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Topic: Incontinence
Documents: 403
Published
08/30/98
By
John D. Perry, PhD
Title Rel Images Links
The complete Incontinence category of Vignettes  100 4 21

Incontinence What is incontinence? What treatments are available for incontinence?   How many seniors experience incontinence? Incontinence is the loss of bladder/and or bowel control. Other causes of incontinence include infections, damage to the pelvic muscles, medication side effects (diuretics), diabetes or obesity, birth defects, injury, stress or pregnancy, delirium, stool impaction, stones in the urinary tract, and prostate problems with men or disorders of the pelvic floor in women.      61% of those with urinary incontinence also have faecal incontinence.

Physicians On-Line Laparosopic Procedures and Specialist Doctor Directory 100 21 18

Now may be a good time to add this site to your browser's favorite site hotlist or address book for future reference! About Physicians On-Line Our site's objective is to be your Internet source for important patient oriented information on the latest new minimally invasive medical advances developed for some of today's most common ailments. Although a diagnosis can only be made after a complete in-office physician exam, all Physicians On-Line home pages feature direct physician e-mail links and online consult questionnaires to better advise our specialists of your condition or problem. Physicians listed at our site understand the value of patient knowledge and offer useful information about the latest treatment options their specialty has to offer. IMPORTANT: With minimally invasive procedures being a fairly new classification of surgery in certain specialties, it is possible your primary care physician may not be aware of some of the new advanced minimally invasive procedures discussed within this site. Please revisit this site at a later date if the category or area you selected currently has no information available.

Incontinence Meetings and Training Seminars for Professionals  100 0 4

1998 Training Seminars: (click on the name to see the complete schedule) Southern Biofeedback Corporation with Nancy Schully, BA, BCIAC, Elaine Meadows, MS, PT, and Diane Smith, RN, MSN, CRNP. Note: IncontiNet offers FREE listings for any and all organizations that offer training seminars.  Contact the webmaster for more details. 1998 by Incontinet This page's URL is: <http://www.incontinet.com/meetings.htm> Click Here to return to our home page

We moved  100 2 6

We have moved the information you requested to a much larger site, (currently under construction), which features information on all the Britton Group Plastics companies in the UK. Please follow this link for our new home page. Alternatively, search our our new site There are over 70 pages of information about the Britton Group, its companies, and products on our web site. To make it easier to find what you want, please use this search index to find all the pages that contain the words/subjects you are interested in.   Send mail to Peter Thompson at Britton Taco if you have any questions or comments about this web site.

Urinary Incontinence In Adults A Patient's Guide 100 7 26

People with urge incontinence lose urine as soon as they feel a strong need to go to the bathroom. If you have urge incontinence you may leak urine: When you can't get to the bathroom quickly enough When you drink even a small amount of liquid, or when you hear or touch running water You may also Go to the bathroom very often; for example, every two hours during the day and night. If you have stress incontinence, you may leak urine: When you sneeze, cough, or laugh When you get up from a chair or get out of bed When you walk or do other exercise You may also Go to the bathroom often during the day to avoid accidents If you have overflow incontinence, you may: Often lose small amounts of urine during the day and night Get up often during the night to go to the bathroom Often feel as if you have to empty your bladder but can't Pass only a small amount of urine but feel as if your bladder is still partly full Spend a long time at the toilet, but produce only a weak, dribbling stream of urine Some people will overflow incontinence do not have the feeling of fullness, but they lose urine day and night. Surgery can be used to: Return the bladder neck to its proper position in women with stress incontinence Remove tissue that is causing a blockage Replace or support severely weakened pelvic muscles Enlarge a small bladder to hold more urine There are many different surgical procedures that may be used to treat incontinence. Three types of treatment are recommended for urinary incontinence: Behavioral techniques Medicine Surgery How well each of these treatments works depends on the cause of the incontinence and, in some cases, patient effort.

A BRYCEFINLEY Book 100 14 7

Here are books on Echinacea, The Best Business Ideas, Cure Your Urinary Incontinence, and The International Home & Hospitality Exchange Directory Echinacea is one of the most useful medicinal plants in the world. Now, the unique properties of this everyday plant, also known as Common Purple Coneflower, are once again being recognized with intense scientific research and growing interest among herbalists and health-conscious people looking for natural alternatives to modern medicines. This book will teach you how to use Echinacea for its most powerful purposes, fighting common colds and flu, and boosting your immune system. If you have been searching for an idea for a new business and haven't had much luck finding anything yet, this book can help you. You'll learn: WHAT ENTREPRENEURS ARE DOING A "T-shirt of the month" club Building a business (and houses) with recycled tires Miniature real estate Clothes for nudists and over 100 other real businesses WHAT YOU CAN DO Find something tried and true, or go out on a limb Read about full-time, part-time, and casual businesses Learn how to pick the right business for you ISBN 1-896245-01-3 $14.95 ppd

Community Development CHA www.cha.ab.ca commdev  100 1 18

Our numbers are small; there are three of us who are here most of the time - Johanna, Angie, and Susan - and we also have a great mix of community contractors and volunteers who "hang their hats" here depending on what is happening through our office. We also run a small business called COMMUNITY BUILDING RESOURCES through which we travel to other communities in North America to share our experiences. Our group practices the philosophy of "Community Building", where we believe each citizen, community, organization, and business has gifts to share with others. We have been delighted to work with other neighbourhoods and community groups as they use Community Capacity Building & Asset Mapping© in a variety of settings and with a variety of questions. The general goals of Community Building are to: discover the assets/capacities that a community and its citizens are willing to share to support their community design an asset map that graphically shows the supports and their connections develop community resources for community supports nurture relationships that will result in community animation and action. After three years of Community Capacity Building and Asset Mapping© with the Steps to Capacity Success© we spent time in the summer of 1997 revisiting our community friends to see what was happening.

V  100 1 2

is the Society of Dutch incontinence nurses. At this time the society has 200 members. The members are nurses who are interested in incontinence care. Some members have had a special training in incontinence problems. ­ more public attention for incontinence problems ­ acknowledge of the necessity for trained incontinence nurses in public health ­ participation in development and diffusion of knowledge about incontinence care ­ promotion of professional incontinence care ­ national and international interchange of information between incontinence nurses ­ care of the interests of the members ­ organising meetings at which topics in incontinence care are discussed ­ the formation of working parties to study specific subjects of incontinence care ­ publishing news­letters

Mediconsult.com Incontinence Medical Information 100 17 39

Approval of new device to treat urge incontinence Generally, they aim to provide patients and caregivers with information and support. Often, they also actively lobby governments to increase funding for research and prevention programs. Our Incontinence Support Group allows you to post ideas or questions to a public Incontinence message board. If you require additional assistance or have a suggestion for our site, please contact our Visitor Communication Specialist, Barbara Hansen. This site was developed in association with TVisions of Cambridge, MA.

Incontinence  100 8 5

Incontinence affects approximately 10 million Americans, without regard of sex and age. That means one out of every 25 Americans suffer from some type of incontinence. Incontinence can be simply defined as the unwanted loss of urine. There are actually many types of incontinence, and for successful treatment, the type of incontinence must be properly defined. The three major types of incontinence are urge incontinence, stress incontinence and overflow incontinence. The basic evaluation of the patient with incontinence should include a complete history and physical examination with a urinalysis.

Healthtouch Treating Urinary Incontinence  100 4 4

This information is from the Agency for Health Care Policy and Research (AHCPR). Once the type and cause of your urinary incontinence is known, treatment can begin. Urinary incontinence is treated in one or more of three ways: behavioral techniques, medication, and surgery. This technique has been quite successful in controlling incontinence in nursing home patients.Pelvic muscle exercises called Kegel exercises are used for stress incontinence. Specially designed pads are available to help men and women with incontinence.Catheters and pads are not the first and only treatment for incontinence. This information is from the Agency for Health Care Policy and Research (AHCPR), an agency of the U.S. Public Health Service.

