Urinary tract infections in men could be the bottom line reason behind urinary incontinence in men. Urinary incontinence is the inability to manage or control urine voiding or the passing of urine; the involuntary voiding/passing of urine. There are several known reasons for urinary      incontinence in men such as an enlarged prostate gland or a faulty nerve signal that is suppose to notify the bladder to empty itself of all content or urine, and of course a dysfunctional bladder that is misbehaving (often due to bacterial infection or cystitis) There are a number of ways men can contract a urinary tract infection (UTI) and in many cases be none the wiser about it.

Urinary tract infection is caused by bacteria; bacteria that have entered the body through some opening or cavity and have settle in the urinary tract. The urinary tract consist of the  kidneys, ureter tubes (2), and bladder that makes up the upper tact, and the bladder neck, sphincter muscles and the urethra makes up the lower tact. The urethra runs from the lower section of the bladder through the prostate gland and continues through the male sexual organ where it dispels all urine. However, when the urinary tract becomes infected it will in most cases disrupt the ordinarily smooth process of the body removing urine from itself.

Urinary tract infections occur when bacteria, in particular Escherichia coli or E coli enters the urinary tract. Bacteria oftentimes enter the urinary tract through the urethra that runs from the bladder through the prostate gland and continues on through the male sexual organ as mention above. Sexual intercourse, internal catheters, genetics, diabetes and cystitis or bladder infection are some of the known ways men can contract a urinary tract infection. Once the bacteria is inside of the body it can settle or make its home wherever it chooses; if it decides to settle in the urinary tract then it becomes a urinary tract infection. In many cases of urinary tract infection the bacteria will settle somewhere around the neck of the bladder or what is known as the lower urinary tract (LUT); however, it might choose to travel up the urinary tract to the bladder where it will infect the bladder (cystitis).

It can continue up stream by traveling from the bladder through the ureter tubes and finally resting inside the kidneys where they can become infected with the bacteria, and this could lead to very complicated problems if the kidneys are not treated immediately. Kidney infections can lead to such dangerous consequences as kidney failure. A urinary tract infection left to propagate within the kidneys can severely damage the kidneys to the point that dialysis or a kidney transplant is the only alternatives. That is why it is so imperative that men who are experiencing some sort of problem with voiding or passing urine should consult their doctor right away!

In many cases where the patient has sought medical help early, doctors can in most cases prescribe some type of antibiotics to kill the infection. After speaking with the patient and running a few test most physicians can determine what antibiotic would be most appropriate to best fight the infection. When a urinary tract infection is left untreated it can cause a whole lot of damage that could have been prevented if the patient had sought medical help early on. That is the number one reason why men who are experiencing some type of problem voiding and/or voiding more than normal should consult with their primary care giver as quickly as possible. When it comes to treating and managing urinary incontinence time is of the essence. Getting to your doctor in a timely manner can make the difference between possibly being cured and the possibility of losing your kidneys…it is just that serious. When a urinary tract infection is left untreated it can infect the urethra that carries the urine from the bladder through the male sexual organ and out the body. An infected urethra will not; cannot; function at optimum level, nor should it be expected to. Bacteria left uncontested can be the underlying cause why urine passing becomes severely restricted.

The urethra is a passage way or tube that allows urine to pass through it unobstructed when it is unencumbered by bacteria such as Escherichia coli or e-coli, but when the urethra has become infected by deadly bacteria such as the e coli strain; allowing urine to pass can reach the point of impossibility and the resulting dilemma can only be corrected through invasive surgery.  When urinary tract infections enter the bladder it is known as cystitis (as mention above), the bladder becomes inflamed and diseased. This too can lead to urinary incontinence in men as well as an infected urethra. When the bladder becomes infected it can lose its ability to receive nerve signals that tell it when it is supposed to relieve itself of its content or urine.

When infected the detrusor muscle inside of the bladder or bladder walls can begin acting erratic and violently squeezing to force the urine out of the bladder when it hasn’t received any nerve signals from the brain at all to do so. When that happens it can force the person to rush quickly to the bathroom to urinate; in most cases he’ll never make it. This particular scenario is played out time and time again in the lives of men who suffer from urinary (urge or urgency) incontinence. This is a classic case of urge or urgency incontinence in men. A simple urinary tract infection left untreated can certainly lead to episodes like this. This is why many physicians as well as urologist can sometimes become so angry when they see situations where if the patient had only come in for early treatments things could have turned out so differently—so much better.

In conclusion, urinary tract infections are treatable conditions that can and should be treated as quickly as possible. It is believed that less than thirty percent of men who suffer with some type of urinary incontinence seek medical help in the early stages of urinary tract infection. That means about seventy percent of men who suffer with urinary incontinence are receiving no treatment whatsoever! And that’s a shame because in all but a very few cases, urinary tract infections will continue to spread and do damage within the urinary tract.

