Stating that there are some changes in the urinary system inevitably due to hormonal changes in the pregnant person’s body, Prof. Dr. Tufan Tarcan, “At the beginning of these, there is a change in the smooth muscles that make up the urinary system due to the increase in the glomerular filtration rate (increase in the urine production capacity of the kidneys) and hormonal changes.” said.
Emphasizing that as the fetus grows, the pressure in the pelvis made by the fetus affects the physiology of the bladder and ureters, Prof. Dr. Tufan Tarcan said, “We see some urological diseases increased due to these during pregnancy. One of them is urinary tract infection. In addition, swelling in the kidneys, called hydronephrosis, because the kidney or kidneys blocked by the fetus cannot transmit the urine to the bladder
may arise. In addition, there may be problems with urination. Both the increased amount of urine and the decrease in the space to expand the bladder can play a role in the frequency of urination. Urine becomes more frequent because there is less room for the bladder to expand. As the fetus grows, it pushes the bladder forward. Thus, the distance of the bladder is narrowed.” made a statement.
Women who had urinary tract infections in childhood are more likely to have urinary tract infections during pregnancy.
Underlining that any urinary tract infection detected during pregnancy should be treated, even if it is not symptomatic, Prof. Dr. Tufan Tarcan, “Urinary tract infection can cause more serious problems if it is not treated during pregnancy. Urinary tract infection monitoring is very important during pregnancy.
said. Stating that urological complaints are more common during pregnancy in women who had urinary tract infections in childhood and recurrently, Prof. Dr. Tufan Tarcan, “If a pregnant woman has a history of urinary tract infection, she should pay special attention to urinary tract infection that increases during pregnancy.” he said.
Stating that the swelling in the kidneys mostly occurs due to the pressure of the fetus on the ureter, Prof. Dr. Tufan Tarcan continued: “The problem of urinary incontinence mostly disappears by itself at the end of pregnancy. Sometimes, obstruction of the front of the kidney can cause pain in the kidney or advanced hydronephrosis in the kidney, that is, kidney enlargement. Sometimes it can even combine with urinary tract infection and cause kidney inflammation. In such tables, the kidneys produced
We insert a type of catheter, called a ureteral stent, into the urinary system endoscopically so that urine can be easily expelled. This stent is approximately 26 to 30 cm long with one end in the kidney and one end in the bladder. a material made of silicone in size. It is not visible outside the body. We remove this stent after the pregnancy is over. Thus, this ureteral catheter enables the kidney to transmit the urine produced by the kidney to the bladder more easily or without any problems during pregnancy. The enlargement of this kidney is more on the right side. This is a situation related to the position of the child. It can also be seen on the left side, although it is rare.”
Expressing that a more important problem in pregnancy is stone disease, Prof. Dr. Tufan Tarcan said: “We are very careful in using diagnostic tools and tests in such a situation. Because as it is known, radiological methods are used in the diagnosis of stone disease. Computed tomography is a very important weapon in the diagnosis of stones, but we do not want to use it during pregnancy to prevent the child from being affected by radiation. Therefore, we are advancing as much as possible with radiological methods such as ultrasonography that do not harm the pregnant and baby without radiation. When the stone is diagnosed, we try to be conservative in the treatment of stones, unless it is very necessary, for example, if it does not create a picture that creates a severe problem in the kidney. If the stone obstructs the kidney or causes severe stone pain in the patient, of course, something needs to be done to this stone. By leaving the stone in the body with the ureteral catheter advanced from the edge of the stone, it is a safe method to bypass the stone and thus both relieve pain and protect the kidney until the pregnancy ends. Stone in very selected cases
It can be done in surgical treatment for the purpose of treatment.”
Expressing that the frequency of urination increases during pregnancy and that there may be loosening on the pelvic floor due to the pressure of the child, Prof. Dr. Tufan Tarcan said, “We see pelvic organ prolapse and stress urinary incontinence more frequently during and after pregnancy. In order to avoid these, our first advice to our patients is not to gain excessive weight. Because how much weight
The more it takes, the more intra-abdominal pressure rises. This has a detrimental effect on the pelvic floor. Therefore, attention should be paid to weight during pregnancy in order to avoid complications of urinary incontinence and pelvic organ prolapse as much as possible.” said.
Stating that they definitely recommend Kegel exercises to women who they think are prone to urinary incontinence during pregnancy, Prof. Dr. Tufan Tarcan, “These are exercises that work the pelvic floor. Thus, we aim to increase the pelvic floor strength. Some of the urinary incontinence seen during pregnancy is temporary and may disappear after the pregnancy disappears. But some of them can be permanent.” made a statement.
We recommend the bladder pad to pregnant women
Underlining that hygienic pads specially designed for the bladder are very important in temporary urinary incontinence during pregnancy, Prof. Dr. Tufan Tarcan concluded his words as follows: “We use bladder pads, especially in patients with minimal urinary incontinence. We cannot use the drugs we use in the treatment of overactive bladder during pregnancy. When these drugs are discontinued during pregnancy, we sometimes encounter a higher incidence.
overactive bladder may occur. Sometimes, the hormonal situation that changes during pregnancy can suppress the overactive bladder on its own. There is no surgical treatment for stress urinary incontinence during pregnancy. Instead, we care about Kegel exercises again. We also recommend hygienic bladder pads as a precaution against this type of urinary incontinence. As stated above, if the patient does not have such urinary incontinence before, it may disappear spontaneously after pregnancy.