-

Solution Medical Care
Medical premium materials


See more details:
Contemporary Medical Equipment
Clinic equiment for all medical specialties
Full range of consumables

Product menu

Capitalisation News

Newsletter

Questions-Answers

How does a normal bladder works?
Urine produced in the kidneys after filtering the blood and are waste products that the body eliminates. The urine go from the kidneys down to the bladder through the ureters (two tubes that connect the kidneys to the bladder) and stored there. The cystic muscle (which is called medical detrusor) relaxes as the bladder fills with urines, to approximately 500 ml, while the valve-or sphincter- bladder remains closed so that there is no urine waste. So, when the bladder is filled with urine, then messages are sent to the brain arriving there through the spine. The brain, if it considers that it is convenient (ie, if we are near a toilet), empties the bladder, if not, instruct the bladder to wait and continues to store urine, the bladder valve (sphincter) is still closed . When there are good conditions, then the brain instructs and opens the sphincter of the bladder, the bladder twitches and urine come out through the urethra.


What is urinary incontinence?
Incontinence currently affects 45% of men and 25% of women in old age, one of the most widespread diseases around the world, with serious consequences for the daily life of the person suffering from the problem.     
The term incontinence describes the condition that is characterized by loss of urine from the urethra during exercise daily activity without the will of the individual and may be due to either extra-urethral causes either dysfunction of the lower urinary tract. It concerns mainly the female population, independent of age and may be associated with several pathological conditions, such as neurological disorders, medications, metabolic disorders and Physically problems, becoming a problem not only medical but also social. Urinary incontinence according to clinical data, is divided into five categories:
a) stress incontinence
b) urinary incontinence
c) mixed type incontinence
d) continuous incontinence 
e) Overflow incontinence      


What is Urinary Urge Incontinence?
In this type, the person suddenly feels a strong desire to urinate, usually for no apparent reason. Not enough time to move to the toilet or to hold and then the person finds a loss of urine. This fact is due to severe uncontrolled bladder contractions, which is called -depending on the cause, unstable or overactive generally overactive bladder. The cause may be neurological (central or peripheral nervous system), relating to the same smooth muscle fibers of the bladder, be related to inflammation or even be unknown (idiopathic bladder instability).    


What is stress urinary incontinence?
Stress urinary incontinence in women is one situation where the woman finds loss of urine from the urethra, when some event (coughing, laughing, sneezing, jumping from a height, weight lifting, etc..) increases the pressure on bladder. It is the most common type of urinary incontinence in women and is related to how strong are the sphincter of the bladder and the pelvic floor muscles, and contributes negatively the genitals laxity and the level of estrogen, especially after menopause.
Depending on the severity distinguish three degrees: 1st degree: incontinence in coughing, tenesmus, sneezing, lifting weight.
2nd grade: incontinence in standing, standing up, walking.
3rd grade: incontinence during cushioning.    


What is Mixed urinary incontinence (Urge and Stress incontinence);
This coexistence of these two statements. The species most frequently encountered in women.     



What is idiopathic urge incontinence?
Urge incontinence is characterized as "intense desire to urinate, followed by leakage of urine from the urethra without willing". The problem may be due to psychological reason, in a neurological disease, a urinary tract infection, but in most cases are idiopathic. The idiopathic urge incontinence is caused either due to a spasm of the bladder without our will (instability) or a strong desire to urinate small amounts of urine (bladder hypersensitivity). In urge incontinence almost always preceded by urinary frequency and urgency of urination, and in many cases pain coexist, pseudodysouria, leakage of urine after laughing, coughing, weight lifting. Several times observed during intercourse. 


What is the prolapse of the uterus;
The uterine prolapse, or "relaxation", is different from the kysteorthokili. The kysteorthokili is when the bladder and/or the rectum "fall", while the relaxation of the uterus or uterine prolapse, is the possibility when the matrix losing the support of the ventricular walls, and descend further.    


What is incontinence vaginal strips?
It is a new surgery for cases of female stress urinary incontinence. The strip can be placed in the middle urethra as tension-free tape and bladder neck voltage.    


What is vaginal tape incontinence Remeex;
It is a new surgery for results last lifetimes for all cases of female stress urinary incontinence. Vaginal tape kit with adjustable trend regulator and with implantable polypropylene trend and titanium screw. Remeex is a strip of tension-free or regulated trend. It can be placed in the middle urethra as tension-free strip, as well as in bladder neck with tension. Tucked in all cases Stress Incontinence, and in formula II incontinence, incontinence formula III, and mixed incontinence. However, the biggest advantage is that the strip can be set not immediate in the time of surgery, under time pressure and swelling, but in the next few days (maximum 5 days). The success rate, even in difficult cases is reaching 98% and there is no cost for possible readjustment that may be needed after several years, since it can be done in five minutes in an outpatient clinics without the hospitalized of the patient. (unlike other systems where you have to redo surgery).    


