Urinary incontinence problem can be seen in all age groups, starting from childhood. However, it would not be wrong to say that 35% of women over the age of 60 experience urinary incontinence. The weakness of the sphinker, that is, the mechanism that works as a urinary retention valve, is among the main causes of urinary incontinence.
“The sphinker in the female body is weaker than the sphinker in the male body. The difference in question is innate.”
In addition to the weakness of the sphincter, it is possible to talk about situations that further weaken the current situation. When we look at these conditions;
- Surgeries related to gynecological diseases
- Giving birth and pregnancy
- Aging
Sphinker structure It weakens even more and occurs as a result of urinary incontinence. In addition, sudden or general pressure changes in the abdomen can also result in urinary incontinence. Coughing, laughing, heavy lifting and straining are prime examples of sudden pressure changes. When we look at the conditions that cause non-sudden and persistent urinary incontinence;
- Walking fast
- Lifting heavy or working continuously in a job that requires heavy lifting
- Running
It can increase the rate of urinary incontinence, which can be seen as a few drops during the day, to a level sufficient to change a few pads.
The Place of Urinary Incontinence in Medicine and How Leakage Occurs
The labile structure that creates the problem of urinary incontinence also means disruption of the mechanism. SUI, known as stress urinary incontinence, stands out as the most common definition of urinary incontinence. As a result of the weakening of the valve that holds urine, the valve in the region loses its strength and allows urine to escape during certain movements and groups of movements.
“It is possible to make a full diagnosis with an examination after the patient expresses his complaint.”
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How is Urinary Incontinence Treated?
The operation to be performed after the examination is aimed at repairing the valve that has lost its function and weakened. In order to carry out this process, in recent years our country has The method used in our clinic is the TOT method. With the TOT method, its strength is strengthened by placing a hammock-like hanger under the cover. The valve, which is provided with a balanced and stable posture, begins to function again.
Is Anesthesia Applied in Urinary Incontinence Surgery?
For the procedure, which is a surgical operation, there must be general or Regional anesthesia should also be applied. The recovery process after surgery is short enough to be considered fast. In general cases, the patient is allowed to go home within 3-4 hours following the operation. However, it is among the common practices to observe possible side effects after this operation and to keep the patient under observation for 24 hours in order to be accessible and interveneable.
After the surgery is performed, the operation begins to show its effect as the patient returns to his normal life. will start. After the catheter placed after the surgery is removed, the valve will begin to perform its daily function and will not cause any pain. There is no pain or discomfort in this operation, which is placed inside the vagina and does not require any incision. In addition, there will be no sign of the operation in your sexual life.
Other Conditions Causing Urinary Incontinence
The pelvic floor, known as bladder prolapse, is known as the bottom point of the body. At this point, sagging generally occurs due to birth. In addition to the effects of smoking, alcohol and excess weight are also among the direct effects of this sagging. Nowadays, these operations can be performed very easily with surgeries in which the intestine is not removed. Surgeries are performed without opening incisions. For this reason, the treatment and recovery process takes place much faster.
Negative Impact on Sexual Life
The most negative example of the impact on sexual life is undoubtedly the possibility of it occurring during sexual activity. It would be the best choice to accept the fact that treatment should be applied to solve the problem that creates great psychological pressure for women and to start treatment. Because urinary incontinence is related Another condition, prolapse, can also move in and out of the vagina, so the vaginal tract may be completely blocked. In addition to the fact that urinary incontinence and prolapse do not affect sexual life, it is prominent in 15% of women undergoing other gynecological treatments and in 38% of women who have had their uterus removed.
Patient Comfort and Treatment Process
The most important method that has started to be applied in recent years is based on hanging or fixing the urinary canal passing through the front part of the birth canal to a point using synthetic tape. This method will provide up to a 99% solution to the sudden problem of urinary incontinence. However, if the cause of urinary incontinence is bladder prolapse or bowel prolapse, surgery alone is not sufficient. Another technique applied at this point is based on hanging the bladder on the bones above the body. This procedure, which is also performed with synthetic thread, is performed through open surgery. At this point, since the intestines are taken out and placed back into the body, it will take time for the intestinal functions to return to normal.
"Since intestinal surgeries are performed by making an incision, infection and herniation at the wound site are among the expected results."
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In cases where the procedure is performed using a surgical technique, since the intestines must be removed, both their function and the healing process must be carried out much more carefully.
Recovery After Urinary Incontinence Surgery. Process
It is possible to provide much more positive data regarding the healing process in surgeries performed using surgery. At this point, the physician who performs the surgery successfully and ensures a rapid recovery process will directly affect the success of the surgery. The surgical procedure is a method used only to treat bowel and bladder prolapse. However, it would not be correct to say that every complaint of urinary incontinence will be treated by surgery. For this reason, it is of great importance to choose a physician who has managed to specialize in his work, so that the treatment does not recur and you do not experience similar stress again. The system applied in our clinic It would be correct to say that it is in parallel with the age.
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