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Some Treatment options for those suffering from Incontinence

New Incontinence Drug May Improve Sleep Quality

sleep-quality

In recent news, researchers at the University of California-San Francisco discovered a new drug that could inhibit the occurrence of urinary incontinence in women while greatly improving their quality of sleep. Those who suffer from urinary incontinence understand that this is an affliction that ceases to subside, no matter the time of day. Even in the deepest of sleep, episodes of incontinence can occur. Due to this, maintaining a regimented sleep cycle proves to be very difficult. Now, with the discovery of the new drug, fesoterodine, women who have incontinence will be able to rest easy at night knowing that their incontinence is being treated.

Putting Incontinence to Rest

Incontinence is a very common issue for women; especially those who have suffered frequent bladder infections, have given birth, are menopausal, or have a weakened bladder due to old age.

Due to its uncontrollable nature, many women’s sleep patterns are disrupted and their quality of life is greatly reduced. Leslee Subak, MD, professor and chair of obstetrics and gynecology states, “Two of the biggest quality-of-life factors for older women are poor sleep quality and incontinence, and the older you get, the more prevalent both conditions are, and they do seem to be correlated. And so, if we can find a drug to treat one and effectively decrease the other, too, that could be big for improving quality of life.” Luckily, with the determination from scientists and doctors from UCSF, that treatment has been made possible.

Back in 2012, researchers at the University of California-San Francisco conducted a study that looked into the effects a certain drug had on reducing the episodes of incontinence. Since incontinence is 5-10 times more common in women than men, researchers decided to revolve the study around women with incontinence. In their research, they discovered that the drug, fesoterodine, decreased the number of incontinence accidents while reducing the number of time participants woke up in the middle of the night to urinate. Fesoterodine is an antimuscarinic which helps to control accidental urination by blocking the receptors in the bladder.

Killing Two Birds With One Stone

Since fesoterodine proved to be efficient in preventing incidences of incontinence, researchers wanted to take it a step further and determine if it had beneficial effects for sleeping. To produce accurate results, researchers had their participants take part in a sleep evaluation, first–the Pittsburgh Sleep Quality Index. The Pittsburgh Sleep Quality Index is a self-reported evaluation that measures sleep duration, daytime sleepiness, the amount of time it takes for an individual to fall asleep at night, as well as 4 other sleep factors. Each category is scaled from 0 to 3 and totaled together at the end. Typically, the higher the score, the poorer the sleep quality–ranging from a score of 5 or more. In their study, they found that 57% of their participants recorded poor sleeping habits with an average score of 6.4. However, the women who were taking fesoterodine each night reported that slept much more soundly; only waking up to urinate once per night, if at all.

Since incontinence affects 25% of women who are in their 20’s and 30’s, 50% of women who are menopausal, and 80% of women who are 80 and up, the newly discovered medicinal effects fesoterodine has on sleep patterns and incontinence is truly groundbreaking. Not only will this new course of treatment help to soothe incontinence in women while bettering their sleep patterns, it will greatly increase their overall quality of life.  

Is The O-Shot Effective Against Incontinence?

Urinary incontinence transpires when a person’s urinary sphincter grows weak and in turn, leads to involuntary, and unexpected leakage of urine on a daily basis. This is a problem that affects many people but occurs most frequently in women of all ages. Though incontinence is highly prevalent in the elderly, it can also affect women who have experienced pregnancy, menopause, and other related medical conditions.

According to the American Congress of Obstetricians and Gynecologists, 25% of premenopausal women, 50% of middle-aged women or postmenopausal women, and 75% of elderly women suffer from incontinence. With such a high percentage of women suffering from incontinence, researchers have estimated that nearly $19.5 billion has been spent on a plethora of treatments, including surgery, in the effort to reduce the symptoms.

Just recently, a new treatment for stress incontinence was discovered and doctors are calling it the O-Shot. This new treatment has peaked the interest in many women who are plagued by incontinence and are in search for any means necessary to end their involuntary leaks.  

How the O-Shot Works

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The O-Shot is an injection that is made from platelet-rich plasma that is directly taken from the patient’s blood and spun together. Due to its properties and yellow hue, doctors are calling the plasma, ‘liquid gold’. A doctor starts by drawing blood from the patient’s arm and place it in a centrifuge. After time, the centrifuge separates the red blood cells from the plasma.

Dr. Beverly Mikes explains that the plasma produced is rich with growth factors that promote cells to increase their production of elastin–a protein found in the dermis of the skin–collagen, and vasculature and nerves (Source). The plasma then helps to regenerate and stimulate new tissue which in turn, treats stress incontinence.

