Urinary incontinence, according to the definition of the "International Continence Association", is the involuntary loss of urine that is objectively demonstrated and creates a social or hygienic problem. Urinary incontinence is referred to as "urinary incontinence" in the medical literature. Here, urine means “urination”, urinary means “related to urination”, and incontinence means “insufficiency”. Urinary incontinence can occur in two ways. One of these is the person's involuntary urinary incontinence in the form of urine leakage from the bladder due to the increase in intra-abdominal pressure in situations such as sneezing, coughing, straining, and the other is; It is a form of urinary incontinence in the form of "not being able to go to the toilet" after passing urine. Both forms of these may occur together in the same patient. It is twice as common in women than in men. Although its incidence increases with age, its prevalence varies between approximately 14-49% in society.
Risk factors:
1. Gender (being a woman)
2. Having a racial and familial predisposition (connective tissue weakness)
3. advanced age
4. Giving birth to many children (parity)
5. Menopause
6. Smoking
7. Long-term constipation
8. Obesity
9. Previous gynecological surgeries can be counted.
Patients may also have complaints such as organ prolapse. Sometimes there are problems in making a diagnosis because the patient is shy and embarrassed to tell the doctor about this situation or because the doctor cannot question it sufficiently. Unfortunately, patients see this event as fate and cannot receive treatment. In our country, there has been an increase in the number of patients applying to clinics with complaints of urinary incontinence in recent years, as a result of the increasing elderly population as a result of the extension of life expectancy, the increase in the socio-economic level of the society and the increase in quality of life expectancy. In the treatment approach of urinary incontinence problem, the most appropriate treatment method for the individual can be determined by working together with gynecology, urology, neurology, physical therapy, psychiatry specialists and social counselors. In addition to non-surgical medical drug treatments, there are a number of surgical operations performed to relieve urinary incontinence complaints.
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