The fact that new methods are applied every year in the medical world makes the face of the problematic women laugh at this topic. Magnetic Pelvic Floor Stimulation Prof. Dr. Cengiz Bahadır, Physical Therapy and Rehabilitation Expert, gave important information.
What are the causes of incontinence?
There are many reasons for urinary incontinence in women. The most common causes are infections (cystitis), difficult births, multiple births, postmenopausal uterine prolapse, bladder stones, uterine and other genital organs. In addition, diseases such as nervous system-induced paralysis, Alzheimer's disease and dementia are also common causes of urinary incontinence. Again diabetes, obesity may be the cause of urinary incontinence. Especially in elderly patients, muscle relaxants, diuretic, nervous system drugs, blood pressure drugs may be the cause of urinary incontinence.
Common causes of this urinary incontinence are difficult births. During the stretching difficult births, large tears can form in the small muscles in the muscles holding the waist in place. In such cases, when the bladder is full, sneezing, coughing, and heavy load lifting, urinary incontinence occurs, which is called stress incontinence. If this progresses, urinary incontinence may occur even when the bladder is not fully loaded.
In addition, "urge incontinence" is a very common form of incontinence. In this case, the patient feels the urine is coming, but the toilet will miss some of it. This can usually be seen in chronic bladder infections such as cystitis and other genital system disorders. Sometimes a cause can not be detected.
How should urinary incontinence be treated?
In order to successfully treat a kidney failure, the exact reason for the kidnapping must be addressed. In most cases, even listening to the patient's complaints may be sufficient for diagnosis. Ultrasound examination of the urinary tract, urine test can also help in the differential diagnosis. In difficult cases, a special test called urodynamics is performed that can reveal the impairment of urinary incontinence. With the necessary tests, treatment can be passed after the reason of urinary incontinence.
Urinary incontinence treatment nude exercise, magnetic muscle stimulation, drug therapy, and finally various surgical procedures.
Exercise
Treatment is a must. The patient is instructed by an experienced physiotherapist on how to use the pelvic floor muscles. With special exercises performed, the strength of muscles that help to keep urine is increased. The patient continues to practice these exercises at home. The only negative aspect of exercise therapy is that the patient needs a certain level of consciousness. That is, it is difficult to apply in patients with Alzheimer's and paraplegic. It can be used in combination with medication and magnetic stimulation therapy.
Magnetic Pelvic Floor Stimulation
In this new method, the pelvic floor muscles are stimulated by magnetic flow with a special device. In this system, the patient is seated in a special armchair with magnetic coils. The patient does not need to remove their clothes and can sit with their daily clothes. The application is very easy and painless. When magnetic stimulation is applied, the patient feels that the pelvic muscles contract. 2-3 times a week for 20 minutes is applied.
15-20 sessions are enough for the clinical condition of the patient. Depending on the situation, longer sessions can be applied by opening sessions. This method causes the urine retention muscles to become stronger, thereby reducing urinary incontinence altogether. The effectiveness of the method has been proven by many scientific studies USA Also approved by the FDA. It should be practiced alone but not necessarily with pelvic floor exercises.
In which patients can Magnetic Pelvic Floor Stimulation be used?
Patients with impaired pelvic floor muscles and stress incontinence due to difficult birth or multiple births, urge incontinence cases, patients who can not operate can benefit from this method. The efficacy of the method has also been demonstrated in men with urinary incontinence after prostate surgery.
Does Magnetic Pelvic Floor Stimulation Therapy have side effects?
No side effects were observed during the studies.
Medication
In appropriate patients, some drugs and urinary incontinence can be partially reduced. Drug treatments are particularly effective in stress and urge incontinence cases. Drug therapy should be combined with magnetic stimulation and exercise treatments in appropriate patients.
Surgical treatment
With these treatment methods, surgical methods can be applied in patients whose complaints are not diminished. In recent years, simpler methods have been developed and successful results have been obtained at appropriate times.
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