Lets talk about Faecal incontinence (FI) in Scleroderma
|
|
- Martin McKinney
- 5 years ago
- Views:
Transcription
1 Lets talk about Faecal incontinence (FI) in Scleroderma Dr. Shamaila Butt Gastroenterology Research Registrar GI Physiology unit University College Hospital London
2 GI manifestations in Scleroderma Oesophagus 70-90% Stomach up to 50% Intestine 20-50% Anorectum 50-70%
3 Faecal Incontinence Involuntary loss of faeces Can affect up to 40% of patients with scleroderma
4 Faecal incontinence can be a devastating problem. It can disable patients socially and psychologically
5 Faecal Incontinence can have an adverse effect on quality of life can cause severe social restriction is a stigmatising condition
6 Faecal Incontinence causes UCH data
7 Why does this happen in Scleroderma? There are two muscles involved in continence These are in the anal canal 4cm in length
8 Anal Canal 1. External sphincter Used on demand to preserve continence
9 Anal Canal 2. Internal Sphincter Unconscious control and responsible for 80% of resting continence
10 Internal Sphincter In scleroderma the disease process causes the internal sphincter Muscle is thinned Nerves controlling the sphincter are damaged
11 Faecal incontinence Symptoms Notice soiling of underwear Usually a surprise can also be on rushing to toilet urge incontinence Affects work wear dark trousers, wear pads Embarrassed
12 Can be exacerbated by other factors Not only does scleroderma affect the sphincters Diarrhoea Constipation Delivered a baby injury to sphincters Rectal prolapse Age your sphincters thin as you get older
13 Don t suffer in silence!
14 What you should do Inform your GP or Rheumatology doctors/nurses Treat possible causes Medications causing diarrhoea/constipation Referral to Gastroenterology
15 Friendly Gastroenterologist Clinic assessment Medical history, examination Assess impact on your life Arrange appropriate investigations which may include: Physiology MRI proctogram Endo anal Ultrasound
16 Physiology This examines the nerves and muscles in the anal canal Determines how well these work
17 Physiology Water perfused catheter Internal Sphincter External Sphincter
18 Normal physiology trace
19 MR proctograms Gives an anatomical view of stool passage from the rectum Demonstrates abnormalities in Pelvic floor that can cause faecal incontinence Eg Rectal Prolapse
20 MR proctogram Bladder Rectal prolapse
21 Endo-anal USS Looks at the structure of muscles in anal canal
22 Endo-anal ultrasound demonstrating an intact internal and external anal sphincter Internal sphincter External sphincter
23 Scleroderma Internal Sphincter Thinned Internal Sphincter
24 Treatments for Scleroderma FI Can include Medications Trials of Loperamide Biofeedback therapy Nerve modulation SNS PTNS
25 Loperamide Aka Imodium over the counter Can give temporary relief Problems Can make constipation worse
26 Biofeedback Therapy Bowel and muscle retraining programme Nurse specialist led The therapy involves teaching you how to retrain the muscles used to empty and control your bowels
27 Nerve Modulation: Sacral Nerves These are in the bottom of your spine Involved in the control of your bowel and continence
28 Nerve Modulation Stimulating these nerves by implanting a device has shown some encouraging results in Scleroderma Faecal incontinence1 SN S Problems: major operation / 1Kamm GUT 51 (6) inpatient stay
29 Better way to stimulate these nerves No operation necessary Stimulate these nerves externally using an electrical device
30 Posterior Tibial Nerve Stimulation (PTNS) An electrode is placed on a nerve in the leg -the posterior tibial nerve Connected to the sacral nerves Stimulated for 30 mins Weekly for 12 weeks
31 Posterior Tibial Nerve Stimulation PTNS Already used in Bladder incontinence because of well established trials confirming benefit See a benefit in faecal incontinence due to other causes e.g child birth injuries/ nerve injuries Our department has seen promising preliminary results already with Scleroderma patients having PTNS
32 We now need trial evidence to confirm PTNS benefits Scleroderma faecal incontinence
33 This is where I come in. Scleroderma clinic Thursdays.. A randomised trial of PTNS for faecal incontinence and constipation in scleroderma
34 Male or female No age limit Participants Symptoms of incontinence ± constipation Trial duration is 12 weeks
35 If you participate. A full assessment of your faecal incontinence/constipation symptoms Benefit improvement in your faecal incontinence!