Healthtouch Treatments For & More Information About Urinary Incontinence  100 4 4

This information is from the Agency for Health Care Policy and Research (AHCPR). How well each of these treatments works depends on the cause of the incontinence and, in some cases, patient effort. They may be able to put you in touch with local groups that can give you more information, ideas, and emotional support in coping with urinary incontinence. This information is from the Agency for Health Care Policy and Research (AHCPR), an agency of the U.S. Public Health Service. For more information on this topic, please write to: AHCPR Publications Clearinghouse, P.O. Box 8547, Silver Spring, MD 20907, or call toll-free 1-800-358-9295. You can find this article and more information from Healthtouch Online at http://www.healthtouch.com

Frameset 2 Corporate Information  100 0 10

“Researchers estimate the nation spends at least $16 billion a year to care for people with urinary incontinence, up from $10 billion in 1990. (symbol: MCAR) has developed a cost effective, non-surgical, non-pharmacological and non-invasive system for the care and treatment of patients suffering from urinary incontinence. Urinary incontinence (UI) is a $16 billion market and is one of the most prevalent, yet severely unrecognized problems in health care today. MedCare’s treatment program is completely risk-free, covered by most health insurance plans (including Medicare), does not require any FDA approval, is appropriate for 90% of all those who suffer from incontinence and has a proven success rate in excess of 87%. Compared to MedCare’s treatment program, currently available treatment options such as adult diapers, surgery, drugs and other invasive procedures, all carry an inherit risk and cost to the patient: Surgery: Surgery is an expensive and traumatic procedure, which requires hospitalization. Unfortunately, the short term advantages of surgical intervention soon diminish over a period of time because of the body’s intrinsic physiology; Adult Diapers: Absorbent products, made popular in recent years, do nothing for the condition with the exception of containment and leave the sufferer with the problem of odor, dampness and contribute to skin breakdown and urinary tract infections; Drugs: Drugs require continual, life long usage and generally alleviate the symptoms in part but are seldom curative.

MESSAGE FROM THE PRESIDENT, SOCIETY FOR CONTINENCE( SINGAPORE).  100 0 0

Incontinence of urine is a distressing condition adversely affecting quality of life without necessarily reducing its span. Clearly, health providers & their patients often underrecognise incontinence as a significant clinical problem in the community & lack basic knowledge of the condition & treatment methodologies available today that can offer that glimmer of hope to the sufferer. The mission of the Society for Continence (S'pore) is to rectify these misconceptions & educate & inform each & everyone on what is incontinence, how we diagnose this condition, what help is available & where to find help and from whom. The providers of the clinical care of urinary incontinence in Singapore come from Urologists, Paediatricians, Geriatricians, Community Health Physicians & Primary Care Doctors including General Practitioners, Gynaecologists, Rehabilitation Specialists, Behaviourists, Pharmacists, Physiotherapists and most importantly Continence Care Nurses. Together this team has initiated the first ever professional & patient support group for this condition with encouragement & sponsorship from philanthropists, well-wishes & the medical industry by setting up the Society for Continence (Singapore) w.e.f. December 1991. We hope that greater numbers will gather with us in our attempt to give the message that incontinence is eminently treatable and that serious medical & psychosocial morbidity that attends the condition can be avoided.

Incontinence Meetings and Training Seminars for Professionals  100 0 4

1998 Training Seminars: (click on the name to see the complete schedule) Southern Biofeedback Corporation with Nancy Schully, BA, BCIAC, Elaine Meadows, MS, PT, and Diane Smith, RN, MSN, CRNP. Note: IncontiNet offers FREE listings for any and all organizations that offer training seminars.  Contact the webmaster for more details. 1998 by Incontinet This page's URL is: <http://www.incontinet.com/meetings.htm> Click Here to return to our home page

1996.09.17 More Help For People With Urinary Incontinencet  100 0 0

A new UI treatment guide for caregivers --such as certified nursing assistants in long-term care facilities and home health aides--is now available. This, and a companion piece (the Alert) for directors of nursing to use in training caregivers, are based on a clinical practice guideline sponsored by the Agency for Health Care Policy and Research (AHCPR), released earlier this year. Through a partnership with the American Health Care Association (AHCA) and the American Medical Directors Association (AMDA), the new caregiver guide and Alert were developed and will be disseminated to medical directors and other professionals in long-term care facilities. The caregiver guide stresses the need to maintain a regular toileting schedule and provide aids such as walkers and toilet supports to help people get to and use the toilet. The caregiver guide, Helping People With Incontinence, and the companion piece for directors of nursing, Alert: Establishing, Implementing, and Continuing an Effective Continence Program in a Long-Term Care Facility, are available free of charge from the AHCPR Publications Clearinghouse. Also available are the other guideline products: a quick reference guide for clinicians, Managing Acute and Chronic Urinary Incontinence; and consumer guide (available in English or Spanish), Understanding Incontinence.

Disposable and Specialty Products Tyco International Ltd.  100 32 16

Disposable and Specialty Products segment manufacturers a wide range of products used in packaging including polyethylene films, laminated and coated products, a wide range of disposable medical products, as well as other specialty products. Medical centers, professional healthcare providers and other purchasers of health-care supplies and equipment; chemical, pharmaceutical, agricultural, cosmetic, outdoor furniture, photographic, automotive, food, construction, writing instrument and other industrial markets. Disposable medical supplies, including gauze and other wound care products, vascular therapy products, infant medical accessories, and urological, incontinence and anesthetic supplies. Medical stress and resting electrode sensors for adults and infants; medical and industrial chart paper; transfer tape products; office imaging products. 1997 HIGHLIGHTS Arbo Medical acquired. This manufacturer of adult and infant electrodes, cables and EEG accessories has three European manufacturing facilities and will increase Kendall's penetration of the European marketplace.

Medcare Technologies Opens First Incontinence Clinics  100 0 8

The clinics offer a new cost-effective program of treatment developed by MedCare Technologies. "These clinics address an absolutely enormous need," stated Valerie Boeldt-Umbright, Director of Clinical Services for MedCare. "The sad fact is that incontinence is surprisingly widespread yet the vast majority of sufferers have yet to seek treatment." A study completed at Emory University in Atlanta, GA, concluded that the prevalence of urinary incontinence (UI) was 43.6% among women and 20.9% among men. A study in the United States of 1,150 women aged 60 years and older indicated that 38% experienced at least one incontinent episode during the previous 12 months. Stress incontinence is seen predominantly in women under 60 and is often caused by a decrease in pelvic muscle strength due to childbirth, surgery or reduced hormones associated with menopause. They plan to open clinics in U.S. cities starting in Overland Park, KS, Norman, OK, and Chicago in October and November.

Biofeedback Three Decades of Little Breakthroughs Center for Mind-Body Medicine HealthWorld Online- HealthWorld Online  100 2 8

Some of the most important "breakthroughs" in the field of biofeedback have come not from one definitive study but from the accumulation of numerous studies over many years. Rather than focusing only on the latest published articles, we felt it important to place the field of biofeedback in its historical context. Back in the 1960s when experimental psychologist Neal Miller first demonstrated that the autonomic nervous system could be trained to alter some bodily processes, it was thought biofeedback would change the world. While biofeedback has been used successfully to treat some psychological and mental disorders, it seems to work best with patients in which physiological processes are relevant (Futterman & Shapiro, 1986). The most common forms of biofeedback today make use of instruments to "feed back" information about such bodily processes as muscle tension (EMG feedback), skin temperature (thermal feedback), brain waves (EEG feedback) and respiration. ) The researchers' treatment protocol includes 6-8 weeks of thermal biofeedback and autogenic training, followed by 30 sessions of evoked images of personal change and alpha-theta EEG biofeedback.

Urinary Incontinence  100 1 12

Despite its prevalence, and an estimated annual cost of $10 billion, most affected individuals do not seek help for incontinence, primarily because of embarrassment or because they are not aware that help is available. When individuals do seek help, evidence exists that practitioners are hesitant to discuss the problem or do little to assess or treat it properly." Clinical Practice Guideline on Urinary Incontinence in Adults HIP (Help for Incontinent People) - 1-800-BLADDER Sensory Urge Incontinence This type of incontinence may result from eating a food or drinking a liquid that may produce bladder irritation and, in turn, incontinence. Pelvic Muscular Rehabilitation - Kegel Exercises, Biofeedback, Cones, Electrical Stimulation Patients with mild stress or urge incontinence may benefit from practicing a series of pelvic muscle exercises, with or without weighted vaginal cones, designed to strengthen the muscles of the pelvic floor. Depending on the problem, there are medications which relax the smooth muscles of the bladder wall or strengthen the sphincter muscles responsible for holding urine in the bladder in patients with stress incontinence. After controlling for factors such as age, overall health, and education, Herzog and her colleagues found that there was no link between urinary incontinence and death--specifically, the condition had no effect on 6-year mortality among these community-dwelling individuals.

