Arthritis of The Neck (Cervical Spondylosis)

Osteoarthritis in the neck is the degeneration of joints, vertebrae, and discs in the cervical portion of the spine. With less padding between …Symptoms · Chronic pain and stiffness in the neck that may be worse with upright activity · The sound or feeling of popping in the neck when moving · Involuntary …Cervical spondylosis is also called cervical osteoarthritis. It is a condition involving changes to the bones, discs, and joints of the neck …Neck osteoarthritis (sometimes referred to as cervical spondylosis) is a condition where the pain in the neck or shoulder usually gets worse as the day goes on …Cervical osteoarthritis involves the breakdown of the cartilage within the neck’s joints, which may occur due to wear-and-tear overtime or maybe accelerated …What are the symptoms of spinal arthritis? · Back and neck pain, especially in the lower back · Stiffness and loss of flexibility in the spine, such as being …Osteoarthritis of the neck, called cervical spondylosis, is also common. This is characterized by arthritic deterioration of the discs and facet joint cartilage …Arthritis also affects the vertebrae in our neck, which get worn down from years of supporting our head. After age 60, more than 85 percent of people have ..Symptoms · a dull or throbbing ache at the base of the skull or the back of the neck · swelling or stiffness in the neck, which may make it …Sometimes, cervical arthritis narrows the space where nerve roots exit the spine, pinching the nerve. You can feel this as a radiating pain …

Arthritis of The Neck

Neck pain is common but it’s not usually a sign of arthritis or a medical condition. Learn about the causes, exercises, treatment, and how the neck is …It is a sign that the joints, muscles, or other parts of the neck are injured, strained or not working properly. Neck pain is very common, with about one in 10 …Cervical spondylosis is a general term for age-related wear and tear affecting the spinal disks in your neck. As the disks dehydrate and shrink, …Natural wear and tear of the cervical spine causing arthritis of the neck. As you age, the discs that serve as cushions between vertebrae begin to bulge, shrink …Symptoms of arthritis in the neck can range from being mild to very severe. The most common symptom is neck pain, which may spread through the base of the neck …Neck osteoarthritis (also known as neck arthritis, cervical arthritis, and cervical spondylosis) is exactly what it sounds like—degeneration of the joints, … Cervical Spondylosis (Arthritis of the Neck). Anatomy. The spinal column is made up of small bones (vertebrae) stacked on top of one another.

Joints Commonly Affected by Arthritis

The joints feel hot, swollen, and painful, especially when moving: Typical signs of joint inflammation or arthritis. In any case, joint inflammation should be treated as early as possible to avoid complications. The sooner arthritis is treated, the better the chances of protecting the affected joints from lasting damage.

Arthritis is what doctors call inflammation of the joints. In contrast, there is osteoarthritis, which is an aging or wear-related (degenerative) change in joints. Joint inflammation or arthritis can have different causes. Doctors differentiate between bacterial (purulent) and non-bacterial (non-infectious) inflammation of the joints. The most common form of non-infectious joint inflammation is rheumatoid arthritis.

If only one joint (for example, hip or knee joint) is inflamed, doctors speak of monoarthritis, if fewer than five joints (for example wrists and elbows or knees, ankles and ankles) are called oligoarthritis. An inflammation of several joints (for example finger or toe joints) is called polyarthritis.

Joints Commonly Affected by Arthritis:

    • Knee joint (gonarthritis)
    • Hip joint (coxarthritis)
    • Shoulder joint (omarthritis)
    • Wrists and fingers (often called rheumatoid arthritis).

However, all other joints can also be affected by arthritis.

In arthritis, the affected joint is almost always overheated, reddened, and painfully swollen. The pain usually increases when the inflamed joint is put under pressure. The mobility of the joint is often limited. Sometimes a joint effusion (especially on the knee and elbow joints) can be felt. Sometimes those affected feel sick, tired, weak, and have no appetite. Joint inflammation is often accompanied by fever. Joint inflammation is also not uncommon in children. They stand out due to their pronounced reluctance to play and want to be worn permanently.

Doctors divide arthritis into bacterial (purulent) and non-bacterial (non-infectious) arthritis according to its cause.

Causes of Bacterial Arthritis

In bacterial or purulent arthritis, staphylococci and streptococci, more rarely E. coli, gonococci, Haemophilus influenza, or Shigella are usually the cause of joint inflammation. These germs get to the joint in three main ways:

    • via the blood (hematogenous), as a result of other diseases: for example gonorrhea (gonorrhea), inflammation of the inner lining of the heart (endocarditis), or drug addiction
    • from outside through injuries or (unsterile) injections, punctures, or operations on the joint
    • Spread from the neighborhood, usually as a result of an inflammation of the bone (such as osteomyelitis) invading the joint or as a result of a bacterial soft tissue infection of the tissues surrounding the joint.
    • Joints Commonly Affected By Arthritis

Causes of Non-Bacterial Arthritis

Non-bacterial arthritis can be caused by fungi (such as Candida species) or it can occur together with other non-infectious diseases (such as psoriasis or gout). However, non-bacterial joint inflammations of the rheumatic type (rheumatism) are more common. This includes above all rheumatoid arthritis (chronic polyarthritis).

