Causes and treatment of urinary incontinence in women

According to January 2019 data, one out of every 4 women aged 30 and over in Turkey suffers from urinary incontinence. The problem of urinary incontinence, which disturbs women in social life, is a situation that people cannot easily express. Urinary incontinence can be severe enough to limit people’s social activities such as exercising and travel, as well as limiting daily life. However, the problem of urinary incontinence is not unsolvable. Here are the answers to all the questions you are afraid to ask about the symptoms, causes and treatment of urinary incontinence…

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Urinary incontinence problem that can occur in women of all ages, negatively affect social life and quality of life. Patients have to determine their lives according to the possibility of urinary incontinence. He prefers not to leave the house for fear of urinary incontinence, cannot enter social environments, worries about not being able to find a toilet in the places he goes to, and avoids even using public transportation.

Urinary incontinence can occur due to many reasons. Infections that may occur in the bladder, vagina infections, bladder stones, difficult births, hormonal changes, bladder tumors, nervous diseases, bladder outlet obstruction are among the causes of urinary incontinence.

Who is incontinence most common?

Urinary incontinence in women begins to be seen after the age of 30. The incidence is increasing, especially in women who have given birth more than once or after menopause. Urinary incontinence, which can sometimes be seen in young women, can also be caused by genetics. Generally, coughing, being overweight, being constipated, difficult births and carrying heavy loads can cause urinary incontinence.

What are the causes of urinary incontinence in women?

  • Excess weight
  • Advanced age
  • Constipation
  • Cystitis and bladder infections
  • Vaginal infections
  • Difficult births
  • Weakness of pelvic floor muscles
  • Insufficiency of internal sphincter muscles that control bladder emptying
  • Structural problems such as small bladder capacity
  • Hormone changes due to menopause
  • Diabetes
  • Blood pressure medications
  • Diuretics
  • Depression and tranquilizers

What are the types of urinary incontinence?

1) Stress urinary incontinence: It is involuntary leakage of urine with sudden movements such as laughing, coughing, sneezing, walking, exercising. It is the most common cause of urinary incontinence in women.

Causes of stress urinary incontinence

A. Pelvic floor muscle weakness: The pelvic floor muscles support the lower urinary tract organs. A strong pelvic floor keeps the urethra closed until it’s time to urinate. When there is pelvic floor weakness, situations that increase the internal pressure of the abdomen such as heavy exercise, coughing, constipation, heavy lifting cause the urethra to open and urinary incontinence. Multiple births with intervention, giving birth to a large baby, obesity, familial predisposition and menopause can be counted as risk factors.

B: Inadequacy of the internal sphincter muscles that control bladder emptying: Normally, the sphincter muscles keep the urethra closed while the bladder is filling, and when the urination time comes, they relax and allow urination. In sphincter failure, on the other hand, urine is leaked during various movements such as coughing and exercise, as the muscles cannot do their job.

2) Urge incontinence: It can be described as incontinence. It is a form of urinary incontinence before reaching the toilet when a strong need to go to the toilet is felt. Unlike stress urinary incontinence, the cause is not weakness in the pelvic floor, but overactive bladder muscles. Its treatment is medical.

3) Mixed type of urinary incontinence: Stress incontinence and urge incontinence is the combination.

4) Overflow type urinary incontinence: When urine is stored in the bladder above its capacity, it is the leakage of a small amount of urine without feeling any difficulty in urination. The bladder still remains full. The person feels that his bladder is not completely empty. Diabetes occurs as a result of loss of muscle tone in conditions such as pelvic injury, extensive pelvic surgery, spinal cord injuries and multiplesclerosis. It can be treated with medical methods.

Is urinary incontinence a treatable condition?

Urology Specialist Op. Dr. According to Emrah Yakut’s statements, the problem of urinary incontinence is not unsolvable.

Physical examination, abdominal examination and neurologic examination; After questioning the extent of the complaint with questions such as urinary incontinence, its type, how much it affects daily life; It is possible to treat urinary incontinence, which is diagnosed by methods such as urodynamics and ultrasound.

What are the treatment methods of urinary incontinence?

1. Regulation of daily life and exercise program: M Elastic exercises, scheduled voiding, liquid diet and vital habits regulations, pelvic floor exercises
2. Behavioral treatments including electrical stimuli
3. Drug treatments to increase urinary retention in the bladder
4. Interventional methods: Interventional methods such as Botox application, use of occlusive material and sacral nerve stimulation
5 Surgical treatment: Low tension sling, lifting bladder sphincter, artificial urinary incontinence control system

Is it helpful to strengthen weak pelvic floor muscles against urinary incontinence?

Urology Specialist Op. Dr. Emrah Yakut states that one of the main causes of urinary incontinence in women is the weakness of the pelvic floor muscles. When these muscles that support the lower urinary tract organs are strong, they keep the urethra closed until it’s time to urinate. In case of weakness of the pelvic floor muscles, situations that will increase the internal pressure of the abdomen lead to urinary incontinence by opening the urinary tract. For this reason, women should definitely consult a specialist to strengthen their pelvic floor muscles. Because with regular exercise, it is possible to get rid of the problem of urinary incontinence.

What kind of pads can women use during the treatment of urinary incontinence?

For the problem of urinary incontinence, bladder pads should be used, not the pads that women use during their menstrual period. Standard pads designed for the menstrual period cannot trap the fluid from the bladder, so leaks occur. For this reason, pads defined as “bladder pads” are used in this period.

Since urinary incontinence is a problem that can be seen in both women and men, normal bladder pads produced separately in accordance with male and female anatomy are for those who have an active social life and complain of urinary incontinence. If you are being treated for urinary incontinence, you can use a female-specific bladder pad for a more comfortable social life during this process.

If you are also experiencing urinary incontinence, do not consider this health problem experienced by one out of every 4 women in Turkey as a source of embarrassment and consult a urology specialist as soon as possible. Completely remove this problem that affects your social life and has a solution.

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