Urinary Disease
Male Urinary Tract Problems
The urinary system includes the kidneys and bladder, the ureters between the kidneys and bladder, and the urethra, the tube through which urine flows from the bladder. Symptoms of urinary tract problems include frequent urination, excessive urination at night, painful or burning urination, weak urination, blood in the urine, or incontinence (involuntary loss of urine).
Urethritis is infection of the urethra, which is a major symptom of sexually transmitted diseases (STDs). Kidney stones (nephrolithiasis) are the most common urinary tract problems, accounting for nearly one out of every 100 hospital admissions in the United States. Eighty percent of kidney stone patients are men. About 12% of American men will develop kidney stones during their lifetimes. Kidney stones cause extreme pain when they move from the kidneys into the ureters. Ten percent of kidney stone cases require surgery. The best prevention for kidney stones is drinking plenty of fluids daily.
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Urinary Incontinence
If you are leaking urine, you may have incontinence, which means any loss of how well you control your bladder or bowel. Incontinence is considered a symptom of a condition and not a disease itself. The problem can happen to anyone but is more common in older people. At least one in 10 people who are 65 and older has this problem with symptoms ranging from mild leaking to wetting. About 13 million Americans, percent of which are women, have urinary incontinence. However, this number may be much higher because many people don't get help early enough or at all.
The urinary system consists of two kidneys, two ureters, a bladder and a urethra. Waste products are removed through the kidneys, which produce urine. Ureters are tube-like structures that move urine from the kidneys to the bladder, where urine is stored until you can eliminate it through the urethra. A circular muscle called the sphincter controls the urethra.
Five Types of Incontinence
- Stress incontinence - Stress incontinence occurs when someone loses urine after pressure is placed on the abdomen, such as while exercising, sneezing, coughing, having sex, laughing, lifting, getting out of a chair, bending over or hugging.
- Urge incontinence - Also called overactive bladder, this happens when the person has a sudden need to urinate and cannot control the urge. Urine is lost before the person can get to the toilet. People with this problem leak urine without warning. Your bladder might empty during sleep, after drinking water or when you hear water running.
- Mixed urinary incontinence - This is a mixture of urge and stress incontinence.
- Overflow incontinence - Overflow incontinence is caused by the bladder when it does not empty correctly and the amount of urine stresses the capacity of the bladder. People with this type have a blockage to the bladder or urethra, or a bladder that doesn't contract properly.
- Functional incontinence - This happens when people may have mental or physical problems that keep them from reaching a toilet. Someone with Alzheimer's disease may not be able to plan a trip to a restroom. Conditions such as arthritis may affect how you manage undoing your clothing or how fast you can reach the toilet. A person in a wheelchair may have trouble getting to a toilet in time. Functional incontinence can also affect the elderly.
Incontinence from surgery such as hysterectomies, caesarean section, prostatectomies (surgery to treat prostate cancer), lower intestinal surgery or rectal surgery is often temporary.
Incontinence Prognosis
Many people don't get the help they need or wait years before getting help. However, you can regain control of your urination by getting treatment for the condition causing your incontinence. Treating incontinence can be as simple as switching medications, foregoing caffeine, taking antibiotics or exercising the muscles of the pelvic floor. Beyond that, a variety of behavioral modification techniques, drugs, devices, implants and surgeries can help.
Urinary Tract Infection
A urinary tract infection (UTI) can occur anywhere in your urinary tract, which includes:
- Ureters - These are two thin, hose-like tubes that carry urine from the kidneys to the bladder.
- Bladder - This is where urine is stored.
- Urethra - The urethra is a single tube emptying your bladder of urine.
- Kidneys - These collect the waste and extra water needed to make urine.
- Prostate - Present in men, the prostate adds fluid to semen.
When you have a UTI, the bladder's lining and urethra become irritated. You may feel pain in your abdomen and pelvic area and may feel like you need to urinate often.
The urinary tract is designed to protect you from infection because of the way it is structured. The flow of urine helps clear the body of bacteria. Any problem with the urinary tract, such as a kidney stone or a birth defect, can make you vulnerable to infection. A uninary tract infection may cause temporary incontinence, which means your body leaks urine.
Uninary Infection Prognosis
UTIs are serious infections that should be treated by a doctor. If not, the infection can travel to the bladder and kidneys. Most cases of UTIs are easily treatable.
Resources for Urinary Diseases
- Urologic and Male Genital Diseases
- Urologic Diseases
- National Kidney Foundation
- MedAvenue - Find a Urologist in Your Area
Searches on Urinary Diseases:
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