36 If you are interested in participating Please approach me today for more information in clinic all day Thursdays GI physiology Secretary You can me on
Faecal Incontinence: Assessment and Management
Mrs PK; 56 yrs; Married; 2 children Faecal Incontinence: Assessment and Management Professor Marc A Gladman MBBS DFFP PhD MRCOG FRCS (UK) FRACS Professor of Colorectal Surgery >10 years of incontinence
More informationPARTICULARS, SCHEDULE 2- THE SERVICES, A- SERVICE SPECIFICATIONS. A08/S/d Colorectal: Faecal Incontinence (Adult)
A08/S/d 2013/14 NHS STANDARD CONTRACT FOR COLORECTAL: FAECAL INCONTINENCE (ADULT) PARTICULARS, SCHEDULE 2- THE SERVICES, A- SERVICE SPECIFICATIONS Service Specification No. Service Commissioner Lead Provider
More informationGI Physiology - Investigating and treating patients with pelvic floor dysfunction. Lynne Smith Department of GI Physiology NGH Sheffield
GI Physiology - Investigating and treating patients with pelvic floor dysfunction Lynne Smith Department of GI Physiology NGH Sheffield Aims o o o To give an overview of lower GI investigations To demonstrate
More informationSacral Nerve Stimulation for Faecal Incontinence
Sacral Nerve Stimulation for Faecal Incontinence Questions & Answers GLASGOW COLORECTAL CENTRE Ross Hall Hospital 221 Crookston Road Glasgow G52 3NQ e-mail: info@colorectalcentre.co.uk Ph: Main hospital
More informationA70.4 Insertion of neurostimulator electrodes into peripheral nerve Z12.2 Posterior tibial nerve R15.X Faecal incontinence
The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Percutaneous tibial nerve stimulation (PTNS) for
More informationFaecal Incontinence Information Leaflet THE DIGESTIVE SYSTEM
THE DIGESTIVE SYSTEM This factsheet is about faecal incontinence Faecal (or anal) incontinence is the loss of stool, liquid or gas from the bowel at an undesirable time. Males and females of any age may
More informationUniversity College Hospital at Westmoreland Street. Percutaneous Tibial Nerve Stimulation (PTNS)
University College Hospital at Westmoreland Street Percutaneous Tibial Nerve Stimulation (PTNS) Urology Directorate If you need a large print, audio or translated copy of this document, please contact
More informationTreatments for Fecal Incontinence A Review of the Research for Adults
Treatments for Fecal Incontinence A Review of the Research for Adults e Is This Information Right for Me? This information is right for you if: Your health care professional* said you or your loved one
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE The management of faecal incontinence in adults 1.1 Short title Faecal incontinence 2 Background (a) (b) (c) The National Institute
More informationContinence Worksheet Name: Date: Name of Trainer: Name of Company: Clinical Update (NZ) Ltd
Continence Worksheet Name: Date: Name of Trainer: Name of Company: Clinical Update (NZ) Ltd Segment 1 What is continence? Incontinence is not a but a sign of What organs are involved? and Urine incontinence
More informationFecal Incontinence. What is fecal incontinence?
