Information to Help You Live Life to the Fullest

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Information to Help You Live Life to the Fullest For more information and to join the conversation visit: Prevail.com/LOBC 800-227-3551 CONSUMER EDUCATION 2015 First Quality Products, Inc. All rights reserved. Made in the U.S.A. PCB 2015

What is Loss of Bladder Control? Common Causes Loss of Bladder or Bowel Control (LOBC), also known as incontinence, is when you have no control of when and where you are going. We are all born incontinent and we will most likely experience some degree of incontinence as we grow older. LOBC is Not Uncommon LOBC affects up to 25 million Americans each year Only 1 in 8 Americans experiencing it have been diagnosed 75-80% are women, 9-13 million of whom have bothersome-severe symptoms (1,2) 22% of men over 65 experience LOBC (1,2) With proper education and treatment, LOBC should not interfere with enjoying an active and full lifestyle. Managing LOBC The first step in living a full life with LOBC is to get the facts and this informational booklet is a good start. It is also important to discuss incontinence with your physician. For more information, be sure to visit Prevail.com/LOBC and join the conversation. Job related activity (e.g. heavy lifting) Smoking and lung disease Certain foods and beverages Poor nutrition Constipation Obesity Previous urinary tract or renal problems Loss of pelvic muscle tone Menopause and hormonal changes Pregnancy Pelvic surgery or trauma (e.g. hysterectomy, childbirth) Neuromuscular impairments Neurological disorders and stroke Cognitive impairments (e.g. Alzheimer s) Medication side effects Urinary tract infection Enlarged prostate Tumors Functional limitations such as decreased mobility Source: (1) International Continence Society (ICS); (2) National Association for Continence (NAFC)

RECOMMENDED Products Be sure to choose the right products for the right level of leakage. LIGHT FLOW Pantiliners Bladder Control Pads Male Guards Pant Liners MEDIUM FLOW for Women for Men Boxers for Men Protective Adult Briefs Extended Use Brief Bariatric Briefs HEAVY FLOW NGB Briefs ADDITIONAL ITEMS Underpads Disposable Washcloths

Options in LOBC Management It is important to talk with your physician about managing incontinence to determine the best plan for your particular needs. Here is an overview of the options you will most likely discuss. LOBC PRODUCTS Prevail absorbent hygiene products are designed to meet the needs of those suffering with LOBC. Prevail products can be used alone or with any of the other options below. BEHAVIORAL THERAPY MEDICATION There are some medications prescribed for unrelated issues that can trigger incontinence. Look into medications that are bladder irritants. These medications may include sedatives, diuretics, and narcotics. Discuss with your physician before making any adjustment to your medication. SURGERY All surgery must be considered carefully. Surgery comes with risks and potential complications. Behavioral Therapy involves understanding your body. Setting routines will help with managing your needs with bladder retraining and scheduled toileting. You may create schedules to proactively visit the bathroom. Your physician may advise you to begin a Bowel and Bladder Diary (for a sample diary, visit Prevail.com). For women, Kegel exercises are also recommended to strengthen pelvic muscles. DIET MODIFICATION Certain foods act as diuretics and may need to be removed from the diet. Eliminating one or all of the irritating foods may improve your urine control. Read on for a list of foods and beverages that are bladder irritants.

Men s Prostate Health Know the Facts Foods, Beverages & LOBC Irritants There are certain foods that can negatively affect bladder control. Talk to your physician about eliminating one or more of these items from your diet. Alcoholic and carbonated beverages Caffeinated coffee and tea Tomatoes Citrus fruits and juices Sugar, honey and artificial sweeteners Chocolate Spicy foods As men get older the risk of developing either an enlarged prostate (BPH - Benign Prostatic Hyperplasia) or Prostate Cancer increases. The most common initial symptoms for enlarged prostate (BPH) and Prostate Cancer are urinary symptoms. These include: frequency of urination, hesitancy and dribbling during urination, and frequent nighttime urination. Men over 40 with increased risk should have an annual prostate exam. Risk factors include a family history, a diet low in fiber but high in fat and red meat, and if you are African American. Talk with your physician if you become urinary incontinent or if there are changes in your prostate condition. Helpful Foods and Beverages Constipation can lead to incontinence so consuming ample amounts of fiber is important, as it greatly contributes to improved bowel habits. Foods high in fiber include: oat bran, applesauce, etc. Thirst quenching juices that are not considered irritants are grape, cranberry, cherry, and apple. The best beverage choice, however, is water. A Note about Liquids Many people reduce their liquid intake hoping it will reduce the amount they need to urinate. This may cause more concentrated liquid in the form of urine (dark yellow and strong smelling). When urine is more concentrated it can be irritating to the bladder and may even increase the potential for a Urinary Tract Infection and incontinence.

Pelvic Floor Exercises for Women Know the Facts Kegel exercises strengthen the pelvic floor muscles that support your bladder and help close your urethra. The pelvic muscles control leakage and manage sudden urges. Strong muscles give you more time to go to the bathroom. It is important for women, especially those whom have experienced pregnancy and childbirth, to strengthen the muscles that support the bladder. This is typically done through a technique called the Kegel Exercise. Female Urinary System: How It Works and Why Kegels Help Kidneys produce urine that travels via the ureters to the bladder. There is a sphincter muscle surrounding the exit of the bladder (the urethra). Childbirth, menopause and obesity can interfere with the normal function of the bladder and the sphincter. Kegel exercises strengthen muscles that support the sphincter. This helps to keep the bladder closed while it fills. How to do the Kegel Exercise When not urinating, contract muscles for a count of 4 or 5, repeating 10-20 times. Repeat this exercise three to four times a day. Full improvement will occur in two to three months with continuous work.

PRODUCT SELECTION GUIDE LIGHT Light Flow Bladder Control Pads Discreet protection for women Now with Dri-Fit cotton enhanced Odor Guard technology neutralizes odor Contoured, discreet pad for a comfortable fit Individually wrapped Light Flow Male Guards Discreet protection for men Discreet contoured shape, natural fit Flexible gathers offer side leakage protection Soft cloth-like outer fabric Medium Flow for Women Two types of underwear designed for women Now with Dri-Fit cotton enhanced Soft cloth-like outer fabric Features a form-fitting shape and stretchable, breathable waist panels for a comfortable fit Medium Flow for Men Two types of underwear designed for men Now with Dri-Fit cotton enhanced Boxers: design that feels and looks like regular boxer underwear : designed to pull on and off easily ADULT BRIEFS Heavy Flow Available in a variety of sizes and Absorbencies Odor Guard technology neutralizes odor Soft breathable zones Soft cloth-like outer fabric HEAVY Heavy Flow EXTENDED USE BRIEFS Available in a variety of sizes Ideal for extended use protection Odor Guard technology neutralizes odor Soft breathable zones Bed and chair protection Underpads Available in a variety of sizes and Absorbencies Designed to protect beds, chairs and other surfaces Extra strong construction makes pad durable when wet Waterproof moisture barrier Adult sized for adult care Disposable Washcloths Available in a variety of styles Premium wipes contain lotion and Skin Smart to help moisturize for skin wellness Single Hand Dispensing Thick quilted fabric for better cleaning For more products, visit us online at Prevail.com.