Tips for Good Urologic Health

January 16, 2018
Tips for good urologic health

A variety of problems can affect urologic health, including urinary incontinence, urinary tract infections, enlarged prostate and prostate cancer. Board-certified urologists Michael Louie, MD, with UC Irvine Health Urology, and Brandon Louie, MD, with Alpha Urology Group (no relation), say both men and women are affected, but there are many preventive options available to keep your bladder and prostate healthy.

Q: When I cough, sneeze or laugh, I notice some urine leakage. What causes that?

It is known as stress incontinence and is usually caused by weak pelvic floor muscles. It is most common in women during pregnancy and after childbirth. Try doing Kegel exercises to strengthen the muscles. To do them correctly, clench the pelvic muscles as if trying to hold urine. Hold for 10 seconds, then relax for 10 seconds. Repeat 20 to 30 times daily. It takes about six weeks to re-strengthen the muscles until you notice a difference.

Q: How can I prevent recurrent urinary tract infections?

Urinary tract infections (UTI) are extremely common in women. According to the National Kidney Foundation, one in five women will have at least one UTI in her lifetime, putting them at risk for recurrent UTIs. Cranberry extract and D-Mannose are two natural supplements that can help prevent recurrent infections. They work by coating the bacteria so that with urination, it is flushed out of the bladder more effectively.

Q: What are the symptoms of an enlarged prostate, and how is it treated?

An enlarged prostate can lead to a weak urine stream, straining and incomplete emptying of the bladder. Sometimes, medication is used to relax the prostate. However, new treatments are available without burning or cutting the prostate. One procedure takes care of the obstructing portion of the prostate, and it can be done in the office under local anesthesia. Check with your doctor for the best solution for you.

Q: At what age should men begin prostate cancer screening?

A PSA blood test and prostate exam are the standard screening tests. You should get a prostate exam and PSA test beginning at age 50 if you have no family history of prostate cancer. If you have a family history of prostate cancer, screening should begin at age 45. If you are having issues with urination, you should see your doctor for an evaluation.

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