Urinary incontinence is not a life-threatening problem, but it negatively affects the quality of life socially. It also causes infections due to constant wetness and carrying pads. Many patient groups are still hesitant to voice this problem.
MANY DISEASES CAN CAUSE URINARY INCONTINENCE PROBLEM
Urinary incontinence; It is a problem that develops naturally over time due to reasons such as multiple births, difficult births, chronic diseases accompanied by constant coughing or constipation, which increase intra-abdominal pressure, aging, and the weakening of the pelvic organs after menopause. Apart from these, urinary incontinence may develop due to complications after surgery to the pelvic area, spinal cord damage, diseases such as diabetes and multiple sclerosis (MS), which affect the nerve structure of the bladder, and tumors of the urinary tract.
URINARY INCONTINENCE MAY DEVELOP WITH COUGHING OR LAUGHING.
The two most common types of urinary incontinence in society are "stress incontinence", which occurs in situations that increase intra-abdominal pressure such as coughing, laughing, or lifting heavy objects, and "urgency incontinence", which occurs when the feeling of urination occurs, and the patient cannot hold it until he goes to the toilet and wets the bed. is. These two types of urinary incontinence can occur in the same person, this is called mixed type incontinence. Besides these, there are also types such as overflow incontinence, neurogenic incontinence, and sphincter insufficiency.
FREQUENCY INCREASES AFTER MENOPAUSE
Urinary incontinence is common in society. Approximately 20% of women suffer from urinary incontinence. After menopause, this rate reaches 70%. Urinary incontinence is not only a health problem, but also causes social and social isolation for the person. There is a common belief among women that urinary incontinence is normal, especially over a certain age. For this reason, the number of women who consult a doctor just because of urinary incontinence is very low. However, when patients with different complaints are questioned, the complaint of urinary incontinence may also arise.
TREATMENT IS PLANNED SPECIFICALLY FOR THE PATIENT
In the diagnosis of urinary incontinence, the patient's complaint and the degree of the complaint are important. If necessary, gynecological examination of the patient and urodynamic testing ests are used. Treatments vary depending on the cause and type. While the main treatment for stress incontinence is surgery, medication is used for urgency incontinence. The aim of drug treatment for urgency incontinence is to prevent irregular and incompatible contractions of the urinary bladder. Treatment; It is individually adjusted, taking into account the patient's age and possible accompanying diseases. In cases such as overactive bladder or sphincter insufficiency, there are different treatment options such as botox injection into the bladder and injection around the sphincter.
KEGEL EXERCISE MAY BE USEFUL FOR URINARY INCONTINENCE
In stress incontinence, the patient may need additional If there is no problem and the complaint is not severe, patients may benefit from pelvic floor strengthening exercises such as kegel exercises and vaginal weight exercises and surgery may not be necessary. When it reaches an advanced stage, surgery is required. The basic principle is to lift the junction of the bladder and the urethra, which drains urine, to a level higher than where it hangs and where the pressures are equalized. Thus, the resistance in the urethra neck is increased. In addition, sling operations are options that can be performed within 15-30 minutes without entering the patient's abdomen and have very high success rates. The patient can go home hours after the operation and return to work within a week if he wishes. Simultaneously with the operation, vaginal tightening and aesthetic problems of the external genital organs can also be corrected in the same session.
TO PREVENT URINARY INCONTINENCE…
1. Fluid intake balance should be established by reducing excessive fluid intake. At least 1.5-2 liters of liquid should be consumed per day.
2.A routine toileting schedule should be established and in severe cases, relaxing treatments should be applied.
3.Fluid intake four hours before going to sleep at night. should be avoided, the bladder should be emptied before going to bed.
4. Consumption of juicy fruits and vegetables should be avoided in the evening hours.
5. Excessive caffeinated, acidic, spicy foods and drinks and excessive alcohol consumption should be avoided.
6.Physical activity should be increased and a balanced and regular diet should be taken to support weight loss.
7.Smoking habits should be given up.
8.Chronic constipation and needing to go to the toilet. Fiber foods should be added to the diet to prevent difficulty when exiting.
Read: 0
