Category Archives: Urinary Incontinence

young woman in distress

Understanding Urinary Incontinence In Women | Fullerton, CA

It is estimated that for ten million Americans (85% of whom are women), incontinence of urine is socially embarrassing, physically limiting, or a significant disability. In fact, after psychiatric and neurological disorders, the uncontrollable or accidental loss of urine is the second most common reason individuals are placed in nursing home facilities.

Among women, between the ages of 45-64, 40% are estimated to have experienced incontinence of urine. Women often perceive that their problem is a normal result of bearing children and getting older, and therefore just cope with it. The true number of non-institutionalized women who have quietly altered their lives because of accidental loss of urine is actually unknown because they are reluctant to discuss their urinary incontinence. Women are frequently embarrassed and hesitant to admit their problems to their family, friends, or even to their personal physician.

However, they also limit exercising, dancing, traveling, and other activities, which would otherwise require them to be away from nearby toilet facilities. They frequently will change the style of clothes they wear to avoid embarrassment.

Urinary incontinence occurs when there is a sudden increase in abdominal pressure during certain activities such as laughing, coughing, sneezing, running, bending, lifting, etc. The primary cause of the problem is a weakness of the pelvic tissues (prolapse), which normally supports the bladder (cystocele) and its sphincter. The amount of urine loss with each episode of stress, varies with the degree of weakness, the volume of urine in the bladder, and the intensity of the abdominal pressure. Yet, urinary incontinence is a symptom of a condition, which is not normal and usually can be successfully treated to restore normal bladder function.

There is a type of urinary incontinence known as urge incontinence, in which someone perceives the urgent need to urinate, and will likely fail to get there in time. The amount of urine loss can vary with the cause of the urge, the volume of urine in the bladder, and the strength of the pelvic tissue. The most common physical cause is an infection of the bladder (cystitis) and/or urethra (urethritis), and it is corrected with the treatment of the infection. There are other causes such as chronic inflammation of the bladder, polyps or tumors, and certain medications. When no physical cause can be found after a complete medical evaluation, the cause is usually a result of a learned habit. Treatment may include medications, bladder retraining programs, and pelvic floor muscle exercises (Kegel exercises).

There are other less common, but important types of urinary incontinence:

Overflow incontinenceis a frequent spilling of a small amount of urine when the bladder is over-distended and can occur with certain medications, after pelvic surgery, or trauma.

Reflex incontinenceis the loss of urine when the person is completely unaware of the need to urinate, such as while sleeping or washing their hands. This type of incontinence may indicate an underlying neurological disorder.

The first step in correcting urinary incontinence is sharing the problem with your physician. Before your visit, you will be asked to fill out a patient history for urinary function form. This form should be completed prior to your office consultation.

You may be given a two-day “voiding diary” to record the number of liquids you drink and the number of times and amount you urinate during the day and night. You will also list the circumstances under which you regularly experience urinary urgency or incontinence.

After your patient history, physical examination, and voiding diary are completed and reviewed, simple office tests are performed which will further identify the primary cause of your incontinence. Once the cause (or causes) is determined, the proper treatment and alternative will be recommended and explained. Treatment begins with having a thorough understanding of normal urinary function, the cause of your urinary problem, and your treatment alternatives. Successful treatment is a patient-physician team mission and is an achievable goal.

If you would like more information on cholesterol, contact Dr. Gordon C. Gunn MD at 714-912-2211 or visit www.gordongunnmd.com to schedule an appointment today. 

Dr. Gordon Gunn proudly serves Fullerton and all surrounding areas.

Women and Urinary Incontinence | Fullerton, CA

An estimated 33 million people – 80% which are women – suffer from an overactive bladder. Urinary incontinence, also known as bladder incontinence, is the loss of bladder control. In some cases, individuals suffer from a total loss of bladder contents, or it may just cause minor leakage. This issue is more than just medical problem; it can affect emotional, psychological and social life as well.

There are many people who think urinary incontinence comes with age, but it is actually a symptom that can be caused by many conditions. However, the cause of urinary incontinence differs between men and women. Urinary incontinence is separated into three different types, and some may experience a mix of the types or all three. The following includes the three different types of urinary incontinence:

Stress incontinence. This type of incontinence occurs when you apply pressure on your bladder by exercising, laughing, sneezing, coughing or lifting something heavy. The activity causes the sphincter to weaken and release urine.