What is neurogenic bladder?
A spinal cord injury, trauma or pathology (e.g., multiple sclerosis, tumor, etc.) may result in paraplegia or tetraplegia. This condition most often accompanied by severe and varied micturition disorders due to neurogenic bladder, i.e. the bladder which the rib is damaged.     


Individuals with paraplegia or quadriplegia have trouble urinating?
A spinal cord injury, trauma or pathology (e.g., multiple sclerosis, tumor, etc.) may result in paraplegia or tetraplegia. This condition most often accompanied by severe and varied micturition disorders due to neurogenic bladder, ie. the bladder which the rib is damaged.    


What is overflow incontinence?
Overflow incontinence is every involuntary loss of urine associated with excessive dilation of the bladder. This may be due either to the fact that the bladder is unable to contract effectively either that the urethra has for some reason stenosis.
The result of this is the retention of urine in the bladder. The bladder collects urine until overfilled. Increased intravesical pressure then causes unplanned, spontaneous leakage of urine. Since often the passage of urine is in the form of drops this incontinence is described as drops incontinence.
The most likely causes of Overflow incontinence is:
A) Atonic detrusor or dysfunction of the detrusor and of the sphincter of the bladder.
B) Specifically in men oversized prostate gland.
Is certain, however that the incontinence must be addressed because it can lead to infection, lekaege and regurgitation of urine in the ureters.
Characteristic symptoms of this form of incontinence are:
1 Difficulty for starting to urinate or have a continuous flow.
2 Loss of urine in the form of drops after urination or in the interval
3 special efforts to urinate.
4 Frequent visits to the toilet during the day and night.     


What method of emptying the bladder is appropriate at a time?
The selection criteria should be individualized. It will play a part:
1 The type of neurogenic bladder.
2 The general recovery of the individual.
3 The physical condition of the individual.
4 The social, occupational and psychological needs of the individual.  


What are the basic systems urine collection?
1. external male catheters
2 The new specific pantiliners and
3. intermittent catheterization.
The program of intermittent catheterization is the only one with which the urine resembles the way that is done under conditions of physical fitness. According to the major organizations abroad intermittent catheterization is the safest method that guarantees the quality of life and longevity.


What is intermittent catheterization?
Intermittent catheterization were real revolution in the treatment of neurogenic bladder. It can be applied in most cases (but not all) and to optimally combine the purely "medical" and social - personal goals of each individual. Intermittent catheterization performed by the person himself or by an assistant (preferably always the same) after training. The bladder was catheterized for a few minutes and immediately after the catheter is removed.     


In which cases is the ideal intermittent catheterization?
Method is ideal for those occasions when the bladder is relaxed, it empties itself and incontinence due to overfilling of. Also in neurological diseases, spinal cord injury, surgery to the pelvis etc.. Bladder and the sphincter mechanism cooperate in voiding phase, to discharge all urine. Using thin, sterile, disposable self-lubricating catheters several times, the person can usually alone to substitute the normal emptying of the bladder, emptying it appropriate 4-6 times in 24 hours. In addition to the discharge of the various complications of retention of urine in the bladder (infections, stones etc..), at the same time is discharged from incontinence. This is because rare urine arriving in a large amount, if is preceded emptying at regular intervals     


What are the advantages of clean intermittent catheterization?
1 Reduction of symptomatic UTI.
2 Reduction of stone formation in the bladder or kidneys.
3 Decrease the percentage urethral fistula formation.
4 Reduce the proportion of malignant lesions of the bladder.
5. Deployability of continence.
6 Ability of sexual life.
7 The most "natural" way of emptying a neurogenic bladder. Complete emptying without residue at a time chosen by the individual.
8. kept low pressures on the walls of the bladder and for this does not happen regression of urine and bacteria in the upper urinary tract.


Does the permanent Foley catheter in the bladder creates complications?
The permanent solution to the Foley catheter in the bladder has many complications (infections, hematuria, injuries, obstructions, stones etc..), and finds application in extreme situations, such as very old and sluggish person, excluding surgical repair for various reasons, etc..)    


In which cases is the ideal intermittent catheterization?
Method is ideal for those occasions when the bladder is relaxed, it empties itself and incontinence due to overfilling of. Also in neurological diseases, spinal cord injury, surgery to the pelvis etc.. Bladder and the sphincter mechanism cooperate in voiding phase, to discharge all urine. Using thin, sterile, disposable self-lubricating catheters several times, the person can usually alone to substitute the normal emptying of the bladder, emptying it appropriate 4-6 times in 24 hours. In addition to the discharge of the various complications of retention of urine in the bladder (infections, stones etc..), at the same time is discharged from incontinence. This is because urine arriving rarely in a large amount, if is preceded emptying at regular intervals.    