Scan for mobile link. Fecal Incontinence Fecal incontinence is the inability to control the passage of waste material from the body. It may be associated with constipation or diarrhea and typically occurs
More informationAnorectal physiology test
Anorectal physiology test We hope this factsheet will help to answer some of your questions about having an anorectal physiology test. If you have any further questions or concerns, please don t hesitate
More informationPromoting Continence with Physiotherapy
A Common problem for Men and women Promoting Continence with Physiotherapy This leaflet contains information about physiotherapy advice and treatment for anyone with bladder and bowel problems. This may
More informationInformation about your operation: Sacral nerve stimulation (SNS)
Information about your operation: Sacral nerve stimulation (SNS) Urogynaecology Unit Information for Patients i Important supplementary information What is an overactive bladder? Women with an overactive
More informationPelvic Floor Disorders. Amir Darakhshan MD FRCS (Gen Surg) Consultant Colorectal and General Surgeon
Pelvic Floor Disorders Amir Darakhshan MD FRCS (Gen Surg) Consultant Colorectal and General Surgeon What is Pelvic Floor Disorder Surgical perspective symptoms of RED, FI or prolapse on the background
More informationTertiary, regional and local pelvic floor service providers: the future. model? Andrew Williams
Tertiary, regional and local pelvic floor service providers: the future Andrew Williams model? Pelvic Floor Unit Guy s and St Thomas NHS Foundation Trust Background 23% women suffer at least one pelvic
More informationPREPARING FOR ANORECTOAL MANOMETRY. ManoScan Anorectal Manometry System
PREPARING FOR ANORECTOAL MANOMETRY ManoScan Anorectal Manometry System WHAT IS ANORECTAL MANOMETRY? Anorectal manometry is a test used to evaluate the function and coordination of the sphincter and pelvic
More informationinformation Sacral Anterior Root Stimulator (SARS) and Dorsal Rhizotomy (1 of 5) What is a sacral anterior root stimulator? How does the implant work?
information Sacral Anterior Root Stimulator (SARS) and Dorsal Rhizotomy (1 of 5) What is a sacral anterior root stimulator? If you need this information in another language or medium (audio, large print,
More informationConservative Management of Functional Bowel & Pelvic Floor Disorders
Conservative Management of Functional Bowel & Pelvic Floor Disorders Kathy Davis PhD BSc(Hons)SRN Specialist Nurse Consultant Parkside Hospital & Minerva Medical Clinic Overview Burden of disease Aims
More informationSACRAL NERVE STIMULATION FOR EXPERIENCE IN CHILDREN
SACRAL NERVE STIMULATION FOR COLORECTAL DISEASES: EXPERIENCE IN CHILDREN C. LOUIS-BORRIONE - JM. GUYS TIMONE-ENFANTS MARSEILLE SACRAL NEUROMODULATION IN CHILDREN 26 : Humphreys et al - 23 children with
More informationPelvic Floor Exercises
Directorate of Women, Children and Surgical Services Burton and District Urogynaecology Centre A Nationally Accredited Urogynaecology Unit Pelvic Floor Exercises You have been given this leaflet because
More informationBiofeedback Therapy A nurse led management service for functional bowel disorders
Biofeedback Therapy A nurse led management service for functional bowel disorders Brigitte Collins Lead Nurse BSc, MSc GI Nursing, Dip/Hypnotherapy St Marks Hospital Is biofeedback necessary? Conservative
More informationURINARY INCONTINENCE
Center for Continence Care and Pelvic Medicine What is urinary incontinence? URINARY INCONTINENCE Urinary incontinence is the uncontrollable loss of urine. The amount of urine leaked can vary from only
More informationImproving Your Bowel Function
Improving Your Bowel Function EDUCATES, SUPPORTS AND PROMOTES SPECIALIST PHYSIOTHERAPISTS Glossary symptoms - a feeling of a physical change / bothersome change rectum/back passage - where stool / faeces
More informationPATIENT INFORMATION Anterior Resection After Care
PATIENT INFORMATION Anterior Resection After Care Anatomy of your bowel Transverse colon Ascending colon Descending colon Sigmoid colon Rectum Anus Your bowel before your operation The large bowel or colon
More informationKeeping control What you should expect from your NHS bladder and bowel service
Keeping control What you should expect from your NHS bladder and bowel service Based on findings from the national audit of continence care 2010 National audit funded by: Report authors Dr Danielle Harari
More information03/13/18. A. Symptoms lasting for greater than or equal to 12 months that have resulted to significant impairment in activities of daily living; and
Reference #: MC/I008 Page: 1 of 5 PRODUCT APPLICATION: PreferredOne Administrative Services, Inc. (PAS) ERISA PreferredOne Administrative Services, Inc. (PAS) Non-ERISA PreferredOne Community Health Plan
More informationRandomised Mixed Methods Pilot Trial of Sacral and Percutaneous Tibial Nerve Stimulation for Faecal Incontinence
Research for Patient Benefit Randomised Mixed Methods Pilot Trial of Sacral and Percutaneous Tibial Nerve Stimulation for Faecal Incontinence Thin NN 1, Taylor SJC 2, Bremner SA 2, Hounsome N 2, Alam A
More informationAccidental Bowel Leakage (Fecal Incontinence)
Accidental Bowel Leakage (Fecal Incontinence) What is Accidental Bowel Leakage (ABL)? Accidental bowel leakage is the inability to control solid or liquid stool. This is the inability to control gas and
More informationIncontinence. Anatomy The human body has two kidneys. The kidneys continuously filter the blood and make urine.