Arthritis is suspected by the doctor based on the symptoms and after examining the affected joint. To confirm the diagnosis, blood tests and imaging procedures such as sonography, X-rays, or magnetic resonance imaging (MRI) follow. If bacterial joint inflammation is suspected, the joint should be punctured and synovial fluid examined.


In bacterial (purulent) arthritis, the joint is usually opened surgically and treated surgically. In the case of large joints, arthroscopy is performed. During this procedure, inflamed joint material is removed, sometimes together with the synovial membrane. Then the inflamed joint is rinsed and cleaned.

According to the current state of research, regular rinsing by arthroscopy with an antibiotic solution every two days is the method of choice. At the same time, the patients receive antibiotics (especially cephalosporins and penicillin), initially via an infusion, later as tablets or juice to take by mouth.

Pain is usually treated with non-steroidal anti-inflammatory drugs such as diclofenac, ibuprofen, indomethacin, or naproxen. Sometimes anti-inflammatory cortisone preparations are also used.

Discussion about arthroscopy of the knee joint

Knee endoscopies have hit the headlines again and again in the recent past. And there are probably justified doubts as to whether all of the 100,000 or more knee arthroscopies actually make sense. However, this does not apply to the diagnosis of arthritis. If fluid has accumulated in the knee joint, it must be removed in most cases. In the case of knee joint pain due to wear-related, non-inflammatory osteoarthritis, however, in many cases, the knee-joint endoscopy is of little use.

Self-Help With Arthritis

Inflamed joints should not be excessively stressed. Avoid extreme sports that put stress on the joints such as weightlifting, hand, and soccer or tennis. Instead, joint-friendly sports such as swimming, aqua aerobics, or walking, as well as regular walks, are recommended.

The amino sugar glucosamine is an important component of human joint cartilage and synovial fluid. Dietary supplements with chondroitin or glucosamine as well as drugs with the active ingredients of green-lipped mussels or hyaluronic acid can support the healing process in arthritis.


    • Make sure you have normal body weight. Being overweight can put a painful strain on the joints and should therefore be avoided or reduced.
    • Proper nutrition is also important. It should be varied and rich in vitamins. Above all, the adequate supply of vitamins B and E (especially in yeast, milk and milk products, fish, offal, fruit, and vegetables) is important to prevent joint problems.

Try to avoid stress. It is helpful to learn relaxation techniques such as autogenic training, yoga, or Qi Gong. You can get tips and information from your health insurance company or adult education center.

Bearberry Leaves (Arctostaphylus Uva-Ursi)

Teas made from bearberry leaves (Uvae ursi folium) are widely used in the self-treatment of urinary tract infections. The medicinal plant is used because it inhibits the growth of bacteria and is also supposed to promote urine excretion. In contrast to many other medicinal plants, most medical professionals are convinced of the effects of bearberry.

The Federal Institute for Drugs and Medical Devices (BfArM) lists several so-called positive monographs for bearberry leaves in inflammatory diseases of the urinary tract. In a sense, this means that the authorities have recognized the benefits of the medicinal plant. So far, however, there are no scientifically meaningful studies on effectiveness.

The Stiftung Warentest assesses drugs made from bearberry leaves as “unsuitable” for bladder problems. Above all, the product testers complain that the long-term effects of ingestion have not been adequately investigated.

Medicinal plant bearberry (Arctostaphylos uva-ursi) in brief

    • inhibits the growth of bacteria, viruses, and fungi, slightly dehydrating
    • Do not use for more than 7 days and more than 5 times a year
    • Evidence of liver-damaging effects and possibly carcinogenic
    • Not suitable for pregnant women, breastfeeding women, and children under 12
    • some products contain alcohol
    • Area of ​​application: Treatment of infections of the lower urinary tract when the use of antibiotics does not appear necessary.

Bearberry Leaves

Critical Ingredients Could Damage The Liver And Genome

Bearberry leaves contain arbutin and methyl arbutin, among others. These are substances that are converted into hydroquinone in the body (especially in the liver). This hydroquinone is suspected of damaging the liver with long-term use. There is also evidence that hydroquinone could damage the genetic makeup.

This critical effect of the bearberry leaves also explains an effect on inflammation of the urinary tract. The hydroquinone gets into the urine through the kidneys. And there – according to the concept of pharmacy – it inhibits the growth of bacteria and fungi. In any case, it has been shown in the test tube that hydroquinone can kill pathogens typical of urinary tract infections. These include E.coli bacteria, Enterobacter, Pseudomonas, Proteus, and Klebsiella as well as Staphylococcus species.

