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Enuresis and Micturition Problems
Coming of age, most men need to visit the men’s room more frequently. It is a fact of life that usually doesn’t attract any particular medical attention, even if the consequences can be serious enough in terms of social and practical inconvenience.
The extent of the problem is massive:

20% of men aged 40-50 experience voiding problems
33% of men aged 50-60 experience problems
More than 50% of men aged 60 or more find their micturition problematic

Prostate and the Ageing Bladder
Most micturition problems are caused by a benign enlargement of the prostate gland, but problems can have other causes as well, like cancer in the prostate gland or in the bladder, constipation, or cystitis.
Urination difficulties are usually caused by a combination of aging of the bladder and enlargement of the prostate gland.

The bladder is a muscle. As one gets older, the muscle controlling the bladder gets weaker and the compliance of the bladder is reduced. The consequence is on one hand that the capacity of the bladder is reduced, while on the other hand the muscle has problems contracting sufficiently to empty the bladder entirely. As a result of this, the volume at disposal is significantly reduced – forcing the patient to go more often to the bathroom.
The prostate gland keeps growing all life. Situated around the urethra under the bladder, it will press on the urethra as it grows and make it increasingly difficult to urinate.
Nerves get less sensitive with age. Therefore the elderly gets the signal of the full bladder later, and the time from registration of the urge until one must, is shortened. Sometimes down to 1-2 minutes. You will then define it as “urge-incontinence”

Micturition problems are caused by a combination of these effects.

Living with Enuresis – The four Strategies

    Watchful Waiting

Common enlargement of the prostate gland is harmless as such. It should be accepted as a sign of age. But the waiting has to be “watchful” in order not to overlook a prostate cancer or other disease.
In rare cases, where the squeeze on the urethra prevents you from emptying the bladder entirely, or causes increased pressure in the kidneys even a benign enlargement of the prostate may require treatment.
A watchful waiting could be combined with the use of incontinence products like UROX.

    Surgical Treatment

Surgical treatment usually means pealing the prostate gland from within by means of a cystoscope. In this operation, the cystoscope is often directed through the urethra up to the prostate gland, where the gland is sliced of, or burned away with a laser. The surgical treatment is very effective but since there is a significant risk of side effects it is only used in cases of severe micturition problems.
Adverse effects can be impotence (<10%), stricture* in the urethra (<10%), and 1-5% becomes chronically incontinent.

    Medical Treatment

Medicine will either relax the muscle cells in the prostate gland, to reduce the tension it is exerting on the urethra, or control the growth of the prostate gland.
In both cases the medicine has a number of known unpleasant side effects, like dizziness and nausea – which may be out of proportion to the problem the medicine was intended to cure.

    Alternative Treatment

Except for an extract of the plant “saw palmetto”, which has been shown to have a moderate but measurable effect on enuresis, no alternative medication has been clinically or experimentally proven to work.
Never the less, many men tend to find some relief in alternative medicine, the most popular being an extract of pumpkin seeds. Since alternative treatments are felt to relieve, but not cure enuresis, it can be an excellent companion to a UROX system.

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Gloveman wins FSC accreditation for its latex examination gloves The entire range of latex gloves, manufactured by Gloveman Supplies Ltd (GSL) in Sri Lanka, now officially adhere to the guidelines set out by The Forest Stewardship Council (FSC). The international non-profit, multi-stakeholder organisation was established in 1993 to promote responsible management of the world’s forests. Its main tools for achieving this are standard setting, independent certification and labelling of forest products. This …

Snoring getting you down?

We all snore at some stage in our lives, but when that dull monotone drilling continues night after night, its not the snorer that is bothered but their partner who suffers.

Snoring can lead to all sorts of problems including sleep apnea. Many people who have heart disease tend to be heavy snorers.

When the vocal cords at the back of the throat lose the taughtness, then the inhaling of breath causes the vocal cords to vibrate, which increases the ‘snoring’.

 

C& G Medicare Ltd have the solution. Try now SNOREKIL an award-winning amazing product which is patent protected. SNOREKIL was invented by a brilliant dental technician who found that his patients were asking for custom made gum shields to help them with sleep apnea, this resulted in him designing an affordable product which is now recommended throughout the UK by top professionals.

As an introductory promotion C&G Medicare Ltd are offering a 50% off limited offer for SNOREKIL.

