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Put aside the fact that it might damage your ego – if sitting down to urinate improves your ability to do it comfortably because you suffer from a prostate condition, such as lower urinary tract symptoms, there’s nothing to be ashamed of. According to urologist Des Moines Dr. Fawad Zafar, not every man will benefit from sitting down to pee, but those with minor prostate issues probably will.

A new study finds that while sitting down offers men without prostate issues no real benefit, men who suffer from lower urinary tract symptoms (LUTS) are able to urinate quicker, more forcefully, and with less urine remaining in their bladders. These are all challenges men who suffer from LUTS face, in addition to the complications of urinary pain and increased urination at night.

Recent studies found that in patients with LUTS the sitting position is with a trend towards a better urodynamic profile. The research confirmed that when men with LUTS sat down to urinate, they urinated faster, longer, and more forcefully, and released more urine than men who stood up to pee.

According to your urologist Des Moines there are several explanations for this result. One is that men who are older typically surrender to prostate-related issues, and along with the fear of falling is a tentativeness to go. However, this isn’t an issue with younger participants, leaving researchers to suggest that the ease with which urination takes place while sitting is also a factor.

While standing, the body tries very hard to maintain an erect spine and correct posture, thereby activating many of the muscles located near the hips and pelvis. However, when people sit, these same muscles are relaxed, making urination easier. Also, the contraction of the pelvic floor muscles inhibits the activity of the muscle whose contraction is necessary for proper urinary function.


So what’s the bottom line?

What you do in a public bathroom is still your own business. People have been sitting to urinate for far longer than they’ve been standing, and evolution hardly ever gets it wrong.

According to urologist Des Moines Dr. Fawad Zafar, there are effective treatment options available for women with urinary incontinence that don’t involve medication or surgery. These options include exercises to strengthen the pelvic floor muscles, bladder training and weight loss could help.

Women who suffer from stress urinary incontinence have problems holding in urine when they laugh, cough or sneeze. Your urologist Des Moines recommends performing Kegel exercises to strengthen the muscles that control the flow of urine.

Urgency urinary incontinence causes women to feel the need to urinate and leak urine suddenly for no obvious reason. Dr. Zafar reports that bladder training can help women with this condition. Behavioral therapy involves going to the bathroom on a predetermined schedule while slowly increasing the intervals between urination over a period of time.

Women who suffer from more than one form of urinary incontinence can try a combination of Kegel exercises and bladder training, according to your urologist Des Moines.

If bladder training doesn’t rectify the condition, urologists should prescribe a medication based on a woman’s individual needs and how well she tolerates it.

Additionally, the symptoms of obese women with urinary incontinence may get better with weight loss and exercise.

Statistics show that urinary incontinence increases with age, affecting almost 60 percent of women between the ages of 40 and 60, and 75% of women aged 75 and older. Experts suggest that many more women may have the condition but remain undiagnosed because they haven’t reported their symptoms to their urologist.

If you are suffering from the symptoms of urinary incontinence and would like to discuss treatment options, call the office of urologist Des Moines Dr. Fawad Zafar today to schedule a consultation.

Your urologist Des Moines Dr. Fawad Zafar has found that almost every man suffers from psychological impotence at some point in his life. Problems arise when a type of stage fright occurs that negatively impacts a man’s sexual performance.

This form of erectile dysfunction can be more troublesome than biological impotence because there’s no magic pill such as Viagra to offset it. While searching for the best methods for dealing with psychological impotence, your urologist Des Moines offers the following advice.

Psychological impotence can effect men across all personality types and there’s no specific personality that is directly connected with psychological impotence. There are a number of factors that can play a role in psychological impotence.

Treatment for this type of impotence needs to be a collaborative effort, not only psychological, but also potentially involving your urologist Des Moines, to approach this issue.