Urological care  100 5 6

The mission of the Urinary Confidence Program is to assist and empower women in the management of their incontinence through education, referrals, diagnosis, and treatment in a patient-focused cost-effective environment. Urinary incontinence is the involuntary loss of bladder control. Know your options in treatment, ask questions, then make an informed decision. What kind of services/treatment are available for incontinence? Surgery is sometimes needed to treat the cause of incontinence. Treatment of pelvic relaxation and urinary incontinence in women: a new approach Laparoscopic treatment of urinary stress incontinence

THE MERCK MANUAL 161 URINARY INCONTINENCE 100 30 36

In men, stress incontinence is seen occasionally following prostatectomy or trauma to the membranous urethra or bladder neck. Total incompetence of the urinary sphincter is characterized by a constant involuntary dripping of urine from the urethra day and night without bladder distention, as determined by physical examination of the abdomen and measurement of residual urine. In children, congenital failure of the urethra to close properly (eg, epispadias) results in this form of incontinence. Urinary fistulas in women cause involuntary urine loss from the urethra or, most commonly, from the vagina. Such fistulas usually are secondary to operative trauma, neoplasms, radiation therapy, automobile accidents, traumatic childbirth, or gunshot wounds, in which a tract becomes established and conducts urine from the ureter, bladder, or urethra into the vagina. A child may have incontinence secondary to both an uninhibited neurogenic bladder dysfunction and psychogenic factors; an adult male may have both overflow incontinence due to prostatic obstruction and neurogenic bladder dysfunction secondary to diabetic neuropathy or cerebrovascular insufficiency.

Inlet 404 File Not Found  100 2 3

Sorry this file does not exist. All rights reserved. Please report problems with this site to:webmaster@inlet.com

Health Sense International  100 3 3

Please wait. If this page remains displayed more than a few seconds, it might be because you don't have a browser that supports scripting or you may have scripting turned off. If your browser supports scripting, select the enhanced button below, otherwise select non-enhanced.     &nbspLet the world know about your web site!

external incontinence devices  100 0 14

There are several externally worn appliances that can be used to protect the skin from the constant leakage of liquid stool or urine. These appliances are usually referred to as external incontinence devices. Liquid stool is very caustic to the skin and may lead to skin excoriation and breakdown. Often a protective skin barrier is applied to the skin prior to attaching the device. You can also use a skin barrier paste to fill in the skin fold of the buttox to prevent leakage of liquid stool through this area. DEVICES FOR WOMEN: External collection devices are available for women, although these devices are less successful in containing urine.

Mediscope Home Page  100 8 9

The stories and information found here are for your enlightenment and enjoyment. No article in the Mediscope site should be considered diagnostic. Chair, Public Education Committee This issue of Mediscope contains brief stories on several health-care issues which are before the Kentucky General Assembly. ((navigator.appName == "Microsoft Internet Explorer") && (parseInt(navigator.appVersion) >= 4 ))); function MSFPpreload(img) { var a=new Image(); a.src=img; return a; } // --> Postal address 4965 U.S. Highway 42, Louisville, KY 40222 Electronic mail General Information: glenbastin@aol.com Send mail to webmaster@mediscope.org  with questions or comments about this web site.

The Arc's Discussion Board  100 0 154

Re:

Urge Incontinence Study  100 0 1

The Medtronic Interstim Sacral Nerve Stimulation (SNS) System was evaluated in a multicenter trial at study centers in the United States, Canada, and Europe for the indication of urinary urge incontinence. 155 urge incontinent patients were enrolled in the study (30 males) Mean age was 47 years (range 20 to 79 years). These 155 patients underwent at least 1, and, in some cases, up to 5 Peripheral Nerve Evaluation (PNE) procedures. 58 patients (6 males) have data at 6 months follow-up and 38 patients (4 males) have data at 12 months follow-up. Patients were randomized into either an immediate implantation of the Medtronic SNS System (treatment arm) or 6-month delay from implant (control arm). Voiding diaries were completed at baseline and at 6 months for control group patients and at baseline, 1, 3, 6, and 12 months post implant (and at 6-month intervals thereafter) for the treatment group patients.

If You Have Bladder Problems or Prolapse  100 52 24

Topics of Interest: Normal Body, Normal Exam Fibroids Problems With Your Period Ovarian Cysts Bladder Problems Endometriosis Pelvic Pain Ovarian Cancer Abnormal Pap Smears Uterine Bleeding, Uterine Cancer Hysterectomy If You Are Facing Surgery Approximately ten million American adults, the majority of whom are women, have problems controlling their bladders. One of the goals of surgery for the treatment of incontinence is the restoration of the normal position of the bladder and urethra. However, in about 10% of women the urethral sphincter does not work properly, often because of scarring from prior surgery for incontinence. A urogynecologist is a doctor who completes the full training in gynecology and then gets further training in the evaluation and treatment of incontinence and pelvic prolapse. CAN SURGERY BE USED TO TREAT MIXED INCONTINENCE?

All About Urinary Incontinence  100 1 8

Urinary Incontinence (UI) is the leakage or loss of urine when you don't want to; a very common problem in the United States estimated to afflict 13 million Americans. In addition to the patient, UI is also a burden for family caregivers and the community, and the major reason aging parents are put into nursing homes. A number of other factors have been associated with UI, such as urinary tract infections, menopause, obesity, multiple childbirths, episotomy, lack of postpartum exercise, impaired mental functioning, constipation, fecal impaction, and skin problems. Approximately 30 to 50 percent of people who suffer from UI do not report their problem to a doctor or nurse and when reported, many physicians and nurses fail to help the person. Instead, many people with UI turn prematurely to the use of absorbent products sold in drug stores without having their UI appropriately diagnosed and treated. The odor of urine that permeates many nursing homes can repel residents, staff, and visitors; although nurses, families, and even residents seem to tolerate UI as a normal consequence of aging.

Incontinence Information Resource The Wellness Interactive Network  100 23 30

Next] Age Page-National Institute on Aging Urinary Incontinence Loss of urine control, or urinary incontinence (in-CON-ti-nents), occurs in people of all ages, but is particularly common in older people. At least 1 in 10 persons age 65 or older suffers from incontinence. Persons with incontinence often withdraw from social life and try to hide the problem from their family, friends, and even their doctor. Tri-state Incontinence Support Group Home Page WebCrawler: CHILDHOOD INCONTINENCE BEDWETTING: The most common childhood bladder control problem Bedwetting? A further list of incontinence types is available in Urinary Incontinence, a list. Urinary Fecal Incontinence, Pelvic Pain, Sexual Dysfunctions home page WebCrawler: How to Contribute Material to this Web Site About IncontiNet - history, editorial policy, sponsorship policy SPOTLIGHT on this month's SPONSOR: Self Regulation Systems - Redmond, WA Boston, MA 1-800-345-5642 [PerryVaginal EMG Sensor] SRS is the exclusive InfoSeek: Welcome to "Incontinence on the Internet" Home Page .

Aging Vignettes 95  100 5 15

Incontinence What is incontinence? What treatments are available for incontinence? One billion dollars is spent annually in Canada on the management of urinary incontinence. Financial costs include laundry, incontinence supplies, clothing and linen, and nursing time for those persons in institutions. Psycho-social costs include embarrassment, social isolation, poor quality of life and risk of institutionalization. Potential physical costs include rash and skin irritation or urinary tract infections.

Incontinence and Incontinence Products  100 4 10

The Incontinence Group works in collaboration with several other UCL departments, notably the Division of Geriatric Medicine (part of the Department of Medicine) which is based at St. The work involves the clinical evaluation of incontinence products (mostly through the Continence Product Evlauation Network); the creation of International Standards for incontinence products; the design of novel incontinence products; and research projects focusing on the science and technology of absorbency and wider continence issues like skin health and nursing practice. The information on this page is supplied by Alan Cottenden and compiled by Mike Mooney Last update Jun 6, 1997

Urological care  100 5 6

The mission of the Urinary Confidence Program is to assist and empower women in the management of their incontinence through education, referrals, diagnosis, and treatment in a patient-focused cost-effective environment. Urinary incontinence is the involuntary loss of bladder control. Know your options in treatment, ask questions, then make an informed decision. What kind of services/treatment are available for incontinence? Surgery is sometimes needed to treat the cause of incontinence. Treatment of pelvic relaxation and urinary incontinence in women: a new approach Laparoscopic treatment of urinary stress incontinence

Provider Plus Inc Medical Products and Services  100 6 19

on-line interactive catalog. Here, you may browse our catalog, locate specific product information, and order on-line. 25-Plus years of medical experience are available to assist you when you choose Provider Plus! We have just added to our on-line catalog! Please pardon us while some of the links throughout the site are changed. To access our new products, please use this home page as a guide to link to the our new product line until a complete site change has been completed.

Incontinence Treatment Units  100 4 1

The Innova® Incontinence Treatment System from Empi can provide cure or control of the most common forms of female incontinence. It is well understood that pelvic floor exercises, or Kegels, can strengthen the pelvic floor muscles to effectively treat stress incontinence. When treatments for incontinence fail or are unacceptable, patients tend to give up. Intravaginal stimulation has shown 60-90% efficacy in treating appropriate patients without resorting to more invasive techniques. Patients with urgency can show improvement in as little as two weeks. Patients with stress incontinence usually show significant improvement in six to eight weeks.