Order yours today from the C&G Medciare shop today.  Click here to enter the shop

 

Don’t bug me!

Bugs and bacteria.

We are surrounded by bugs, bacteria and germs. Some are good for us and some not so good.

With so many outbreaks of viruses and bacteria related issues in what is supposed to be a clean environment – the hospital this is the last place you would expect to go in for one treatment and come out being treated for something picked up in the hospital.

MRSA – Methicillin-resistant Staphylococcus aureus is not a bacteria you want to be shaking hands with! It is resistant to most antibiotics.

There are different strains to this ‘superbug’ and depending on the severity of the wound and your own bodies resistance can greatly depend on how fast the  MRSA manifests.

MRSA is spread from contact, person to person or from you touching objects which carry the bacteria.

IncoClean is one of the few products which is not only bio friendly but kills 99.999% of germs. It kills MRSA and IncoClean continues to work weeks after it has been applied.

The spread of MRSA is phenomenal once it starts. Using IncoClean to not only clean your hands but to spray on objects reduces this down to zero.

Close knit communities are now showing sign of being infected by CA-MRSA. those who play team sports, prison inmates, schools etc. the only way to stop this from spreading is to be vigilant on cleanliness.

For more information on IncoClean go to www.incostress.com

If you know of anyone who has had MRSA we want to hear your story.

Good bye 2011 Hello 2012

A message to all our blog readers and subscribers, and also to those who have not yet had the pleasure of joining our community but soon will.

We would like to say a huge thank you to all those who have contributed, read and subscribed to our blogs.

We wish you all a very lucky, health and peaceful 2012 where ever you may be.

Best wishes

C&G Medicare Ltd United Kingdom.

Got something to add, lets share it. We want to know what your new years resolutions are.

Orla a wonderful, funny full of beans little girl needs your help.

It wasn’t so long ago this inspirational little girl almost died, but thanks to the superb care and treatment she received in Wales and the blood donations people so kindly donated Orla is here today to not only tell her story but wants to help others just like her.

Orla is in remission from leukaemia and her life was saved by blood donors. She is now trying to get 150 donors before the new year. So please please if you can, will you make a donation! For those in Wales there is a session tomorrow 29th at Talbot Green the headquarters, 4.30-8pm. Otherwise any session you can find! Website lists sessions! Welshblood.org.uk we aren’t asking for money just your blood. Come on and save a life xxxx

Thank you Orla Galton you are truly one remarkable child.

Stress incontinence in the home

You have all heard of stress incontinence, light stress incontinence, those embarrassing leaks when you cough, sneeze, laugh and exercise. Most women on the first experience brush it off as a one-off, others tend to run for the incontinence pads to soak up the urine and hope that nobody will notice, others do seek medical advice for the incontinence and are offered (if lucky) physiotherapy, but many doctors (depending which country you live in) will offer the TVT or TOT operation.

If you are a woman who has experienced stress incontinence how many have been lucky enough to have a doctor who has taken the time to explain why you are incontinent and what products and help there is available to you before considering surgery?

Those who have been offered surgery, how many of you ladies were told exactly what the procedure involved and the risks you could face with surgery.

There are always risks with ANY type of surgery and lately there has been a lot of negative press surrounding the TVT mesh tape. The TVT operation has been performed for many years and with about 85% of it being successful allowing women a complete new lease of life. I wouldn’t dismiss this surgery if it was offered, but make sure you ask ALL the right questions which will satisfy you. Never be afraid to ask ANYTHING to you doctor. Its your body and your doctor is there to help YOU!

CASE STUDY

Name: Laura
Age: 18
Sexually active: Yes since the age of 17 one partner.
Menstruation: Regular – every 28 days
Work: Part time in a bar
School: Studying in University
Hobbies: skiing,netball (not so much now) computer
Weight: 10 stone
Height: 5’5″
Smoker: No
Drinker: tends to binge drink on the weekends
 
Making an assessment of Lauras lifestyle was key understanding how her life has been affected by stress incontinence. As a healthy 18 year old it is hard to believe that she is already being affected by stress incontinence.
Lets look at her diet:
A typical day would include, cereal for breakfast, varied lunch ranging from pizza to salads, she eats a lot of pasta. Evening meals vary from a sandwich to a cooked meal consisting of meat and vegetables.
Laura drinks around 4 diet cokes/sprite a day and around 4 cups of coffee on the odd occasion she will have hot chocolate if the weather is cold.
I asked her about how much water she drinks, she said it varies from zero a day to 3 500ml bottles depending where she is. Over a month she probably averages to 250ml water a day.
When asked about her alcohol drinking: She doesn’t drink anything in the week but on a Friday she will drink around 6 large glasses of white wine with soda (spritzer) on a saturday about the same, but will also have the odd cocktail with lots of higher alcohol level content.
 
