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Show Times Newspaper Wednesday, December 23, 1998 Page 21 u3ilS(53fi5lil& fiMElGiH M Wldfi irai lllCInii!lIi2iilS New therapies, including biofeedback bio-feedback and a recently approved medication, can help many of the 5 to 10 millionAmericans suffering suffer-ing from the embarrassing condition con-dition called urge incontinence, says a urologist with UCSF Stanford Health Care. "Almost all people with urge incontinence can be helped with safe, nonsurgical treatments, says Christopher K. Payne, MD, assistant professor of urology and director of the Center for Neurourology at Stanford. Urge incontinence is basically a storage problem in which the muscles of the bladder contract too soon, causing an unfilled bladder to feel suddenly overfilled over-filled and leaving the sufferer unable to control the flow. The condition can strike at any age, although it's more common among older men and women. The cause of urge incontinence is usually unclear, although certain cer-tain neurological disorders, such UVRMC offers weight management programs An eight week course, at Utah Valley Regional Medical Center, has been designed to offer adults and youth a long-term solution to weight loss. The class meets once a week and is $75, (which is below cost). This includes percent body fat testing at the beginning and end of the program. An additional $24 can be earned back through exercise, keeping food intake records and class attendance. Adult classes begin January 12 and 14 and will be held from 5:30-6:30 p.m. on Tuesday and Thursday evening on the second floor of the Northwest Plaza, 1134 N. 500 West, Provo, in classroom class-room 1. A separate nine-week program for kids and teens called, Nutrition Nutri-tion and Exercise With Success, is also available. These classes help youngsters focus on establishing estab-lishing sound nutritional eating habits, exercise and positive family fam-ily interaction. These classes are $60. This fee covers the expenses of materials and also class fees for both parents and their child. The classes for teens begin Tuesday, January 12, from 7-8:30 p.m. in the Northwest Plaza in classroom 1, while kids classes begin Thursday, January 14, from 7-8:30 p.m., also in classroom class-room 1 of the Northwest Plaza. . For more information or to register, reg-ister, call 373-7850 ext. 2442. as stroke or multiple sclerosis, can damage the nervous system, producing the abnormal spasms, Payne says. The cause and symptoms of urge incontinence are quite different dif-ferent from those of the somewhat some-what more common "stress" incontinence, in-continence, which affects more than 10 million Americans and is caused by a weak or damaged urethral sphincter, a muscle controlling con-trolling urine flow. Stress incontinence incon-tinence is characterized by the leaking of urine during physical stress-coughing, laughing, bending bend-ing or walking, for example-without example-without any sense of needing to relieve oneself. Corrective surgery sur-gery is more often an option in serious cases of stress inconti- Captivating Radio Dramas for the Whole Family! '''j' Suspcnseful, values-packed discoveries await you in the town of Odyssey where something new and exciting is always going on. Whit, Connie and the gang manage to get into all kinds of interesting predicaments, and learn unforgettable unfor-gettable biblically based lessons along the way. Your family will be on the edge of their seats as they tune in to , each fascinating adventure. jMj It's fun. character-building litra Entertainment for all aees! K$lW Monda thru Friday -ZT 5:23 p.m. z ZZ. , Saturday 9:00 a.m. $ 8;00 p.m. nence than in urge incontinence, says Payne. "The social effects of urge incontinence in-continence are serious," he adds. "The patient may be reluctant to go to a social event or even to work because of the fear that he or she may have a sudden need to void and won't be able to hold off long enough to get to a rest room," says Payne. . In contrast, the patient with stress incontinence at least knows that leakage is likely with activity and can therefore anticipate antici-pate or avoid the problem. The first step toward relieving urge incontinence is coaching from a physician or nurse on techniques to control the bladder muscle with exercise and behavioral behav-ioral changes. "Muscle control will help the patient prevent an accident when a spasm occurs," Payne says. . More formal training in biofeedback bio-feedback is very effective for patients pa-tients with poor muscle control, he adds. Biofeedback is a technique tech-nique that uses electronic devices to help train people to alter involuntary in-voluntary functions. Medications are commonly viewed as a second step. All drugs for urge incontinence work to relax re-lax the bladder muscle in order to prevent the spasms and loss of control, Payne explains. "We are pleased about the approval ap-proval this year of a new drug that has less risk of side effects than those we've had available for many years," says Payne. The new drug, tolterodine tartrate, was approved by the Food and Drug Administration in March 1998. Common side effects of the earlier ear-lier medications included dry mouth, constipation and drowsiness, drowsi-ness, says Payne. "In the past, the side effects of the available drugs caused people to give up taking their medications or take lower doses, which stopped both the side effects and the useful effects of the drug," Payne says. Payne and Bertha Chen, MD, assistant professor of gynecology and obstetrics at Stanford, are currently studying whether estrogen es-trogen therapy boosts the effectiveness effec-tiveness of tolterodine tartrate. Place An Ad in the iilfl nil - 19 m at.. u u Call: 226HC$SO SNOWMOBILE and SNOWCOACH SUPER-SAVER PACKAGES Easy - Economical - Exciting 1) Select your package 1, 2, 3, 4, 5, or 6. 2) Select from Column A, B or C depending on how many people are sharing your room. 3) Select lodging Example: If you want to stay 2 nights and each ride your own snowmobile for 1 day, with 2 people sharing the same room, the package type would be: 2A at Three Bear Lodge or 2A at The Yellowstone. SNOWMOBILE PACKAGES Per Person Rates - All rates are subject to 3 city tax BED 'N SLED Packages: 1) 2) 2 nights 1 day I double riding (2 people on 1 snowmobile) 2 nights lday single riding (1 person on 1 snowmobile! . 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