Urge incontinence. Urge incontinence occurs when you feel the sudden, intense urge or need to urinate. Often times, after feeling the urge to go you won’t have time between the urge and the loss of urine to make it to the restroom.

Overflow incontinence. This type occurs when you experience frequent dribbling or urine, due to the fact that your bladder doesn’t empty completely.

There are lots of devices and products that can collect and hold urine. Not only will they help manage bladder leakage, but they will give older and disabled people more freedom to enjoy life. If you find you’re having issues with your bladder, consult your medical professional about your options.

If you would like more information about urinary incontinence, contact Dr. Gordon C. Gunn MD at 714-912-2211 or visit www.gordongunnmd.com to schedule an appointment today. 

Dr. Gunn proudly serves Fullerton and all surrounding areas.

When You Can’t Hold It Anymore | Fullerton, CA

An estimated 27 million Americans suffer from urinary incontinence, but did you know that 75-80% of those patients are women? It’s a startling fact. Urinary incontinence, also known as bladder incontinence, is the loss of bladder control. The degrees of loss can vary from slight to full loss of control. The problem is that this issue is more than just medical problem; it can affect emotional, psychological and social life as well.

There are many people who think urinary incontinence comes with age, but it is actually a symptom that can be caused by many conditions and those causes differ between men and women. Urinary incontinence is separated into three different types, and some may experience various symptoms. In order to learn more about incontinence and how it may affect you, let’s take a look at what it is to suffer from each type:

Stress incontinence. This type of urinary incontinence occurs when you apply pressure on your bladder by exercising, laughing, sneezing, coughing or lifting something heavy. Does this sound familiar? How often have we heard that someone “peed a little” from laughing too hard? What happens is that the activity causes the sphincter to weaken and release urine.

Urge incontinence. Urge incontinence occurs when you feel the sudden, intense urge or need to urinate. This may sound like something that everyone does in their daily life, but often times, after feeling the urge to go you won’t have time between the urge and the loss of urine to make it to the restroom.

Overflow incontinence. This incontinence type occurs when you experience frequent dribbling or urine, due to the fact that your bladder doesn’t empty completely when using the restroom.

If you would like more information on blood pressure, contact Dr. Gordon C. Gunn MD at 714-912-2211 or visit www.gordongunnmd.com to schedule an appointment today. 

Dr. Gordon Gunn proudly serves Fullerton and all surrounding areas.

Urinary Incontinence: What You Need to Know | Fullerton, CA

When we are kids, we learn to control our bladders. Not only did it help with embarrassing situations, but it meant we didn’t need to wear diapers anymore. So, when we develop urinary incontinence as an adult, it can become a problem. An estimated 25 million people, 80% which are women, suffer from urinary incontinence. Urinary incontinence, also known as bladder incontinence, is the loss of bladder control. In some cases, individuals suffer from a total loss of bladder contents or it may just cause minor leakage. While this issue is completely natural, it’s more than just medical problem; it can affect your emotional, psychological and social life as well.

There are many people who think urinary incontinence comes with age, but it is actually a symptom that can be caused by many conditions, and they differ between men and women. Urinary incontinence is separated into three different types, and some may experience a mix of the types or all three. Here is a quick breakdown:

Stress incontinence. This type of incontinence occurs when you apply pressure on your bladder by exercising, laughing, sneezing, coughing or lifting something heavy. The activity causes the sphincter to weaken and release urine.

Urge incontinence. Urge incontinence occurs when you feel the sudden, intense urge or need to urinate. Often times, after feeling the urge to go you won’t have time between the urge and the loss of urine to make it to the restroom.

Overflow incontinence. This type occurs when you experience frequent dribbling or urine, due to the fact that your bladder doesn’t empty completely.

If you would like more information on urinary incontinence, contact Dr. Gordon C. Gunn MD at 714-912-2211 or visit www.gordongunnmd.com to schedule an appointment today. 

Dr. Gordon Gunn proudly serves Fullerton and all surrounding areas.

Overactive Bladder? Read This | Fullerton, CA

Do you have to get up more than once in the middle of the night to use the bathroom? When you are in public do you find yourself always looking for the restroom? Not only is it an inconvenience, but it can be cause for concern if it is a developing occurrence. After all, having an overactive bladder make daily life hard but there are many reasons it has developed. Diabetes, urinary tract infections or trouble walking can all be reasons you have an overactive bladder, so it is important to seek medical advice when you find you are urinating more frequently. But worry not – there is hope. With dietary changes and therapy, an overactive bladder can be treated.