ACCT Registery  100 2 4

The Continence Specialists Registry is a guide to professional continence providers of information from the experts in urinary incontinence. All information has been provided by the programs and individuals who appear in this book. In 1992 the Department of Health & Human Services, Public Health Service, Agency for Health Care Policy and Research (AHCPR) issued Clinical Practice Guidelines on "Urinary Incontinence in Adults", as part of a national education effort for health professionals. The Continence Specialists Registry is a guide to professional continence providers is the directory of over 300 Health Care Professionals who provide direct patient services in the area of UI. The Continence Specialists Registry: A guide to professional continence care providers has two main sections: Programs and Indexes. Features of the Program in Sections A & B include: List of Programs: This list presents all Program names, arranged in alphabetical order.

Treatment for Incontinence  100 4 4

In straightforward cases surgical intervention is 90-95% effective with 85% of cured patients still dry five years later. Non-surgical therapies such as medications, pelvic floor exercises or pelvic floor stimulation have varying degrees of success depending on the patient's pretreatment condition. Fifty per cent of individuals with straightforward genuine stress incontinence or detrusor instability can expect improvement or cure using a pelvic floor stimulator. The use of pelvic floor exercises and pelvic floor stimulation requires a conscientious effort by the patient for at least 12 weeks before drawing conclusions about therapeutic efficacy. Treatment of pelvic floor relaxation not beyond the introitus depends upon individual symptomatoloty and her desire to have a repair. Touching the urethral meatus may ofter reproduce symptoms in these individuals and placing a catheter in the urethra may reproduce symptoms.

KEGEL EXERCISES FOR URINARY INCONTINENCE  100 4 3

Kegel, or pelvic floor muscle exercises are done to strengthen the muscles which support the urethra, bladder, uterus and rectum. Often the pelvic floor muscles are weak which contributes to problems with losing urine. Doing the exercises correctly and regularly can strengthen the muscles. Stronger muscles lead to little or no urine loss for many women. We recommend doing the exercises for five minutes twice a day. Once the exercises become easy, you can further strengthen the muscles by squeezing to a count of eight and relaxing to a count of eight.

Videoscopic Balloon Bladder Neck Repair 100 22 21

A new procedure called "Balloon" Videoscopic Bladder Neck Suspension is now being performed by a select group of surgeons specially trained in this procedure. Until recently , the bladder was difficult to reach laparoscopically because of its anatomic location outside the abdominal cavity (where the digestive and reproductive organs are located). To reach the bladder, surgeons had to enter the abdomen to perform the procedure. Now, with the laparoscope and an innovative instrument called the "balloon dissector", this area can be reached without entering the abdominal cavity. Another new instrument called the "Tacker®  manufactured by Origin Medsystems, Inc. now makes it possible to perform this procedure without the use of bulky 10-12mm laparoscopic stapler or suturing instruments. To determine whether you have stress incontinence, whether "balloon" surgery could work for you, talk to a doctor.

Health Sense International  100 3 3

Please wait. If this page remains displayed more than a few seconds, it might be because you don't have a browser that supports scripting or you may have scripting turned off. If your browser supports scripting, select the enhanced button below, otherwise select non-enhanced.     &nbspLet the world know about your web site!

ACCT Audio Visual Educational Material  100 1 5

URINARY INCONTINENCE SLIDE PRESENTATION KIT Developed by experts, this 35mm, 110 educational slide set program presents the latest information about urinary incontinence in a clear concise manner and assists providers in teaching professionals and consumers. Presentations cover: Basic Evaluation of UI (45 slides) Behavioral Management of UI (23 slides) Assistive Devices or Alternative Measures through the use of products (42 slides). BLADDER RECORDS Each Bladder Record records seven days of the person's daily diary of voiding patterns, incontinence episodes, fluid intake and related activities. BLADDER EXERCISE AUDIO-CASSETTE TAPE Tapes for patients with stress and urge incontinence. VIDEO CASSETTE This excellent video, produced by Family Health Media, for health care providers and consumers reviews the urinary system, defines types of urinary incontinence, makes diet recommendations, and teaches pelvic muscle exercises and bladder retraining in a simple manner. " STAMP OUT " BUTTON Wear a stamp out UI button in your office, clinic, or home.

Welcome to M.O.M.S Mail Order Medical Supply  100 14 17

Delivery is only $3.00 for orders under $65.00. Who will take the time to answer your questions and find what's right for your needs. Click Here to Shop On-Line, It's easy and fun! If you have a question, click here to browse through our Frequently Asked Questions. Click here for links to manufacturers' and related nonprofit organizations. E-Mail us at momsup@earthlink.net © 1998 Mail Order Medical Supplies Another Site designed by Over TheNet (sm)

Nappies Direct  100 1 9

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Inlet 404 File Not Found  100 2 3

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How the Bladder Works  100 9 19

The lower part of the urinary tract consists of a hollow muscular storage organ called the bladder, that is found in the pelvis behind the pelvic bone (pubic symphysis) and a drainage tube, called the urethra, that exits to the outside of the body. The urinary bladder, ureters, and urethra are all muscular structures lined with a membrane coated with mucus that is impermeable to the normal soluble substances of the urine. The urethra is a small tube which leads from the floor or neck of the urinary bladder to the outside of the body. The mechanism responsible for supporting the bladder neck and urethra involves the interconnections of three structures: (1) the arcus tendinous fasciae pelvis, (2) the levator ani muscles, and (3) the endopelvic fascia around the urethra and vagina. Urinary bladder function not only involves smooth and striated muscle systems but also a complex combination of nervous system components located in the brain and along the spinal cord as well as in the bladder and urethra. Urinary continence is maintained as long as the pressure within the urethra (intra-urethral pressure) remains higher than the pressure within the cavity of the bladder (intravesical pressure).

Urinary Incontinence of Adults  99 0 1

In 1992, the Agency for Health Care Policy and Research (AHCPR) released its first guideline on urinary incontinence. Since then the guideline has become the standard of care for incontinence in many settings across the country. This update of the guideline reflects new findings in the rapidly changing field of treatment for urinary incontinence. To develop the update, AHCPR convened a multidisciplinary private-sector panel of physicians, nurses, allied health professionals, and health care consumers to study the effectiveness of diagnostic and treatment procedures for urinary incontinence, their costs, and how they affect patient outcomes. Mixed incontinence is a combination of both stress and urge incontinence, and is most common in older women. The guideline recommends that patients and professionals learn about the different treatment options for incontinence.

Healthtouch General Information About Urinary Incontinence In Children  99 2 1

In the United States, at least 13 million people have problems holding urine until they can get to a toilet. This loss of urinary control is called "urinary incontinence" or just "incontinence. " Although it affects many young people, it usually disappears naturally over time, which suggests that incontinence, for some people, may be a normal part of growing up. The bladder stores urine, then releases it through the urethra, the canal that carries urine to the outside of the body. The bladder is made of two types of muscles: the detrusor, a muscular sac that stores urine and squeezes to empty, and the sphincter, a circular group of muscles at the bottom or neck of the bladder that automatically stay contracted to hold the urine in and automatically relax when the detrusor contracts to let the urine into the urethra. About 10 percent of 5-year-olds, 5 percent of 10-year-olds, and 1 percent of 18-year-olds experience episodes of incontinence.

Urological Associates Health  98 7 7

That means one out of every 25 Americans suffer from some type of incontinence. There are actually many different types of incontinence, and the successful treatment of incontinence depends on making the most accurate diagnosis of the type of incontinence that is affecting each individual patient. The major types of incontinence are urgency incontinence, which means that the man loses urine when he feels a strong urge to go to the bathroom, but cannot get to the bathroom quickly enough. The second type of incontinence is stress incontinence, which means that patients will have unwanted loss of urine when they exercise, or have any sudden movements such as coughing or sneezing or laughing. The last type of incontinence is overflow incontinence in which the patients have a very poorly emptying bladder, and the urine leaks out uncontrollably often in very small, frequent amounts. Many national organizations exist for people with incontinence that have local groups that can give patients more information, ideas, and support in treating urinary incontinence.

Journal Club 96 5 18

The following is a review of the article: Title:Efficacy of pelvic floor muscle exercises in women with stress, urge, and mixed urinary incontinence. Please refer to the original article for complete results and information Description: Urinary incontinence tends to fall under one of two diagnostic headings: stress and urge incontinence. The following is a review of the article: Title:Urinary incontinence in older women: Who is at risk? Please refer to the original article for complete results and information Description: Urinary incontinence is one of the most common chronic complaints among older women. Please refer to the original article for complete results and information Description: Electrical stimulation has become popular in recent years as a treatment for various types of incontinence, especially in women. Please refer to the original article for complete results and information Description: The most common operation for female incontinence is bladder neck suspension.

