It's 15 minutes to urinate!

Gynecology and Obstetric Specialist Op.Dr.Güçlü Kaleagasi gave important information about urinary incontinence and treatment methods.

Urinary Abduction Why is it important?
It is not a life-threatening problem but it disrupts the quality of life in social and sexual terms. It can cause infections in the vagina due to persistent wetness and pediatric carriage. Treatment of this problem, which affects the sexual lives of sexually active women in the negative, is also extremely important.

Many patient groups are still reluctant to address this issue. Particularly those who give birth and old people think that this is the inevitable result of women's life. However, the progress of diagnosis and treatment methods in recent years is a possible health problem, regardless of the period of life.

Causes of Urinary Abduction What?

Pregnancy and childbirth. Urinary incontinence during pregnancy usually resolves shortly after birth. It is more prevalent in the long-term outbreaks that we are born with vaginal birth, especially when we are born with a big baby and we call it birth 2. The other causes of urinary incontinence are; Tobacco use increases the risk by 2-3 times, smoking reduces anti-estrogenic effect of collagen synthesis, leads to chronic obstructive pulmonary disease, increases coughing and urinary incontinence, Diet (Diuretic (diuretic) effects such as tea, coffee, (diabetes, multiple sclerosis, parkinsonism and spinal cord injuries are caused by urinary incontinence), Obesity is the most common cause of urinary incontinence, as well as some other neurological diseases, such as sedatives, some heart and blood pressure medications and some antidepressants, and chronic constipation (Excessive weight in the intraabdominal pressure and persistent severe stress in the cramp weakens the pelvis.) and Menopause (The tissue structure loosens due to decreasing estrogen hormone in menopausal years).

What are Urinary Abduction Ticks?

Stress urinary incontinence (Stress type urinary incontinence)
Coughing, sneezing, jumping, urinary incontinence seen in cases of increased intra-abdominal pressure. It is seen in 30-40%. The weakening of the anatomical support of the bladder neck and urinary hole (urethra) occurs as a result. In a large majority of women with this complaint, the bottom of the uterus and urine sack is also partly or partly swollen towards the vagina, and the swelling that comes out of the vagina arises
Urge Incontinence (Type of Urinary Incontinence)
Urinary incontinence with or without immediate urge to urinate. Why is not known in the vast majority of patients. Sudden and uncontrolled contractions occur when the urinary bladder is filled with urine. Uncontrolled contractions result in urgent urgent urination. It is usually seen in the form of increased daytime urination and at night more than 1 day of urination. The frequency of sighting is 20-30%.
Mix Incontinence (Mixed Urinary Abduction)
It is a combination of the two types mentioned above. It is seen in 25-35%.
Overflow Incontinence (Overflow Type Urine Abduction)
Diabetes mellitus, spinal cord injury and multiple sclerosis are also seen.

What are the treatments?

CONSERVATIVE TREATMENT

Diet and lifestyle changes: It is recommended that daily fluid intake be between 1800-2400 ml. It is recommended to reduce nutrients such as alcoholic beverages, milk and dairy products, caffeinated beverages, tea, spicy foods, artificial sweeteners. Maintaining the ideal weight and leaving the cigarette are methods that are effective in all incontinence types.

Bladder education: With a weekly increase in duration, it is a program that only teaches how to urinate at certain times and lasts about 6-8 weeks, depending on the patient's compliance.

Pelvic floor muscle exercises (Kegel exercises): Your muscles wrapping around the vagina and the breech will be pounded together to stop urine and gas. The number and duration of these exercises are gradually increased. Special exercise cards are available.

SURGICAL TREATMENT

The angle between the urinary incision and the urine neck should be corrected by surgery to remove the involuntary incontinence. Different surgical methods are available to correct sagging and angle impairment. A supportive band without any deleterious effects to the body with the aim of correcting the angulation of the hollow tube is placed loosely. This band supports urine size and prevents coughing or sneezing, which occurs when intraabdominal pressure increases with sneezing. TVT or TOT abbreviations such as this type of urgent operations with urine leakage by 90% around a successful recovery is achieved. As a result of this type of surgery, patients are often discharged on the same day.

In our center, perineal ruptures from difficult births during urinary incontinence surgery are successfully performed with the same seanstance during vaginal dilatation and deformation. In patients with no complaints of urinary incontinence but with complaints of sagging, they are still being treated by surgery.

What about last sling operations?

The reasons for using this method
• Create the most successful method
• Shortened duration of intervention (approximately 10-15 minutes)
• On the same day the illness can offer a chance to go home on foot.