One of the ways to differentiate between psychological and biological erectile dysfunction is the existence of early morning erections. If someone doesn’t experience early morning erections, then they most likely have biological impotence.  On the other hand, if they do have early morning erections, your urologist Des Moines finds that it’s more likely that they are suffering from psychological impotence.

Chronic alcohol use is also typically associated with impotence. Any stimulus that can affect consciousness can remove the fear of impotence, but in the long run is not the right treatment approach for this condition and can be more harmful than helpful.

There’s also no direct correlation between the consumption of caffeine and impotence. Over the counter stimulants can sometimes be associated with impotence because they’re not FDA regulated.

Depression can also affect libido in a negative way, but oddly, antidepressant drugs deregulate the body’s autonomic system and sometimes cause impotence.

Some patients of your urologist Des Moines question if sufferers of psychological impotence should avoid planning sex for specific times, and instead focus on having spontaneous sex when the mood strikes as a way to reduce the anxiety associated with being expected to perform on command.

This situation needs to be assessed in a personal, supervised setting after a thorough medical and psychological evaluation by your urologist Des Moines. This is not a cut and dry approach that can be applied to all patients with this particular type of impotence. Each patient has a unique history and set of medical conditions, so each patient requires a tailored treatment.

Recent studies show that nearly 20 million men in the U.S. experience erectile dysfunction (ED).  No longer brushed off as being “all in the mind”, almost 2/3 of men over 45 report experiencing erectile dysfunction.  Des Moines urologist Dr. Fawad Zafar advises that getting help early may actually save more than just your sex life.

Once thought of as being all in a man’s mind, there is now evidence that erectile dysfunction may be a sign of a larger problem such as diabetes, high cholesterol or high blood pressure that may result in an increase in a his risk of heart attack.

If it’s a physical problem, it will typically affect erections at all times; in men with severe erection problems, it’s nearly always physical.  Many men get a lot of comfort from knowing this is a medical problem, as it helps for them to be able to think about it as a symptom that’s indicative of an actual physical condition.

Most men over 80 experience erectile dysfunction; but in a man’s 40s, 50s, 60s, there’s also an increase in the occurrence of ED.  In a large portion of this group, it’s often a problem with the man’s blood vessels.

A check-up with your Des Moines urologist is important because testing can reveal previously undiagnosed conditions. There are also lifestyle issues, which if dealt with sooner rather than later, might have a big effect of reducing the risk of heart disease.

Early intervention by your Des Moines urologist will potentially lead to better sexual function because the man will respond better to the drugs that work to improve his erections.

The other good thing about early treatment is that it can be addressed before a man’s sexual life has changed too much. If he decides to ignore it for a couple of years, it’s not necessarily going to be so easy to get those relationship issues back on an intimate basis.

Having an intermittent issue with getting or keeping an erection is quite normal.  But when it happens more frequently – or results in not being able to penetrate your partner – it may be time to seek help.  And because most men are hesitant to discuss the situation with their partner, we suggest making an appointment to discuss your erectile dysfunction with your Des Moines urologist to discuss treatment.

Woman who suffer from urinary incontinence are constantly looking for better options to help them live it.  Unfortunately, there aren’t many attractive or comfortable ones to choose from.    And it’s not a small problem; Des Moines urologists report that urinary incontinence affects as many as 50% of middle-aged and elderly women.

Incontinence, which is defined as the involuntary loss of urine, is generally described as either stress incontinence, urge incontinence or mixed incontinence.

Stress urinary incontinence (SUI) is the symptom of accidental urine leakage that occurs with physical exertion, sometimes with something as simple as standing up, laughing, coughing, jumping or exercising.

Urge urinary incontinence (UUI) is the symptom of urine seepage that is directly preceded by a sudden, forceful desire to urinate that results in leakage. It can occur when a woman runs her hands under running water or without any provoking event at all.

Mixed urinary incontinence (MUI) is the combination of the two.

The causes of SUI can include:

  • Pregnancy and/or childbirth;
  • Obesity;
  • Smoking,
  • Muscle damage,
  • Trauma;
  • Aging.

