Urinary Incontinence Treatment

Female Incontinence

Urinary incontinence is a common condition in young women. Although incontinence is more commonly known as an old woman's disease, it is not very expressed in young patients due to its privacy. This situation, which negatively affects daily life, actually affects sexual life in a bad way.

Treatment of Urinary Incontinence

Urinary incontinence surgery or incontinence medication treatment is given.

What causes urinary incontinence in women?

The most common cause of urinary incontinence in women is childbirth. Weaknesses, sagging and tears in the organs and muscles in the birth canal after normal, i.e. vaginal birth, cause incontinence. When the urine bag ie bladder droops, urine may escape. As age progresses, especially after menopause, there is relaxation in the muscles and fibers, therefore the tissues weaken, urinary bag may sag, as a result incontinence occurs.

Another reason is diseases that occur in the nerves. In cases of nerve damage such as multiple sclerosis, brain tumor and diabetes, incontinence can be seen.

• Old age

• Overweight, obesity

• Long-term constipation, With straining, there may be pelvic floor sagging

• Frequent urinary tract infections, accompanied by vaginal infections

• Kidney stones and tumors

• Difficult birth, giving birth to a large baby, with vacuum birth

• Hormone deficiency after menopause

• Radiotherapy (current therapy)

• Nervous debilitating diseases

• Diabetes

• Constant incontinence between the bladder and vagina, abnormal unions (fistula)

• Alcoholism

• Some drugs, muscle relaxants, blood pressure drugs, diuretic drugs, psychiatric drugs, antidepressants, allergy medications

• Dementia, Alzheimer's, brain tumor, vascular diseases in the brain

What to ask patients with urinary incontinence?

• Do you leak when urinating?

• Coughing, sneezing, laughing, heavy lifting, climbing stairs, and exercising Do you leak urine during your urine?

• Do you leak urine when you can't reach the toilet?

• Do you use pads or cloths for urinary incontinence? ?

How is urinary incontinence examination performed in women?

Pelvic examination that is vaginally makes.

● In the vaginal examination, it is checked for sagging of the bladder

● The patient is asked to strain or cough, incontinence must be seen

● Concomitantly, uterine prolapse is investigated

● By applying pressure to urine outlet, stress incontinence Special examinations are made for

What are the tests for urinary incontinence?

• Pad test

• Voiding diary

• Urine analysis and urine culture

• Urodynamics

• Cystometry

• Uroflowmetry

• Electromyography

• Cystourethroscopy

Treatment of urinary incontinence in women

Treatment of urinary incontinence, surgery, medication and exercise methods

Surgery in the Treatment of Urinary Incontinence

In the case of urinary incontinence called

Stress urinary incontinence, surgery appears to be of great benefit. incontinence when coughing, when sneezing, straining such as straining, incontinence when climbing stairs, is stress type incontinence. Surgery performed:

● BURCH; It is performed as open surgery on the abdomen.

● TVT (tension free vaginal tape); The bottom of the urination hole is supported, it is an operation performed from the bottom, vaginally.

● TOT (transobturator tape); It is the support of the urethra and the urethra from the bottom with a material called a specially produced mesh. It is made with support ropes passed through the hip bone.

In urinary incontinence surgeries, usually one day of hospitalization is sufficient. After the operation, it is necessary to insert a catheter into the patient, usually the urinary catheter remains for 24 hours, then it is removed.

Medicine Treatment for Urinary Incontinence

There are drugs known as female urinary incontinence. It is used in squeeze type urinary incontinence called inability to reach urine. In these patients, surgery does not help, the bladder muscles are relaxed with anticholinergic incontinence drugs. Such drugs are generally used as urinary incontinence medication in the elderly.

How is laser urinary incontinence treated?

Urinary incontinence when coughing, or urge urinary incontinence

It can be applied in strong> cases. An average of 4 sessions of laser therapy is applied. With the laser effect, the muscles and tissues in the bladder and urination hole are tightened and strengthened. In this way, non-surgical urinary incontinence is treated. After laser treatment, there is usually an increase in vaginal discharge, it lasts for an average of one week, it is not a harmful situation.

Exercise for Incontinence Treatment How to do it? What is preventive treatment for urinary incontinence?

Pelvic muscle exercise Kegel exercise called is a preventive treatment for incontinence, or it can alleviate an existing incontinence condition. Pelvic muscle exercise strengthens the muscles and fibers in the bladder and vaginal area. It is held by squeezing the bottom side as if stuck in urine or stuck in a large toilet, counting to 5 on average, then released. Squeeze and release is repeated 10 times in total. This is repeated 10-15 times a day. With this exercise, incontinence the frequency is reduced.

What are the types of urinary incontinence?

● Stress incontinence; incontinence while laughing, d urinary incontinence when coughing, incontinence when sneezing

● urge incontinence; the patient suddenly has a feeling of urination (such as the sound of water, cold drink, exposure to cold). Urinary incontinence

● Mixed urinary incontinence (mixed incontinence); coexistence of stress and urge incontinence.

● Functional incontinence

It occurs when the patient has problems with brain functions.

● Overflow type urinary incontinence; The need to empty a full bladder suddenly and suddenly.

● Temporary urinary incontinence is seen in urinary tract inflammation. The answer to the question What causes urinary incontinence in young women is temporary incontinence.

● Structural incontinence; Urinary incontinence due to anatomical structure.

● Psychological urinary incontinence; seen in psychological conditions such as severe depression.

● Coital incontinence; Urinary incontinence during sexual intercourse or during orgasm.

What is herbal treatment of urinary incontinence in women?

Herbal treatments is frequently asked by patients who do not want to use medication or do not want to have surgery. Of course, there is herbal treatment of urinary incontinence, please do not use it without consulting your doctor.

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