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LOWER URINARY TRACT

SYMPTOMS

Understanding of urinary incontinence in the community and in the medical profession has been severely limited.

Many women with incontinence believe that it is a legacy of childbirth, that most women have it and they will need some kind of ‘hitch-up’ to fix it.

Many times a woman with incontinence has gone to the Family doctor who has examined her, found a cystocele and referred the patient for a ‘repair operation’.

Not only does a cystocele NOT cause incontinence, but a vaginal repair does NOT treat incontinence!

Our understanding has improved over the past 20 years—not only with the help of sophisticated investigations but also with more careful history- taking.

It is not sufficient to merely ask if a woman wets herself with a cough or a sneeze, it is important to clarify that the incontinence is a small spurt of urine at the instant of the cough , not after. If it is after it may indicated an overactive bladder.

In regard to urgency, it is important to ask not just if it is urgent to go to the toilet, but if , when they are putting the key in the door on the way home, is there the slightest chance of a drop of urine escaping.

In regard to enuresis, if one asks “do you wet the bed?”, the answer invariably is “no” but if one asks “do you wear a pad to bed?” or “does even a drop of urine sneak out in bed at night?”, the answer will often be “yes” — suggestive of an overactive bladder.

If one asks “do you go to the toilet too often?” the answer may be “no” especially if the problem is long-term. A frequency / volume chart [mandatory], may show small frequent voids suggestive again of an overactive bladder.

FLUID INTAKE:

The suggestion that a person should drink 8 glasses of water or 2 Litres of water per day is incorrect. Excessive intake on top of one’s normal daily intake may cause considerable problems including brain dysfunction joint aches & pains electrolyte imbalance and worsen an incontinence problem.

The URINE OUTPUT should not exceed 2 litres in 24 hours and is normally

1.5 Litres/24hrs..

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Phone: [08] 8332 1111

Fax:     [08] 8332 5586

E-mail:

info@incontinence-sa.com.au

To contact us:

SPECIFIC PROBLEMS

The Home of Pelvic Floor & Bladder Control Problems in South Australia

ADELAIDE SPECIALIST INCONTINENCE SERVICES

ADELAIDE SPECIALIST INCONTINENCE SERVICES

Click below on the specific problem for more detail on that problem.

Specific problem —General

Stress Incontinence

Overactive Detrusor

Lower Urinary Tract Symptoms

Prolapse

Suite 2, 128 Fullarton Road

Norwood

SA  5067

Neuromodulation

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What is Urodynamics?

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Related Links

ADELAIDE SPECIALIST INCONTINENCE SERVICES

Sphincter Deficiency                  [ISD]