Often, the cause of urinary frequency and urgency is not known.  However, the causes can include drinking bladder irritants, neurological diseases, spinal cord injury or Parkinson’s disease.

There are many treatment options for incontinence, but the best treatment for each individual woman depends on factors such as the type and severity of incontinence.

As an initial treatment option, Des Moines urologists will often prescribe pelvic floor exercises such as Kegel – which are isolated pelvic floor muscle contractions – for stress urinary incontinence.

The most common treatment of SUI is an outpatient procedure that involves a mesh sling being surgically placed under the urethra for support or an injection of a bulking agent into the urethra.

Treatment for urinary urgency, frequency and/or urge incontinence initially includes behavior modification such as:

  • Reducing the consumption of bladder irritants,
  • Limiting the amount of fluid you consume,
  • Making sure to not hold it too long.

These modifications are often combined with prescription medication and pelvic physical strengthening.

If these treatment options fail or a woman cannot tolerate the side effects of the medication, Botox may be an appropriate third choice.

If you are dealing with any type of incontinence, consider talking to your Des Moines urologist about available options.

Many men and women suffer from urinary incontinence in Des Moines. The condition is typically an age related problem and it generally gets worse as people age further. You can always get treated for urinary incontinence in Des Moines and it is best to get started with a treatment as soon as possible.

Most men and especially women who have urinary incontinence are recommended not to consume caffeine in any form. Those who are at risk of developing urinary incontinence in Des Moines or those who have moderate incontinence are also asked to check on their caffeine consumption. It had been believed that caffeine increases the urge to urinate and that it actually worsens symptoms of incontinence. The recommendation has always been treated with disappointment by most women and men because many love their cup of coffee, tea, chocolate or soda.

In a recent study, it has been inferred that there is not substantial evidence to prove that caffeine causes urinary incontinence or worsens its symptoms, deteriorates the condition or prevents the treatment from working effectively.

The study was conducted at Harvard taking data of 21,500 women who had been subjected to two very large studies. Both the studies aimed at observing the health of US nurses, in practice from the 1970s through 1980s to the early 2000s. The women, when the study started, had mild or moderate urinary incontinence which was defined as those cases where the women leaked urine one to three times per month.

The caffeine consumption of these women was recorded and their experiences with the symptoms and state of urinary incontinence were studied. The women were questioned about how much caffeine they consumed in the form of coffee, tea, soda or chocolate. The women were questioned at the start of the study in early 2002 and at the end of the study as well, year end of 2003. Only 20% of all participants said their symptoms had gotten worse and they now leaked urine at least once per week. The percentage of women with urinary incontinence progression was similar across categories of baseline level of caffeine intake. Interestingly, there was no link of increased caffeine consumption with worsening symptoms of urinary incontinence.

The bottom line is that men and women suffering from urinary incontinence in Des Moines really do not have to let go off the coffee or chocolate completely. Moderate consumption of caffeine has no impacts, positive or negative, on urinary incontinence.

Urinary incontinence affects more than 10 million people in the United States. There are innumerable people suffering from urinary incontinence in Des Moines, especially the elderly and the aging adults.

What Is Urinary Incontinence?

Urinary incontinence is a condition where urination is not under voluntary control. Those who have developed urinary incontinence in Des Moines may be unable to hold back urine, may have a consistent urge to urinate and may also suffer from various sensations while, before or after urination.

What Are The Types Of Incontinence?

Urinary incontinence among Des Moines residents is typically of three types – stress incontinence, urge incontinence and overflow incontinence.

Stress incontinence is the condition where a person would urinate involuntarily under some kind of an overwhelming situation. For instance, coughs, sneezes, sudden awakening from sleep and even laughter can be associated with involuntary urination.

Urge incontinence is the condition where there would be a constant sensation that would drive one to the bathroom. In the absence of a bathroom or if the person is unable to go to the bathroom in time then there may be uncontrollable urination.

