Tilted Forum Project Discussion Community  

Go Back   Tilted Forum Project Discussion Community > Chatter > General Discussion


 
 
LinkBack Thread Tools
Old 12-02-2003, 08:57 PM   #1 (permalink)
Insane
 
Location: an indelible crawl through the gutters
Pissed My Pants

LINK

Treatment advances for millions with urinary problem
By Kathleen Nelson, Globe Correspondent, 12/2/2003

One out of every three women over 45 has an embarrassing problem when she sneezes, lifts a heavy bag or swings a golf club: She pees.

This loss of control, called stress urinary incontinence, leaves many of its 15 million victims -- most of whom are women -- feeling ashamed and frustrated. More than half the women questioned in a poll this fall were so uncomfortable about the leakages they hadn't even discussed them with their doctor.

And, until recently, women who did tell their doctors were told there was little medical science could do to help.

But now treatment ranging from simple exercises to surgery are showing that those who develop stress urinary incontinence aren't stuck with it forever.

"Incontinence is not a normal part of aging," said Dr. Stephen Young, chief of the division of urogynecology and reconstructive pelvic surgery at UMass Memorial Medical Center in Worcester.

The leakages, which are more common among women who have given birth, are caused by a weakening of the muscles and connective tissue that support the bladder and help close the urethral sphincter. Any physical activity that changes abdominal pressure can push the urethra down and open, causing a leak, Young said.

Strengthening the pelvic floor muscles through Kegel exercises is a good first step in treating stress incontinence, and sometimes the only one that's needed, said Dr. Patricia Goode of the Department of Veterans Affairs Medical Center in Birmingham, Ala.

Lifestyle modifications such as keeping fit, emptying the bladder regularly, and avoiding caffeine and foods or medicines with diuretic effects also may work for some people.

Seeking expert advice can also help. Urogynecologists like Young specialize in caring for women with pelvic floor problems. In a "urodynamics visit," the doctor may thread a very thin catheter with a microtip sensor through the urethra and record pressure in the bladder and sphincter. The process doesn't cause any pain, Young said, and helps tailor the treatment to the patient's diagnosis.

If noninvasive therapies fail, there are surgical options, too. Young's operation of choice for complicated forms of stress incontinence, the PuboVaginal Sling, holds up the urethra and bladder neck with a hammock and has a cure rate of 94 percent. A newer, minimally invasive operation called tension-free vaginal tape inserts a mesh under the urethra to hold it up, and 85 percent of those treated remain "cured" after five years, said Young, who has published several studies on incontinence surgery.

Other surgeries include stabilizing and elevating the urethra with permanent stitches or attaching it to the abdominal connective tissue (rectus fascia) via long needles. Collagen injections that bulk up the urethral sphincter can help women with very weak urethras, and for men who suffer from stress incontinence from prostate surgery, sometimes an artificial sphincter is created. These and other surgical treatments come with potential down sides of temporary urinary urgency, difficulty emptying the bladder, or erosion of the synthetic sling materials.

There are no pharmaceutical treatments yet for stress incontinence (the ones on the market help with urge incontinence, a different condition) but duloxetine has shown promise in preliminary studies. Duloxetine, a combined serotonin and norepinephrine reuptake inhibitor, may improve nerve impulses that squeeze the sphincter shut. Pharmaceutical companies Eli Lilly and Co. and Boehringer Ingleheim are manufacturing the drug and expect FDA approval next year.

A Chinese herbal formula called BetterWOMAN, developed by Dr. Peipei Wu Wishnow, founder of the Marblehead-based company, Interceuticals Inc., claims to improve incontinence and urinary frequency, with the abstract of a small clinical study published in the November-December issue of Menopause journal.

Diane Newman, an advanced nurse practitioner and the codirector of the Penn Center for Continence and Pelvic Health at the University of Pennsylvania, said many of her patients have waited years to seek treatment. That shouldn't be the case, she said. "My hope is that women learn the symptoms of stress urinary incontinence, feel comfortable talking about it, and bring it up with their doctor, because this problem is treatable."