Other ingredients

Tannins from the medicinal plant support the antibacterial effect of bearberry leaves. Tannins help the surface of the fabric to contract. This means that pathogens are less able to establish themselves there.

There is no explicit explanation for the weak diuretic effect of bearberry.

Apply bearberry leaves

In principle, bearberry leaves are considered an easy-to-use medicinal plant. However, the knowledge about possible liver damage and carcinogenic properties does not allow an unreserved recommendation.

Basically, you should not use bearberry leaves – whether as a tea or medical product – for more than 7 days and not more than 5 times a year. The maximum daily dose is 12 g of dried bearberry leaves. Most manufacturers point this out in the package inserts.

Watch out for alkaline urine

Bearberry leaves are most effective in an alkaline environment. Therefore the urine should be alkaline. You can do this by consuming mainly plant-based foods and avoiding protein-rich foods. When using bearberry, you should avoid foods that acidify the urine. This particularly includes meat and fish as well as legumes.

Do not take bearberry leaves with medicines that cause acidic urine. This can reduce or even cancel the germicidal effect of the bearberry. Urinary acidifying drugs often contain the active ingredient methionine. Methionine is given, among other things, to prevent the formation of new kidney stones or to strengthen antibiotics, which work best in acidic urine.

Side Effects

Many people are sensitive to tannins. Constipation, stomach pain, or nausea are possible side effects of taking it. If you have bloody urine and you have to urge yourself to urinate, stop using bearberry leaves and consult a doctor. These symptoms suggest an overdose. In naturopathy, bearberry leaves are also used as a means of labor. As a precaution, pregnant and breastfeeding women should not use medicinal plants. This also applies to children under the age of 12. Ingredients in bearberry may be able to impair the formation of the skin pigment melanin. Therefore, you should avoid extensive sunbathing and solarium visits while taking the leaves.

Interactions With Alcohol

Some bearberry leaf products contain alcohol. This makes these products unsuitable for alcoholics and those with liver problems. It is also forbidden to take it if you are taking other medications at the same time. Alcohol can change the way a number of drugs work in unpredictable ways. Such drugs are for example

Process Bearberry Leaves Yourself

The bearberry is one of the heather family and is also widespread in Central Europe. However, it has now become so rare that it was placed under protection years ago. Collecting bearberry leaves is therefore prohibited in Europe. But you can grow the medicinal plant in the garden.

Bearberry leaves should be dried quickly after harvesting. If the fresh leaves are stored for too long, the phenol glycoside arbutin, from which the active substance hydroquinone is formed in the body, is lost.

Bearberry Leaf Tea Recipe

Bring 1 teaspoon of bearberry leaves to a boil with 150 ml of water. Then strain through a filter. Many people think the cold approach is more effective. To make this approach, add 1 teaspoon of bearberry leaves to 150 ml of cold water. Then let the infusion steep for about 12 hours in a place protected from light. Then pour through a filter and, if necessary, warm the tea to drinking temperature.

If you use the bearberry leaf tea as part of a so-called flushing therapy against urinary tract infections: Please make sure that you take in at least 2 liters of additional liquid in addition to the tea (3 times a day).

And: irrigation therapies are not suitable for people with weak heart or kidney problems. Signs of these diseases are water retention in the tissue (edema).

How to Check for Prostate Enlargement

To find out whether your prostate gland is enlarged, you’ll need to have a few tests. Some tests will be done by a GP and, if needed, others will be carried …Other tests such as urine flow study, digital rectal exam, prostate-specific antigen (PSA) blood test, cystoscopy, ultrasound, or prostate MRI may be used to …Transrectal ultrasound. An ultrasound uses sound waves to take a picture of your prostate gland. It can show whether it is enlarged or you have …You may be offered a blood test to check your kidneys are working properly. You may also be offered a prostate-specific antigen (PSA) blood test. PSA is a …The first test for detecting prostate problems is a blood test to measure prostate-specific antigen (PSA), a protein made only by the prostate gland. Cystoscopy to look at the urethra or bladder with a scope; Post-void residual volume to measure urine left in the bladder after urinating;