Managing Urinary Incontinence St Luke's Episcopal Hospital  92 8 8

It is a widespread problem, more common than most people realize, yet incontinence is rarely discussed because of the embarrassment it brings. Several types of incontinence exist, and identifying the type is the first step toward appropriate treatment. Urge incontinence is the strong desire to urinate and the inability to wait long enough to reach a toilet. Myths about incontinence Misconceptions about incontinence abound. Treatment for incontinence Medical approaches to incontinence may include: Exercise to strengthen weak muscles supporting the bladder and its valve (the sphincter) Medication to suppress involuntary bladder contractions Surgical procedures to correct the problem Fat and collagen injections into or around the sphincter muscles If the underlying problem cannot be cured, the specialist may recommend certain techniques to help individuals gain control of the bladder, so they can participate normally in daily activities. Plan a visit with your physician to identify the type of incontinence you may have and the appropriate treatment for it.

Body 90 0 0

Urogynecology Causes and Simple New Treatments for Urinary Incontinence Many people lose urine when they don't want to. Some causes of temporary incontinence are:  Urinary tract infection  Vaginal infection or irritation  Constipation  Effects of medicine Incontinence can be caused by other conditions that are not temporary. You should be able to identify the type of incontinence you have by comparing it to the list below: URGE INCONTINENCE: People with urge incontinence lose urine as soon as they feel a strong need to go to the bathroom. STRESS INCONTINENCE: People with stress incontinence lose urine when they exercise or move in a certain way. If you have stress incontinence, you may leak urine: • When you sneeze, cough, or laugh • When you get up from a chair or get out of bed • When you walk or do other exercise • You may also go to the bathroom often during the day to avoid accidents OVERFLOW INCONTINENCE: People with overflow incontinence may feel that they never completely empty their bladder. If you have overflow incontinence, you may: • Often lose small amounts of urine during the day and night • Get up often during the night to go to the bathroom • Often feel as if you have to empty your bladder but can't • Pass only a small amount of urine but feel as if your bladder is still partly full • Spend a long time at the toilet, but produce only a weak, dribbling stream of urine Some people with overflow incontinence do not have the feeling of fullness, but they lose urine day and night.

Urinary incontinence  90 1 11

Involuntary loss of urine that is objectively demonstrable and is a medical or hygienic problem This means that it is urine loss (leakage) that a) is involuntary (unintentional) b) can be demonstrated to occur c) is a problem It is always worth practising good bladder habits Four different types of incontinence are recognized by the International Continence Society: Stress incontinence Urge incontinence Overflow incontinence Reflex incontinence Typically, relatively small amounts of urine are lost, and the leakage is worse during the day than at night. Even if there is no night-time leakage, getting up several times at night to go to the bathroom may be a problem. Urge incontinence occurs in all age groups, but becomes more common with aging, in both men and women.

WRAL OnLine New Help for Incontinence  90 5 8

January 6, 1997 This story was published more than one year ago, and some information in this online article may now be outdated. Now, collagen is helping millions of people with an embarrassing problem: incontinence or lack of bladder control. Kane told Sylvia about a new incontinence treatment called collagen implants. "In some people who have incontinence where their uretha does not come together, there's no closing. We can inject collagen on either side of the uretha which causes it to close and that will produce continence. Collagen injections aren't for all incontinence patients Other forms of treatment include exercise, medication and surgery.

Incontinence  89 3 14

Loss of urine control, or urinary incontinence (in-CON-ti-nents), occurs in people of all ages, but is particularly common in older people. At least 1 in 10 persons age 65 or older suffers from incontinence. Persons with incontinence often withdraw from social life and try to hide the problem from their family, friends, and even their doctor. The most common forms of urinary incontinence are listed below: Stress incontinence is the leakage of urine during exercise, coughing, sneezing, laughing, lifting heavy objects, or other body movements that put pressure on the bladder. Functional incontinence occurs in many older people who have normal urine control but who have difficulty reaching a toilet in time because of arthritis or other crippling disorders. Artificial devices that replace or aid the muscles controlling urine flow have been tried in persons with incontinence.

Types of Urinary Incontinence  88 5 4

Urge Incontinence Urge incontinence is the sudden involuntary loss of urine. Urge Incontinence is the sudden, involuntary loss of varying amounts of urine as soon as you feel the urge to urinate. When you have urge incontinence, you may feel as though you can't get to the bathroom fast enough or when you drink small amounts of liquid or hear water running you experience leakage. Temporary urge incontinence may also be caused by a urinary tract infection, which once cleared, will end the incontinence. Another situation where urge incontinence can occur is when the bladder does not sense "fullness" early enough to signal the need for voiding. Urge incontinence is most commonly treated with medications.

Griffiths Urodynamics & Pro-Continence Consulting Northern Alberta Continence Service  88 2 7

The Northern Alberta Continence Service provides: advice on bladder control problems or incontinence help for adults suffering from incontinence, and their caregivers; phone 930-5670 in Edmonton, Alberta, Canada; toll-free 1-800-567-5129 in western Canada; fax (403) 930-5679; anyone can call: no doctor's referral needed It is located at Misericordia Community Hospital and Health Centre, Edmonton, Alberta, Canada Griffiths Urodynamics & Pro-Continence Consulting provides: information and training in incontinence assessment and management for physicians, nurses and lay caregivers in the community urodynamics education and training programs clinical urodynamics services

Preview  87 4 11

WellnessWeb is a collaboration of patients, healthcare professionals, and other caregivers. Although most of the information on WellnessWeb is based on scientific disciplines like peer reviewed journal articles and double blind studies, we think patients need a broader view. WellnessWeb has a "stress control" section called BE HAPPY BE WELL with pages like "Therapeutic Pets" and "Health Care Capitol of the World" (Philadelphia), and links to the best WWW sites we've found about stress relieving topics like sports, travel, movies, and other therapeutic diversions. To help us continue to offer the highest quality information that is in the best interests of patients and consumers, we will accept selective sponsorships and educational grants from health care and other companies to help them create awareness about their products. ' When we link WellnessWeb to external sites of sponsorship clients, we will note to the effect that the link will take you to the site of a sponsor of WellnessWeb. WellnessWeb is first of all "The Patient's Network" and in that regard, as with other content, we want to bring attention only to products that are in the best interests of patients.

What is Urinary Incontinence The Various Types Explained  87 0 8

First of all, if the "incontinence" is relatively new, it may not be (chronic) incontinence at all, but simply a temporary by-product of another condition, such as an infection, an injury, constipation, or even a side-effect of a prescription drug taken for another problem. In the old days (pre-1988), when surgery or drugs were the only remedies, it was important to differentiate between "Stress" incontinence and "Urge" incontinence. Many people with Mixed Incontinence were often classified (and sent to either surgery or drugs) on the basis of which of these two symptoms bothered them the most. Now that there are harmless alternatives to surgery and drugs, the distinction between Stress and Urge incontinence isn't so important anymore. Fortunately, the same computerized EMG biofeedback instruments that treat Stress and Urge incontinence can also treat Post-Prostate Incontinence. Note: If you are planning to schedule prostate surgery, you should first have your pelvic muscles checked for strength (by the same clinics that treat incontinence).

Consumer Information  87 3 3

UroMed Corporation captures National Attention and carries their message to Women Everywhere with a "LIFE WITHOUT LIMITS" Pledge. LIFE WITHOUT LIMITS" is the first-ever initiative to de-stigmatize stress urinary incontinence, a condition causing urine leakage, which affects close to nine million women of all ages across America. "LIFE WITHOUT LIMITS" is aimed at breaking the stigma, embarrassment and misconceptions about stress urinary incontinence once and for all. To capture national attention and carry the campaign message to women everywhere, the "LIFE WITHOUT LIMITS" campaign set out to identify a spokeswoman with a take-charge attitude. Marg Helgenberger also saw how "LIFE WITHOUT LIMITS" could help millions of women achieve what most people take for granted, a life where everything is possible. "We envision women in cities, suburbs and rural areas across America armed with a new confidence to demand the answers, to demand to know about the latest breakthrough treatments, and to demand a dramatic change in their lives," said Helgenberger.

Healthy.Net Homeopathy Homeopathic Medicines for Involuntary Urination- HealthWorld Online  86 2 10

Involuntary urination is ironically a problem experienced at both ends of a person's life, both during infancy and aging. But while infants experience this problem because they haven't yet learned how to control their bladder, older adults have difficulty with bladder control usually because of either urinary tract disease, nervous system dysfunction, allergic response, ruptured disk, or psychological stress. Women tend to experience involuntary urination after childbirth, surgery, or inflammation of the urethra, while men tend to get it if they have a prostate problem. Whatever the cause of involuntary urination, any symptom must be recognized as a symptom of another problem. The best way to treat a person who experiences involuntary urination with homeopathic medicines is to seek professional homeopathic care. Kreosotum (Beechwood) is helpful when the person has such a sudden urge to urinate that they do not have enough time to get out of bed to go to the bathroom, this remedy should be considered.

