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Bladder Health Matters
1. Bladder Health Matters
A presentation by the National Association For Continence in
honor of the Bladder Health Awareness Campaign
Led by Nancy Muller, PhD, executive director of the National Association For Continence
2. What Is The Bladder?
The bladder is a hollow, balloon-
shaped organ made of a thin layer
of muscle behind the pubic bone.
The function of the bladder is to
store urine.
The bladder stretches as it fills. It
can normally hold between seven
to 20 ounces of urine (200-600 ml)
before the urge to urinate
becomes uncomfortable.
www.bladderhealthawareness.org | www.nafc.org
3. Why Is Bladder Health Important?
Loss of bladder control is a common
condition that affects many Americans.
An estimated 25 million adult Americans
and 200 million people worldwide suffer
from bladder control loss
The effect of urinary incontinence on a
person’s quality of life can vary
considerably.
In the U.S., the total direct and indirect
costs of urinary incontinence including
overactive bladder range up to $32
billion.
www.bladderhealthawareness.org | www.nafc.org
4. Where Do Urinary Problems Begin?
In the bladder:
failure to store or failure to
empty the urine
In the sphincter:
failure to open, to close, or
stay closed
In the spinal cord:
absent or incorrect signals
In the brain:
no message or the wrong
message
www.bladderhealthawareness.org | www.nafc.org
5. Risk Factors Associated With Bladder
Control Issues
• Limited mobility • Diabetes
• Multiple pregnancies • Cigarette
and vaginal deliveries smoking/chronic
coughing
• Neurological disease or
injury • Diet
• Menopause • Surgical treatment for
prostate cancer
• Constipation
• BPH
• Obesity
• Advanced dementia and
cognitive impairment
www.bladderhealthawareness.org | www.nafc.org
6. Types of Bladder Health Issues
Stress Incontinence
Occurs during increased physical effort
or activity.
This condition allows urine to leak when
you do anything that strains or stresses
the abdomen.
Example) coughing, sneezing, lifting,
laughing, exercise
Urgency or Overactive Bladder (OAB)
Sudden urgency occurs when the bladder
contracts without you wanting it,
without warning.
You may feel as if you can’t wait to
reach a toilet and you may leak urine on
the way (urgency incontinence).
Frequency (> 8 times in 24 hour period)
is also a symptom of OAB.
www.bladderhealthawareness.org | www.nafc.org
7. Types of Bladder Health Issues Continued…
Mixed Incontinence
Combination of urgency and stress incontinence
www.bladderhealthawareness.org | www.nafc.org
8. Techniques That Promote Bladder Control
Pelvic Muscle Exercises (Kegels)
Through regular exercise you can
build strength and endurance to
help improve, regain, or maintain
bladder control.
Dietary Changes
Eliminating or moderating caffeine,
alcohol, & artificial sweeteners can
reduce known bladder irritants.
Weight Loss
Loss of 10% of body weight can
decrease incontinence episodes as
much as 50%.
www.bladderhealthawareness.org | www.nafc.org
9. When Should I Seek Treatment For My
Bladder Health?
Routine leakage of urine
Frequent, urgent need to rush to the toilet
Frequent bladder infections
Pain related to filling the bladder
Inability to urinate/urinary retention
Weakness of the urinary stream with or without a feeling of
complete bladder emptying
Changes in urination related to a neurological condition
When your quality of life is impacted in meaningful ways
www.bladderhealthawareness.org | www.nafc.org
10. Who Should I Talk To About My
Bladder Health?
Urologists - surgeon who specializes in
the lower urinary tract of men and
women. Many urologists have advanced
training in the surgical correction and
medical treatments for incontinence.
Some specialize in female urology.
Urogynecologists- OBGYNs who
become surgical specialists with
additional training and experience in
the evaluation and treatment of
urinary incontinence, pelvic floor
disorders, pelvic organ support, and
other female bladder health issues.
www.bladderhealthawareness.org | www.nafc.org
11. Who Should I Talk To About My
Bladder Health? Continued…
Gynecologists - a doctor specializing in the
reproductive health of women and general pelvic health
over a woman’s lifetime.
Geriatricians - an internist who specializes in medically
treating older people and who may have advanced
training in the diagnosis, treatment intervention, and
management of incontinence.
Nurse specialists, psychologists, physical and
occupational therapists, and behavioral scientists –
may have training that qualifies them to offer
nonsurgical treatments for incontinence.
www.bladderhealthawareness.org | www.nafc.org
12. What Should I Do If I Have Symptoms of
Incontinence?
Get educated! Become your own health advocate by
arming yourself with information relevant to your
symptoms and concerns
Get organized and prepared for your appointment with
a health provider.
Write down your symptoms as they occur.
Keep a bladder diary for 2 days, recording consumption of
beverages, activities, and accidents as they occur.
Find an expert. Get NAFC’s help in looking.
www.bladderhealthawareness.org | www.nafc.org
13. Want Additional Information?
For free additional information contact NAFC
memberservices@nafc.org
www.nafc.org
www.bladderhealthawareness.org
Hinweis der Redaktion
Urine travels to the bladder from the kidneys after it has been removed (as waste) from the blood. 1 Blaivas, JG, (1998). Conquering Bladder and Prostate Problems, Plenum Trade, New York.
UI can contribute to sleep deprivation, embarrassment, social withdrawal, depression, stress and sexual dysfunction1 Levy, R. & Muller, N. (July/August 2006). Urinary incontinence: economic burden and new choices in pharmaceutical treatment, Advances in Therapy, Volume 23, Number 4.
While aging doesn’t necessarily mean a person will become incontinent, the aging process does put certain risk factors into play: the bladder’s loss of elasticity and contractibility, weakened pelvic floor muscles and urethral support, limited mobility, etc.
Urinary incontinence is the involuntary loss of urine. Urinary incontinence is usually caused either by an OAB or by a weak sphincter muscle. Other causes can include: UTI or vaginal infections, enlarged prostate, pregnancy, childbirth, medications, MS, parkinson’s disease.
Overflow Incontinence , while rare, occurs when the bladder doesn’t empty properly and the amount of urine produced exceeds the capacity of the bladder. The bladder usually becomes distended (stretched out of shape) first, either because of blockage causing retention or because of a neurological issue failing to transmit to the brain that the bladder needs to be emptied.
There are a number of non-surgical management & treatment options for healthy bladder control. For additional information on these techniques and more please visit www.nafc.org
You should seek treatment for incontinence when you are not able to control your bladder as you once did. Loss of bladder or bowel control could be the first symptom of something more serious. Many people change their lifestyle when their bladder habits begin to control their lifestyle. They may stop visiting friends, going to church, doing aerobics, having sexual intercourse, or traveling to see their children. You should seek treatment whenever changes in your bowel habits keep you from going and doing what you want to do.
Your primary care provider is the best place to start. If your PCP does not have special interest in diagnosing and treating incontinence, ask to be referred to a specialist.