Urinary Incontinence: How Your Doctor Can Help

" Hello everyone and welcome to our -- I natal town when people are having the symptoms of urinary incontinence are often too embarrassed to talk about it eagle with their doctors. Letting -- isn't something you have to let black. And a simple doctor's -- can make a big difference joining me to discuss the importance of diagnosing incontinence and how it doesn't. Our doctor David -- and clinical professor of urology at Weill Cornell medical college. And doctor Jonathan -- clinical associate professor of neurology and director of Barrow neurology at Mount Sinai School now to an element to being on the programs for a while having threatened bladder problems should be a very. Embarrassing topic to talk about but what is your recommendation doctor that -- on getting these -- come out with --"

" And patients need to realize that it is not a normal part of region and that might affect their family members story and Stanley physician have told them that it's okay that's really not and they do need to seek help. Can you describe a little more common symptoms. Well one of the problems missions might have to feel -- act of -- symptom complex which is urgency. Frequency and perhaps not at night. Another title incontinence could be stress incontinence one pension -- call for news and either one or both of them and we need someone to come into the."

" Lost her eight doctor -- what technically. At a patient do an advance of president set out to talk about the leadership I think it's really important tradition to realize -- symptoms are no words."

" think about. What's bothering in the know that when we need a doctor. That they can be able to articulate as well so where does it is complaining of urinary urgent in -- a sudden urge to go."

" Whether or not can make a toilet or not but that's serious let's get a symptom and can be treated. And everything that's very successful were they helpful. Is to continue to -- dire."

" We just 24 hour chart."

" How often because of the room perhaps even to write down -- or urinate at that time and what type -- and answer period in other words of god and urge to go and time but whether or not got in the middle of the night to in order to your. -- from patients adjust your behavior because they have Anderson there's no question about that in fact there -- some patients who. In Mac -- are they confined workload is on the way to work at something and you know."

" Twenty toilet on the way to work and -- one of them use them. Before they get to work now obviously that's an extreme case but."

" Here's a question of patients to figured out ways to cope with the behavior other ways -- that they've been able to figure out to decrease their. And -- drinking. To stop exercising. And I think it's one of the worst things as it's simply just used. Hazard diapers and or absorbent products to -- the problem and probably be treated easily a lot of circumstances."

" Now gentlemen that losing your specialists in the field at what. About a primary care physician what does the patient each conveyed to that doctor to alert them that this is overactive bladder talked about."

" Yeah I think just a patient titles in his position. Is that here it has turned it into also there's a sense of urgency. -- here is earning more than eight times today. Primary care and -- position should identified as being possibly in a practical."

" think also on the same terms it would be important for the doctor. To investigate. The patients. Complaint -- sleep that night that might lead to the next question why are you getting up all night and that might and that they're getting open at night in order to -- Thinking what happened during the day that is I'm not productive at work. And anything so that might -- the -- or should alert doctor. Next -- and with a lot and it would not be in reasonable reveals -- Blatter to cause all I can occur once you've heard what you need to know extradite."

" condition what sort of treatment. I'm like to recommend Paula after taking a good history obviously physical exam will be and that. And physical exam and maybe get some sleep through it or maybe a director of physical and depending on what type of position. And I don't want -- history and physical -- done usually wheelchair you're now to make sure there's -- and rolled out diabetes or urinary tract infections. At what point and we can make a diagonal or are -- the tentative diagnosis and just some potential treatment. -- what are on the other tests you like him."

" But sometimes -- Depending on who sees -- things come to see your role which is. Common went on what has overactive bladder. They might undergo a test called --"

" Simply looking -- I think Blatter it's not an uncomfortable. And it's very similar to having publicly and for one."

" Another test that they might undergo is a technical aerodynamics. And plea at least -- Blatter -- fluid. And try to reproduce the same symptoms and -- and has -- trying to understand them and then treat it. That depending on what causing those particular and."

" the tests are very -- how long might -- need to stay at the doctor's office received. Well it's certainly possible that a patient could be there for a couple of hours of assuming that hasn't been waiting a couple of hours to begin with. But in general I think most patients on the person visit. Should really. Under coach in history physical exam and I think those other types of gospel generally wait until hunter and after the first does that put each of those has literally will only take between twenty minute and forty minutes plus turnover and."

" Actor -- diagnose it made what Internet dot."

" Well when tiger is made it I think that would be important to discuss treatment options and I think it's important for -- to understand. But there's a myriad of treatment options available to. The first thought usually that one would think about would be medical therapy there once they formulate a natural. We can oftentimes is simple and effective way of treating overactive bladder symptoms. Sometimes we might as an addition to medical therapy a behavioral training program where we can simply the -- to stop being -- Finally there are in surgical -- and of course those are things that we try to -- as last resort when simple -- such as medical therapy."

" And conservative other early treatment is behavioral treatment aren't effective and infant daughter Polly. Pocket aspect actually -- think you very much from you for information. And thank you watch hair wet cat unable down."