Voiding disordersPresented by Rene

Genadry, MD

www.uihealthcare.org/urogynecology/

UI Women’s Health Center: 319-356-2294

Iowa River Landing: 319-467-2000

How Does the Urinary System Work?

• Kidneys =make urine• Ureters= transport urine into bladder• Bladder= stores urine• Urethra & surrounding muscles (sphincter)=

constrict while bladder fills and relax when bladder contracts and expels urine

• Pelvic floor muscles= support bladder & urethra as a hammock attached to the bones

It’s a Stall World After All

• Do you spend an inordinate amount of time in the bathroom stall?

• Voiding disorders affect urine storage and release because both are controlled by the same muscle mechanisms.

• These disorders, including overactive bladder (OAB) can keep you from doing the things you love.

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Types of incontinence

• Stress incontinence

• Urge incontinence(Overactive bladder)

• Mixed Incontinence (Stress and Urge)

• Overflow incontinence

• Functional Incontinence

Neuropathy

Infection

Obstruction

Local tumor stones foreign body diverticulum inflammation

Overactive Bladder

• A voiding disorder is characterized by the bladder squeezing urine out at the wrong time.

• Symptoms of overactive bladder include:– Urinating eight or more times per day or two or more

times per night– Sudden, strong urges to urinate immediately– Leaking urine after a sudden, strong urge to urinate

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Contributing factors• Obesity• Smoking• Ingestion of bladder irritants, alcohol, coffee, acid-

promoting substances• Pregnancy?!• Menopause?!• Hysterectomy?!• Vaginal prolapse?!

Pelvic Organ Prolapse

OAB Treatments

• OAB is a treatable medical condition that you and your physician can work through.

• Antimuscarinics

• In addition to medications, everyday choices and changes to your routine can help you manage your overactive bladder.

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OAB Treatments Cont’d.

Watch your fluid intake Work to strengthen your pelvic floor

muscles (PFMs) Make dietary changes

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Talk with Your Physician

• The most important thing to remember is that OAB does not have to run your life.

• Overactive bladder is a treatable medical condition that can be managed through medicine and lifestyle changes.

• You and your physician can discuss any more serious treatments if the lifestyle changes and medicines are not working for you.

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