Incontinence Introduction Urinary incontinence occurs when a person cannot control the emptying of his or her urinary bladder. It can happen to anyone, but is very common in older people. Urinary incontinence
More informationfrom Bowel Control Problems twitter.com/voicesforpfd
BREAK FREE from Bowel Control Problems POP Quiz THE NUMBER OF PEOPLE IN THE UNITED STATES WITH BOWEL CONTROL PROBLEMS: A. 6 million B. 12 million C. 18 million BOWEL CONTROL PROBLEMS Nearly 18 million
More informationConstipation Information Leaflet THE DIGESTIVE SYSTEM. gutscharity.org.uk
THE DIGESTIVE SYSTEM http://healthfavo.com/digestive-system-for-kids.html This factsheet is about Constipation Constipation is a symptom that can mean different things to different people but the usual
More informationTrainee Assessment. Incontinence. Unit standard Version Level Credits
Trainee Assessment Incontinence Unit standard Version Level Credits 28546 Describe incontinence and interventions to assist a person in a health or wellbeing setting 1 3 5 Your name: Your workplace: Your
More informationPlease complete this voiding diary and questionnaire. Bring both of them with you to your next appointment with your provider.
Please complete this voiding diary and questionnaire. Bring both of them with you to your next appointment with your provider. To begin the diary, please choose two days when you will be at home. The two
More informationIncontinence; Lets talk about it. Karanvir Virk M.D. Minimally Invasive and Pelvic Reconstructive Surgery
Incontinence; Lets talk about it Karanvir Virk M.D. Minimally Invasive and Pelvic Reconstructive Surgery Select the most appropriate subtitle for this talk A: Bladders gone wild! B: There s no such thing
More informationBiofeedback Program. GI Motility Clinic (UMCCC University Medical Clinics of Campbelltown and Camden) Page 1
Biofeedback Program GI Motility Clinic (UMCCC University Medical Clinics of Campbelltown and Camden) Page 1 Biofeedback Checklist Bristol Stool Form Scale Digestive process 4F s Fibre, Fluid, Fitness,
More informationONE IN THREE WOMEN WHO EVER HAD A BABY WET THEMSELVES EVERY WOMAN WHO HAS HAD A BABY SHOULD DO PELVIC FLOOR MUSCLE TRAINING.