Diet. Dietary changes can help manage your overactive bladder. Avoiding caffeine, alcohol and artificial sweeteners can help decrease bladder activity.

Pelvic muscle exercises. These types of exercises help prevent and/or alleviate symptoms since they strengthen the pelvic floor. They send a signal to the bladder to relax and resume filling. Through regular exercises, you can build strength and endurance to help regain and maintain bladder control.

InterStim therapy. The process of delivering electrical stimulation directly to the sacral nerves. It is shown to be successful in 4 out of 5 patients. InterStim therapy involves two stages. First, a test. Second, a permanent implant. The implant delivers electrical stimulation without having to revisit the doctor and is an outpatient procedure. The implant is surgically placed under the skin in the upper buttock or abdomen to stimulate the sacral nerve using electric pulses.

If you would like more information on overactive bladder treatment options, contact Dr. Gordon C. Gunn MD at 714-912-2211 or visit www.gordongunnmd.com to schedule an appointment today

Dr. Gordon Gunn proudly serves Fullerton and all surrounding areas.

The ABC’s of Urinary Tract Infections | Fullerton, CA

Every year, over 11 million women develop a urinary tract infection, (also known as a UTI, a bladder infection or acute cystitis). These infections are more common in women than men, primarily due to the normal female anatomy, with the urethra (tube leading from the bladder to the outside), located very close to the vaginal opening. This allows bacteria from the vagina, and especially the rectum, to enter the bladder, and subsequently cause an infection. Sexual activity is the most common cause for developing a UTI, but pregnancy, advancing age, lack of estrogen, and diabetes are common contributing factors for developing these infections. For women who are more prone to bladder infections, prevention is key:

  • Women who are sexually active should void both before and after intercourse to limit the amounts of bacteria in the bladder. Also, some lubricants, oils and spermicidal jelly may also make an infection more likely.
  • Drinking an adequate amount of liquids will continually wash out the bladder. Water is preferred, as soda, coffee and tea may make it more likely to get an infection.
  • After a bowel movement or urinating, wipe from the front of the vagina to the back toward the rectum, away from the urethra.
  • Frequent changing of sanitary napkins or tampons can limit infections.
  • Avoiding hot tubs or highly chlorinated pools, as well as removing your wet swimsuit as soon as possible, can also limit bacterial exposure.
  • Cranberry juice and cranberry pills (no calories) have been proven to reduce UTI’s.

If you would like more information on urinary tract infections, contact Dr. Gordon C. Gunn MD in Fullerton, CA at 714-912-2211 to schedule an appointment today. Or visit www.gordongunnmd.com for additional information regarding women’s health. 

Dr. Gordon Gunn proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut and all surrounding Orange County areas.

Do you suffer from Urinary Incontinence? | Fullerton, CA

Branch of dogwood blossoms against a dark background

An estimated 10 Million people -85% which are women- suffer from urinary incontinence. Urinary incontinence, also known as bladder incontinence, is the loss of bladder control. In some cases, individuals suffer from a total loss of bladder contents or it may just cause minor leakage. This issue is more than just medical problem; it can affect emotional, psychological and social life as well.

There are many people who think urinary incontinence comes with age, but it is actually a symptom that can be caused by many conditions. The causes of urinary incontinence differs between men and women. Urinary incontinence is separated into three different types, and some may experience a mix of the types or all three. The following includes the three different types of urinary incontinence:

  • Stress Incontinence- This type of incontinence occurs when you apply pressure on your bladder by exercising, laughing, sneezing, coughing or lifting something heavy. The activity causes the sphincter to weaken and release urine.
  • Urge Incontinence- Urge incontinence occurs when you feel the sudden, intense urge or need to urinate. Often times, after feeling the urge to go you won’t have time between the urge and the loss of urine to make it to the restroom.
  • Overflow Incontinence- This type occurs when you experience frequent dribbling or urine, due to the fact that your bladder doesn’t empty completely.

If you think you may be suffering from urinary incontinence, contact Dr. Gordon Gunn in Fullerton, CA at 714-912-2211 to schedule an appointment today or visit our website at www.gordongunnmd.com for more information.

Dr. Gordon Gunn also proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut, and all surrounding areas.

