"> Best Treatment of Urinary Incontinence in Women Doctors in Turkey

Urinary incontinence problem is common in women. Incontinence (Urinary Incontinence) treatment is applied in women for this disorder, which occurs when urine involuntaryly exits the urinary tract. This condition, which occurs in women for many reasons, creates annoying problems in everyday life. Treating this disease as soon as possible allows women to continue their normal lives without disrupting their normal lives. 

Incontinence (Urinary Incontinence) treatment in women is frequently in demand in our country and can be performed in private institutions, especially public hospitals. In the long term, incontinence prevents the patient from many activities, which requires patients with this problem to contact the physician before it is too late.

What is Urinary Incontinence?

Urinary incontinence is common enough to be seen in one in four women. Incontinence is the name given to the involuntary occurrence of incontinence. Incontinence occurs when the pressure inside the bladder turns on the closing pressure. Women of different age groups may experience this disease for varying reasons. Patients may feel discomfort and shame. However, it should be remembered that incontinence is a treatable disease. 

The main causes of urinary incontinence include advancing age, childbirth (numerous births, difficult births, large baby births), diabetes, constipation, obesity, etc. In everyday life, incontinence can occur during exercise, on the journey, while doing household chores, sneezing, coughing, lifting heavy items, standing up from the bed and even laughing. Women try to overcome incontinence by using pads or frequently going to the toilet without the support of a physician.

What Area Is Urinary Incontinence Looking At?

Since incontinence is associated with the bladder area, the area of obstetrics and gynecology units of hospitals is taken care of. Patients suffering from this medical condition can reach the final solution by contacting obstetricians and gynecologists. The biggest symptom of urinary incontinence is the feeling of urinating, but not being able to reach the toilet and not being able to feel that you are emptying the entire urine while in the toilet. The diagnosis is made by the physician. 

First of all, the patient should come to the examination with his bladder full. He then coughs or pushes and it is observed whether he misses urine. Then the patient is asked to empty his bladder and the amount of urine remaining is measured. The obstetrician and gynecologist controls the rate of sagging in the vagina, bladder or neighboring organs. Pelvic floor muscles used when holding urine are examined. Patients fill out forms to measure how affected their daily lives are.  

What is Incontinence Treatment?

Treatment of urinary incontinence (Urinary Incontinence) in women varies depending on the patient's condition, the preference of the physician and the causes of the disease. The most common treatment methods include conservative treatment, biofeedback, Kegel exercises, drug therapy, FES, magnetic chair and vaginal cones. It may also be possible to resort to surgical methods. 

Surgical methods include Needle Suspension (Stamey, Pereya,Raz), Periureetral Substance Injections (Teflon, Slikon), Retropubic Suspension (Burch,MMK), Periureetral Pluto operations (Kelly,Kennedy), Subureetral Suspension (TVT, TVT Obturator, Vaginal Sling and Artificial Sphincters). The correct treatment method is determined by the physician.

Causes of Urinary Incontinence in Women

Urinary incontinence typically occurs in three ways.

1. Stress Incontinence (Stress Type): It is a type of incontinence that occurs with increased abdominal internal pressure, such as pushing, coughing, straining and sneezing. The reasons are the weakening of the urination canal (urethra) and bladder base due to multiple births.

2. Urge Incontinence : It is a type of incontinence that occurs when the urinary sensation suddenly arrives and tries to reach the toilet. It is especially experienced when in contact with water (e.g. when washing dishes). This type of incontinence occurs when the bladder contractes suddenly when filling. Parkinson's can be one of the symptoms of chronic diseases, especially diabetes, mulptip sclerosis or dementia.

3. Mixing Incontinence (Karma): Refers to the coexistence of other types of incontinence.

How to Treat Urinary Incontinence in Women?

The treatment of urinary incontinence (Urinary Incontinence) in women is determined due to the underlying causes of the disease. 3 treatment methods are widely used. These are behavioral, drug treatment and surgical methods. 

a. In behavioral treatments, fluid intake is restricted at night, and if the patient is obese, he loses weight. It is advisable to make changes in the lifestyle of women. Bladder training is given only by focusing on urinating at certain intervals. It is also aimed to empty the entire bladder when making toilets. In this way, reflex control is strengthened. Pelvic floor muscles are also trained by behavioral treatment method. Kegel exercises are applied.

b. Follows the drug program determined by the patient, obstetrician and gynecologist in the treatment of the drug. Acetyl choline allows the bladder to contract and is secreted by nerve cells. At this stage, this secretion is blocked to prevent incontinence of the patient. This reduces compression and increases the capacity of the bladder. Anticholinergic drugs greatly help the patient. The treatment of incontinence is carried out by using antidepressants that prevent incontinence.

c. Surgical treatments cover operations performed on the vaginal pathway. Hanger surgeries are the most preferred surgical operation. The purpose of this surgery is to prevent incontinence in stress situations, and with it, the bladder and the urinary tract outside the body are supported without creating any congestion. 

Applying Botox (botilinum toxin) to bladder muscles is also among the surgical treatments. If the bladder is overactive, muscle activities are stopped with Botox. In this way, the patient benefits significantly.

What are the Advantages of Urinary Incontinence Treatment in Women?

Treatment of urinary incontinence (Urinary Incontinence) in women primarily makes the patient feel better and renews their self-confidence. Due to incontinence, a large number of women are unable to perform their daily activities as they should, or hesitate every time they move. Effective treatment eliminates this condition and gives you the freedom to continue daily life without worrying. Therefore, every woman who experiences incontinence problems, large or small, should always seek help from an obstetrician and gynecologist.

In addition, it is aimed to prevent bladder problems that may occur in the future with the treatment of incontinence. Behavioral or drug treatments are tried respectively in patients diagnosed with incontinence. If no results are obtained, the physician may try to benefit from surgical treatments. Surgical operations are generally short-lived and painlessly completed.

Process After Urinary Incontinence Treatment in Women

After the treatment of urinary incontinence (Urinary Incontinence) in women, the recommendations of the obstetrician and gynecologist should be followed in full. Hygiene should be highly valued due to the fact that inflammation of the urinary tract causes incontinence. If medication is applied, it is critically important not to miss the doses that the physician says.  

If surgical treatment methods are applied for urinary incontinence, it is necessary not to lift heavy for a while after the operation, to stop sporting activities and to avoid intense tempo. The patient must seek permission from the doctor to enter the sea or pool. After the operation, the patient is able to return to his routine, recovering in a short time. Thanks to urinary incontinence treatments, women can overcome their problems and resume their lives in a happier and more peaceful way.


Resources:

https://www.mayoclinic.org/diseases-conditions/urinary-incontinence/diagnosis-treatment/drc-20352814

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