08 EVERY WOMAN WHO HAS HAD A BABY SHOULD Women who have even just one baby are nearly three times more likely to leak urine and wet themselves, than women who have not had a baby. The more babies you have,
More informationRegaining Bowel Control. Yvette Perston Functional Bowel CNS Queen Elizabeth Hospital Birmingham
Regaining Bowel Control Yvette Perston Functional Bowel CNS Queen Elizabeth Hospital Birmingham GI Tract Sigmoid Colon and Rectum Anterior Resection What is Anterior Resection Syndrome (LARS)? Disordered
More informationPregnancy related pelvic floor dysfunction- suggested teaching presentation for Midwives
Pregnancy related pelvic floor dysfunction- suggested teaching presentation for Midwives 1 Aims of this self assessment competency To equip Midwives with the knowledge and skills to teach pelvic floor
More informationModule 5 Management Of Urinary Incontinence
Management Of Urinary Incontinence V3: Last Reviewed September 2017 Learning Outcomes Outline conservative management options Discover the options available to manage the different types of incontinence
More informationColonic (Large Intestine) Manometry
Patient and Family Education Colonic (Large Intestine) Manometry Manometry measures the pressure of contractions of the digestive tract. What is colonic manometry? The colon (also known as the large intestine)
More informationSacral nerve stimulation for faecal incontinence
NHS National Institute for Clinical Excellence Sacral nerve stimulation for faecal incontinence Understanding NICE guidance information for people considering the procedure, and for the public November
More informationAnal sphincter exercises. Information for patients Sheffield Teaching Hospitals
Anal sphincter exercises Information for patients Sheffield Teaching Hospitals Anal sphincter exercises to help lessen leakage from the bowel Sphincter exercises, when practiced correctly, can build up
More informationUrinary incontinence. Urology Department. Patient Information Leaflet
Urinary incontinence Urology Department Patient Information Leaflet Introduction This leaflet is for people who have been diagnosed with urinary incontinence. It contains information about the bladder,
More informationINCONTINENCE. Continence and Pelvic Floor Rehabilitation TYPES OF INCONTINENCE STRESS INCONTINENCE STRESS INCONTINENCE STRESS INCONTINENCE 11/08/2015
INCONTINENCE Continence and Pelvic Floor Rehabilitation Dr Irmina Nahon PhD Pelvic Floor Physiotherapist www.nahonpfed.com.au Defined as the accidental and inappropriate passage of urine or faeces (ICI
More informationPercutaneous Tibial Nerve Stimulation for Overactive Bladder Symptoms. Patient Information Leaflet
Percutaneous Tibial Nerve Stimulation for Overactive Bladder Symptoms Patient Information Leaflet About this leaflet The information provided in this leaflet should be used as a guide. There may be some
More informationQuestionnaire for Incontinent Patients
Questionnaire for Incontinent Patients Name Date: Date of birth: weight: height: Vaginal deliveries: Caesarean Sections: profession: No Yes Sometimes Yes 50% or more Do you lose urine during sneezing or
More informationSurgery for stress incontinence:
Surgery for stress incontinence: information for you aashara Published February 2005 by the RCOG Contents Key points About this information What is stress incontinence? Do I need an operation? What operation
More informationSaint Mary s Hospital. The Warrell Unit. Perineal Clinic
Saint Mary s Hospital The Warrell Unit Perineal Clinic 2 What is the Perineal Clinic? The Perineal Clinical is a clinic for women who have had a tear of the anal sphincter during the delivery of their
More informationPelvic Floor Muscle Exercises
INFORMATION FOR WOMEN OF ALL AGES Pelvic Floor Muscle Exercises How to exercise and strengthen your pelvic floor muscles ASSOCIATION OF CHARTERED PHYSIOTHERAPISTS IN WOMEN S HEALTH This leaflet is supported
More informationWhat Is Constipation?
CONSTIPATION What Is Constipation? Constipation is when you have infrequent or hard-to-pass bowel movements (meaning they are painful or you have to strain), have hard stools or feel like your bowel movements
More informationSphincter exercises for people with bowel control problems. Information for patients. Physiotherapy Department
Sphincter exercises for people with bowel control problems Information for patients Physiotherapy Department 01625 661481 @EastCheshireNHS Leaflet Ref: 11229 Published: June 18 Review: 31/0/5/2021 Page
More informationOveractive Bladder. When to see a doctor. Normal bladder function
Overactive Bladder Overactive bladder is a problem with bladder-storage function that causes a sudden urge to urinate. The urge may be difficult to stop, and overactive bladder may lead to the involuntary
More informationVoiding Diary. Begin recording upon rising in the morning and continue for a full 24 hours.