Great Bear Medical Inc The Hottest in Durable Medical Equipment  85 0 0

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Our Vet on Pets questions and answers page 1 Pets Connection internet pages 85 59 2

Our Vet on Pets, questions and answers page #1. This is Our Vet on Pets questions and answers Page #1. I have taken her to the vet about 7-10 times about this problem and she has been tested for Diabetes, Thyroid problems, bladder and urinary tract infections. Your problem re: elimination problems in the cat can be very complicated and complex problems to solve. FLEAS: Topical products Tablets such as "Program" prevents eggs from hatching Flea shampoo Flea collars Premises spray "Duratrol" LICE: Flea type shampoo EARMITES: Treating with topical insecticide every other day for 1 month after thoroughly cleaning the ear. When treating parasitic problems consult your Veterinarian and always go back for a re-check to ensure the problem is solved or you may be starting all over again with the same problem.

Caring products International Inc  84 0 0

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Incontinence  82 2 1

Definition: Urinary incontinence is the involuntary loss of urine which is a social or hygienic problem. The problem: Urinary incontinence affects nearly 12 million Americans, both adults and children, male and female. In the elderly, 20-30% of those living at home and over half of nursing home residents have incontinence. Problems that effect any part of the above process can cause urinary incontinence.   Causes: The reasons for urinary incontinence are as diverse as the people it effects. Incontinence should be evaluated by your specialist to best determine the cause and thereby the appropriate treatment.

MetroWest Urology specializes in the no-scalpel vasectomy prostate disorders impotence and sexual dysfunction male and female urinary incontinence vasectomy reversal kidney stones bladder disorders blood in the urine male infertility tumors of kidney bla  82 6 9

MetroWest Urology specializes in the no-scalpel vasectomy, prostate disorders, impotence and sexual dysfunction, male and female urinary incontinence, vasectomy reversal, kidney stones, bladder disorders, blood in the urine, male infertility, tumors of kidney, bladder, and testes, and recurrent bladder infections Stephen Dierks     MetroWest Urology provides state-of-the-art urological services in a patient-centered environment. Staffed by board certified urologists, MetroWest Urology offers three convenient locations in the metrowest area – in Natick, Framingham, and Waltham. With extensive experience in all urological procedures for men and women, adults and children, MetroWest Urology specializes in minimally invasive procedures. MetroWest Urology specializes in medical and surgical treatment of the following areas: Prostate disorders Impotence and sexual dysfunction Male and female urinary incontinence No-scalpel vasectomy Vasectomy reversal (performed in the office) Kidney stones Bladder disorders Blood in the urine Male infertility Tumors of kidney, bladder, and testes Recurrent bladder infections     No-Scalpel Vasectomy |

The Simon Foundation for Continence  81 0 1

call 1-800-265-9575 for a free information kit Myths about Incontinence Incontinence is the loss of bladder or bowel control and for most Canadians it's the last health taboo - a condition too often surrounded by myths, fears and old wives' tales. Despite conventional wisdom, incontinence is not a disease, it isn't caused by aging and it isn't relegated to nursing homes. By providing information and support, the Simon Foundation is helping free Canadians from many of the myths and fears about incontinence. The Simon Foundation urges individuals experiencing incontinence or friends and loved ones to call 1-800-265-9575 for a free information kit. Myth 2 Incontinence is a disease Fact Incontinence is a symptom of something else going on in the body.

The Simon Foundation for Continence  81 0 1

call 1-800-265-9575 for a free information kit Myths about Incontinence Incontinence is the loss of bladder or bowel control and for most Canadians it's the last health taboo - a condition too often surrounded by myths, fears and old wives' tales. Despite conventional wisdom, incontinence is not a disease, it isn't caused by aging and it isn't relegated to nursing homes. By providing information and support, the Simon Foundation is helping free Canadians from many of the myths and fears about incontinence. The Simon Foundation urges individuals experiencing incontinence or friends and loved ones to call 1-800-265-9575 for a free information kit. Myth 2 Incontinence is a disease Fact Incontinence is a symptom of something else going on in the body.

Index of Articles Urinary Incontinence and General P.M. Rehab  80 0 25

This page leads to important articles, essays, and reviews about the non-surgical treatment of urinary incontinence and the new techniques available for the rehabilitation of pelvic muscles. The entire field of pelvic muscle rehabilitation in the treatment of urinary incontinence has its origins in the work of a single physician, Dr. Since March, 1992 when the Agency for Health Care Policy and Research officially recommended that behavioral methods including biofeedback be utilized before drugs and surgery for urinary incontinence, most clinicians have used these Guidelines to document and justify opening "incontinence clinics". Many early attempts to use biofeedback in the treatment of incontinence were only marginally successful because clinicians were not able to generate enough motivation in their patients to reach significant levels of exercise; so results slowed and patient enthusiasm declined even further. The Kegel Perineometer: Biofeedback 20 years Before Its Time is a short paper which explains that Kegel was the first to use biofeedback, 20 years before the term was coined. Click on these titles for details: Beyond Kegels (The Book) - 160 pages, 60 illustrations - New Exercises for Incontinence Beyond Kegels: Endopelvic Exercises (The Video) - 50 minute Color Video Anatomy Teaching Aides for Incontinence - 8 laminated full-color teaching diagrams Beyond Kegels Home Program Handouts - pads of illustrated exercises and diary Pheonix Seminars Schedule for 1998 - on Incontinence and Fibromyaligia Click here to send email directly to Janet A. Hulme, MA, PT.

Verimed International Home Page  79 13 11

manufactures surface electromyographic (SEMG) devices for use in todays busy clinic. These products are used by rehabilitation professionals to assist their patients during their course of therapy. Progressive product design makes Verimed SEMG the choice of clinicians throughout the world. These products can also be used to help manage the incontinent patient by teaching them to recognize and re-educate the pelvic floor muscles with SEMG assisted Kegel exercises.    Verimed International is a Mettler Electronics Company. Best viewed with Netscape   Verimed is a registered trademark of Verimed International, Inc.

71 URINARY INCONTINENCE IN ADULTS  76 0 0

To resolve issues regarding the incidence, causes, and consequences of urinary incontinence in adults, the National Institute on Aging and the Office of Medical Applications of Research of the National Institutes of Health, in conjunction with the National Institute of Diabetes and Digestive and Kidney Diseases, the National Center for Nursing Research, the National Institute of Neurological and Communicative Disorders and Stroke, and the Veterans Administration, convened a Consensus Development Conference on Urinary Incontinence in Adults on October 3-5, 1988. After a day and a half of presentations by experts in the relevant fields involved with urinary incontinence, a consensus panel consisting of representatives from geriatrics, urology, gynecology, psychology, nursing, epidemiology, basic sciences, and the public considered the evidence and developed answers to the following central questions:What is the prevalence and clinical, psychological, and social impact of urinary incontinence among persons living at home and in institutions? The most commonly encountered clinical forms of urinary incontinence in adults are stress incontinence, urge incontinence, overflow incontinence, and a mixed form. Examples of patients rarely requiring further diagnostic testing after the core examination include the young woman with classic stress incontinence or the 80-year-old woman with a recent stroke and the new onset of urge incontinence. Several studies have shown no improvement in stress incontinence, but women with postmenopausal urge incontinence, urgency, and frequency have shown improvement. When used in patients with stress and/or urge incontinence, biofeedback has been shown to result in complete control of incontinence in approximately 20-25 percent of patients and to provide important improvement in another 30 percent.

NIH Press Release Bladder Awareness Campaign Encourages Women to Seek Treatment 1 10 97  76 1 1

Bladder Awareness Campaign Encourages Women to Seek Treatment Women need to know they don't have to live with urine leakage or loss of bladder control any longer because many treatments--from pelvic floor exercises to surgery--are available. That's the message the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) of the National Institutes of Health (NIH) and a partnership of professional and patient advocacy groups concerned with urinary incontinence are highlighting in Let's Talk About Bladder Control for Women," a new campaign to make women aware that this costly and embarrassing condition is treatable. About 11 million of the 13 million Americans affected by urinary incontinence are women, according to the Federal government's Agency for Health Care Policy and Research (AHCPR). Through a recent survey on women and incontinence, we learned that a quarter of the women surveyed feel embarrassed about urinary incontinence and are uncertain about dealing with the condition in social situations. The Let's Talk About Bladder Control for Women awareness campaign offers easy-to-read booklets explaining the symptoms, types and causes of poor bladder control as well as treatment options. The core partners in Let's Talk About Bladder Control for Women are the American Uro-Gynecologic Association, American Urological Association, American Foundation for Urologic Disease, National Association For Continence, Society of Urologic Nurses and Associates and the Simon Foundation for Continence.

