled to achieve the desired tension. The device should not be left on for more than 30 minutes. To remove the device, the end of the tubing with the ball is pulled.  Only water soluble lubricants should be use and it should be cleaned with soap and water after each use.  The device should be replaced after 6 months of use or sooner if it shows signs of wear and tear.

Urostop

Urostop

These urethral compression devices and many more urology products for men and women can be purchased online or via telephone from The Urology Health Store.   Shipping to the continental USA is free with orders over $50 and 10% discount can be obtained with promo code: “Urology10”

Wishing you the best of health,

2014-04-23 20:16:29

A new blog is posted every week. To receive the blogs in the in box of your email go to the following link and click on “email subscription”:  www.HealthDoc13.WordPress.com

Dr. Andrew Siegel is a practicing physician and urological surgeon board-certified in urology as well as in female pelvic medicine and reconstructive surgery.  Dr. Siegel serves as Assistant Clinical Professor of Surgery at the Rutgers-New Jersey Medical School and is a Castle Connolly Top Doctor New York Metro Area, Inside Jersey Top Doctor and Inside Jersey Top Doctor for Women’s Health. His mission is to “bridge the gap” between the public and the medical community that is in such dire need of bridging.

Author of MALE PELVIC FITNESS: Optimizing Sexual & Urinary Health

Author of THE KEGEL FIX: Recharging Female Pelvic, Sexual and Urinary Health