Bladder Disorders

 

Interstitial cystitis

Also called Painful Bladder Syndrome (PBS) is a chronic condition in which you experience bladder pressure, bladder pain and sometimes pelvic pain, ranging from mild discomfort to severe pain. Along with this pain you can experience lower urinary tract symptoms which have lasted for more than 6 weeks, without having an infection or other clear causes. Signs and symptoms may include urinary urgency, frequency, or retention; dyspareunia; pain in the back, suprapubic area, and/or abdomen; nocturia (nighttime urinary frequency); and pain before, during, or after urination.

 

Urinary Incontinence

Urge Incontinence: You have a sudden, intense urge to urinate followed by an involuntary loss of urine. You may need to urinate often, including throughout the night.

Stress Incontinence: Urine leaks when you exert pressure on your bladder by coughing, sneezing, laughing, exercising or lifting something heavy.

Mixed Incontinence: You experience more than one type of urinary incontinence.

Frequency: need to urinate many times during the day, at night (nocturia), or both but in normal or less-than-normal volumes. Frequency may be accompanied by a sensation of an urgent need to void

Retention: Urinary retention is the inability to empty the bladder completely. Urinary retention can be acute or chronic. Acute urinary retention happens suddenly and lasts only a short time. This could be caused by various medical conditions of the prostate, kidneys or urethra. Also, some medications can cause urinary retention. Retention can also be a symptom of pelvic floor dysfunction, when pelvic floor muscles are in spasm or become tightened.

 

Organ Prolapse

rectocele_anatomyCystocele: this is a medical condition that has allowed the bladder to descend into the vaginal area due to weakness of the pelvic floor musculature. This can result in the inability to empty the bladder completely as well as urinary incontinence. In most cases the cause is vaginal births or attempts at vaginal births secondary to straining on the Pelvic floor musculature, although there are other reasons for this to occur.

Rectocele: this is a medical condition that has allowed the posterior ( back) portion of the vaginal wall to collapse into the vagina. It may occur with childbirth, chronic constipation, chronic coughing, heavy lifting, estrogen deficiency and/or obesity. Symptoms may include constipation and/or pelvic pain. Often times women have to splint with their finger vaginally in order to have a bowel movement.

Uterine Prolapse: is a medical condition where the uterus falls into the vagina. Also can be due to weakness of the pelvic floor.

Dysuria: Painful urination (dysuria) is discomfort or burning with urination, usually felt in the tube that carries urine out of your bladder (urethra) or the area surrounding your genitals (perineum).

Nocturia: Frequent urination at nighttime. Can disturb sleep and healing.