Urodvnamics Your physician has scheduled you for a test called URODYNAMICS. This test is a series of different measurements of bladder function and can be used to determine the cause of a variety of bladder
More informationUrinary dysfunction assessment tool (community)
Addressograph label CHI:... Name:... Address:...... Urinary dysfunction assessment tool (community) Past medical history: Is the patient on medications which can affect bladder function? If, please list
More informationPelvic floor exercises for women. Information for patients Continence Service
Pelvic floor exercises for women Information for patients Continence Service page 2 of 8 Why do I need to do pelvic floor exercises? Many women experience pelvic floor problems at some time during their
More informationUrinary Incontinence
Urinary Incontinence Q: What is urinary incontinence and what causes it? A: When you are not able to hold your urine until you can get to a bathroom, you have what s called urinary incontinence (also called
More informationLaparoscopic Ventral. Mesh Rectopexy (LVMR)
Laparoscopic Ventral Mesh Rectopexy (LVMR) Questions & Answers GLASGOW COLORECTAL CENTRE Ross Hall Hospital 221 Crookston Road Glasgow G52 3NQ e-mail: info@colorectalcentre.co.uk Ph: Main hospital switchboard
More informationUrinary dysfunction assessment tool (care home)
Addressograph label CHI:... Name:... Address:...... Urinary dysfunction assessment tool (care home) Past medical history: Is the patient on medications which can affect bladder function? If, please list
More informationIntegrated Continence Service Policy. January SafeCare Council January Carol Giffin, Continence Advisor
Policy No: OP51 Version: 1.0 Name of Policy: Integrated Continence Service Policy Effective From: January 2008 Approved by: SafeCare Council January 2008 Next Review Date: January 2010 Reviewed by: Carol
More informationRegaining bowel control. After bowel cancer treatment
Regaining bowel control After bowel cancer treatment Introduction Contents 4 How does surgery affect the colon? 5 How does surgery affect the rectum? 6 Anterior resection syndrome 7 Why chemotherapy affects
More informationGynaecology Department Patient Information Leaflet
Vaginal repair Gynaecology Department Patient Information Leaflet Introduction This leaflet gives information about vaginal repair surgery used to treat a vaginal prolapse. The leaflet explains what a
More informationUrinary Incontinence
Urinary Incontinence Q: What is urinary incontinence (UI)? A: UI is also known as loss of bladder control or urinary leakage. UI is when urine leaks out before you can get to a bathroom. If you have UI,
More informationBladder dysfunction in ALD and AMN
Bladder dysfunction in ALD and AMN Sara Simeoni, MD Department of Uro-Neurology National Hospital for Neurology and Neurosurgery Queen Square, London 10:15 Dr Sara Simeoni- Bladder issues for AMN patients
More informationYour guidebook for getting results with Medtronic Bladder Control Therapy Delivered by the NURO System TAKE BACK CONTROL.
