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In men, the problem of urinary obstruction is indicated by the following symptoms: poor urinary stream, difficulty starting urination, poor force of urine stream, dribbling, starting and stopping often, and waking to urinate during the night.
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MacDiarmid SA, Peters KM, Shobeiri SA et al: Long-term durability of percutaneous tibial nerve stimulation for the treatment of overactive bladder.
For consistency in this Guideline, the term "AUA-SI" will be used when discussing the tools unless specifically differentiated in a study being cited.
Since the elderly have less participation in drug trials, there is insufficient information on the side effects and adverse reactions of drugs on the elderly.
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However, it is important first to make sure that the bladder symptoms are no due to some other problem such as bladder infection, prostate enlargement, or stress incontinence.
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Because the area is painful in the early postoperative period, women may postpone having a bowel movement, leading to constipation and straining later.
Associated side effects of antimuscarinic agents result from the inhibition of M1, M2, and M3 receptors external to the bladder and urethra.
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Dose response with darifenacin, a novel once-daily M3 selective receptor antagonist for the treatment of overactive bladder: results of a fixed dose study.
Overall, these non-drug treatments are both safer and more effective than medications.
Efficacy was evaluated from micturition diary variables and patients' perception of bladder condition and urgency following 3 and 12 months' treatment.
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Other rare complications comprise testicular ascent and vas deferens injury besides local wound infection, dehiscence, and haematoma.
These are not all the possible side effects of VESIcare.
Rehabilitation (Bril et al, 2011) developed a scientifically sound and clinically relevant evidence-based guideline for the treatment of painful diabetic neuropathy (PDN).
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Benign prostatic enlargement is used when there is gland enlargement and is usually a presumptive diagnosis based on the size of the prostate.
Review of current medications to determine secondary effect on bladder.
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Although stricture may not be the cause of incontinence it may need treatment prior to any further incontinence investigation and management.
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Not every woman engages in sexual activity or becomes pregnant, but this does not negate the need for attention to good pelvic floor health behaviors.
Vandoninck V, van Balken MR, Agro EF et al: Posterior tibial nerve stimulation in the treatment urge incontinence.
Additionally, patients may also include a rating for the degree of each episode.
Patients with severe hydronephrosis and those whose hydronephrosis is sustained or progressive need further evaluation to exclude obstruction.
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Ultrasound grading of hydronephrosis: introduction to the system used by the Society for Fetal Urology.
Traditionally, up to seven micturition episodes during waking hours has been considered normal, but this number is highly variable based upon hours of sleep, fluid intake, comorbid medical conditions and other factors.
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The use of systemic estrogen or combination estrogen therapy in the management of LUTS remains controversial because of evidence suggesting a worsening effect on incontinence.
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Make obesity and lifestyle interventions a priority area for BPH disease.
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Beginning in young healthy women, strengthening the pelvic floor muscles provides support for the bladder and urethra against the forces of increased intraabdominal pressures from activity or exertion; provides increased sensation and control during sexual activity, and prepares the pelvic floor for pregnancy and childbirth.
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Comparison of dutasteride and finasteride for treating benign prostatic hyperplasia: the Enlarged Prostate International Comparator Study (EPICS).
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