71 URINARY INCONTINENCE IN ADULTS  76 0 0

To resolve issues regarding the incidence, causes, and consequences of urinary incontinence in adults, the National Institute on Aging and the Office of Medical Applications of Research of the National Institutes of Health, in conjunction with the National Institute of Diabetes and Digestive and Kidney Diseases, the National Center for Nursing Research, the National Institute of Neurological and Communicative Disorders and Stroke, and the Veterans Administration, convened a Consensus Development Conference on Urinary Incontinence in Adults on October 3-5, 1988. After a day and a half of presentations by experts in the relevant fields involved with urinary incontinence, a consensus panel consisting of representatives from geriatrics, urology, gynecology, psychology, nursing, epidemiology, basic sciences, and the public considered the evidence and developed answers to the following central questions:What is the prevalence and clinical, psychological, and social impact of urinary incontinence among persons living at home and in institutions? The most commonly encountered clinical forms of urinary incontinence in adults are stress incontinence, urge incontinence, overflow incontinence, and a mixed form. Examples of patients rarely requiring further diagnostic testing after the core examination include the young woman with classic stress incontinence or the 80-year-old woman with a recent stroke and the new onset of urge incontinence. Several studies have shown no improvement in stress incontinence, but women with postmenopausal urge incontinence, urgency, and frequency have shown improvement. When used in patients with stress and/or urge incontinence, biofeedback has been shown to result in complete control of incontinence in approximately 20-25 percent of patients and to provide important improvement in another 30 percent.

Urodynamics training  76 0 5

Educational programs in urodynamics, for health professionals Two types of courses are available: Hands-On Urodynamics courses, tutored by Derek Griffiths, under the auspices of Laborie Medical Technologies 2 1/2 day courses at various sites in North America Following courses: Toronto, Canada, August 20-22, 1998; Houston TX, October 29-31, 1998 For information, contact Cecile Potvin (Cecile_Potvin@LABORIE.CCMAIL.compuserve.com) by e-mail , by fax (802) 878-1122 or by phone 1-800-333-1039, or visit Laborie website Tutorials in urodynamics Intensive, small-group courses in practical urodynamics, held in Edmonton and designed for nurse/technicians and others with limited experience; suitable for the pharmaceutical industry and others needing to understand how urodynamic measurements are made and how they are interpreted Most recent course held in August 1997: e-mail us at nacs@compuserve.com for information about future dates

Treatment Options for Female Stress Incontinence 74 17 25

The latest minimally invasive procedure available for stress incontinence is Videoscopic "Balloon" Bladder Neck Suspension. "Minimally Invasive" Surgery- Recently, a new minimally invasive technique for stress incontinence called Videoscopic "Balloon" Bladder Neck Suspension is now being preformed to modify the bladder neck position. This procedure can cure stress incontinence with success rates of 92-94% having been reported. Most women undergoing this procedure go some the same day of surgery. It may include:                           Diet- avoid drinking coffee, colas, and alcohol. This procedure is major surgery and is usually reserved for women with Type III incontinence and/or "mixed" incontinence where the patient's sphincter muscle no longer functions properly (poor ISD test results) and the pelvic floor is severely weakened from age and/or previous pelvic surgery.

Mediatheek Thuiszorg incontinentie incontinence  74 1 16

Patientenverenigingen in Nederland: Stichting Incontinentie Uit de adressenlijst van patientenorganisaties, aanwezig bij het IKR Urologie pagina: over nier, blaas en prostaatproblemen Joop Noordzij, uroloog te Amsterdam, geeft uitgebreide informatie over de blaas en problemen (te langzaam, te snel, te vaak, of te veel plassen) CONTINET: International Continence Society Continet, de toegang tot de International Continence Society. Society for Continence (Singapore) Uit Singapore, de Society for Continence, met presentatie van de organisatie. Ook veel informatie gericht op leken en professionals, over behandelingsmethoden en over commerciele produkten en systemen Incontinet Incontinet is een web-site die helemaal is gewijd aan incontinentie. Een 66-jarige man beschrijft zijn ervaringen met incontinentie na een prostaatoperatie Urinary Incontinence -- The Role of the Nurse Diane Newman, Amerikaans verpleegkundige, schreef een uitgebreid artikel over de rol en aanpak van verpleegkundigen bij incontinentieproblemen. Urinary Incontinence in Adults, Clinical Guideline Het USA Agency for Health Care Policy and Research geeft klinische richtlijnen in verband met incontinentie.

Healthtouch Understanding Urinary Incontinence  74 4 4

This information is from the Agency for Health Care Policy and Research (AHCPR). Many people lose urine when they don't want to. When this happens enough to be a problem, it is called urinary incontinence.Urinary incontinence is very common. Urine travels down tubes called ureters into a muscular sac called the urinary bladder, which stores the urine. This information is from the Agency for Health Care Policy and Research (AHCPR), an agency of the U.S. Public Health Service. For more information on this topic, please write to: AHCPR Publications Clearinghouse, P.O. Box 8547, Silver Spring, MD 20907, or call toll-free 1-800-358-9295.

Sympatico HealthyWay Healthy Seniors Incontinence  73 18 36

Pads are not the only answer for bladder problems By Kirsteen MacLeod Incontinence affects a tenth of all people 65 and older, but the vast majority of seniors refuse to mention it, even to their spouses, or physicians. For many, the humiliation of feeling they've lost self-control and are returning to infancy, complete with diaper-like briefs and pads, leads them to withdraw and suffer in silence. He says that people see a TV ad for pads and assume incontinence is a natural consequence of aging. " Stress incontinence, in which urine leaks out with the slightest pressure on the bladder from exercise or even coughing, is also common, especially in menopausal women. Treatments for stress incontinence in women over 50 might include estrogen cream or pills, which build up the shrinking tissue that allows urine to leak.

WellnessWeb Cancer Center  73 1 42

EPIC- Empowered Patients In Control -an education program for late-stage prostate cancer patients. "In too many instances, the cancer comes back -- and the chemotherapy must be restarted, often with less effectiveness." That residual disease -- undetectable by conventional diagnostic tools -- is believed to be responsible for much of the recurrence that frequently occurs in these patients weeks or months after their disease has apparently disappeared. Study results published in this month’s issue of the Journal of the National Cancer Institute show that Anesta Corp.’s Actiq (oral transmucosal fentanyl citrate or OTFC) have been is effective in treating breakthrough pain in cancer patients. Six years after its inception, the Breast Cancer Prevention Trial (BCPT) shows a 45 percent reduction in breast cancer incidence among the high-risk participants who took Zeneca Pharmaceuticals’s tamoxifen (Nolvadex)(R), a drug used for the past two decades to treat breast cancer. Immunex Corporation recently announced EPIC -- Empowered Patients In Control, an education program for late-stage prostate cancer patients. Patients and supervisors had widely different views of how cancer's side effects affect job performance; 85 percent of supervisors cited patient fatigue, while only 58 percent of patients said they suffered from it.

Sympatico HealthyWay Healthy Seniors Incontinence  73 18 36

Pads are not the only answer for bladder problems By Kirsteen MacLeod Incontinence affects a tenth of all people 65 and older, but the vast majority of seniors refuse to mention it, even to their spouses, or physicians. For many, the humiliation of feeling they've lost self-control and are returning to infancy, complete with diaper-like briefs and pads, leads them to withdraw and suffer in silence. He says that people see a TV ad for pads and assume incontinence is a natural consequence of aging. " Stress incontinence, in which urine leaks out with the slightest pressure on the bladder from exercise or even coughing, is also common, especially in menopausal women. Treatments for stress incontinence in women over 50 might include estrogen cream or pills, which build up the shrinking tissue that allows urine to leak.

Diuretics- HealthWorld Online  72 2 9

Diuretics are agents (both herbs and drugs), that help the body to rid itself of excess fluids by increasing the rate of urine production by the kidneys. The accumulation of excess fluids in tissues, known as edema, is symptomatic of a wide range of heart, kidney, liver, and other disorders. Such disorders must be addressed, but diuretics may be used in conjunction with other herbs. Many diuretics alter the excretion of electrolytes by the kidneys; these electrolytes, such as sodium and potassium salts, are involved in many body processes including the regulation of blood pressure, nerve impulse transmission and muscle contraction. The fundamental importance of both the urinary system and diuretics, emphasize the possibilities if secondary actions and system affinity is taken into account. Nervous system: Borage and Bugleweed are the only real diuretics to impact the nervous system directly.

