What is short ray

bladder

He doesn't forget that people have a bladder so quickly. After all, she reports several times a day and wants to be emptied. Nevertheless, knowledge about the organ is often inadequate. We asked the urologist.

Dr. med. Marko Kozomara-Squat *, is it true that women tend to have to go to the toilet more often than men?

No, if there are no health problems or complaints, both sexes have the same requirement. This means that both bubbles normally have the same capacity and can hold the same amount.

Why do you have to urinate when you are nervous? Is there something to the famous "fear bisi"?

Yes. This urge to urinate when nervous is related to the autonomic nervous system. If this is stressed or additionally irritated, such as in the case of nervousness, fear or cold, this lowers the irritation threshold and consequently one has a urge to urinate and the feeling that one has to urinate with lower bladder volume. When you relax again, the pressure usually goes away. Distraction also helps. But if you really need to go to the toilet before, for example, a sporting competition starts, you should do so if possible.

Why are women more likely to get a bladder infection than men?

The fact that women are more likely to get a bladder infection is related to the length of the urethra. This is a little shorter for women and therefore the distance between the environment and the bladder is smaller for women than for men. Bacteria can penetrate better and faster, and irritations such as during sexual intercourse or from the cold are more sensitively absorbed by female urethra. Other risk factors for a urinary tract infection are sexual activity, menopause, or the use of a diaphragm. However, bacteria are not bad for the bladder per se. If the urge to urinate persists, there is a burning sensation when urinating, frequent use of the toilet or pain, you should consult a specialist.

Can you do the bladder good and also train it?

Yes and no. You can train her, but not do her preventive good - at least nothing that has been scientifically proven. You can train it, for example, with a physiotherapist using pelvic floor training, with targeted breathing exercises, certain sitting positions or simply by trying again and again to lengthen the intervals between the urination. However, this should not be practiced as a competitive sport, otherwise a so-called chauffeur bubble can occur. Truck drivers or kiosk employees who constantly suppress urination can at some point suffer from an overstretched bladder. As a result, the bladder can no longer be completely emptied.

Is urine unsanitary?

Not really. There are people who drink their own morning urine to strengthen the immune system. I advise against that. Because urine is not unhygienic and does not contain any life-threatening bacteria, but it also contains zero nutritional values. Because with the urine we all excrete waste materials from the body, i.e. things that the organism no longer needs.

What does the color of urine say about health?

Nothing special. In the morning it is usually darker because it is more concentrated. When we eat beetroot, it is reddish, with certain medications it can also be orange, and it is very light when we drink a lot during the day and urinate regularly. Only when you have blood in your urine should you definitely see a doctor for further clarification.

Why is there only a short ray from certain people, while others urinate what feels like eternity?

This is often related to the control or relaxation of the pelvic floor. If you can tense it up and relax, you can urinate for a shorter time and more heavily. Often people who experienced a serious assault or cut in their lives in childhood have problems urinating properly later on. Such experiences can lead to tension in the pelvic floor, among other things. Those affected have appropriated these over the years. Letting go is not that easy later. But even with this problem, specialists and pelvic floor training from a physiotherapist can help.

How does the bladder change with age?

Women already have their first changes from the age of 30, often due to pregnancy. Stress incontinence occurs, i.e. watering uncontrollably when laughing, coughing or sneezing. In men, changes in the bladder usually only appear from the age of 50, when the prostate also changes. The urge to urinate, for example, can increase, i.e. the intervals between feeling that you have to go to the toilet because the prostate is pressing into the bladder. At 80, both sexes are equal, and at least 40 percent struggle with urgency symptoms and urinary incontinence.

What exactly happens with urinary incontinence?

The sphincter muscle below the bladder is defective or weakened - as a result, the urine can no longer be completely held back when exercising. We're talking about stress incontinence. With urge incontinence, the bladder cannot be controlled and it contracts so much that we lose urine despite a strong sphincter. You can do something with both, with medication, surgery, implants or pelvic floor physiotherapy and electrical therapy. It is important to talk about the condition and get professional help. Otherwise, incontinence out of shame can severely impair the quality of life and lead to isolation.

* Dr. med. Marko Kozomara-Hocke is a urologist at the University Hospital Zurich

Author: Denise Muchenberbger
Editor: Bettina Epper
Scientific control: Druggist HF Elisabeth von GrĂ¼nigen-Huber
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  • Dr. med. Marko Kozomara-Hocke, urologist, University Hospital Zurich