Do you suffer from an Overactive Bladder? | Fullerton, CA

 overactive bladder, fullerton

Do you have to get up more than once in the middle of the night to use the bathroom? When you are in public do you find yourself always looking for the restroom? Having an overactive bladder can make daily life hard. However, there is hope. With dietary changes and therapy, overactive bladder can be treated.

Dietary Changes can help manage your overactive bladder. Avoiding caffeine, alcohol and artificial sweeteners can help decrease bladder activity.

Other treatments include:

Pelvic Muscle Exercises

These type of exercises help prevent and/or alleviate symptoms since they strengthen the pelvic floor. They send a signal to the bladder to relax and resume filling. Through regular exercises, you can build strength and endurance to help regain and maintain bladder control.

InterStim Therapy

The process of delivering electrical stimulation directly to the sacral nerves. It is shown to be successful in 4 out of 5 patients. InterStim therapy involves two stages. First, a test. Second, a permanent implant. The implant delivers electrical stimulation without having to revisit the doctor. It is an outpatient procedure. The implant is surgically placed under the skin in the upper buttock or abdomen. It stimulates the sacral nerve using electric pulses.

Contact Dr. Gordon C. Gunn, M.D., a specialist in female urology. Don’t continue to suffer with overactive bladder. Call his office today for an appointment 714-912-2211 or visit his website at www.gordongunnmd.com.

Dr. Gordon Gunn also proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut and surrounding areas.

Urinary Incontinence in Women | Fullerton, CA

iStock_000000705315MediumFor a conservatively estimated 10 million Americans (85% of whom are women), incontinence of urine is socially embarrassing, physically limiting, or a significant disability. In fact, after psychiatric and neurological disorders, the uncontrollable or accidental loss of urine is the second most common reason individuals are placed in nursing home facilities. The true number of non-institutionalized women who have quietly altered their lives because of accidental loss of urine is actually unknown because they are reluctant to discuss their disability. Women are frequently embarrassed and hesitant to admit their problem to their family, friends or even to their personal physician. Among women, between ages of 45-64, 40% are estimated to have experienced incontinence of urine. Women often perceive that their problem is a normal result of bearing children and getting older, and therefore just cope with it. However, they also limit exercising, dancing, traveling and other activities, which would otherwise require them to be away from nearby toilet facilities. They frequently will change the style of clothes they wear to avoid embarrassment. I want my patients to know that urinary incontinence is a symptom of a condition, which is not normal and usually can be successfully treated to restore normal bladder function.

The U.S. Department of Health and Human Services estimates the annual direct cost of care for persons with urinary incontinence to exceed $10 Billion, 70% of which is spent for persons who are not in nursing home facilities. Over one-third of the female sanitary pad market is for coping with incontinence of urine and not menstruation. Product advertising frequently focuses on coping or hiding the problem rather than education and treatment. Regardless of the cause of urinary incontinence, this problem can be cured or significantly improved in most cases.

In women, the most common type of urinary incontinence is called urinary stress incontinence or USI. USI occurs when there is a sudden increase in abdominal pressure during certain activities such as laughing, coughing, sneezing, running, bending, lifting, etc. The primary cause of the problem is a weakness of the pelvic tissues (called prolapse), which normally supports the bladder (called cystocele) and its sphincter. The amount of urine loss with each episode of stress, varies with the degree of weakness, the volume of urine in the bladder, and the intensity of the abdominal pressure. The correction of USI is usually surgical restoration of the prolapse supporting pelvic tissues to a normal position so the bladder sphincter mechanism can function properly.

Another type of urinary incontinence is urge incontinence, in which women perceive the urgent need to urinate, rush to the bathroom, and fail to get there in time. The amount of urine loss can vary with the cause of the urge, the volume of urine in the bladder, and the strength of the pelvic tissue. Urgency and urge incontinence are often associated with frequent urination (called frequency) and getting up at night to urinate (called nocturia). Women who regularly experience urgency and frequency, with or without nocturia, have what is called urinary urgency syndrome, with or without incontinence.

The causes of urinary urgency syndrome can be both physical and non-physical. The most common physical cause is infection of the bladder (cystitis) and/or urethra (urethritis), and it is corrected with treatment of the infection. There are other causes such as chronic inflammation of the bladder, polyps or tumors and certain medications. When no physical cause can be found after a complete medical evaluation, the cause is usually a result of a learned habit. Treatment may include medications, bladder retraining programs and pelvic floor muscle exercises (Kegel Exercises).