Your guidebook for getting results with Medtronic Bladder Control Therapy Delivered by the NURO System TAKE BACK CONTROL. RESET. RESTORE. * REGAIN CONTROL. Congratulations! You ve decided to try a therapy
More informationDuc M. Vo, MD, FACS Northwest Surgical Specialists
Duc M. Vo, MD, FACS Northwest Surgical Specialists Disclosures none Outline Definition Etiologies Exam findings Additional testing Medical management Surgical options What is fecal incontinence? Recurrent
More informationPelvic Floor Muscle Exercises and Advice for Men
Pelvic Floor Muscle Exercises and Advice for Men Why are my pelvic floor muscles important? Your pelvic floor muscles are important for bladder and bowel control. These muscles help to keep the bladder
More informationManaging Female Urinary Incontinence Within Primary Care
Managing Female Urinary Incontinence Within Primary Care Angela Patterson Lead Clinical Nurse Specialist in Bladder and Bowel Dysfunction. South Eastern HSCT Background More than 14 million in the UK affected
More informationConstipation- more than Movicol? PATRICK NEARNEY GPSI PAEDIATIRICS
Constipation- more than Movicol? PATRICK NEARNEY GPSI PAEDIATIRICS Learning Points How to rule out an underlying cause for constipation How to diagnose and treat faecal impaction How to manage encopresis
More informationClinical problems related to GI involvement in SSc
Clinical problems related to GI involvement in SSc Incontinence Abdominal pain/distension Gastro-oesophageal Diarrhoea Weight loss/al Issues Constipation Management of incontinence Establish diagnosis
More informationBladder retraining - treatment for urgency and urge incontinence
Bladder retraining - treatment for urgency and urge incontinence This leaflet explains what urge incontinence is and how we can help to reduce and relieve your symptoms. If you have any questions or concerns,
More informationA guide to Anoplasty (anal surgery)
Saint Mary s Hospital Newborn Intensive Care Unit Information for Parents A guide to Anoplasty (anal surgery) Introduction This information leaflet is designed to help parents and families to care for
More informationSacral Neuromodulation Beyond Pelvic Pain!!!
Sacral Neuromodulation Beyond Pelvic Pain!!! Dr. Hirachand S Mutagi. Senior Consultant Pain Physician. Head -Sakra World Hospital. Director ReLeaf Pain Services. Rapid advances in neurostimulation therapy
More informationCHERRY BAKER AND TRACEY GJERTSEN BSC MCSP HCPC INTRODUCTION TO DIAMOND TRAINING REHAB AND PERFORMANCE FOR PELVIC POWER
CHERRY BAKER AND TRACEY GJERTSEN BSC MCSP HCPC INTRODUCTION TO DIAMOND TRAINING REHAB AND PERFORMANCE FOR PELVIC POWER What is it? Where is it? Breathing Graded relaxation Incontinence Stress Incontinence
More informationACCIDENTAL BOWEL LEAKAGE: A PRACTICAL APPROACH TO EVALUATION. Tristi W. Muir, MD Chair, Department of OB/GYN Houston Methodist Hospital
ACCIDENTAL BOWEL LEAKAGE: A PRACTICAL APPROACH TO EVALUATION Tristi W. Muir, MD Chair, Department of OB/GYN Houston Methodist Hospital Accidental Bowel Leakage What Gets the Woman into Your Office 67%
More informationNeurogenic Bowel: What You Should Know. A Guide for People with Spinal Cord Injury
Neurogenic Bowel: What You Should Know A Guide for People with Spinal Cord Injury Why Is This Information Important? Before SCI, you didn t have to think about bowel movements After SCI, you may need more
More informationAdvanced Care for Female Overactive Bladder & Urinary Incontinence. Department of Urology Kaiser Permanente Santa Rosa
Advanced Care for Female Overactive Bladder & Urinary Incontinence Department of Urology Kaiser Permanente Santa Rosa Goals Participants will: Review normal urinary tract anatomy and function Understand
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE Urinary incontinence in women: the management of urinary incontinence in women 1.1 Short title Urinary incontinence in women
More informationTransanal irrigation. Toolbox for neurogenic bowel management. Information for patients Spinal Injuries
Transanal irrigation Toolbox for neurogenic bowel management Information for patients Spinal Injuries Neurogenic bowel dysfunction A number of people with a spinal injury experience faecal incontinence
More informationA Case of Fecal Incontinence: Medical and Interventional Treatment Options
A Case of Fecal Incontinence: Medical and Interventional Treatment Options HPI JP is a 69 year-old F with a 12-month history of FI. Her symptoms began after a colonoscopy She has been experiencing passive
More informationInterStim CONSULTATION INFORMATION.