how to check for prostate enlargement

PSA blood test to …During the DRE, your doctor may massage your prostate to cause fluid from the prostate to be secreted into your urine in order to check for a cause of …Digital rectal examination (DRE): During this test, your urologist will feel your prostate. The exam shows whether your prostate is hard or asymmetrical, both …Tests Used to Check the Prostate — The free PSA test measures free PSA only. Free PSA is linked to benign prostate conditions, such as BPH, …Your doctor may also do a blood test to check the prostate-specific antigen (PSA) level. PSA levels can be high in men with an enlarged prostate …Prostate enlargement happens to almost all men as they get older. An enlarged prostate is often called benign prostatic hyperplasia (BPH). It is …Ruling out other conditions · Urine tests · Rectal examination · Prostate-specific antigen (PSA) test · Transrectal ultrasound (TRUS) · Computer …Factors that might raise PSA levels include An enlarged prostate: Conditions such as benign prostatic hyperplasia (BPH), a non-cancerous …The prostate gland makes a protein called prostate-specific antigen (PSA). This protein helps to nourish sperm. Normally, only tiny amounts of it enter the …Please, find out about symptoms, diagnosis, and treatment of enlarged prostate. TO THE COMPLETE TEXT. Doctors and medical centers specializing in Prostate … A physician can diagnose BPH, by asking questions about the symptoms and by doing a physical exam. A urine test and a digital rectal exam also …On digital rectal examination, the prostate usually is enlarged and nontender, has a rubbery consistency, and in many cases has lost the median furrow.PSA testing alone cannot determine if symptoms are due to BPH or prostate cancer, because both conditions can elevate PSA levels. It is important that a man with symptoms of an enlarged prostate be checked for the possibility of prostate cancer. Benign prostatic hyperplasia can be …

Prostate Enlargement Side Effects

BPH can cause problems with urination, and some treatments can lead to sexual problems and other side effects. Effects of an enlarged prostate.Complications of benign prostate enlargement · suddenly not being able to pee at all · severe lower tummy pain · swelling of the bladder that you can feel with …Provides basic information about the prostate gland and prostate enlargement. … A potential side effect of these medications may prevent the bladder neck … Leaking or dribbling of urine; Frequent nighttime awakenings to urinate; Urinary retention or urgency; A weak urine stream. BPH is not prostate … Signs and symptoms · Difficulty starting a urine stream (hesitancy and straining) · Decreased strength of the urine stream, also known as weak …Side effects include erectile dysfunction and reduced libido (sex drive). You must keep taking the pills to prevent symptoms from coming back. Combined Therapy. BPH medications and sexual side effects. Some drugs used to treat BPH can cause difficulty in maintaining an erection. Men who take alpha-blockers such as …

prostate enlargement side effects

Enlargement of the prostate is called benign prostatic hyperplasia (BPH). … However, in rare cases, these medications may also lead to side effects such …Enlargement of the prostate is called benign prostatic hyperplasia (BPH). … However, in rare cases, these medications may also lead to side effects such …Surgery works well for most men. But it can cause side effects, including ejaculation problems and erection problems. FAQs. What are the treatments for …Reduced sex drive. Less semen when you ejaculate. Trouble getting an erection. … For some people, it also helps lower high blood pressure a little. Side effects …See your GP if the side effects are troubling you. Alpha-blockers. Alpha-blockers help relax the muscles of your bladder, making it easier to …Possible side effects include: feeling dizzy or sick (nausea) or having a headache when you stand up – this usually stops after the first few doses; tiredness …Enlargement of the prostate gland – a small, walnut-sized organ … Remember – any medicine or surgical procedure can have side effects.Symptoms get better in 2 to 3 weeks. For some people, it also helps lower high blood pressure a little. Side effects include: Weakness or fatigue. Light- … And some men fear about the side effects of those treatment options. We’re going to sort through that today. Dr. Stephen Summers is a urologist …The major possible side effects of radical prostatectomy are urinary incontinence (being unable to control urine) and erectile dysfunction ( … Benign prostatic hyperplasia — also known as an enlarged prostate — is … Side effects might include dizziness and a harmless condition in …

Can Prostate Enlargement Cause Constipation

On the flip side of the coin, an enlarged prostate, cancerous or not, is a common cause of constipation. An enlarged prostate can put pressure …When the prostate enlarges, it places pressure on the bladder and the urethra, which can cause urinary problems. The prostate is made up of …Continue drinking a lot of water to flush the bladder. Avoid straining when having a bowel movement. Eat a balanced diet to prevent constipation. If …Occasionally, a tumor in the prostate may grow and start pressing on the urethra, causing urinary problems, including incontinence. A similar …This can cause additional problems with urination and bladder function. Some symptoms your bladder and urethra are being affected by cancer include: urinating … Prostatitis. This is often a bacterial infection that causes inflammation of your prostate gland. At least half of men will have it at some …Chronic urinary retention due to benign prostatic hypertrophy is an extremely unusual cause of large bowel obstruction. Little in this patient’s clinical …An enlarged prostate gland can cause uncomfortable urinary symptoms, such as blocking the flow of urine out of the bladder. It can also cause bladder, urinary …When to seek medical advice. See a GP if you have any of the symptoms of an enlarged prostate. Even if the symptoms are mild, they could be caused by …The treatment for an enlarged prostate gland will depend on how badly the symptoms …