Once this process is completed, the doctor administers a topical numbing cream followed by an injection of a local anesthetic and injects four cc’s of the liquid gold into the vaginal wall and the remaining 1 cc into the clitoris. Women who have received this treatment must keep in mind that results are not immediate and any signs of noticeable improvement may take a while.

A data bank maintained by the O-Shot’s founder Dr. Charles Runels has shown that there is a 65% success rate within three months of the injection. If there are still no signs of improvement within the three months, doctors recommend that the patient receive a second shot. The data bank notes an 85% success rate for those who were administered a second shot.

For women who have experienced reduced incontinence symptoms in the O-Shot treatment, it is recommended to receive yearly injections. Currently, a single treatment of the O-Shot is priced at $1,500 and is not covered by insurance. 

 

Not Enough Research

Like any experimental branch of medicine that has been newly discovered, questions and controversy have followed the development of the O-Shot.

As eager as many women are to try out this new treatment, the lack of peer-reviewed scientific evidence is leaving many questioning its effectiveness and its level of risk. Unfortunately, due to the insufficient scientific data, the American Congress of Obstetricians and Gynecologists have yet to include the O-Shot treatment in its Practice Bulletin for Urinary Incontinence in Women. Obstetricians and Gynecologists are advising their patients to heed caution to the O-Shot due to the placebo effect. Many women who suffer from urinary incontinence are very embarrassed to admit that they have this problem–even though it is more common than most believe it to be. Because of this, there is a heightened chance of the placebo effect occurring. Sometimes, all it takes is one woman’s positive testimony of the procedure to convince the rest that the treatment will work just as well for them. Hopefully, as time passes and more research is conducted, obstetricians and gynecologists can officially deem the O-Shot as an effective treatment for urinary incontinence.

There Are Many Ways To Manage Incontinence

Until more research is done, doctors recommend that patients practice pelvic muscle training to make your bladder and pelvic muscles strong enough to stop an unexpected leakage. Surgery, medication, and behavior therapy are recommended to those with extreme and debilitating cases of incontinence.

For extra protection from incontinence, we at Wearever have the all the supplies you need. Our incontinence underwear for men and incontinence panties are discrete, durable, fashionable, economically priced, and can go right in the wash after each use. For overnight protection, Wearever has a selection of washable bed pads to choose from that are long-lasting and will keep your bed dry. Wearever has you covered from those unexpected leaks.  

The Effective Ways Seniors Can Treat Incontinence Issues

incontinence-treatment-for-seniors

There’s no shame in experiencing incontinence; it can happen to anyone. From the bubbly teenager who drank a little too much water, to the mom who had her first baby, to the elderly man whose bladder isn’t as strong as it used to be, incontinence isn’t as uncommon as you may think. 

If incontinence is a personal a struggle for you, there are plenty of treatment methods to consider

What to do First?

The best course of action would be to see a doctor. By making an appointment with your doctor, they will be able to determine if the incontinence that you are experiencing is stress incontinence, if you leak unexpectedly, or urge incontinence. Once the distinction is made, you can be set up on a proper treatment plan.

Find a Treatment Plan That Works For You

Depending on the severity of incontinence, you can choose from non-drug therapies and standard medications.

Some non-drug therapies include Kegel exercises, and bladder training–keeping a log of urination and accidents while increasing the time between using the bathroom.

Studies also show that cutting back on drinking alcoholic and caffeinated beverages can help lower incontinence rates. It may also help to get a sufficient amount of fiber in your daily diet and try to maintain a healthy diet (Source). For women with stress incontinence, a pessary can prove to be very helpful. A pessary devices shaped as a ring that you can insert to lift and support your bladder

Incontinence Medications

There are many medications that are approved for incontinence, mostly urge incontinence. With the guidance of your doctor, you can be prescribed Myrbetriq, Ditropan XL or its generic brand, Vesicare, and Detrol or the generic version as well (Source). Though these medications were specifically created for incontinence, they are not for everyone as there are many common side effects (constipation, drowsiness, dry mouth, blurry vision and dizziness).

Many of these side effects have led to patients discontinuing the use of them. If these medications aren’t for you, you also have the option to get Botox injected into your bladder to help tighten the muscles, but please advise your doctor first before making any decisions.

Natural Incontinence Remedies

For more natural remedies, try taking magnesium supplements or Vitamin D.

  • Magnesium is a mineral known for its assistance with nerve and muscle function. A small study revealed that more than half of the women who took magnesium hydroxide pills twice a day had improvements with their incontinence problems.
  • Vitamin D has also proved to be a useful supplement for incontinence. Another study showed that women between the ages of 20 and older who had normal vitamin D levels were less likely to have an incontinence disorder

Electrical Stimulation To Treat Incontinence

Electrical stimulation is another treatment for incontinence patients. During this process, mild electric shocks are directed into the lower back or the pelvic area. This stimulation can strengthen the muscles that are involved in urination. Electrical stimulation has proven to be helpful for both urge and stress incontinence (Source).