Overflow incontinence is the condition where there is no force in urination and there may be dribbling urine. People having overflow incontinence may have consistently dribbling streams of urine through the day or night and they may take a long time to urinate because the process is very slow.

What Causes Urinary Incontinence?

There are some standard causes of urinary incontinence and some that are specific to each type of incontinence. Stress incontinence is primarily caused owing to the loss of the strength and support of the pelvic floor muscles. An inability to control or extract support from the pelvic muscles would lead the pelvic organs, especially the bladder and the urethra, to be beyond the voluntary control of a person. In case of overflow incontinence, the urethra gets narrowed down which prevents the smooth outflow of urine and also renders the bladder muscles to be incapable to contract and push out the urine in a natural way. Urge incontinence is primarily caused by urinary tract infections or some neurological problems.

What Are The Methods To Diagnose Urinary Incontinence At Des Moines?

There are many ways to diagnose urinary incontinence at Des Moines. Inspectional tests like a pelvic exam and a rectal exam, diagnostic tests such as urinalysis, urine culture, cystometrogram and cystoscopy can determine the cause of urinary incontinence at a Des Moines clinic and also determine the treatment.

Treatments Of Urinary Incontinence In Des Moines?

Pelvic muscle exercises, medications and in complicated cases, a surgery, can easily cure urinary incontinence in Des Moines. The condition is curable and there is no reason why anyone should let one’s life be affected and live in pain and discomfort due to urinary incontinence.


The loss of bladder control is known as urinary incontinence. Its symptoms vary between mild urinary leaking to uncontrollable wetting.  The condition starts affecting people once the muscles within the urinary tract become too weak or too active.

As an example, urinary muscles that hold the bladder closed can make a person have accidents if they do something as simple as sneeze or lift heavy objects. This part of the condition is considered stress incontinence.

At the other side of the spectrum, overactive bladder muscles cause people to head to the bathroom if they hold little urine in their bladder, also known as urge incontinence. Urinary incontinence problems can also happen due to problems in the lower part of the body, including nerve damage and prostate problems.

The degree of urinary incontinence Des Moines treatment depends on the type of problem with the condition that a person has, in addition to choosing treatment options best fitting their lifestyle. Common urinary incontinence Des Moines treatment options for urinary incontinence usually include simple muscle exercises, medication, special devices and/or surgical procedures, as suggested by your doctor.

Besides urinary incontinence Des Moines medical intervention, a person can treat their urinary incontinence through several home treatment options, mainly to manage their urinary incontinence.

  • Keep the bladder as empty as possible. This means heading to the bathroom and emptying the bladder, even if the urge to go isn’t overwhelming.
  • Keep track. Wear a wrist alarm or use an alarm to remind yourself to empty your bladder before your lose control again. This works in cases when a person feel they have to go at certain intervals of time throughout the day.
  • Wear loose and easy to open clothing. Loose and/or easy to open clothing helps simplify clothing removal when using the bathroom.
  • Drink less liquids. Liquids like carbonated beverages, fruit juices and alcohol are likely to irritate the bladder and potentially worsen symptoms. Avoid eating foods like spicy foods, dairy products, artificial sweeteners and/or sugar too.
  • Avoid wearing tight clothing. This includes clothing and/or footwear like girdles, corsets, pants and/or high heels. These articles of clothing/footwear can potentially weaken the pelvis muscles controlling urination.
  • Cross your legs before sneezing and/or coughing. Doing this potentially prevents leaking from the bladder.
  • Avoid caffeine and smoking. Caffeine, in any form, is considered a diuretic for most people. Smoking, too, causes harm to the pelvis muscles that control the urinary tract. It’s said to cause women to develop urinary incontinence twice as fast.

These tips can help any person suffering from the condition subside the more severe symptoms.