can prostate enlargement cause constipation

vegetables and wholegrain cereals) can help you avoid constipation, …Becoming less mobile, changes to your diet, and not drinking enough fluids can also cause constipation. You may also get bowel problems if prostate cancer …Radiation can cause the lining of the bowel to become inflamed (proctitis) which then leads to symptoms such as loose and watery bowel movements (diarrhoea) …Prostatitis is pain and swelling, inflammation, or both of the prostate gland. The cause is … Constipation can develop, making defecation painful. Your health care team can help treat these problems. What Have I Learned By Reading This? You learned about: What constipation is; Why chemotherapy can cause …Prostatitis is inflammation of the prostate gland and sometimes the area around it. It is not cancer. … There is no cure, but you can manage symptoms. That’s because as the prostate gland tumor grows, it may press against the bladder and urethra. Depending on the tumor’s size and location, it could cause:.When the topic of guts comes up in the locker room, most men are talking about courage on the field, not results in the bathroom. Bowel function is not a …The prostate is a small gland below the bladder and in front of the rectum in men. … Some chemotherapy drugs can cause constipation or diarrhoea. Fullness, constipation and a frequent urge to urinate can occur with … cystoscope exam, surgery, kidney stones, or prostate enlargement.

Enlarged Prostate Blood in Urine

An enlarged prostate gland can cause uncomfortable urinary symptoms, such as blocking … Urinary tract infection; Inability to urinate; Blood in the urine. Signs and symptoms of an enlarged prostate (benign prostatic hyperplasia, or BPH) include difficulty urinating, an urgent or persistent need to …These symptoms can also be caused by other things, such as cold weather, anxiety, other health problems, lifestyle factors, and some medicines. Blood in your …You may have blood in your urine and need to use a catheter for a few days. Painful or frequent urination should go away within about two to three weeks. Hematuria is actually a common side-effect of untreated BPH or Benign Prostatic Hyperplasia. Since the prostate is directly involved in the urinary tract, it is …painful, frequent, and urgent need to urinate, with fever and chills; blood in the urine; great discomfort or pain in the lower abdomen and urinary tract. How … Common causes of hematuria in men include urinary infection, urological malignancy and benign prostatic hyperplasia (BPH). The latter diagnosis often results in …Often an enlarged prostate will cause bothersome urinary symptoms, but it can also contribute to hematuria, and blood in the urine could be …

enlarged prostate blood in urine

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Prostate Enlargement

Enlargement of the prostate is a mostly benign enlargement of the male prostate (prostate gland). The medical name for this is benign prostatic hyperplasia (BPH). This is differentiated from malignant prostate enlargement or prostate cancer.

What is the prostate?

The prostate is the prostate gland in men. It surrounds the part of the male urethra that is just in front of the bladder. The prostate secretes a secretion that triggers the mobility of the semen. From around the age of 50, the internal prostate tissue often overgrows, which leads to benign prostate enlargement.


The symptoms of an enlarged prostate are mainly expressed in the form of discomfort when urinating.

The nocturnal urge to urinate

The nocturnal urge to urinate and delayed urination are the first symptoms of prostate enlargement. The urine stream also becomes weaker and only extends to the tip of the shoe. The flow of urine is often interrupted and it takes much longer to empty the bladder. After urination, dribbling occurs. Since the bladder muscles have to do extra work, they are permanently damaged. A so-called bar bladder (trabecular bladder or diverticular bladder) develops.

Incomplete Emptying Of The Bladder

In the further course, complete emptying of the bladder is no longer possible and residual urine builds up in the bladder. The congestion of the urine, in turn, promotes infections of the bladder such as cystitis or urethritis. In addition, the kidneys are damaged in the long run.

Urinary Retention And Complications

If left untreated, an enlarged prostate can cause complete urinary retention, i.e. prevent urination altogether. This is associated not only with pain and urinary incontinence but with significant risks. At this stage of prostate enlargement, the risk of damage to the ureter and kidneys from backwater is particularly high. If not treated immediately, kidney weakness (chronic kidney insufficiency) up to kidney failure (acute kidney insufficiency) can develop.

Another cause of the prostate enlargement symptoms described here is a malignant growth of the prostate gland (prostate cancer).

The cause of prostate enlargement is an age-related change in hormone production. An imbalance between the male (testosterone) and female (estrogen) sex hormones seems to cause the tissue of the prostate to grow.

The prostate symptoms such as the urge to urinate at night are triggered because the enlarged prostate develops increasing pressure on the urethra or directly on the bladder.

Prostate Enlargement


Medical therapy for prostate enlargement is initially carried out with medication. Surgery is necessary in around 20 percent of those affected. In the event of urinary retention, a urinary catheter must be inserted through which the urine can drain.

