Search found 34 matches

Search found 34 matches

Search found 34 matches
by Prof Christopher Chapple
Tue Jun 09, 2020 11:56 am
Forum: general
Topic: BPH nocturnal diuresis
Replies: 2
Views: 56

Re: BPH nocturnal diuresis

I would agree with Mr Harding that the use of a bladder diary is appropriate. Examples can be accessed online, searching for a bladder frequency volume chart. A production of urine at night over the age of 50 of more than 1/3 of the 24-hour production constitutes nocturnal diuresis. The actual thres...
by Prof Christopher Chapple
Tue Jun 09, 2020 11:53 am
Forum: general
Topic: bladder weakness due to enlarged prostate
Replies: 2
Views: 49

Re: bladder weakness due to enlarged prostate

Bladder weakness can occur spontaneously in the population. It often is exacerbated by enlargement of the prostate and in many cases the exact cause is unknown. Specialist review of the situation is appropriate.
by Prof Christopher Chapple
Tue Jun 09, 2020 11:52 am
Forum: general
Topic: Why do you start weeing again?
Replies: 3
Views: 59

Re: Why do you start weeing again?

Each case has to be dealt with on its merits and specialist review by your general practitioner or continence nurse specialist with onward referral to a urologist would be appropriate.
by Prof Christopher Chapple
Tue Jun 09, 2020 11:50 am
Forum: catheters
Topic: Catheter Encrustation
Replies: 2
Views: 56

Re: Catheter Encrustation

There is a tendency in some people to experience problems with encrustation of foreign bodies such as catheters, which is best managed by regular washouts of the catheter. If it is a continuing problem, please seek specialist help from your continence nurse practitioner. I agree with Mr Harding that...
by Prof Christopher Chapple
Tue Jun 09, 2020 11:48 am
Forum: cystitis & UTI's
Topic: Intestistinal cystitis
Replies: 3
Views: 64

Re: Intestistinal cystitis

I agree with Mr Harding, this is not a condition which can be managed in an online format as it is a complex problem which requires specialist evaluation and treatment.
by Prof Christopher Chapple
Tue Jun 09, 2020 11:47 am
Forum: urinary incontinence (urge and stress)
Topic: Urge incontinence getting worse
Replies: 2
Views: 51

Re: Urge incontinence getting worse

Urgency incontinence (urge incontinence is the term used in the United States) is the consequence of urgency, a compelling desire to pass urine which is difficult to defer. There are drug treatments which can be very effective for this, but some of them do have side effects. They can be accessed thr...
by Prof Christopher Chapple
Tue Jun 09, 2020 11:45 am
Forum: urinary incontinence (urge and stress)
Topic: Bulkamid
Replies: 4
Views: 69

Re: Bulkamid

I agree with Mr Harding. Injectables are not as effective as some other forms of surgical intervention for stress incontinence. Bulkamid seems to be better tolerated by the tissues than previous therapies, but we do need to have further data in the future before suggesting it as a first-line therapy...
by Prof Christopher Chapple
Thu Jun 13, 2019 1:32 pm
Forum: general
Topic: endometriosis in the bladder
Replies: 2
Views: 939

Re: endometriosis in the bladder

Yes, but this is a diagnosis that can only be made with appropriate investigation by a specialist with appropriate scans.
by Prof Christopher Chapple
Thu Jun 13, 2019 1:31 pm
Forum: urinary incontinence (urge and stress)
Topic: Incontinence and hormones
Replies: 2
Views: 508

Re: Incontinence and hormones

Certainly, this is well recognised. If it is proving to be very troublesome then appropriate specialist assessment via the continence advisory service at community level or upward referral to a specialist hospital would be appropriate.
by Prof Christopher Chapple
Thu Jun 13, 2019 1:30 pm
Forum: urinary incontinence (urge and stress)
Topic: Is there anything else I can try?
Replies: 2
Views: 333

Re: Is there anything else I can try?

Ask for a referral to see a specialist at the hospital.
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