She was asked if she had ever been so drunk that she has actually wet herself either in her sleep or whilst laughing. She admitted to wetting herself laughing but never in her sleep. She also noted that on the odd occasion without alcohol if she is laughing she will slightly wet herself.
 
Activities:
She was asked if she did any sport.  Once a year she goes skiing with her friends and has done since the age of 14 with the school. I asked her if she ever experienced urine loss during skiing. She admitted that on the odd occasion if her bladder was full, especially in subzero temperatures.
She used to play netball for the school team, and gave up this year due to her being incontinent during the sport.
A typical day would involve lots of sitting, she is studying to be a graphic designer, and has to spend many hours ‘slouched in front of a computer. When asked how often does she take a break and walk around, she said only to go from class to class but at home she has indicated that she has sat in front of the computer around 12 hrs sometimes.
If she isn’t in front of the computer her and her boyfriend tend to just watch TV or cook at home together.
 
She was asked if she experience urine loss during sex, she didn’t know.
 
She was asked what she did about the incontinence problem, she answered,  nothing, I don’t see myself as incontinent, that’s for old women!
So when I asked her what she did to protect herself ‘should the odd leak happen during her weekend with her friends, she told me she took sanitary pads out with her ‘just in case’! I asked her would she consider buying incontinence pads- the answer was NO WAY!
 
I asked her if she had heard of kegel exercises. She hadn’t but had read somewhere about doing your pelvic floor exercises after you had a baby and were they the same thing.
 

Conclusion.

It is evident that a typical young women who exeriences bladder loss will not recognise the fact she has suffered a type of incontinence and that the general concensus is they do not need to address the problem, until they have either had a baby or are ‘older’.

Lifestyle has a major part to play in incontinence issues and the only way to control the incontinence is to change the lifestyle. Nobody said it would be easy, but recognising the signs early on may help avoid surgery or prolapse issues later on.

As evolution takes its course we are exercising less and slouching more. It is a known fact that not only teenagers spend more time in front of a computer screen than doing physical exercise using the pelvic floor muscles.

Recommendations

Take a break from the computer and walk around for 5 minutes every hour she spent on the computer.

Use Incostress to help with pelvic floor exercises or seek physiotherapy assistance to help you start.

Laura was given Incostress to try. We will follow-up in 4 weeks to see how she got on.

Those who are reading this blog right now are positioned in front of a computer screen. Just for a moment I would like you ALL to look down at the position of your body. (men and women)

Are your shoulders rounded and slouched?

Is your abdomen relaxed and tilting forward, even resting on the upper thigh part?

If the answer to either or both of the above is yes, the chances of your pelvic floor being in the wrong position is very high. Wrong position for prolonged periods of time can lead to all sorts of pelvic floor issues including weakening and incontinence.

Because of the culture we are living in more and more people are facing incontinence which include teenagers.

The human body was not designed to have a sagging pelvic floor. It should be firm with the ‘trampoline effect’ if it lowers, it should retract back into a nice taut position.

The best people to help you with kegel or pelvic floor identification and exercises are physiotherapists and gynaecologists.

A good program we have used time and time again with results is Pfilates by Dr Bruce Crawford. It is the only program of its kind which has clinical data to support its claims.

Incostress was clinically trialled in the UK and at present there is another trial using Incostress at Cardiff University Hospital.

How do you know if you have pelvic floor control?

When you pass urine, sit on the toilet, back straight, knees bent and if you can put a small foot stool at the base of the toilet please do so, now mid flow stop the urine. If you can do this, you are controlling the pelvic floor. This should not be practised too often.

Pelvic floor exercises should be carried out daily, regardless of your age.

There are many products  on the market to help if you do experience bladder weakness. Using pads will only hide the problem and not solve it.