Drug Treatment Of Prostate Enlargement

In the drug treatment of prostate enlargement, different active ingredients are used for different purposes. So-called alpha blockers relax the muscles in the urogenital tract and can thus make urination easier. Frequently used active substances from this group against prostate complaints are alfuzosin, doxazosin, tamsulosin, and terazosin. However, these only reduce the discomfort. The enlarged prostate itself is not affected.

Warnings About Finasteride

Active ingredients from the group of 5-alpha reductase inhibitors such as finasteride and dutasteride slow down the growth of the prostate. Both active ingredients can have serious side effects. Studies (see study situation) prove erectile dysfunction, loss of libido, and ejaculation problems that sometimes last for years.

The Federal Office for Drugs and Medical Devices warns in a so-called Rote-Hand-Brief (see study situation) that patients should be made aware of the possibility of mood changes including depressive moods, depression, and suicidal thoughts before taking finasteride. The European Medicines Agency has also made it necessary to mention fear as a new side effect of finasteride in the package insert.

Surgical Procedures For Prostate Enlargement

Urogenital surgery knows various surgical procedures for prostate enlargement. Basically, the procedure should always be kept as small as necessary to avoid complications such as incontinence or erectile dysfunction. You can find more information on the surgical techniques in the prostate cancer disease picture.

Self Help

Herbal medicines are enjoying increasing popularity in self-help with prostate enlargement – also thanks to aggressive advertising. It has not been scientifically proven whether over-the-counter drugs for prostate enlargement such as sitosterol, sabal fruits, rye pollen, or nettle root can swell the prostate.

It is known, however, from extracts from pumpkin seeds influence the metabolic processes in the prostate tissue. How and whether this slows down prostate enlargement is not yet known.

All over-the-counter active ingredients are designed to make urination easier and reduce the need to urinate at night. However, the funds are often relatively expensive. Medication prescribed by a doctor, on the other hand, is usually reimbursable. In addition, over-the-counter agents for prostate enlargement sometimes differ extremely in their composition and active ingredient concentration.

The self-treatment of nocturnal urge to urinate does not always make sense for another reason. Persistent urination discomfort can be a symptom of a developing prostate lump. You should therefore be clarified by a doctor. If this does not happen, self-treatment delays early detection and thus increases the risk that prostate cancer can no longer be treated successfully.

More self-help tips

    • Avoid alcohol and cold carbonated drinks and hot spices.
    • Empty the bladder frequently and completely.
    • Do not suppress the urge to urinate so that the bladder does not become overfilled.
    • Make sure you have regular bowel movements so that there is no additional pressure on the bladder and urinary tract.
    • Occasionally take warm Sitz baths.


Specific prevention of prostate enlargement is not known. Still a few tips:

    • Maintain a normal body weight. Because being overweight can adversely affect prostate enlargement.
    • Urologists recommend a balanced, fresh, high-fiber diet as well as regular physical activity and adequate exercise.
    • From the age of 45, you should regularly have an early detection examination of the prostate once a year.
    • If you have any complaints, answer the questions in our self-test on prostate prevention at regular intervals.

Surgery for Urinary Incontinence

Surgery for stress urinary incontinence (leaking that occurs with a cough or sneeze) improves symptoms of another form of incontinence, …Colposuspension (also called Burch colposuspension) is an operation that involves placing sutures (stitches) in the vagina on either side of the urethra (pipe …During a midurethral sling surgery, which is performed in the hospital using spinal or general anesthesia, your surgeon places a synthetic sling under and …Retropubic suspension. This surgery lifts the sagging bladder neck and urethra that have dropped abnormally low in the pelvic area. · Urethral sling. The surgeon What types of surgery does NICE recommend? NICE recommends three types of surgical operation as options for managing stress urinary incontinence if other things …There are two types of indwelling catheters. Indwelling “Foley” catheters are placed in your urethra. Indwelling “suprapubic” catheters go above your pubic bone …Non-mesh continence procedures recommended by NICE are colposuspension (open or laparoscopic) or an AFS. These should be offered to women ..Sling surgery. This surgery involves making deep cuts in the belly to get to the bladder and urethra. The surgeon uses a piece of muscle, ligament, or tendon …There are four main operations used to treat stress incontinence. Mid-urethral sling procedure installs a U-shaped mesh tape under your …Surgical Treatment of Female Stress Urinary Incontinence: AUA/SUFU Guideline. Kathleen C. Kobashi, Michael E. Albo, Roger R.To treat urinary incontinence, your doctor can help you form a treatment plan. Most likely, exercises to strengthen the muscles of your pelvic floor will be …Many treatment options are available, ranging from physiotherapy and bladder retraining techniques, medication, minimally invasive surgery to more extensive …The Burch colposuspension is surgery that involves placing stitches inside the vagina. The stitches attach to supportive ligaments on either side of the urethra to …