A urinary tract infection can lead to death if left untreated or if it is not treated in a timely manner. When the kidneys become severely infected to the point they are no longer useful—you have waited too long. Dialysis treatments will keep you alive for a while and then that’s it. A kidney transplant might be possible if you can find a donor—if your body won’t reject the new kidney. My friend, don’t allow a very small problem that’s treatable turn into a life and death struggle–don’t do it. Be smart and seek medical help while you still can, it’s the least you can do for yourself.

Related Urinary Articles

“Migraine is a mysterious disorder characterized by pulsing headache (feeling of weightage,fullness over forehead),usually restrictedto one side,which comes in attacks lasting 4-48hours and is often associated with nausea,vomiting,sensitivity of light, and sound, vertigo,loosemotions and other symptoms.”(Tripathi-2006)

“Migraine is very common type of headache,with a prevalance of 10-12%,migraine ranks 19th among disease” (cephalalgia 2004)

“migraine is a complex disorder inwich many psychological,inviromental,biochemical,neurophysiologic,and genetic factors play a role to tiger attacks. The diagnosis is based on headache characetrized and associated symptoms specified internationl headache society” (westermanCJetal 2003)

“The typical headache is unilateral,throbbing and may be severe.If untreated, the migraine attacks typically lasts 4 to 72 hours. The attacks are usually associated with nausea,vomitting, or sensitivity to sound,light and or movement.In addition to this, migraine with aura is characterized by transient focal neurological symptoms,which are usually visual,and may precede,accompany, or flow the headache attacks.”(stewart WF et al 1994)

“Thereare two types of migraine headaches.The first migraine without aura(previously called common migraine) is severe,unilateral,pulsating headache that the typically lasts from 2 to 72 hours.These headaches are often aggrivated by physical activity and accompanied by nausea,vomiting,photophobia(hypersensitivity to light) and phonophobia (hypersensitivity to sound.Approximately 85% of patients with migraine do not have aura.In the second type migraine with aura (previously called classic migraine),the headache preceded by neurological symptoms called auras which can be visual, sensory,and or cause speech or motor disturbances. Most commonly these prodromal symptoms are visual, occuring, approximately 20 to 40 minutes before headache pain begins. In the fifteen percent of migraine patients whose headache is proceded by aura,the aura itself allows diagnosis.The headache itself in migraine with or without auras is similar.For both typesmigraines,woman are three folder more likely thanmen to experience either type of migraine.

Migraine-there is chance for family tenency,females are more affected than male,it develops unilateral,variables in onset,characterized by pulsating,throbing.Cluster-ther in family chance,males are more than females it develops during sleep,at behind or around head,characterized by sharp,steady.

Tension-Type-there is family history,it develops understress,bilateralcharacterized by dull,persistentent type.(Richard D etal 2006)

” Depression may means the symptom of feeling of said, meloncholic or low in spirit, or it may mean the syndrome of depression as characterized by low mood,lack of enjoyment, reduced energy and changes in appetite, sleep and libidpolic.(A.W.CLARE 1998)

“Clinically significant depression is often reffered to is as major cause of disability and of succide.Medically unexplained symptoms that may result from depression include chronic fatigue,chronic wide spread pain,weight loss and conginitive impairment (deprssive pseudodementia).Dpression comorbid with a medical condition magnifies any associated disability,diminishes adherence to medical treatment and rehiltation, and may even shortet life expectancy.Recent research suggests that patients who have a major depressive disorder soon after myocardial infarction or stroke die sooner than who do not even when disease severity is controlled.(lloyd& sharpe MC 2002).

“It is widely accepted that the limbic system has a role in control and expression of emotion.These structures from a reverbrating (papez) cercuit inwhich inputs from various cortical areas,especialy those involving in perception, are fed in together with other inputs from the brain system and spinal cord.Output is mainly from the hypothelmus,through releasing hormone, and the reticular formation and autonomic nuclie of the brain stem. The hypothelmus plays a part in hormonal disturbabce in depression.The reticular formation and autonomic nuclie contol aroused and autonomic function,both of which are often altered in depression.The limbic system also contains sructures involved in the control of memory,depressed patients often express their disorder in terms of adversely disorted recollection of past events.The limbic system may act as a regulatory system for emotional states.Noradrenergic and 5HT neurones abuond in these areas of the brain,and the system’s close link with the LHRA axis provides a pictures how disturbance of these systems might be linked in depression.”(cantopher1991).

‘Types of depression.Major depression-It is probably one of the most common forms of depression,lack of interest,walk around with weight of world on his or her shoulder, hopeless atate,lack of interest in sexual activity and less appetite and weightloss.

Atypical Depression-individuals somtimes experience of happiness, but fatigue,oversleeping,overeating weightgain.typical depressio can last for months or a suffer may live with it forever.

