Overactive bladder threatens women

The Continence Association Board of Directors member noted that the disease is seen in 15 percent of women over 40 years of age. Dr. Oktay Demirkesen stated that about 3 in 1 of these patients had urinary incontinence problem. Demirkesen said, "Only 12 percent of patients who complain of overactive bladder cause a 2-fold reduction in work efficiency," he said.

The overactive bladder problem (AAM) is a disorder that affects the working life of working women negatively health Among the problems comes in the first order. The disease is manifested by frequent urination during the day, nocturnal urination, sudden jamming, difficulty catching the toilet, or sudden urinary incontinence. The presence of any or all of these indications in any person brings the issue of AAM to the agenda.

Long standing and working people are at risk

Especially those who make long meetings and spend most of their time outside are at the forefront of groups that are more affected by overactive mood in the business world. The Continans Association Board Member, who stated that the frequency of the AAM's being seen in women over the age of 40 is 15 percent. Dr. Oktay Demirkesen stated that about 3 in 1 of these patients had a urinary incontinence problem. Profiling and urinary incontinence problems in women are seen more often than men voicing Professor. Demirkesen pointed out that it is important to understand how the patient is being treated and affected in this situation.

Reduces business efficiency by 2x

The AAM, a disease that seriously lowers the quality of life, is a major obstacle for women who have difficulty coming to their jobs. Expressing that they are concerned that a majority of female patients are being treated in the business environment, Prof. Demirkesen said that in a study on approximately 2,800 people in 5 countries, the rate of unemployment was found to be higher in those who had AAM complaints compared to healthy people, and that their work efficiency decreased by 2 times in these patients.

Depression frequency is three times more

Professor who shares the remarkable results of the research. Demirkesen, "we see that the incidence of depression in patients with compulsive urinary incontinence is about three times higher. This situation, besides problems in business life, causes our patients to exclude themselves from other social environments and activities. Another study suggests that AAM complaints may lead to decisions such as worries about early leaving meetings in patients, adjustment of working environment and hours, concerns about change, job change, even divorce or early retirement. In addition, the AAM is a problem that causes considerably higher expenses due to the medical costs it incurs. Men with AAM problems are actually more vulnerable. That is why urinary incontinence is a less common and less accepted condition for men, especially in this age group. "

The toilets give up drinking water to go

Particularly sudden jams and urinary incontinence, accompanied by a certain age of AAM'ın watching, working women who are emphasizing that the nightmare. Demirkesen said that the disease affected the quality of life of active women in social and professional life negatively. Demirkesen described the problems faced by the women suffering from the AAM, saying: "These women first look at where the toilet is in their environment. They try to plan all their activities as much as possible. The measures such as the setting of the meeting time and the determination of the location of the toilet in the environment are a part of their life. Another frequently encountered measure is the restriction of water intake to the toilet, which is a false practice that will increase complaints when the restriction is excessive. "

Only 12 percent of women are refering to a doctor

While AAM complaints for working women are very important in terms of the problems that they create in the business environment, the situation can be perceived more by housewives. In addition to the convenience of being close to the toilet, incontinence or changing clothes or underwear immediately, it is possible that these complaints may affect housewives, assuming that it is not a situation that should be accepted or treated. This leads them to complain less than AAM. For some housewives, however, staying away from the social environment due to their AAM closeness lowers their quality of life. Demirkesen said that because of these complaints, the application rate for all women is low, Demirkesen said, "the women who are in the process of seeking or accepting treatment seem more willing and harmonious. However, in a study we have done, the fact that only 12 percent of patients with AAM complaints are physically present indicates that we have to go a long way in this regard. "

New treatment methods give effective results

Lifestyle modification, weight loss and the recommendation of exercises to strengthen the pelvic floor are considered the first step in the treatment. In the second step, this treatment includes the addition of drug treatment. In the third step, there is Botulinum Toxin A Injection therapy applied to the bladder, which is a big improvement in the last period. In the fourth and final step, complicated and major surgical methods are included. Underlining the decline in surgical method in the last years even if the percentage can not be given Professor. Demirkesen said that this development was the result of significant achievements in botulinum toxin A injection in the third step of treatment. Professor Demirkesen said, "It would be appropriate to change daily habits and to focus on injection therapy when drug treatment is not successful. The effect of botulinum toxin injection on the bladder muscle may vary between patients but lasts for an average of 6 months. Injection is performed in many parts of the bladder wall after the drug has been diluted with the help of a needle passed through the endoscope. If the operation is performed with a bendable device, it is applied under a light anesthesia if it is done with a non-bending device without full anesthesia. The duration of the procedure is 15-20 minutes and generally it is not necessary to stay in the hospital after the procedure. There is no significant risk associated with the process that will occur during the process. This treatment, which has been proven by recent scientific studies, can be reconstructed at the earliest 3 months. Research has revealed that the patient satisfaction provided by the treatment is high, "he said.

What should the people who have AAM problem pay attention to?

* Life style change is a must. (The amount of fluid consumed by the patient, including the amount of liquid and sex, especially the control of the frequency of going to the toilet and the techniques of postponing urination are taught. spore activities.)

* Avoid consuming plenty of liquids that are not very suitable for storing urine at work such as tea, coffee, and sodas in business environments.

* Teaching techniques for controlling the frequency of toilet visits and postponing urination. Suggestions given by the doctor should be followed by creating schedules about the frequency of going to the toilet and the technique of postponing the urination.

* Strengthening of the so-called pelvic floor exercises should be done.

* Botulinum toxin A injection therapy is the most important choice when traditional treatment options such as lifestyle modification and drug treatments [OD1] are not successful.

Why is AAM more common in women?

AAM is seen more often in women than in many publications. However, this difference is mainly due to women around 40-50 years of age. However, when we look at older ages, we see that the difference between men and women has remained, and the rates have been equalized. It is known that the most important factor in this difference is the anatomical structure. The anatomical structure makes it relatively less common in young men. These ratios are equalized with different risks from the women who appear in men together with aging.