MedCare Technologies Has the cure for bladder control problems Urinary Incontinence  71 2 10

(Symbol: MCAR) has developed a non-surgical and non-drug treatment program for patients suffering from urinary incontinence (UI). Affecting up to 50% of all women and 20% of men, at an annual cost of over $16 billion, UI is one of the most prevalent medical problems in healthcare today. This Site is ideally viewed with MS Internet Explorer or Netscape Navigator with an SVGA screen resolution of 800 x 600. Send mail to webmaster@medcareonline.com with questions or comments about this web site. Last modified: November 15, 1997 This site is published for informational purposes only, and is not to be construed as an offer or solicitation of an offer to sell or buy securities, and is void where prohibited by law. ) contained herein is believed to be reliable, but we make no guarantee or representations as to the completeness and accuracy of statements or summaries of data herein.

Bladder Control or Adult Incontinence Now You Can Stay Active Despite Incontinence  71 2 0

The Solution You've Been Waiting For Our unique SILENT bladder control system lets you stay active and independent. This remarkable product uses a small vibrator to alert you -- instantly and discreetly -- at the first sign of bladder release. Now you can manage your condition promptly and with complete discretion. DryTime® for Bladder Control is small, light-weight and easy to use. You simply clip the vibrator pack to your undergarment waistband, then attach our exclusive Sense

Urology Consultants of Orlando Florida  70 11 15

Send for your Free Brochure Today-don't delay-better health is on the way! Urology Consultants of Orlando Florida.Urology Consultants of Orlando Florida specializes in diseases of the Prostate, Kidney and Bladder, Urinary Incontinence, Sexual Disorders and Impotence. Urology Consultants, Orlando, Florida, Urologists, Viagra,sexual impotence, doctors, urinary incontinence, vasectomy, kidney stones, prostate enlargement, cancer, PSA, Prostate Specific Antigen, BPH, Benign Prostatic Hyperplasia, MD, FACS, Winterpark, Florida, Longwood, Oviedo, Apopka, Cigna, Prucare, Prudential Health Care, HMO, Standard Insurance, Physicians Mutual, Avmed, Principal, Mutual of Omaha, Medicaid, Medicare, Phico, Pennsylvania Health, AFLAC, Humana Gold Plus, Bluecross Blueshield, BC/BS. Urology Consultants of Orlando Florida specializes in diseases of the Prostate, Kidney and Bladder, Urinary Incontinence, Sexual Disorders and Impotence.

Wearever 70 5 1

Millions of Americans suffer from incontinence. Wearever Health Care Products offers a line of reusable undergarments and bed pads for both individual and institutional use. The products can be washed up to 200 times while still retaining their absorbency. Wearever undergarments look and feel like regular underwear and sell for less than $12.00 a piece. A super absorbent fabric called Hydrex is built into the undergarments and bed pads. Hydrex quickly absorbs four to 15 ounces of fluid yet feels dry to the touch.

Incontinence-Intravesical Electrotherapy therapy with no side effects  69 1 0

Incontinence-Intravesical Electrotherapy, therapy with no side effects

WellnessWeb Be Happy Be Well Stress Control Menu  69 7 19

WellnessWeb Be Happy Be Well - Stress Control Menu WellnessWeb Homepage Nine Out Of Ten Doctor Visits are Stress Related! Be Happy Be Well

Education Corner Information About Incontinence  68 7 30

In addition to providing you with information and links relating to incontinence, our nurse expert, Susie Myers-DuDevoire, will publish a monthly column designed to give you helpful hints on how to live more easily and confidently with incontinence. Facing Incontinence with Confidence If you ever lose bladder control, you are experiencing a medical condition known as urinary incontinence. Once you have all the facts about incontinence how to pursue medical diagnosis and assistance current treatments and products available to contain urinary leakage you can take control of your incontinence - and once more live your life with Confidence. Treatment Options For Urinary Incontinence Note: You should not stop drinking fluids to treat your incontinence! Treatment Options for Urinary Incontinence depend upon the type of incontinence and the physical and cognitive function of the individual. For more in depth information on incontinence please refer to our UNDERSTANDING MORE ABOUT INCONTINENCE series of articles.

Alternative or Complementary Medicine  66 5 104

ALTERNATIVE / COMPLEMENTARY EDITOR Victoria Hughes is a practicing hypnotherapist and health care writer with extensive resources in the area of complementary medicine. (More) EXECUTIVE EDITOR Lenore Howe is a polished writer and experienced researcher who, in addition to her ground-breaking articles for several sections of WellnessWeb, gives great vision and coherence to our mission. (More) Please note that the material provided on WellnessWeb is for educational purposes only. A strongly worded FDA warning in May 1997 says the herbal laxative, Chomper, ``may result in severe, potentially fatal heart block even in otherwise healthy individuals.'' FDA believes the product may disrupt normal heart rhythms, and even block electrical impulses that keep the heart pumping. Food and Drug Administration FDA regulates products that account for 25 cents of every dollar spent annually by American consumers, and touches the lives of virtually every American every day. Dear WellnessWeb, As a cancer patient in remission, I will share my experience.

MetroWest Urology specializes in the no-scalpel vasectomy  66 6 9

Stephen Dierks     MetroWest Urology provides state-of-the-art urological services in a patient-centered environment. Staffed by board certified urologists, MetroWest Urology offers three convenient locations in the metrowest area – in Natick, Framingham, and Waltham. Office hours are from 8 to 6, with evening and Saturday hours available by appointment. With extensive experience in all urological procedures for men and women, adults and children, MetroWest Urology specializes in minimally invasive procedures. Offering personal and attentive care in a responsive professional environment, Drs. Friedman and Dierks treat your concerns in a supportive and confidential setting. Prostate disorders Impotence and sexual dysfunction Male and female urinary incontinence No-scalpel vasectomy Vasectomy reversal (performed in the office) Kidney stones Bladder disorders Blood in the urine Male infertility Tumors of kidney, bladder, and testes Recurrent bladder infections     No-Scalpel Vasectomy |

Urinary Incontinence bedwetting  65 0 1

Urinary incontinence (in-CON-ti-nents) is the loss of bladder control or the leakage of urine. Urinary incontinence is a major health problem because it can lead to disability and dependency. The most common types of urinary incontinence are: Stress incontinence happens when urine leaks during exercise, coughing, sneezing, laughing, lifting heavy objects, or other body movements that put pressure on the bladder. Although healthy people can have urge incontinence, it is often found in people who have diabetes, stroke, dementia, Parkinson's disease, or multiple sclerosis. Functional incontinence happens in many older people who have relatively normal urine control but who have a hard time getting to the toilet in time because of arthritis or other crippling disorders. Implanting devices that replace or aid the muscles controlling urine flow has been tried in people with incontinence.

Master Index 65 1 212

WellnessWeb is evolving. Also see our Complementary Medicine section. Dozens of topics are covered in the Master Index to provide you and your family with up-to-date summaries of current research on the most common medical conditions and diseases. See the Prostate Center for a current example (to be expanded in the next few months to include BPH and prostatitis). Non commercial entities are encouraged to disseminate any articles on the WellnessWeb that are written by our staff or advisors to anyone you think will benefit. DISCLAIMER: The WellnessWeb does not warranty or imply the accuracy or validity of the information offered at this site or the sites to which its linked.

&quotA Urology Opinion"prostate prostate cancer prostate adenocarcinoma adenocarcinoma carcinoma prostate psa bph impotence erection cystitis interstitial cystitis penis potency incontinence kidney bladder testicles information urologic patient 65 22 43

&quotA Urology Opinion"prostate, prostate cancer, prostate adenocarcinoma, adenocarcinoma, carcinoma prostate, psa, bph, impotence, erection, cystitis, interstitial cystitis, penis,potency, incontinence,kidney,bladder,testicles, information, urologic, patient &quotA Urology Opinion" From prostate and prostate cancer, to interstitial cystitis; From BPH to impotence, incontinence to kidney stones; Information medical and patient articles, on line and for puchase. Prostate, prostate cancer, cystitis, interstitial cystitis,BPH, impotence, incontinence, kidney stones, medical , prostatism, benign prostatic hypertropy, PSA, prostate specific antigen, cystitis, erectile function, urine infection, peyronie's disease. Update in Urology: Periodic URO-Topics prostate to penis, cystitis to incontinence; From impotence to interstitial cystitis. Prior Editions of Update in Urology: Incontinence to interstitial cystitis, prostate to potency, prostate cancer and more. prostate, prostate cancer, prostrate, interstitial cystitis, cystitis, infection, incontinence, impotence, cancer, urology, PSA, prostate specific antigen, prostatism, BPH, benign prostatic hypertrophy, impotence, libido, sexual dysfunction, premature climax, ejaculation, infertility, prostatitis, peyronie's disease, urinary tract infection, UTI, kidney stones, urology, TURP, penis, bladder, testicle, kidney, ureter, urethra, sc