For more product information go to www.incostress.com

C&G Medicare Ltd UK will be bringing out a new product in 2012 designed to help women like Laura, using this product Laura should be able to return back to playing netball and be completely dry. They estimate mid March will be the launch of this revolutionary product.

In the meantime here is one of their other products. Take a look at the explanation. They are offering a special price £10.00 off Incostress when you buy 2. www.incostress.com If you and your friend discuss this, why not share the experience and both of you try to overcome this embarrassing problem together. Start speaking to each other about how to deal with pelvic floor weakness rather than hiding away behind embarrassment.

In the UK the normal TVT operation without follow up consultation costs the NHS around £3000 why go through all this expense when it can be solved without surgery.

Incostress not only controls the loss of urine keeping you constantly dry, it also gives you a chance to identify the pelvic floor muscles and exercise them, without the need to find a private place, without even need to take out precious hours from your day to exercise. With incostress you can exercise even whilst shopping ! Nobody needs to know.

Those with no pelvic floor control who need that extra help, C&G Medicare Ltd recommend the use of the Kegel8.

 
 
 
 
 

C&G Medicare Ltd based in the UK developed a medical device back in 2000. Incostress has been a global success with women who have problems to control incontinence and who have pelvic floor dysfunction.

Incostress won many international awards for its design and efficacy and is well-respected amongst the key opinion leaders in the urology and gynaecology world.

C&G Medicare Ltd has been praised by major companies such as Boots Alliance, Proctor & Gamble, Scotts & Co, House of Bath as well as by the Welsh Assembly Government.

C&G Medicare Ltd will launch an innovation in 2012 set to help even more women.

CEO Gaynor Morgan said our objective is to ensure every woman has a better quality of life. Many suffer in silence when they have anything to do with pelvic floor problems, be it from painful intercourse to bladder issues. We want to offer women an alternative to surgery and help educate society that its ok to recognise you have a health issue but its not ok to ignore it.

This new product we think will be part of every womans daily life. We can’t say much more than that as it is still going through the prototype phase.

We are looking to offer this product as a test trial to women who have just had babies, women who cannot have pelvic floor surgery or who have had surgery and it has failed. We also need women who are active in the sports/aerobic field.

If you are a women in this category and would like to trial our new product please respond to this blog.

Please note that responses to this will NOT be published and you will be contacted. Anyone who participates will have to sign an NDA and will need to fill in the questionnaire to ensure you are a good candidate for this market research.

 

 

IncoStress No More Misery for Thousands of Women

IncoStress Gaynor Morgan The answer in the palm of your hand

Millions of women experience incontinence, largely due to insufficient strength to the pelvic floor muscles. Some may lose a few drops of urine while running or coughing, while others may feel a strong, sudden urge to urinate just before losing a large amount. Many women experience both symptoms.

Incontinence can be slightly bothersome or totally demoralising and for many women the risk of public embarrassment stops them enjoying many activities and impacts on their quality of life. Additionally urine loss can also occur during sex and cause tremendous emotional distress.

Gaynor Morgan’s mother Carole suffered in silence for years and searching for solutions mother and daughter found help was not readily at hand. As incontinence isn’t deemed a life threatening condition, very little money is spent on research. The most common solution offered for incontinence is pads, which only hide the problem but never solve it. Gaynor and Carole were looking for a more permanent solution.

Gaynor’s story behind the development of reveals experiences and challenges that brought invaluable skills for running her successful company. Born in Bridgend, South Wales, Gaynor’s career has taken her half way around the world and back as the C&G Medicare Ltd headquarters are located in South Wales supplying the UK, Canada and the European market with their products.

Read more….

Planning to travel aboard?
Worried about being searched in security?

The new 2011 Stomawise travel certificate will be available from 10th May 2011 and is free to all Ostomates while stocks last.

It now explains your condition in English a selection of the most popular European languages, although you can explain in the UK & other English speaking countries it eliminates the need to explain in front of fellow travellers, and explains for you in  European air / sea ports.

The certificate needs some personal information adding ie. Name, Address, Passport number. And then counter signing by your doctor to validate it.

Our new certificate is exactly the same size as your passport so it fits neatly with your travel documents.

For more information click here

www.stomawise.co.uk offers superb advice and support for stomacare carers and stoma patients

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