Women’s urinary incontinence has not received the attention given to some other gynecological diseases, for various reasons, some of which are due to a lack of general culture of the disease.
- Polycystic incontinence is not a serious illness but it has a significant impact on the quality of life
- Types of urinary incontinence, its causes, symptoms and treatments are many and different
- Treatment of urinary incontinence is available and greatly improves the quality of life.
Definition of urinary incontinence, its prevalence, and reasons for not seeking treatment?
Urinary incontinence is known to be a common problem in women and can occur at any age. However, it has become increasingly common with age. Scientific studies have shown that urinary incontinence has a significant impact on the quality of life, as well as the negative impact on self-confidence and concomitant. Of his negative effects on social and family life.
According to medical studies, about 1 in 5 women over the age of 40 suffer from urinary incontinence. This is an estimate, since it is believed that the ratio is much higher, due to the fact that many women do not consult the doctor for various reasons, including feeling embarrassed to talk about urinary incontinence The mistaken belief in some women that urinary incontinence is a normal thing happens as the age goes on and there is no cure.
The most common types of urinary incontinence
There are many types of urinary incontinence and is considered smooth urinary and urinary smooth urinary incontinence due to excessive urinary bladder activity most frequent.
• Urinary incontinence.
It is a urinary incontinence associated with coughing, laughing, sneezing or exercising as it can happen during intercourse.
The reasons for the weakness in the pelvic muscles resulting from pregnancy and childbirth, weight gain, menopause plus age increase.
• Urinary incontinence resulting from hyperthyroidism
This occurs when the lady feels a sudden desire can not be ignored for urination and this often leads to the descent of urine before reaching the water cycle. And the other symptom:
• Frequent urination.
• Waking up to urinate at least once during the night.
• Urinary incontinence associated with urinary urgency. The causes of this type of urinary incontinence in most cases are not known to occur due to neurological diseases.
• Mixed incontinence: a combination of both, the most common type
How do women cope with the problem of urinary incontinence?
In order to avoid the embarrassment associated with involuntary urination, some women limit their social activity and often resort to shopping only in places where toilets are available. Women are less likely to use public toilets than men. In addition, some women who suffer from Smooth urinary polyarthritis to urinate many times to make sure that the bladder does not contain a large amount of urine when stress occurs (ie, laughter, sneezing …). The decrease in urinary urine and the feeling of wetness prompts the lady to increase attention to the personal care (the large number of spare parts – the use of women’s towels … ..) and the consequent feeling of distrust and an impact on work and social life.
Evaluation and diagnosis of urinary incontinence:
Evaluating and diagnosing urinary incontinence is important in determining the appropriate treatment plan
Medical History:
• This includes analysis of the urine symptoms suffered by the woman in addition to determining the degree of impact of these symptoms on the quality of life and the doctor inquires about the factors that increase the degree of poor urinary incontinence and constipation and smoking.
• The previous medical history is important, including previous pelvic surgery, as well as information on previous loads and medicines used by the woman. In the case of older persons, an assessment should be made of the mental state as well as an assessment of mobility and social and environmental factors.
Clinical examination:
It includes:
• Examination of the abdomen to detect fibroblasts and ovarian tumors, because it causes pressure on the bladder, leading to urinary symptoms
• Internal examination to detect vaginal atrophy caused by estrogen deficiency and to detect the presence of hemorrhagic and uterine sedatives that may accompany incontinence, as well as to assess the strength of the pelvic muscles.
• The doctor may examine the anus and rectum if the patient complained of constipation
• Examination of the nervous system
Medical tests may include:
General tests
• Urine examination: to detect the presence of urinary infection may cause or increase the degree of bad urinary incontinence in addition to detecting the presence of sugar and also detect the presence of blood in the urine, which may require further tests
• Urinary bladder memos: A special sample given to the woman to document the following information: (time and number of urination, urinary quantities, urinary incontinence, urgency of urinary incontinence as well as recording fluid quantities and their time. ) With the information above and then the doctor analyzes the model in order to obtain a more accurate evaluation of urinary symptoms
• Measure the amount of urine remaining in the bladder after urination: to ensure that there is a large amount of urine remaining in the bladder after urination, where this is a cause of urinary symptoms and measured by using the ultrasound device most often
The doctor may perform an ultrasound examination of the uterus and ovaries.
