0120 GMT January 18, 2020
Between 25 percent and 30 percent of men and women, in general, begin to suffer from urological problems and urinary retention after reaching middle age, said the head of the Iranian Urological Association (IUA).
Speaking to Iran Daily, Dr. Mehri Mehrdad added 31 percent of women develop urinary disorders in middle age.
A reduction in the secretion of estrogen after menopause is among the main reasons for women developing urinary problems in middle age, she noted.
Frequent pregnancies can lead to the loosening of the pelvic floor muscles, which, per se, can cause women to develop urinary problems, IUA head said.
Turning to urinary incontinence in women, Mehrdad noted that this problem can emerge after a pregnancy or frequent ones.
She added in those suffering from the disorder, coughing, sneezing and laughing or performing any physical activities that put pressure on the abdomen can lead to the involuntary leakage of urine.
“The disorder can be treated either by strengthening the pelvic floor muscles or thorough laser therapy.”
She noted that men develop urinary problems mainly due to prostate enlargement.
“The prostate is a gland in men which begins to enlarge usually after 35. The symptoms of prostate enlargement begin to appear after the age of 50.”
She listed as prostate enlargement symptoms frequent urination, delay in starting or ending urination and difficult or dribbling urination.
After the age of 50, the prevalence of the disorder increases 22 percent every 10 years, Mehrdad added.
She said three percent of children in Iran suffer from urinary incontinence due to the dysfunction of their bladder nerves.
“This disorder can be treated using medicines. Frequent urination in children is a symptom of congenital problems in the neck and urinary tract and the shape and size of the bladder or due to vesicoureteral reflux.”
Commenting on urological disorders resulting from diabetes, she noted that diabetes is a disease affecting the nervous and vascular systems as well as the endocrine glands.
The IUA head added among the most common urological problems are kidney failure, sexual dysfunction, urinary tract infections as well as urinary incontinence and retention.
On sexual problems faced by the diabetics, she said since these individuals suffer from vascular and nervous disorders, their sexual potency decreases.
Shifting to neurogenic bladder dysfunction, Mehrdad noted that a disease in the central or peripheral nervous systems can cause the disorder which involves inability to control micturition.
“The disease impairs the performance of kidneys in the long term.”
Individuals having neurogenic bladder dysfunction constantly suffer from urinary incontinence, she said.