Incontinence Supplies “Wearever” You Need Them

While you are searching for the perfect treatment that will help with your incontinence, we have you covered. At Wearever, we supply quality incontinence products for both men and women. Our incontinence briefs and incontinence panties that are easily affordable, durable, and discrete. 

Stop worrying about accidents while you sleep and check out our incontinence bed pads as well!

 

 

Botox Is Helping Women With Incontinence

botox-for-incontinence

Female incontinence occurs when muscles around the bladder are weak, which is why doctors recommend that kegel exercises be done to strengthen the base of one’s core in order to have better control of one’s muscles. Another method that has achieved success is neural stimulation – a process by which one’s neural network is stimulated in order to increase the activity around the bladder and kidneys, giving those who suffer from the condition better control of the area.

But a new treatment, botox, may actually be better than neural stimulation. The results found in a study by Dr. Cindy Amundsen of Duke University, published on October 4th, may provide an alternative course of treatment to women suffering from incontinence. The treatment is not without its side effects, however, but its beneficent promises – as well as the findings of the study – are explored in greater detail here.

The Population Studied

The study took place between February 2012 to January 2015. It involved 381 women at 9 medical centers in the United States. These women were recorded to have at least six urgency incontinence episodes over three consecutive days; they were in this study because other lesser treatments (like reducing water and coffee intake, doing kegel exercises, etc.) had not helped. Participants were randomly assigned to receive either sacral neuromodulation or a 200 unit injection of onabotulinumtoxinA (botox). 189 received the former while 192 received the latter. The average age of each participant was 63 years.

The Results

This landmark study served as the first randomized trial comparing the effectiveness of two FDA approved methods for female incontinence; the first being nerve stimulation – which must be done with surgery, and the second being botox – which is less invasive and can be done with injections.

“What we have learned from the study is the treatments are both good and it will just help inform physicians and patients who are trying to make a decision between these two therapies,” Amundsen said in an interview with NBC. Both treatments proved to be statistically significant and both helped women overcome the symptoms associated with urinary incontinence.

Female incontinence, which affects between 25 to 45 percent of all women is one of the most common conditions worldwide. However, the embarrassment caused by this issue leads many women to under report their symptoms and conditions to their doctor. Interestingly, the National Institute of Diabetes and Digestive Kidney Diseases, which is part of the National Institute of Health, remarked that women experience urinary incontinence twice as often as men (Source). The reasons are many, including pregnancy, childbirth, menopause, as well as the anatomical layout of a woman’s female urinary tract.

A DIfferent Kind Of Botox Treatment

So what does this mean for women that may want to get botox? How does the treatment work exactly – does one go in for a face, chin and neck touch-up and come out of the doctor’s office with lessened urinary incontinence urges? Not exactly.

Side Effects

Dr. Amundsen explains that the botox treatment is not superior to the nerve stimulator, otherwise known as InterStim, rather the two methods both provide beneficent effects and come with their own side effects. It will be up to the individual and their doctor to choose which treatment is right for them.
Although botox appeared to work slightly better than the InterStim, women given botox had a greater risk of urinary tract infections. Botox did increase the risk of UTIs and need for self catheterizations. Botox patients had a risk of UTI of 35 percent, compared to 11 percent when compared to the InterStim.

Cost

Readers may be wondering as to the cost of these two procedures, however, the study didn’t compare the cost of the treatments. Luckily they are both covered by insurance, including Medicare.

For a low cost solution that is less invasive, women should consider incontinence panties. Incontinence panties, unlike disposables last up to 200 washes. Alternating between two pairs can keep you dry for a year – without having to look bulky in adult underwear or diapers.

Conclusion

For women that desire less intrusive incontinence solutions, we recommend opting for our incontinence panties and incontinence bed pads. The researchers of the Duke University study will need to follow their 381 participants for two more years in order to obtain exact data on which solution is most cost effective, however, we here at Wearever already have the data in! If you’re looking for ways to manage your urinary incontinence, you can’t find a lower-prices product than Wearever brand incontinence underwear.

 

At Home Remedies For Urinary Incontinence

Urinary incontinence can occur in three forms (stress, urge, and overflow) and affects more than 13 million Americans each year. While often time incontinence is more common in older individuals, urinary leakage can affect male and female adults of any age. Being a symptom of an underlying issue or medical condition, it is important to consult with your physician to find the best solution for you. However, there are some home remedies that can minimize or prevent leakage: Continue reading