Psychotic Depression-Individual of psychotic dpression begin to hear and see imajinory things-sound,voicesand visual that donot exist.

Dysthymia-Individual characterized by sad,blue,or meloncholic.it is a condition that people are not even aware of but just live with daily,feel life is unimportant,dissatisfied,frightened and simply donot enjoy their lives.

Manic depression:It is highly exuted,emotional disorder people who suffer from manic depression have an extremely high rate of succide.”(Any Berhman 2004)

METHODS:

We interwiewed after informed consent one hundred and two patients reporting atMedical and the psychiatric outpatients Department at Muhammad Medical College Mirpurkhas sindh,between March 2007 to to April 2008.These patients were screened for presence of depression symptoms in concomittently with migraine/half headache in head.Depressive symptoms were measured through depression scale and clinical interview,weeping,lonlelessness,sadness,confusion main questions were asked during interviewed in cases of migraine.

RESULTS

:There were thirty seven males (36.27%)and sixty five females (63.72%)who were examined during attacks of headache,17(45.9%)patients were manifested depressive symptoms and 43 (66.1%)females were developed symptoms of depression in cases of migraine.

Case Processing Summary

Cases

Included

Excluded

Total

N

Percent

N

Percent

N

Percent

Total cases of study * Presence of depression in migraineous female patients

43

42.2%

59

57.8%

102

100.0%

Femal patients in study * Presence of depression in migraineous female patients

43

42.2%

59

57.8%

102

100.0%

Male patients in study * Presence of depression in migraineous female patients

37

36.3%

65

63.7%

102

100.0%

Total cases of study * Presence of depression in migraneous male patients

17

16.7%

85

83.3%

102

100.0%

Femal patients in study * Presence of depression in migraneous male patients

17

16.7%

85

83.3%

102

100.0%

Male patients in study * Presence of depression in migraneous male patients

17

16.7%

85

83.3%

102

100.0%

DISCUSSION:

It was proved that females were more than male in our study.There were 66.1% females,45.9% male depressive symptoms in diagnostic cases of migraines.Majority females patients were malnourished and weeping during taking history and these were main parameters considered depressive symptoms in cases of migranious patients.From summary tables and diagrames it was proved that females were more affected than male in this study.It means that depressive symptoms were more presence in females during interview in this stydy.

“A recent research findings indicated that treatment for both migraine and major depression may benefit patients with both disorder.Astudy was conducted on people with migraine or sever headahes aged between 25to 55.When their psychiatric combordity was assed,resaercher found that the risk of migraine in individuals with pre-existing mjor depression was three times highet than in individuals with no history of major depression.More ever major depression the risk of major depression in people with pre-existing migraine was more than fivefold hiher than in people with no history of headaches.However there were no relation between major depression and other types of severe headaches”(MrMARY Ayres2003)

“Many migraines sufferes have noticed that at times,migraine and depression seems to go together and there is strong evidence to support this,However it is not known whether treating migraine affects depressive symptoms or treating depression affects migraine symptoms”(MMA2008)

“Throbbing migraine headaches and major depression may be related.Infact having one may increase the occurance of other.Migraine sufferers were five times more likely that the headache-free individuals to develop major depression in the study conducted by the Henrry ford Health system.Those who started the study with depression were three times more likely to develop migraines.With major depression was more at risk of suffering a first time migraie than non-dopressed individuals. And people who live with migrains seems to br more at risk for an initial bout of depression.Both disorders are biological linked,possibility with brain chemical or hormones.”(PT Staff 2007).

“The overall frequency of recurrent headaches didnot very significantly with age, but girls had headaches are common soatic complaints among Norwegian adolescents,especially among girls”(ZwartJA etal 2004).

“Researchers survey 949 woman with migraine about their history of abuse,deprssion and headaches characteristics,forty percent of woman had chronic headache more than 15 headaches in month,and 72%reported very severeheadache related diability.Physically and sexually abuse was reported in 38%of the womanand 12%reportedboth physical and sexual abuse in the past.The association between migraine and depression is well established, butthe mechanism is un certain.The study found woman with migraine who had major deprssion were twice as likely as a child.If thebabuse coninued age 12 ,the woman with migraine were five times more likely to report depression”(science dily2007).

“Major depression increased the risk of depression,migraine as well same.This bidirectional association,with each disorder increasing the risk for onset of other,was not observed in relation to other severe headaches,both were considered direcly proportional to eachother.”(NBreslaw,et al 2003)

It was proved that migraine type of headache bases of depression if it untreated,same mechanism follow the severe cases of depression could lead to migraine type headache.Females were more affected than males.No doubt migranous corelated to depression.

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Zwart JA,Dyb,Hotman TZ,Stovener LJ,SandT 2004’The prevalences of migraine and tension-type among adolsent in Norway.Cephalalgia2004 May,24(5).373-9

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