Surgery for Urinary Incontinence

Stress urinary incontinence (SUI), the involuntary leakage of urine on effort or exertion, or on sneezing or coughing, affects 4 to 35 percent of women. There are a number of different surgical procedures that can be done to treat urinary incontinence. · The most common surgery for stress incontinence is a sling …Surgical mesh in the form of a “sling” (sometimes called “tape”) is permanently implanted to support the urethra or bladder neck in order to …Sling surgery is one minimally invasive treatment option for stress urinary incontinence. Sling surgery is a minimally invasive procedure where a supportive …

Urinary Incontinence

Urinary incontinence or bladder weakness is often associated with a feeling of shame. Many sufferers do not talk about urinary incontinence – not even with their doctor. Without treatment, the causes can often spread over years and increase urinary incontinence. Here, bladder weakness can usually be treated. Here you can read more about the different forms of incontinence and their symptoms, causes, therapy, and self-help.

Urinary incontinence is the inability to consciously control the leakage of urine. Urinary incontinence is also known as bladder weakness. Those affected often develop a false sense of shame and withdraw from social life. Urinary incontinence, however, is a disease and not a “malpractice”. It can occur at any age and there is no reason to be ashamed of it. To counteract the spread and intensification of incontinence, it is important to consult a doctor. He will usually be able to help you!

As the word suggests, urinary incontinence has reduced or lost the ability to control urination. Urinary incontinence usually begins with the unwanted leakage of urine, drop by drop. However, there are different forms of urinary incontinence that can be felt differently.

The Forms Of Bladder Weakness

    • Stress incontinence: As the name suggests, after stress – such as pressure in the abdominal cavity – urine passes involuntarily. This is triggered by lifting heavy objects, but also laughing, coughing, or sneezing. The urine can trickle or come off in a stream. In the past, stress incontinence was also called stress incontinence.
    • Urge incontinence: In this form of incontinence, there is a sudden, very strong urge to urinate, although the bladder is insufficiently filled. Affected people often fail to make it to the toilet and lose urine – sometimes gushingly.
    • Mixed incontinence: Sufferers have symptoms of both stress and urge incontinence.
    • Reflex incontinence: With reflex incontinence, those affected no longer feel a full bladder. Sometimes they can no longer control the emptying of the bladder willingly so that the bladder empties itself repeatedly – but incompletely.
    • Overflow incontinence: In overflow incontinence, a full bladder overflows. So urine keeps trickling out of the filled bladder. In addition, the patients feel a constant urinary urge.
    • Extraurethral incontinence: If the cause of the incontinence lies outside the urinary tract, doctors speak of extraurethral incontinence. Frequently, involuntary urine is lost through the anus or vagina via a fistula.
    • Nocturnal wetting: Nocturnal wetting is normal up to the age of 4 to 5 years. If older children and adolescents or adults regularly wet themselves at night, the medical name is enuresis nocturna. There are many reasons for this. When wetting at night, large amounts of urine are lost during sleep. According to the parents, the bed is “soaking wet” or “swimming”. This can be done daily or with “dry phases”. Those affected and their relatives should confidently contact their doctor if they are wetting at night. You can also find detailed information on urinary incontinence in children under bedwetting.

Urinary Incontinence


The causes of urinary incontinence are extremely diverse. Often there is a combination of causes.

    • Causes in men: Urinary incontinence in men is often due to an enlarged prostate. In these cases, the prostate gland presses on the bladder and at the same time restricts the function of the urethral sphincter.
    • Cause of pregnancy: In pregnant women, as the child grows larger, it often presses on the bladder and thus provokes urinary incontinence. At the same time, the muscles of the pelvic floor are particularly stressed in pregnant women. This can make it difficult to close the urethra. As the birth approaches, the pelvic floor muscles continue to slacken to make the birth easier. This may further promote urinary incontinence. Urinary incontinence usually disappears after delivery.

Overview of common causes of bladder weakness

in women:

    • Relaxation of the pelvic floor muscles due to pregnancy or obesity
    • Menopause hormone deficiency
    • age-related sphincter weakness.

in men:

    • Prostate enlargement.

in the elderly:

    • Bladder sphincter weakness
    • inability to concentrate, for example with dementia or Alzheimer’s disease.


    • Bladder infections
    • Spinal cord or nerve disorders
    • Tumors
    • diabetes
    • multiple sclerosis
    • Result of operations, accidents
    • congenital malformations
    • Obesity and lack of exercise
    • Drugs, such as beta-blockers for high blood pressure and cholinesterase inhibitors for symptoms of Alzheimer’s disease; Water fluids (so-called diuretics) can make urinary incontinence worse.

Any form of uncontrolled leakage of urine should be discussed with your doctor as soon as possible. He can make the diagnosis and start treatment for urinary incontinence with you.

