Bladder & Bowel Archive

Among US women ages 60 or older, the prevalence of urge incontinence (a sudden, unprovoked need to urinate) and stress incontinence (leaking urine with physical activity or pressure on the bladder) appeared to increase between 2005 and 2018. Treatments for urge incontinence include lifestyle modifications (such as avoiding caffeinated drinks or scheduling bathroom breaks), pelvic floor exercises, medications, and Botox injections. Treatments for stress incontinence include pelvic floor exercises, weight loss, vaginal pessaries, bulking agent injections, and bladder sling surgery.

Low-dose antibiotics can help women who are prone to UTIs. They can be used after sex, only when symptoms occur, or continuously.

I have been taking a stool softener daily for two months. It's helped with my constipation. Are there any risks to taking a stool softener on a long-term basis?

News briefs

The pandemic may have you feeling reluctant to seek medical treatment. But when it comes to cancer care, even a short delay in treatment may lead to deadly outcomes, according to a review of 34 studies published online Nov. 4, 2020, by BMJ. Researchers evaluated treatment delay and survival in more than a million people who had cancer of the bladder, breast, colon, rectum, lung, cervix, or head and neck. Each four-week delay in treatment — whether surgery, radiation therapy, or medication (such as chemotherapy or immunotherapy) — was associated with an increase of 6% to 8% in the likelihood of dying during the study period. Scientists say delays of up to eight weeks and 12 weeks further increased the risk of death. For example, in women who delayed breast cancer surgery by eight weeks, there was a 17% increased death risk; women who delayed surgery by 12 weeks had a 26% increase. Keep in mind, there are lots of unavoidable reasons why cancer treatment might be delayed, such as not being strong enough to undergo procedures or scheduling issues at a treatment center. But if there isn't a good reason to delay, it's best to get treatment as soon as possible.

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