3 Şubat 2018 Cumartesi

Many women have a common problem!

The most important factor affecting the success of urinary incontinence treatment in women is to define correct urinary incontinence type and to choose the right treatment. Anadolu Health Center Urology Expert Prof.Dr.Yalçın İlker; "Otherwise the result is no good for the patient. The way to achieve this is to leave the treatment to the experienced centers and urologists, "he says.

Studies show that urinary incontinence in women varies between 5 and 72% compared to cesidine. It is stated that this rate is 20-30% in young, 30-40% in middle age and 40-50% in old age. Severe urinary incontinence, which requires medication or surgery, is around 10%.

Referring to the risk factors of urinary incontinence in women, Anadolu Health Center Urology Expert Prof.Dr.Yalçın İlker; age, obesity, number of births and shape are the most important risk factors. Professor Dr. Yalcin İlker: "As the age increases, obesity increases, as the number of births increases, the probability of urinary incontinence increases as the number of normal births increases. Menopause, smoking, chronic cough and chronic constipation, diabetes are other risk factors, "he says.

Expressing that the three major types of urinary incontinence seen in women, Prof.Dr.Yalçın İlker, an expert in the Urology of Anadolu Medical Center, lists them as follows:

Stress type urinary incontinence: This type of urinary incontinence is caused by coughing sneezing, sudden upsetting of the abdomen, heavy bag removal from the floor, sudden movements, sudden movements, withdrawal, etc., which cause the urine to keep in a state of good or not working. It is especially seen in young and middle-aged women. The most common type of urinary incontinence. About 49% of all urinary tract infections go into this type.

Compression type urinary incontinence: This type of woman feels that her urine is coming and getting stuck, but the toilet can not hold it until the end. The cause is sudden and uncontrolled contraction of the urinary incontinence adelesin. 22% of all urinary incontinence enter this type, especially in older women.

Mixed urinary incontinence: Stress type urinary incontinence is a combination of urge incontinence and urge incontinence. 29% of all urinary tract infections go into this type and middle-age women are seen.

Anadolu Health Center Prof.Dr.Urology Expert, who also gives information about the possibility that the urinary incontinence may be a sign of a different underlying problem. Yalçın İlker; "In a small number of women, it may be the first sign of serious illnesses such as urinary incontinence, brain or spinal cord tumor, multiple sclerosis (MS), back pain, nerve damage due to diabetes, urinary incontinence, vaginal opening, parkinson's disease, brain trauma. For this reason, women who have urinary incontinence need to take it seriously and meet with the urologist. "


WHAT DOES THE DIAGNOSIS DO?

Urologists who complain of urinary incontinence and women who applied to the evaluation method is extremely standard saying that Prof.Dr. Yalçın İlker goes on to say: "It starts by taking a good and detailed story. Every detail from the form of urinary incontinence to the number of births, operations performed, diseases passed, medications used are questioned. Subsequently, physiological examination of the abdominal and female pathways is performed and a neurological examination is added if necessary. Urinalysis, urine culture, kidney function tests are performed as laboratory tests. Ultrasound is used as the imaging method. Finally, a urodynamic study is conducted to show how urine speration works. With these standard examinations, information about the type and cause of the urinary incontinence is obtained and the correct treatment method is selected. When there is an underlying neurological disease or diabetes, consultation is done with the necessary departments. "

WHAT IS TREATMENT METHODS

Anadolu Health Center Prof.Dr. Yalçın İlker gave information about the treatment methods of urinary incontinence in women. Indicating that the type of treatment according to the type of incontinence Prof.Dr. Yalçın İlker; "The most common type of stress is urinary incontinence, if exercise is used during the onset of illness and when the amount of daily abduction is very minimal, exercise methods are used to strengthen the islands that provide urinary retention. Otherwise, this type of treatment is the surgeon. Today, as a surgical method, middle urethral sling methods are used to increase the pressure inside the urinary tract. This operation can be performed in a short time, the length of hospital stay is very short and complication rate is low successful surgeries done today, one of the most common surgery, "he says.

Prof. dr. Yalçın İlker goes on to say: "In case of urinary incontinence, the main treatment is medical treatment. The aim here is to prevent involuntary contraction of the urinary incontinence. There are many medicines in the market for this purpose and the doctor selects the appropriate one according to the results of the examination and examination. Mixed type urinary incontinence is still one of the most common types of female urinary incontinence and it is more difficult to choose appropriate treatment. According to the physician's history, physical examination and examination results, the doctor decides whether to take only medication, only surgical treatment or surgery and drug treatment together. Apart from these, other less common forms of urinary incontinence are much more complex, and one of the wide range of treatment options is chosen, starting with the introduction of patients with a clean intermittent catheterization procedure followed by catheterization and expanding the urine collection using patches.


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