Urinary incontinence treatment

Urinary incontinence treatment

Urinary incontinence (incontinence) is the condition of uncontrollable urinary incontinence. Many patients do not receive treatment because they feel uncomfortable talking about this situation with their doctor.

Urinary incontinence can happen in 3 ways.

stress incontinence,
Urge (compression type) incontinence and
Mixed incontinence.

1. Stress incontinence: In situations such as coughing, laughing, sneezing, lifting weights, running, the pressure of the urinary bladder increases and urine escapes.

2. Urge incontinence: Urinary incontinence with the sudden feeling of urgency that cannot be delayed

3. Mixed type incontinence: it is the presence of both conditions.

It is important to get expert opinion in case of urinary incontinence because infections, skin rashes, sexual dysfunctions can be seen in untreated cases.

The patient’s self-confidence may decrease over time, and the person may become unwilling to go out in public. It can affect a person’s psychology and social life.

How Is It Diagnosed?

The patient’s medical history is carefully questioned.

In the physical examination, it is checked whether there is urinary leakage with coughing-straining, and it is evaluated whether there is prolapse of the urinary bladder (cystocele), prolapse of the uterus (desensus uteri). With ultrasound, the bladder, bladder neck, uterus, and ovaries are evaluated.

Urinalysis, urine culture, fasting blood sugar are evaluated. Sometimes, further investigations such as urodynamics, urolowmetry, cystoscopy may be required.

How Is It Treated?

Before starting the treatment, daily habits are evaluated, for example, your fluid intake may be high. Tea, coffee, alcohol consumption can cause frequent urination. Spicy, overly salty foods should be avoided. Losing weight is recommended as there is a link between excess weight and urinary incontinence. In addition, Kegel exercises should be done to strengthen the pelvic muscles.

In urge urinary incontinence, medical treatment can be started depending on the severity of the disease, whereas in stress type, surgical treatment is usually required when medical treatment fails.

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