What is self-lubricating catheters?
The self-lubricating catheters, hydrophilic catheters are studied to improve the process of intermittent catheterization. They have a perfect, hydrophilic, soft and smooth surface, in which an electronic microscope shows no sign imperfection. This allows frequent application without friction and trauma to the sensitive mucous membrane of the urethra.    


Why use self-lubricating catheters
Because the hydrophilic lubrication minimizes the friction between the catheter and the urethra and thus is greatly diminished the risk of injury to the sensitive mucous membrane of the urethra.     


How often should I do catheterization?
This will tell your doctor depending on the condition you have, how much fluid you are drinking and what medications you are taking. But normally you should do at least 4 times a day.     


When I catheterisation should be washed with antiseptic constantly?
No. You must wash the area around the genitals, once a day with a gentle neutral soap. Excessive washing can damage the natural bacterial flora that protects you from infections.     


What if the catheter is not placed in the bladder?
It may happen sometimes because the sphincter is closed. In this case you need to relax, slight coughing or taking a deep breath. Once doing that try again and you will see that you get results.     


When is considered to have urinary tract infection?
In the general population UTI considered as microbial growth> 100.000ml in urine cultures. In individuals however with neurogenic bladder performing intermittent catheterization regard as positive the urine cultures only when combined with symptoms and only then conjointly antibiotics. The indiscriminate use of antibiotics too often we see that leads precisely to the development of resistant microbes and uselessness of the antibiotic.    


What can I do to prevent UTIs?     
The Intermittent self-catheterization, it is a very important method for emptying the bladder and reduces the possibility of urinary tract infection of retention of urine. Every definitely self-catheterization risk introducing germs in the bladder. This risk however is much smaller than with the self-catheterization with an indwelling catheter. If you have an indwelling catheter should take care to keep clean, as well as the collection bag. Urine acidification is a very important method in preventing UTIs. This can be done by administering vitamin C, (for example to drink a lot of orange juice).   


Is the erectile function disturbed with intermittent catheterization?     
The urine collection is inextricably linked with the organization of the quality of life and that is a matter of social behavior. The absence of complications creates the conditions for a healthy social and professional life.
Choosing a combination of urine collection programs is a prerequisite for the organization of an elegant and confrontational lifestyle. The right ourosyllogis system implies the absence of all known complications of paralysis: the end of sweat, symptoms of UTI, explosions of autonomic dysreflexia and disorders of thermoregulation.
The consequences of rational urine collection system options not appear immediately. It takes months, perhaps years, to reflect an improvement in quality of life. Life under disability conditions are already burdened and, for this, even the beneficial interventions are difficult to distinguish. There are many people with disabilities who fear that, if put into the program of intermittent catheterization may be disturbed sexual life and erectile function.
For many, catheterization considered creepy. But with modern self-lubricating catheters, friction reduced by 98% and therefore the catheterization are completely safe and do not cause complications.


What is multiple sclerosis?
Multiple sclerosis (CSF) is a disease of the brain and spinal cord. The age at which the diagnosis is made is between 20 and 50 years. In CSF the casing that covers the nerves, myelin is destroyed and the nerve damaged. The role of myelin is very important for the protection and proper functioning of the nerve. It allows quick transfer of nerve messages. When myelin and nerve fibers suffer damage, messages starting from the brain to move for example a member of the body, not transmitted correctly thus creating mobility problem. The same occurs vice versa when messages relating to the sense transferred from one part of the body to the brain.    


Associated urinary tract infections with S.K.P?
Urinary tract infections are common in people with MS. We may not give symptoms (asymptomatic), but may be symptomatic causing pain, stinging and fever, usually due to inability of the bladder to expel urine completely i.e. the retention of urine. Urine staying an ideal "food" and soil microorganisms. Recurrent urinary tract infections are the result of exactly this disturbed bladder function and further complicate an already problematic bladder. It is relatively difficult to overcome because the germs become resistant to antibiotics commonly used to treat and the prognosis varies from person to person.     


What are the usual symptoms of Multiple Sclerosis (MS):
· Weakness or mobility problems
· Pins
· Lack of coordination of movements
· Loss of balance
· Visual Problems
· Urinary incontinence. The disorders of urination depends which part of the spine is affected by the disease
· Cognitive problems
· Changes of mood
· Fatigue
Difficulty of speech     


I have MS and I seem to have a problem with my bladder?
It is very common (more than 67%) of people with MS to have urinary problems. Sometimes even the condition appears exactly with such disorders, without implying that all who suffer of MS have problems with their urination. Symptoms are usually painfully and cause health problems, medical and psychological texture, reducing significantly more often social, vocational and sexual activities. Most urination problems can be treated successfully and avoid complications of the genitourinary.    


