Of all the thing that people find difficult to talk about, incontinence is always discussed in hushed tones. People manage their symptoms alone, often for years, instead of speaking to their GP. I think thats often because of a belief that incontinence cannot be helped, which is a myth. Most people can improve, if not resolve, their bladders impact on their day-to-day lives. That is why I am pleased to see Dr Arroll and Prof Danceys book. They make the anatomy, function and evidence-based advice so clear that I am confident that reading this book will improve your bladder health.
You may already have a diagnosis of one of the conditions covered in this book. In that case you may want to go ahead and turn to the relevant chapter, but we would encourage you to read also as this is a general introduction.
The book then goes onto explain in brief the anatomy of the urinary system (). Weve included this information as it can be helpful for us to know how our bodies work, and what can go wrong, when coming to terms with an illness. Having some knowledge of these concepts can also make it easier to talk to doctors about symptoms and understand why theyre suggesting a particular treatment. Developing a good relationship with your GP or specialist can help in many ways it can be empowering to have knowledge of our condition, make it easier to discuss somewhat embarrassing symptoms and share the burden of ill health.
The next chapter of the book (
Then, ).
describes the kinds of medical investigations that you might undergo in order to gain a diagnosis. You may have already experienced some of these and find the information familiar. If youre on the start of your journey with bladder problems and have an investigation coming up, you may want to read this chapter first. There are signposts to other chapters which you can go back to later.
, we look at medications and surgical procedures for urinary problems. Because the symptoms of bladder conditions often overlap, we havent divided the chapters on treatment in terms of each diagnosis; rather, weve grouped different types of treatments and therapies together. We would recommend that you try the dietary, exercise and lifestyle advice first to see if symptoms reduce or resolve from these changes. All medications and surgical procedures pose side effects and risks so, if possible, its best to use these types of interventions only if the things you can do yourself dont help to get symptoms under control.
In
Finally, we end the book with a chapter on additional things you can do to support your bladder and overall health. These include practical tips on how to access toilets when out, discreet products and general advice on how to manage stress and get a good nights sleep.
We sincerely hope you find this book useful.
Respondents reported stigma associated with urinary frequency and urgency, not just UI [urinary infection]. In particular, they reported feelings of embarrassment and shame associated with having to make frequent trips to the bathroom when in the company of others.
Elstad and colleagues (2010)
In this chapter we discuss:
- how common bladder problems are and how they affect peoples lives
- the reasons why this type of health issue is still stigmatised in Western society
- how the bladder and bowel work and how these organs affect, and interact with, one another (People often have problems with both the bladder and the bowel so knowing how these organs are interconnected can help understanding of this symptom.)
- the impact of sleep disruption due to bladder problems, and
- how lack of understanding and support from family and friends can affect life for people with both bladder and bowel issues.
How common are bladder problems (bladder dysfunction)?
Approximately 14 million people in the UK live with some form of bladder complaint. This equates to over 20% of the population, so even if you dont personally experience the embarrassing and intrusive symptoms of bladder dysfunction, it is likely that you know someone who does.