Oral Report 1: Week of 12/3/2007

advertisement
Zach Hawkins
Kristen Heck
Amy Klemm
Amanda Streff
What is Urinary Incontinence?

Urge Incontinence
 Involuntary loss of urine associated with
abrupt and strong desire to void

Stress Incontinence
 Involuntary loss of urine during coughing,
sneezing, laughing, etc

Overflow Incontinence
 Involuntary loss of urine associated with
over distension of bladder

Functional Incontinence
 No recognition of need to void, inability
to make it to the toilet in time
Causes

Neurological disorders
 Parkinson’s, Multiple Sclerosis, Alzheimer‘s
 Stroke, brain tumor, spinal injury

Hormone imbalances
 Menopause
Prostate cancer
 Loss of muscle tone

 Childbirth, old age
Prevalence





13 million people in the U.S.
10-35% of adults
50% of the 1.5 million
residents in nursing homes
leading cause of admission to
a nursing home
may lead to pressure sores
and ulcers, possibly resulting
in secondary infections
http://www.emedicine.com/med/topic3085.htm
Treatment Options




Exercises
Electrical stimulation
Timed voiding/
bladder training
Medication




Surgery
Sling
Catheterization
Artificial Urinary
Sphincter
Available External Devices

Penile clamp
 Puts external pressure on the
male urethra

Sling
 completely inside your body
 places pressure on the urethra,
reducing the possibility of urine
leakage

Absorbent pads
Available Internal Devices

Catheter
 Indwelling catheter
○ Drainage bag secured to inside of leg
 Intermittent (short-term) catheter
 Suprapubic catheter
○ placed directly into the bladder through
the abdomen

Mama-sure Ultima
 Internal electrical stimulator

AMS 800
 artificial urinary sphincter
 implantable, fluid-filled, solid silicone
elastomer
Specifications Desired
Comply with industry standards for
urological medical devices
 Be able to remain indwelling for 30 days
 Easily operated by patient with disabilities
 Allow emptying of the bladder when
desired
 Prevent urine flow when not desired
 Provide an indication of the status of the
bladder.

Completed Work

Set up with appointment with Dr. Doug
Milam

Researched externally controlled
implantable stimulation device
Current Work

Continuing to correspond with Dr. Katherine
Cameron

Meeting with Dr. Doug Milam at 5:00pm
Future Work

Interview patients with incontinence control
devices to determine needs and desires

Establish a way to indicate bladder status
Acknowledgments
Jao Ou
 Dr. Katherine Cameron
 Chris Constantinou
 Qiyu Peng
 Dr. Zhang


Any Questions?
Download