The Bladder & Urethra

The Bladder

The bladder is a hollow, muscular organ that acts rather like a balloon in that it expands to collect and store urine. Urine is made up of water and waste products the body. It is produced in the kidneys and travels down to the bladder via tubes called ureters. When the bladder is full enough, or you feel the need to pass urine, the urine travels out of the bladder, and subsequently the body, via another tube called the urethra.

 

The Urethra

The urethra is the tube which connects the bladder with the outside of the body. The urethra allows urine to pass to the outside and, in men, allows passage of semen as well. The external urethral sphincter is a striated muscle which allows voluntary control over voiding (emptying the bladder).

In the female, the urethra is 3-5cm long. The urethral opening is just above the vaginal opening. In the male, the urethra is approximately 20cm long and opens at the end of the penis. Common Conditions Affecting Bladder and Urethra.

 

Urinary Incontinence in Men

A relatively common problem. One of the commonest causes of urinary incontinence in men is prostate cancer surgery and radiotherapy, as these treatment modalities can damage the muscle of the urethral sphincter leading to the development of stress urinary incontinence.

Men can also suffer from urge urinary incontinence. People with this condition complain of frequent urges to go to the toilet which can be very debilitating. In most cases it is due to bengin enlargement of the prostate, resulting in obstruction to the urethra (the water-pipe) and also causing problems with voiding and bladder emptying.

The After-dribble a common condition that affects men at any age, where few drops of urine leak after urinating, typically as the penis is replaced in pants then trousers get wet and stained. The urethra is not being emptied completely and few drops of urine pools in the urethra. The best way to deal with this common problem is by getting rid of these last few drops of urine with the fingers before the final shake!

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Urinary Incontinence in Women

By definition, urinary incontinence is the involuntary leakage of urine, a very common problem that affects women twice as often as men. Although it is more common in older women, it’s not part of aging. Indeed, women of all ages are at risk for urinary incontinence, from athletes, women in child-bearing age, to women experiencing menopause and older.

A spectrum of complications associated with urinary incontinence; urinary tract infections, skin rashes and skin infection as a result of a continuously wet skin, and an impact on quality of life; can limit your social activities, or travelling needing to look out for toilets en-route, the inconvenience of pads, also work becomes more stressful because you’re frequently away from your desk or from meetings. Incontinence may affect your sleep thus you become tired and irritable. It also affects your personal life and even sexual relationship as you avoid intimacy because of the possible embarrassment from urine leakage.

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The Overactive Bladder

Botulinum Toxin “BOTOX” Injection for Misbehaving Bladder

Botulinum toxin is used in patients with overactive bladder problems, who have failed to get satisfactory response from standard medical therapies (e.g. anticholinergic drugs). Prior to considering suitability for Botulinum Toxin injection therapy you will undergo urodynamic test first this is to ascertain the bladder condition and aid in counselling for the therapeurtic procedure.

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Bladder Cancer

Information Coming Soon

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Urethral Stricture Disease

Information Coming Soon

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