Urinary incontinence is the involuntary and sudden flow of urine out of the urinary tract during your daily activities. Urinary leakage usually occurs from the urinary tract. However, in some special and exceptional cases, it can also occur through the large intestine or, in women, the genital organ. This problem may be so severe that it interferes with daily life and normal activities in some patients. If urine is leaked while laughing, coughing, sneezing, exercising, walking or even sitting, or lifting a heavy object, if there is a problem of incontinence before urination, if there is a need to urinate frequently to get rid of this feeling, if it is felt that the urine cannot be completely evacuated, this is a problem. And it is necessary to consult a specialist.
With the help of a specialist, the cause of urinary incontinence and the type of urinary incontinence must be determined and an appropriate treatment must be found. Different recovery methods and solutions are possible to get rid of this problem, which reduces the quality of life and can affect business life, social life and personal space. For this problem, which can be seen in both genders, there are different types of urinary incontinence, causes and different treatments depending on the cause. Urinary incontinence is a very common and treatable problem. It can be seen in all genders and ages, and it is not a disease. There are many different types and treatments available. For this reason, the treatment method varies depending on the form of urinary incontinence.
TYPES OF URINARY INCONTINENCE
Urinary incontinence is examined in 3 main groups
Stress incontinence: Urinary incontinence due to muscle and nerve weakness
Urgent Need to Urinate: Urinary incontinence due to uncontrolled automatic contraction of the urinary bladder
Mixed type: Urinary incontinence with the presence of both conditions p>
WHY DOES URINE INCONTINUE occur?
- Advancing age
- Overweight, obesity
- Hereditary causes
- Constipation
- Urinary infections (cystitis, bladder inflammation in women)
- Vaginal infections
- Urinary stones and tumors
- Difficult births,
- Hormonal changes associated with menopause
- Ray therapy
- Nervous diseases and prostate enlargement in men
- Continuous urinary incontinence in women Cause: The urinary tube (ureter) between the bladder and the vagina or between the kidney and the bladder
- Combinations between the vagina
- Uncontrolled diabetes
- Alcoholism
- Surgeries for prostate cancer
- Muscle relaxants, blood pressure reducers, diuretics, sedatives, anti-depressant medications, and allergy medications may also cause urinary incontinence.
- They may cause a slowdown in brain functions. diseases (dementia, Alzheimer's, vascular diseases, etc.)
We can generally count the above mentioned as reasons for urinary incontinence.
HOW IS URINARY INCONTINENCE DIAGNOSED?
For this purpose, this diagnosis can be made through examination, daily urine monitoring chart, pad test to determine the amount of urine the person leaks, and, if necessary, tests that show how the bladder works, called urodynamics. In its treatment, exercise, drug therapy and various surgical methods can be applied.
URINARY INCONTINENCE IN WOMEN
Urinary incontinence is a condition that can be seen especially in the post-menopausal period and in women who have given birth more than 30 times. It is a serious and common problem that can be seen in one in every four older women. It can be seen from time to time even in young women who have not given birth. The problem gets worse as women's lives get longer. The most important cause of urinary incontinence complaints in women is genetic structure. This problem occurs frequently in individuals whose connective tissue is hereditarily weak and prone to sagging. Sagging of the genital organs mostly occurs in the presence of factors such as difficult and frequent births, chronic cough and asthma, lifting heavy loads, chronic constipation, and excessive obesity. Urinary incontinence problem occurs.
URINARY INCONTINENCE TREATMENT
Non-surgical treatment: The aim is to improve the factors that contribute to uncontrolled urinary incontinence. This treatment method aims to correct the factors that worsen the problem, such as constipation, obesity, smoking, preventing excessive fluid intake, and the muscles and female hormone status to increase the patient's ability to balance the increased intra-abdominal pressure.
Kegel exercises. :Pelvis, also called pelvic bones in medicine is the remaining region. During birth, this is the path the baby will follow. There are many muscles in the pelvic area. Training of these muscles occurs by squeezing the muscles in this area while urinating, stopping the flow of urine, holding it for a while, and then relaxing it again. While performing this procedure, one should try to understand which muscles contraction provides this effect. Once these muscle groups are learned, they should be contracted and relaxed 200 times throughout the day. 5 slow and 5 fast movements should be done at least 5 times a day. It should be done at least 3 times during pregnancy and at least 10 times after birth. Kegel exercises prevent coughing, sneezing, laughing and urinary incontinence, which are common especially after birth.
Medication treatment: Decisions are made by physicians who are experts on the subject. The use of bladder relaxant medications given to the patient is beneficial for people who are suitable for it.
Surgical treatment: The treatment of true stress incontinence is a form of treatment performed by surgical methods. There are various types of surgery performed today to correct this problem.
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