What is the most common type of neurogenic bladder in MS?    
The most frequent type of neurogenic bladder in MS is small, spastic bladder that sometimes referred to as a failure of the bladder to retain urine and due to the disturbance of cerebral-spinal connections. Such type of disorder has symptoms of increased frequency, urinary urgency, teardrop escape and / or incontinence. Second type is great, relaxed bladder due demyelination in central micturition spinal cord. The third type is the dyssynergistic bladder where the disorder is associated with weakness of cooperation (synchronization) between the contraction of the bladder wall and sphincter relaxation. In this disorder either retracted the bladder and the sphincter remains closed when the patient first presents urgent urination, and weakness after starting urination or the bladder relaxes and the sphincter remains open resulting in leakage of small quantities of urine or incontinence. The above bladder disorder usually occurs within spastic or flaccid bladder.     


What is myelomeningocele?    
The myelomeningocele is a complex genetic defect of the spinal column. In the case of myelomeningocele during embryogenesis, one or more vertebrae of the spine surrounding the developing spinal cord do not converge, but rather remain open. This development takes place in the first three weeks of pregnancy. There is absolutely known what reason causes the myelomeningocele, but affect hereditary and generally vironmental factors. It is known that vitamin B and folic acid, plays a very important role in the development of the fetal spine. For this often recommended in women who are pregnant to take folic acid. Taking folic acid supplementation has reduced the incidence of myelomeningocele by about 30% over the past 10-15 years.
There are two types of myelomeningocele: dyschidis bifida and cystic myelomeningocele.    


What is Alzheimer's Disease?     
The Alzheimer's disease is a form of dementia. Dementia is a term used to describe a significant reduction of the cognitive functions of the patient such as reduction of memory, judgment and speech disorder All patients do not manifest the same symptoms the same weight. Also the degree which varies with the symptoms worsen or increase in number as the disease progresses.
Most of the symptoms that can occur are described below:
• Reduce memory, learning ability and attention
• crisis capacity reduction and decision making.
• Reduced ability to use the appropriate word or phrase.
• Reduced ability to perform mathematical operations.
• Disorientation: lost, cannot find its way home.
• Motor coordination reduction: inability to perform skilful movements.
• Changes in personality: the extrovert person can become introverted, the loving person may become unresponsive, or suspicious and irritable.
• Changes in emotion, including anxiety, depression and hyperkinesis
• Urinary incontinence.
• Faecal incontinence     


Do all urologists involved in the above conditions?
Although, all urologists are trained in all diseases of the genitourinary system, the progress of science and the great expertise that exists, but the scarcity of certain conditions, resulted in creating some subspecialties of urology, where urologists specialize.
These are:
the andrology,
pediatric urology,
the oncological urology
endoscopic urology,
gynecological urology, dealing with the problems of the bladder and urethra in women and foremost with urinary incontinence and complications of gynecologic surgery,
the neuro-urology, dealing with urological problems of patients with neurological diseases.     


What is a hernia?
When the hernia occurs, it means that the inner layers of the abdominal muscles weaken, creating knob. Such as an inner tube pushes through a damaged tire (car wheel), so the lining of the abdomen pushes through the weakened area of ​​the abdominal wall, creating a small balloon, like bag. This can allow a loop of intestine and abdominal tissue to push into the sac. The hernia can cause severe pain and other potentially serious problems that may require urgent intervention. Both men and women are likely to get a hernia. Can someone be born with a hernia (congenital) or develop one over time. The problem of hernia is not improved with time or the hernia can be cured by itself. 

FAQ

What is intermittent catheterization?
 What is intermittent catheterization? Before answering this question, dear readers, it should be clear in our minds an...
What is multiple sclerosis?
Multiple sclerosis (MS): What you should know. What is multiple sclerosis (multiple sclerosis)? Multiple sclerosis (MS)...
What is overflow incontinence?
What is incontinence overflow? Is any involuntary loss of urine associated with excessive dilation of the bladder. This...
Definition of urinary incontinence
Urinary incontinence is characterized by the condition in which involuntary urine loss occurs continuously or intermittently....

Policy and Terms of Use

Read the policy and terms of use of the website


Policy and Terms of Use

Contact and location map

SOLUTION MEDICAL CARE  Medical Devices Import- Main store: Chalkidikis 51 building A2, PC.55535, Pilaia, Thessaloniki, Tel: 0030-2310 303013, 0030-2310 943313, Fax:0030-2310 935845-Branch store: 19 St. Konstantinou Str., PC.16346, Ilioupoli Athens, Tel:0030-210 6532561
Read more ...