Sexuality in men with urinary incontinence - summary of current knowledge

Background: The problem of urinary incontinence is facing an increasing population of people. The problem of incontinence is troublesome for both women and men. Incontinence decreases the quality of sexual life. Men struggling with incontinence often have problems with erection and ejaculation. Materials and methods: Analysis of articles in the EBSCO and Google Scholar database using keywords: sexuality, incontinence, men, Results: Urinary incontinence affects both women and men. There are no specific criteria with which this ailment can be diagnosed. Therefore it is impossible to determine how frequent urinary incontinence actually is. It is estimated that it can affect 4-8% of the population around the World. The problem becomes more and more severe, as the number of affected patients grows each year. The urinary incontinence among men leads to sexual dysfunction, which causes various issues in private, professional and social life of such patients. Sexual dysfunction in male patients can lead to lower quality of life, what has a negative influence on their closest family and friends. Urinary incontinence in male patients can be treated pharmacologically or surgically. Only in case the non-invasive treatment fails, more radical methods are perused. Conclusions: Urinary incontinence more often affects women than men. It is a very embarrassing ailment, nevertheless patients under a proper treatment regain not only psychological but also sexual satisfaction. Urinary incontinence should not be a taboo topic, also among men patients. More research is needed to improve treatment program and support of such patients

Management of stress incontinence in older women

Introduction: Stress incontinence is a problem increasingly affecting older people. This discomfort has an impact on women as a greater extent. Stress urinary incontinence is described as involuntary leakage of urine during even minor efforts: sneezing, coughing, rapid gait. At the beginning inconspicuous loss of a few drops of urine is often not alarming for women. The problem is significant because women often go to a specialist very late and the reason for this is shame. Many people think that this is an accident of old age and it can’t be stopped. Nothing could be more wrong, it can be dealt with. Material and methods: Articles in the EBSCO database have been analysed using keywords: stress incontinence, problems of old age, physiotherapy in urology, older women. Results: The incidence of stress incontinence in women increases with age. The main reason is muscular weakness, which is caused, among other things by pregnancies and labours. Another reason may be hormonal disorders and genetic predisposition. Statistics show that obese women are more likely to suffer from SUI. The progress of medicine and pharmacology is also increasingly effective in the treatment of stress urinary incontinence. First, after finding the problem, conservative treatment is introduced. Treatment is adapted to each patient individually. Age, existing diseases, weight are important factors in the process of treatment. In pharmacology Duloxetine is used. The use of this drug does not completely eliminate the symptoms of stress urinary incontinence. Due to the possibility of side effects i.e. nausea, the drug is used very carefully. In recent years, physiotherapy has been highly valued in the treatment of stress urinary incontinence. The most important is kinesitherapy here. Strengthening the pelvic floor muscles brings the most beneficial effects. Active exercises are supported by: electrostimulation, magnetotherapy and vibro-therapy. The final form of SUI treatment is surgical treatment. However, this do not always bring the expected results. In order to increase the effectiveness of therapy for patients with SUI, the interdisciplinary cooperation of the medical team should be used. Treatment of stress urinary incontinence primarily leads to improved quality of life for patients. Conclusions: Urinary incontinence is a social disease. Women struggle with this problem twice as often than men. Stress incontinence accounts for 63% of all forms of urinary incontinence in women in Poland. The incidence of incontinence increases with age. Problems with stress urinary incontinence become a reason for isolation from society. The patients are not aware of the treatment possibilities, which often results in late inclusion of treatment and rehabilitation. There is a wide range of SUI treatment options. Therefore it is necessary to personalise rehabilitation process to best fit to each patient. Keywords: stress incontinence, problems of old age, physiotherapy in urology, older women

A holistic approach to the problem of Rheumatoid Arthritis in geriatric patients

Rheumatoid arthritis is a chronic disease and belongs to the group of systemic connective tissue diseases having an autoimmune basis. The most commonly reported symptoms by patients are pain, swelling and difficulty moving the affected joints. The course of rheumatoid arthritis is different in the elderly, the onset of the disease in the elderly is more severe than in the young, and large proximal joints are primarily involved. Make a diagnosis as soon as possible and start treatment, the greater the chance of delaying disease progression and even remission, which will minimize disability. In the treatment of rheumatoid arthritis in the elderly, who often have co-morbidities and often mobility difficulties, the role of physiotherapist and nursing care is extremely important next to medical treatment. The use of kinesitherapy allows you to increase the range of motion of the joints and maintain them in good functional condition. Physiotherapy, on the other hand, has analgesic and anti-inflammatory effects. This effect is enhanced by properly selected pharmacological treatment, carried out with the help of disease-modifying drugs, anti-inflammatory drugs, glucocorticosteroids and biological drugs