Mixed urinary incontinence is a combination of both stress and urge incontinence. Often a woman experiencing USI “learns” that if she empties her bladder more frequently, she will be less likely to leak as much urine. Unfortunately, over time the awareness of having a “full bladder” occurs with an ever-decreasing capacity of urine, and she will urinate at more frequent intervals. When the stress component of her incontinence is surgically corrected, she can then retrain her bladder so she will choose when to go to the bathroom. In postmenopausal women, Estrogen replacement therapy will improve the elasticity of the vagina, bladder and urethral tissues, and improve both stress and urgency symptoms.

There are other less common, but important types of urinary incontinence:

Overflow incontinence is a frequent spilling of small amount of urine when the bladder is over-distended, and can occur with certain medications, after pelvic surgery or trauma.

Reflex incontinence is the loss of urine when the person is completely unaware of the need to urinate, such as while sleeping or washing their hands. This type of incontinence may indicate an underlying neurological disorder.

The first step in correcting urinary incontinence is sharing the problem with your physician. Before your visit, you will be given a “Patient History for Urinary Function”. This form should be completed prior to your office consultation. You may also be given a two-day “Voiding Diary” to record the amount of liquids you drink and the number of times and amount you urinate during the day and night. You will also list the circumstances under which you regularly experience urinary urgency or incontinence. After your patient history, physical examination and voiding diary is completed and reviewed, simple office tests are performed which will further identify the primary cause of your incontinence. Once the cause (or causes) is determined, the proper treatment and alternative will be recommended and explained.

Treatment begins with having a thorough understanding of normal urinary function, the cause of your urinary problem, and your treatment alternatives. Successful treatment is a patient-physician team mission, and is an achievable goal.

Contact Dr. Gordon Gunn today at (714) 912-2211 to schedule an appointment.

Dr. Gordon Gunn also proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut, and surrounding areas.

 

Timed Voiding Bladder Program | Overactive Bladder | Fullerton, CA

iStock_000005142700SmallThis is an important part of your bladder-retraining program. When followed consistently you will have significantly improved control over your urgency symptoms, including any urge incontinence. This program started when you monitored the amount and the type of fluids you consumed each day in your Voiding Diary. A normal fluid intake is between 1500-2000 cc (50-70 oz.) per day, which should produce 1200-1500 cc (40-50 oz.) of urine output. The normal bladder capacity before you feel any sensation of urge is about 300 cc (10 oz.). Normal voiding volumes are 210-300 cc (7-10 oz.) with the first morning voiding usually being the largest at 400-500 cc. Your Voiding Diary record will have indicated if any modification is required in the volume or type of fluids you drink.

Your goal with the Timed Voiding Program is to increase your bladder’s capacity and prolong the time interval between urinating up to a minimum of three or more hours. The initial time interval between urinating will be determined by the frequency of urination as recorded in your Voiding Diary.

Attached is a “Voiding Chart for Bladder Retraining” on which you will chart your daily progress for the first week. [Please make five additional blank copies of the Voiding Chart to insure you have a total of six weekly charts.] The Chart is a daily record of your Scheduled (predetermined voiding interval), Unscheduled (when you are unable to suppress the urge without the risk of accidentally urinating), and accidental.

Follow the instructions on the chart as indicated: (incontinence) urinating episodes.

  • Fill in the following on each sheet: Your Name, Date, and Voiding Interval (Hrs.) at the beginning of each
  • Fill in the time for any of the types of urinating (Scheduled, Unscheduled, or Accidental) and place a check mark in one of the three columns:
  • Dark Gray Column: Urinating at the Scheduled Time.
  • Light Gray Column: Urinating at any Unscheduled Time. (when you cannot suppress the urge)
  • White Column: If you Accidentally urinate (incontinence incident), place a checkmark at the time it occurred and add a “D” for Damp or “W” for Wet beside the check mark to indicate the relative amount of urine loss.

Keep your Chart nearby along with a pencil and a clock or timer. Most importantly, maintain your determination to stay with this six-week program.

For more information on overactive bladder or any bladder or bowel incontinence problems you may have, Contact Dr. Gordon Gunn today at (714) 912-2211 to schedule an appointment.

Dr. Gordon Gunn also proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut, and surrounding areas.