How is urinary incontinence treated in women?

Obstetrics and Gynecology Specialist Opr. Dr. Zemine Şengül Üçok, urinary incontinence "Many people in society have complaints of incontinent urine incontinence due to increased intraabdominal pressure in situations such as involuntary sneezing, coughing or sneezing," he said. Many people also complain of urinary incontinence, or "incontinence", after they have passed urine.

Obstetrics and Gynecology Specialist Opr. Dr. Zemine Şengül Üçok, "Urinary incontinence" is an involuntary urinary incontinence which is objectively indicated as an objective and social or hygienic problem, according to the definition of "International Continence Society." In fact urinary incontinence is not a disease in itself, but a symptom of urinary incontinence it affects all the daily lives of a person and restricts their social activism.The frequency of sightings and incontinence is twice as common in women as in men.

The frequency of seeing increases with age. Other factors that increase the frequency of vision include: Gender (Female) Multiple births, Racial predisposition Familial predisposition (lack of elasticity of connective tissue) Entering menopause. Smoking, long-term complaints of constipation, obesity past uterine surgeries can be counted.

Other conditions of the urinary incontinence include prolapse of the uterus (prolapsus uteri), urinary tract sagittal (cystocele) and sagging of the gut (rectocele). Despite the fact that urinary incontinence is often treatable, sometimes it is confronted with various difficulties in diagnosis. The discomfort of telling physicians about complaints of urinary incontinence is not adequately diagnosed by the reason that doctors do not question medical history (anemnesis) and urinary incontinence in the examination. "

Op. Dr. Zemine Şengül Üçok stated that as a result of the life span, there has been an increase in the number of patients admitted to clinics with complaints of urinary incontinence as a result of the increase of the elderly population, the socio-economic level of the society and the increase of quality life expectancy.

Dr. Zemine Ş. Üçok, "In eliminating complaints of urinary incontinence, there are some non-surgical medical treatments as well as a number of surgical operations. From the clinical point of view, incontinence is a symptom. Underlying pathological condition is determined and treatment is planned according to the situation. Up to now, urodynamic studies have described six types of urinary incontinence. Stress Urinary Incontinence (SUI): An involuntary urinary incontinence problem during coughing, sneezing, wounds or physical exercise.

It is the most common type. Urge Incontinence (UTI): A type of urinary incontinence associated with sudden urge incontinence. In this case, the person is confronted with the problem of kidnapping the toilet when it comes to urination. Classical findings; the frequency of voiding (frequency), the sudden and postponement of severe urge (urgency), and this feeling can not be suppressed and results in abduction. Mixed urinary incontinence (MUI): Mixed urinary incontinence, stress and urinary urinary incontinence are both seen together.

In epidemiological studies, 48% of the urinary incontinence is caused by SUD, 17% by Uİ and 34% by MÜİ. Overflow incontinence: Overflov incontinence is a type of incontinence usually associated with excessive stretching of the detrusor muscle. It is a result of nerve destruction (diabetic neuropathy), especially due to diabetes, which is also called "neurogenic bladder". In this case, even though the person's pellet is filled, the feeling of urinary incontinence does not occur completely, and when the urine sensation occurs, the person is not able to catch urine and faces the problem of kidnapping. Overflow bladder outlet stenosis can also be seen as a result of some stenosis. "He said.

Opr. Dr. Zemine Sengul Üçok, "The purpose of SUI treatment is to ensure that the bladder is stable by supporting the neck. Surgical and non-surgical treatment methods are available. Exercises of the pelvic floor muscles (Kegel exercises); Vesico is the first step in treatment, directed at strengthening the support to the urethral component.

Kegal exercises aim to distinguish the sickle pelvic floor muscles and teach the necessary muscles. It is applied by stopping urination in the middle of the urine flow. Some disease local estrogen administration may be given in order to increase circulation by stimulating the bladder mucosa and submucosal tissue, thus improving the smooth muscle response and improving the urethral output. In particular, local estrogen treatments in the form of wicks, creams or gels in the menopausal period can be beneficial.

Adrenergic receptors (receptor cells) are present intensively in the bladder neck and ovary. With the stimulation of these receptors, the output of the bladder is increasing. "