Specialized tests
• Examine the study of urination (determine the speed and pattern of urination) and this is done using a specialized device in the clinic
• Urinary bladder planning: The symptoms associated with urinary problems are not accurate in determining the type of urinary incontinence and therefore determine the appropriate treatment so the doctor to perform a procedure for urinary bladder and this helps a lot in the treatment plan based on the accurate diagnosis of urinary incontinence and thus spare the complications of complications of treatment Occasion . The urinary bladder layout studies the pressure and behavior of the bladder.
• Radiography of kidneys, ureters and bladder in some cases
• Endoscopy of urinary bladder: The doctor resort to the endoscopy of the cases in which the presence of frequent blood in the urine in addition to non-response to the treatment plan and this medical procedure under local or general anesthesia.
Treatment of urinary incontinence
General tips
- Modified lifestyle.
- Moderate intake of liquids (1.5-2 liters per day), reduction of caffeine, soft drinks, artificially sweetened and alcohol, has been shown to drink caffeine-free improves symptoms of urinary bladder hyperactivity.
- Some scientific evidence suggests that obesity contributes to symptoms. This is believed to be due to increased abdominal pressure. It has been shown that weight loss improves some of the symptoms of urinary incontinence by nearly 70%
- In addition to this should be treated chronic cough and stop smoking and treatment of constipation
- Bladder Retraining: This involves a therapeutic program to restore the urinary bladder which eventually leads to better bladder control and fewer times
- Urination at night and day and improved urinary pressure control and improvement rates range from 50% to 80%
- Training of pelvic muscles (physiotherapy of pelvic muscles)
This includes exercises that aim to improve the function of the pelvic muscles and this helps improve urinary incontinence. The bib may be used as specialized equipment to help strengthen the pelvic muscles
- The use of estrogen in women who suffer from a lack of special after menopause.
Specialized treatment for ejaculatory incontinence
In addition to the general advice above, if the lady sees that the improvement achieved is not up to what you want it can resort to one of the following treatment methods:
• Medications:
These medicines give a moderate degree of improvement but their symptoms are many and these drugs are suggested to women who do not want surgery
• Surgical treatment:
- Ophthalmic vaginal band:
It is a process by which a medical tape is placed under the urethra and is performed under local or general anesthesia and leads to an improvement in the smoothness of the urethra by up to 90%. It is the most common surgical procedure in the world for smooth treatment of polyarthritis
- Solid materials:
These substances are injected around the urethra under general or local anesthesia and the rate of improvement is 70%.
Specialized treatment for urinary bladder hyperactivity
In addition to the general advice mentioned above there are many of the most common treatments
• Medications:
These drugs reduce the muscle contraction of the bladder causing hyperactivity, which reduces the need to urinate and the number of urination during the day and night and gives the lady longer to access the toilet and thus reduce the frequency of urination.
• Botox treatment:
This treatment is not used in cosmetic surgery only where the bladder muscle can be injected with Botox treatment using a laparoscopy. This is done under general or general anesthesia and leads to a significant improvement in the symptoms. However, this treatment is used in cases that do not respond to conventional medicine and which does not lead to improvement. Which the lady wants. The improvement continues to be about a year and the bladder can be re-injected again if the lady wants to.
• Stimulation of the bladder bladder nerves:
This is done in different ways, including direct, by implanting the device in the lower back under the skin. Or indirectly by stimulating one of the nerves of the leg using a very fine needle stitches in the skin at the bottom of the leg and is connected to the stimulation. These devices generate a weak electrical current that activates the nerves of the bladder.
• Surgical treatment:
Surgery is used in the few cases that are difficult to treat and this rarely happens.
Adam God health and wellness to all