Nutritional and dietary interventions for the treatment of Chronic Fatigue Syndrome

Background: Chronic fatigue syndrome is an increasingly frequent disorder characterized by prolonged fatigue and few specific symptoms. He favors prolonged stress and life in a constant hurry. The main symptoms of chronic fatigue include: headache, throat, myalgia, joint pain, short-term memory impairment, sleep disorders, malaise occurring after physical exertion and lasting over 24 hours, and painful lymph nodes. The possibility of chronic fatigue syndrome should be considered in patients with the above symptoms, if they persist for more than 6 months. In this review, we wanted to focus on the possibilities to minimize the symptoms of chronic fatigue syndrome through nutritional and dietary intervention. Materials and methods: Analysis of articles in the EBSCO and Google Scholar database using keywords: Chronic Fatique Syndrome, nutritional, dietary interventions, treatment. Results: Patients with chronic fatigue syndrome suffer from chronic fatigue and not specific symptoms, which makes diagnosis difficult. The analysis of articles shows that dietary and nutritional interventions tailored to the patient reduce the feeling of fatigue, which is the main problem among patients with chronic fatigue syndrome. Positive effects in the form of alleviation of symptoms have been observed while using, inter alia: polyphenols, L-carnitine, probiotics, CoQ10 and NADH and GAA. Conclusions: Dietary and nutritional intervention has a positive effect on intestinal microflora, intestinal mucosa, oxidative stress and proper functioning of mitochondria, thanks to which it reduces symptoms of chronic fatigue syndrome. Individual and appropriate supplementation depending on the etiology of the syndrome can lead to relief of symptoms

Medical classification in sport of disabled people

Background: In the live of disabled people sport is very important not only in terms of health, but often becomes a passion that gives the life meaning. For many disabled athletes this passion becomes their profession. Medico-sport classification divides athletes into groups and classes based on the type of the physical and mental dysfunction in order to equalize the odds in a sports competition. Material and methods: Analysis of available literature, articles in the Google Scholar and PubMed database using keywords: disabled, sport, classification, dysfunction. Results: Medical-sport classification distinguishes groups of disability of: sight, hearing, limb dismemberment, paraplegia, diseases of the musculoskeletal system, cerebral palsy and intellectual disability. In the professional sport the athletes classification is done by medical doctors in cooperation with physiotherapists under the supervision of the Central Classification Committee of the “Start” organization, which verifies and approves the athletes membership to a certain group or class. During the athletes World Championships decision about the classification is done by the International Paralympic Committee (IPC), Cerebral Palsy International Sports and Recreations Association (CP – ISRA) and International Wheelchair and Amputee Sports Federation (IWAS). The group/class examination is carried out during the most important sports events like Paralympic Games, World Championships and European Athletics Championships, and remains valid for the next four years. Conclusions: The aim of this classification is to make the athlete’s achievement in a sport competition be a result of the athlete’s physical and psychological training rather than the level of his or hers disability. The subject of grouping and classification of the disabled athletes still remains an open topic for discussion

Urinary incontinence in men

Background: Urinary incontinence is one of the most common problems among older people. The number of men struggling with incontinence is also gradually increasing. The lifestyle of the urinary incontinence, including low physical activity, poor eating habits, and nicotinic have a big influence on the occurrence of urinary incontinence. Urinary incontinence is associated with poor quality of life, social isolation and depression. Material and methods: Analysis of articles in the Google Scholar and PubMed database using keywords: urinary incontinence, risk factors of urinary incontinence, symptoms of urinary incontinence, men, treatment. Results: The incidence of urinary incontinence increases more than five times in men over 65 years of age. The problem may be exacerbated by respiratory, circulatory, muscular and neurological diseases. Men are often ashamed of problems with incontinence and rarely report to the doctor, which causes the problem to get worse and often requires the use of invasive methods of treatment. Conclusions: The incidence of urinary incontinence among men increases with age. Currently, methods that effectively cure urinary incontinence among men are poorly understood, therefore it is necessary to conduct further research among people with this problem. Broader education of the elderly will allow to some extent eliminate risk factors and reduce the number of people struggling with the problem of urinary incontinence