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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?