Urinary incontinence is a problem that can be seen in women and seriously affects the quality of life.
How many types of urinary incontinence are there?
There are several subgroups of urinary incontinence, today it is called stress urinary incontinence.
What is stress urinary incontinence?
There are very strong connective tissues in the female urogenital tract that ensure the healthy functioning of urination physiology and keep the intra-abdominal organs in the correct anatomical layers. Connective tissues, which have this important function, become weak and unable to function due to risk factors such as age, menopause, pregnancy, number of births, large birth, difficult and prolonged birth, breech birth, interventional birth and obesity. Genetics may be a factor that plays a role in the weakness of connective tissue. When there are reasons that increase intra-abdominal pressure, involuntary urinary leakage may occur during coughing, sneezing, laughing, running, bending, jumping and even during sex.
What can be done for its treatment?
Pelvic floor exercises (kegel) are useful in strengthening the pelvic floor muscles. . Lifestyle changes (nutrition, weight loss) may be recommended first along with kegel exercises. Patients who are decided to have surgery should be operated on by experienced hands because these surgeries are special surgeries that require the combination of the right patient, the right equipment, the right surgeon and the right technique, and are directly related to anatomical and functional well-being.
How is the surgery process experienced?
There is a one-day hospital stay. A check-up is performed in the first week and then in the first month of the surgery. A sexual ban is recommended for approximately 1 month until the stitches heal.
What would be our advice to patients who say that the decision for surgery has been made but they are afraid?
Pelvic floor exercise and lifestyle change may slow down the progression process, but it does not completely eliminate it. Additional internal diseases such as diabetes and blood pressure that will increase with advancing age may make the surgery much more difficult.
Is there any non-surgical treatment?
Magnetic chair, posterior tibial nerve stimulation, electrical stimulation to the vagina, laser. There are conservative approaches as applications.
Read: 0