The diagnosis of urinary incontinence includes a detailed discussion of the symptoms as well as various examinations to find the cause of the urinary incontinence. The detection of bacteria in the urine can indicate cystitis or urethritis. An ultrasound examination is used to identify possible organic changes as the cause of urinary incontinence. If these methods are not sufficient, the specialist can measure the bladder pressure or look for noticeable changes in the bladder, urinary tract, or prostate during a uroscopy.

There are various treatment options for treating urinary incontinence, depending on the cause of the symptoms. These include, among other things, drug and surgical treatments.

Drug Treatment Of Urinary Incontinence

Depending on the cause of urinary incontinence, various active ingredients are suitable for drug treatment. In so-called urge incontinence, it makes sense to inhibit the bladder muscles. So-called anticholinergics such as oxybutinin, propiverine, tolterodine or trospium chloride can be used for this purpose. However, these active ingredients are not suitable for all patients, as they often have side effects on the one hand and may not be combined with some medications on the other. An overactive bladder is sometimes inhibited with botulinum toxin (known from wrinkle treatment).

In women with stress incontinence, the antidepressant agent duloxetine works against involuntary urination.

If a hormone deficiency is the cause of urinary incontinence, herbal or chemical estrogens provide relief. Estrogens such as estriol can be used locally as a suppository or ointment in the vagina.

Surgical Treatment Of Urinary Incontinence

Among the surgical procedures against urinary incontinence – depending on the cause – the sling operation or an artificial sphincter for the urethra are the best-tested and most widely used procedures.

    • Loop surgery: In loop surgery, which is used on both men and women, the surgeon places a type of loop around the urethral sphincter. In many cases, this can regain control of urination. The loop operation is usually performed on an outpatient basis with an endoscopic procedure.
    • Artificial sphincter: If the bladder sphincter cannot be sufficiently stabilized by a sling operation or if this operation is not possible, an artificial sphincter can be implanted. A cuff is placed around the urethra, which can be closed or opened from the outside using a pump. In men, the pump is often implanted in the scrotum. Disadvantage of the artificial sphincter: They usually cause a number of complications such as urinary tract infections. In addition, the components of the sphincter have to be changed frequently.
    • Prostate surgery: In men, prostate surgery can help to correct – or unfortunately – cause urinary incontinence. You can read more about this in the prostate enlargement disease picture.

Self-Help With Urinary Incontinence

Self-help with urinary incontinence can make a significant contribution to supporting or even avoiding the success of drug treatment.

    • Pelvic floor training: Whether during pregnancy, due to aging, or hormonally: women in particular benefit from pelvic floor training with urinary incontinence. The simplest form of pelvic floor exercise: interrupt the flow of urine while urinating with muscular tension. You can also do this exercise beyond the toilet. Then just pretend to interrupt a urine stream. The so-called Kegel exercises are a special form of pelvic floor training. Ask your doctor and midwife for instructions. Fitness studios and adult education centers also often offer appropriate courses.
    • Empty the bladder regularly: The bladder can also be trained. This works best if you empty your bladder regularly at specific times. These fixed rhythms quickly become a habit and help to prevent a strong urge to urinate with the risk of unwanted urine leakage. However, this bladder training should only be tried in cooperation with a doctor.
    • Use suitable incontinence materials: Modern incontinence materials are diverse and specially tailored to women and men. They range from ultra-thin but absorbent pads to incontinence briefs or swimwear and condom urinals. It is best to seek advice from a medical supply store or a pharmacy. Incidentally, normal sanitary napkins are not suitable for urinary incontinence.
    • Catheterization: Self-catheterization can help with some forms of urinary incontinence, especially reflex incontinence. The urine is drained from the affected person himself through a thin plastic tube (the catheter). It is best to seek advice from your doctor as to whether this option is an option for you.

Lose Weight And Drink Less

Make sure you have a balanced and fresh diet and, above all, that you drink enough.

    • Under no circumstances should you reduce your fluid intake to counteract an involuntary loss of urine. That would cause more problems than good.
    • Avoid substances that irritate the bladder, such as hot spices and coffee, and foods that cause gas, such as onions, cabbage, and legumes.
    • It makes sense to eat odor-inhibiting foods. These include, above all, cranberries, natural yogurt, spinach, green lettuce, and parsley.
    • Obesity promotes urinary incontinence. Therefore, you would do well to shed excess pounds. You can find suggestions for this here: Weight Loss & Diet


    • You should exercise your pelvic floor, especially after pregnancy.
    • Avoid being excessively overweight.
    • Quit smoking Above all, a smoker’s cough stresses the abdominal cavity due to a permanent increase in pressure and thus stresses the abdominal and pelvic floor muscles, which in turn can lead to incontinence problems. You can get information on how to quit smoking from your family doctor, health center, or your health insurance company.
    • Have check-ups with a urologist and/or gynecologist from the age of 50 at the latest.