© Copyright 2003 Globe Newspaper Company.

. . . . . . .

so, how many of you ladies seriously have this problem? talk about pissing my pants!!!
__________________
-LIFE IS ABSURD-
taliendo is offline  
Old 12-02-2003, 09:48 PM   #2 (permalink)
Practical Anarchist
 
Location: Yesterday i woke up stuck in hollywood
this is not remotly as funny as I thought it would be.
__________________
The Above post is a direct quote from Shakespeare

YourNeverThere is offline  
Old 12-02-2003, 09:59 PM   #3 (permalink)
* * *
 
Quote:
this is not remotly as funny as I thought it would be.
Yeah, but it reminds us of "Oops, I crapped my pants", and that's always funny.

Actually, it is surprising that this is something 1/3 of women over 45 have. I mean, that could be my mom! (<b>Don't think about that!!!</b>)
__________________
Innominate.
wilbjammin is offline  
Old 12-02-2003, 10:02 PM   #4 (permalink)
Banned
 
Location: Sunny S.FLA
Heh...actually my mom has that.

That's why she always refused to jump when we played basketball 6 years ago..sux for her, maybe i can tell her about treatments
Tiger69z is offline  
Old 12-02-2003, 11:35 PM   #5 (permalink)
Insane
 
Location: an indelible crawl through the gutters
Sorry everyone. . . (I didn't mean to be misleading)

I got a good chuckle out of the story, but maybe because my grandma has something like this and we like to tease her about it. Mean? yes, but its all in good fun.
__________________
-LIFE IS ABSURD-
taliendo is offline  
Old 12-03-2003, 05:45 AM   #6 (permalink)
Insane
 
aurigus's Avatar
 
Yeah that definately took the fun out of peeing in your pants.

"If peeing in your pants is cool, then I must be Miles Davis!"
aurigus is offline  
Old 12-03-2003, 08:51 AM   #7 (permalink)
beauty in the breakdown
 
Location: Chapel Hill, NC
Quote:
Originally posted by aurigus
"If peeing in your pants is cool, then I must be Miles Davis!"
Hahaha, great quote.
__________________
"Good people do not need laws to tell them to act responsibly, while bad people will find a way around the laws."
--Plato
sailor is offline  
Old 12-03-2003, 09:46 AM   #8 (permalink)
All Possibility, Made Of Custard
 
quadro2000's Avatar
 
Location: New York, NY
Wow. The one out of three statistic is really surprising to me. I had no idea.
__________________
You have to laugh at yourself...because you'd cry your eyes out if you didn't. - Emily Saliers
quadro2000 is offline  
Old 12-03-2003, 11:23 AM   #9 (permalink)
Fly em straight!
 
water_boy1999's Avatar
 
Location: Above and Beyond
Instead of developing a Chinese herbal formula called BetterWOMAN, I think Dr. Peipei Wu Wishnow should have developed a formula called.....you ready for this?

PeePee YouNo WishNow.
__________________
Doh!!!!


-Homer Simpson
water_boy1999 is offline  
Old 12-03-2003, 12:37 PM   #10 (permalink)
Practical Anarchist
 
Location: Yesterday i woke up stuck in hollywood
Quote:
Originally posted by wilbjammin
Yeah, but it reminds us of "Oops, I crapped my pants", and that's always funny.
HAHahahAHaha you're right!
oh goodness that is a great line to use out of context, like when your just sitting around or driving or something, just "Opps! I crapped my pants!" "really??" "no,"
__________________
The Above post is a direct quote from Shakespeare

YourNeverThere is offline  
 

Tags
pants, pissed

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are On



All times are GMT -8. The time now is 03:29 AM.

Tilted Forum Project

Powered by vBulletin® Version 3.8.7
Copyright ©2000 - 2024, vBulletin Solutions, Inc.
Search Engine Optimization by vBSEO 3.6.0 PL2
© 2002-2012 Tilted Forum Project

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360