InterStim CONSULTATION INFORMATION www.urologyaustin.com The Urinary System Making An Informed Decision How Does The Urinary System Work? To understand how sacral nerve stimulation works, it is helpful
More informationDisease Management. Incontinence Care. Chan Sau Kuen Continence Nurse Consultant United Christian Hospital 14/11/09
Disease Management in Incontinence Care Chan Sau Kuen Continence Nurse Consultant United Christian Hospital 14/11/09 What is incontinence? Definition of Incontinence - Is the compliant of any involuntary
More informationBowel health and screening: carers guide. A booklet for carers of people who use easy read materials
Bowel health and screening: carers guide A booklet for carers of people who use easy read materials Contents Page 3: About this booklet Page 4: What is the bowel? Page 5: Helping someone to have good bowel
More informationYour Guide To Reversal Of Ileostomy
Patient Information Leaflet Your Guide To Reversal Of Ileostomy Produced By: The Colorectal Nursing service and Stoma Care Department May 2014 Review due May 2017 1 If you require this leaflet in another
More informationUpdates in the nonpharmacological. treatment on overactive bladder
Updates in the nonpharmacological treatment on overactive bladder Overactive Bladder Also known as urgency-frequency syndrome Symptoms Urgency Daytime frequency Nocturia Urge urinary incontinence Sudden
More informationHELPING SCHOOLS MANAGE CONTINENCE PROBLEMS. The Right to
HELPING SCHOOLS MANAGE CONTINENCE PROBLEMS The Right to Go Continence problems in childhood are common and as a result it is not unusual for schools to have at least one child with a wetting or soiling
More informationPelvic organ prolapse. Information for patients Continence Service
Pelvic organ prolapse Information for patients Continence Service What is a pelvic organ prolapse? A pelvic organ prolapse occurs when the uterus (womb), vagina, bladder or bowel slips out of place, resulting
More informationInformation for men considering a male sling procedure UHB is a no smoking Trust
Information for men considering a male sling procedure UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm Introduction
More informationToning your pelvic floor WELCOME
Toning your pelvic floor WELCOME Introductions Amelia Samuels, Physiotherapist, Active Rehabilitation Physiotherapy Supporting the Continence Foundation of Australia Continence Foundation of Australia
More informationLoss of Bladder Control
BLADDER HEALTH Loss of Bladder Control Bladder Prolapse AUA FOUNDATION OFFICIAL FOUNDATION OF THE AMERICAN UROLOGICAL ASSOCIATION What Is the Bladder? The bladder is a hollow, balloon-like organ made mostly
More informationCryotherapy for localised prostate cancer
Cryotherapy for localised prostate cancer Introduction This leaflet is written for patients and their family. It provides information on prostate cryotherapy for prostate cancer which has not previously
More informationVarious Types. Ralph Boling, DO, FACOG
Various Types Ralph Boling, DO, FACOG The goal of this lecture is to increase assessment and treatment abilities for physicians managing urinary incontinence (UI) patients. 1. Effectively communicate with
More informationThe Children s Hospital, Tom s Ward. Hirschsprung Disease. Information for parents
The Children s Hospital, Tom s Ward Hirschsprung Disease Information for parents What is Hirschsprung disease? Hirschsprung disease is a rare disorder of the bowels, most commonly the large bowel (colon).
More informationOHTAC Recommendation
OHTAC Recommendation Sacral Nerve Stimulation for the Management of Urge Incontinence, Urgency-Frequency, Urinary Retention and Fecal Incontinence March 2, 2005 1 The Ontario Health Technology Advisory
More informationNorthwest Rehabilitation Associates, Inc.
Pelvic Health Patient Intake Form Name: Date: Please answer the following questions as honestly and thoroughly as you can. Your responses will help us better understand your condition and provide the best
More informationSphincter exercises for people with bowel control problems
All of our publications are available in different languages, larger print, braille (English only), audio tape or another format of your choice. Continence service Ballochmyle Suite University Hospital
More informationSacrospinous Vault Suspension
gynaecology program Pre- and Post-operative Instructions: Sacrospinous Vault Suspension Informed Consent As part of informed consent, your doctor will talk to you about: What will be done during the surgery
More information