Urinary incontinence is usually a health condition associated with old age however in some cases, young adults or people in their 40s and early 50s may also develop urinary incontinence. Apart from observing and making notes of the symptoms that you may develop, there is a need to diagnose the real underlying problem which is causing urinary incontinence. You can conveniently opt for the requisite tests of urinary incontinence in Des Moines at a clinic or in an outpatient setting at a hospital. Most tests of urinary incontinence are simple and do not take a lot of time.

Here are the different tests that you may have to opt for to determine the extent of damage to the bladder, kidney and to determine the severity of urinary incontinence at Des Moines.


Cystoscopy is a procedure where the urethra is subjected to local anesthesia and a small telescope is inserted into the urethra to inspect the bladder. By studying the anatomy or the condition of the bladder, the real cause of urinary incontinence can be determined.

Flow Rate

Flow Rate is determined by a process wherein you would be asked to consume plenty of water and when you urinate, it is done over a toilet that can record the volume of urine and the total time you take to empty your bladder.

Cystometrogram (CMG)

CMG is a procedure wherein a catheter is used to deliver sterile water or a gas, normally carbon dioxide, into the bladder. Following this, a radiologist or urologist diagnosing your problem of urinary continence in Des Moines will record your descriptions of the sensation you feel when you get the urge to urinate. The catheter is then removed and you would be asked to cough, strain and urinate, while the sensations are again observed as described by you.

Voiding Diary

Voiding Diary is a method of keeping records of the time of the day when you feel the urge to urinate and the amount of urine that is leaked. The volume of urine is recorded in ounces.

Voiding Cystourethrogram (VCUG)

VCUG is a process wherein a catheter is inserted inside the bladder to pump in iodine. Once done, an X-ray is taken during voiding.

Intravenous Pyelogram

This is another process that uses X-ray as a diagnosing tool but unlike VCUG, an injection of iodine is administered into the vein and instead of inspecting the bladder, the kidney is photographed using X-ray to determine the extent of damage to the kidneys.

While getting diagnosed for urinary incontinence at Des Moines, you may or may not have to be subjected to all these tests. It would depend on your condition and the recommendation of the urologist. Also, if you are allergic to iodine or seafood, then that must be reported to seek alternatives to the VCUG and Intravenous Pyelogram procedures.

Urinary incontinence is a condition that results in the loss of urine through the body.  This is something that’s not intentional by any means we just can’t seem to control it.  You may feel the need to go but simply cannot get to the bathroom facilities fast enough.  Urinary incontinence Des Moines is just as much an issue as other areas of the world.  Changes are bound to take place in the body as we age regardless of whether you’re male or female.  This may not have been an issue for you as you were younger but when you age the bladder also takes on a life of its own.

Luckily this type of problem doesn’t affect everyone with aging but it is very common and something that can be treated and dealt with.  There is self care for women with urinary incontinence Des Moines and you can consult with a physician or check out the internet to gain a better perspective.  There are various steps that one can take to decrease the urinary accidents that you may have in any given day or week.  This can be an embarrassing problem and many women may try to deal with the issue without seeking medical assistance or advice.

In women with urinary incontinence the area around the vagina may become red, raw and even inflamed.  It can be painful but this is due to the frequent urination.  There are some tips that you can take for treating or helping to prevent frequent urinary incontinence in Des Moines.

There are products on the market today such as “adult diapers.”  These are typically in the form of cotton and can assist you should you have an accident that you cannot control while at work or even out shopping.  It’s recommended that you stay clear of synthetic underwear or pantyhose which many women tend to wear.  If you have irritation and sore skin you should wash your vaginal area with a soap such as Dove or Ivory and do this more than once a day.  Make sure that you wash your underwear and clothing in pure soap or soap flakes as well.  You should avoid bath soaps and oils and you shouldn’t use douches or other such products.

Try to limit your alcohol consumption and caffeine as it can be a factor in your incontinence.  To get help with your Urinary incontinence Des Moines please give us a call to speak to a professional trained staff member for further information and helpful tips.


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