Involuntary urination is one of the most important health problems experienced by women. Urinary incontinence, which can develop due to various reasons, brings great difficulties to the daily life of women. This event, which negatively affects working life, even negatively reflects on women's sexual life. The main causes of urinary incontinence are pregnancy and birth, advanced age, obesity, chronic respiratory diseases, etc. countable. Especially giving birth to a large baby (giving birth to a baby over 4000 grams), births performed with the help of forceps and vacuum, and the high number of births increase the risk of urinary incontinence. The above risk factors can cause not only urinary incontinence but also varying degrees of prolapse in female genital organs. Women with moderate to severe urinary incontinence are forced to use pads constantly. They try to organize their social and working lives according to this complaint. They are careful not to go on long-term trips or change the limited environments they are used to. Because they have adapted to live with this problem in the environments they are accustomed to. The complaint of urinary incontinence, which is estimated to be seen in an average of 20-25% of women, unfortunately does not often constitute a reason to consult a physician. The majority of women do not consult a physician for this complaint; some try to live with this problem because they are ashamed, while others accept it as a natural consequence of age and birth.
However, in today's medicine, urinary incontinence is important both in terms of diagnosis and treatment methods. developments have been made. This complaint should be specifically asked to women who apply to Gynecologists and Obstetricians for various reasons. In cases of urinary incontinence occurring for many different reasons and in different types, the cause of the event and the type of urinary incontinence must first be determined. For this purpose, various examination methods and tests are applied to the patient. We can list the main types of urinary incontinence as follows:
1- Urinary incontinence caused by reasons that increase intra-abdominal pressure, such as coughing and straining: Structural changes that occur for various reasons in the base of the urinary bladder and the lower urinary tract are the most common. It is an important reason.
2- Urinary incontinence accompanied by a sudden feeling of urgency: Involuntary urinary incontinence is accompanied by a sudden and excessive desire to urinate. It may occur due to uncontrolled contractions of the urinary bladder and some neurological diseases.
3- Mixed type of urinary incontinence: It has the characteristics of both of the above two types of urinary incontinence problems.
4- Overflow urinary incontinence: Urine leakage occurs as a result of excessive urine accumulation in the urinary bladder. There is a small amount of urine leakage here. Main reasons: Narrowing of the outlet of the bladder, genital organ prolapse, vitamin B12 deficiency, some neurological diseases.
5- Functional urinary incontinence:It is a form of urinary incontinence that occurs as a result of chronic disorders of mental and physical functions in women. Diagnosis can be made by ruling out other causes. Severe dementia and major depression can be considered among the main causes. This type of urinary incontinence can be treated or partially cured by changing the functional status of the patient, treatment of accompanying diseases and changing environmental conditions.
6- Urinary incontinence due to congenital problems: Urinary incontinence due to congenital anomalies.
7 - Urinary incontinence due to channels formed later between the urinary tract and other organs: These channels, called fistulas, may develop as a result of some surgeries and difficult births.
8- Temporary Urinary incontinence: Infections affecting the lower urinary tract can cause this type of urinary incontinence.
The treatment method is different for each of the types of urinary incontinence mentioned above. Surgery is not recommended in all cases of urinary incontinence. In some, various exercises, in some, medications, and in some, lifestyle changes constitute the basic element of treatment. There are various surgical methods that can be applied in cases of urinary incontinence where surgery is required. Some surgical methods applied in recent years are short-term, do not confine the patient to bed for a long time, and have success rates as high as 85%.
MISKNOWN
1 -)Urinary incontinence, prolapse due to birth It occurs due to urine.
FALSE. There are many reasons for urinary incontinence. It can also be seen in women who have never given birth.
2-)Urinary incontinence is very difficult to treat. The woman must learn to live with it.
FALSE. In cases of urinary incontinence, which can develop due to many reasons, the important thing is to reveal the cause. Treatment depending on the cause has a high chance of success.
3-) Urinary incontinence only affects the woman's quality of life.
FALSE. Advanced urinary incontinence not only affects the quality of life. It can negatively affect your business success and even your sexual life.
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