What should not be silent about?

Health Tips

Health issues are always a very sensitive topic. We discuss some problems without shame, and we try to remain silent about some. Urinary incontinence, which causes a lot of suffering, also belongs to such diseases. For a long time, this problem was dismissed by doctors, it was not even considered a disease. The search for a specialist in this field often took many years.

The disease has existed since time immemorial, but until recently there were practically no effective methods of treatment, and even official medicine, in principle, did not recognize stress incontinence as a disease.

Therefore, women with stress incontinence, and even many doctors, accepted this disease and the problems associated with it as normal – part of the natural aging process.

Recently, the active period of women’s life has increased significantly, and we can say that incontinence is not just an senile disease, but an ailment affecting even young women.

What is stress urinary incontinence in women?

Stress urinary incontinence – this is a condition when, with tension in the abdominal muscles and an increase in intra-abdominal pressure when coughing, physical activity (running, walking, playing sports), standing up abruptly, sexual intercourse, etc. involuntary and uncontrolled leakage of urine occurs – occurs in 40% of women over 40 and 50% of women over 60. About 30% of working women in Moscow suffer from this disease.

Causes of Urinary Incontinence

As a result of childbirth or hard physical labor, the pelvic floor muscles weaken, in some cases even prolapse (prolapse) of the pelvic organs (vaginal walls, uterus, bladder and rectum) occurs. Weakening of the pelvic floor muscles can contribute to:

congenital anomaly of muscle and connective tissue;

injuries of the perineum during childbirth, violation of the nervous control of the muscles of the pelvic floor;

injuries and congenital anomalies of the pelvis and urethra;

consequences of surgical interventions on the pelvic organs;

hormonal disorders in the body.

Symptoms of urinary incontinence in women

As a result of any physical activity, or during sexual intercourse there is leakage of urine in volume from a few drops to large quantities.

Unfortunately, most women prefer not to address their ailment, believing that it occurs due to age and is incurable. Many women stop having sex. All this does not have the best effect on the mental health of young and active women.

Diagnosis of urinary incontinence

Urologists, urogynecologists and gynecologists deal with the diagnosis and treatment of stress urinary incontinence. In addition to complaints, anamnesis and examinations, it is necessary to fill out a urination diary, which records the frequency and volume of urine leaks, the number and thickness of pads that are used during the day, the amount of fluid drunk and the events that provoke urine leakage.

It is important to study the functions of all organs of the small pelvis, because their condition can significantly affect the results of urinary incontinence treatment. It is also important to find out the impact of urinary incontinence on the quality of life.

Often, during a thorough medical examination and special tests, it is already possible to determine the cause of stress urinary incontinence and even choose the best treatment method.

In some cases, ultrasound and X-ray examination of the bladder, optical examination of the bladder – cystoscopy, research (computerized study of the accumulative and expelling functions of the bladder and urethra) may be required. Standard urine tests and microflora cultures are performed.

Treatment of stress urinary incontinence

For mild urinary incontinence, exercise may be helpful. aimed at strengthening the muscles of the pelvic floor. However, the effectiveness of such exercises is low. The main treatment for stress urinary incontinence is surgery.

Standard surgical methods for correcting urinary incontinence require a long hospital stay and are associated with discomfort due to the surgical incision.

Currently get rid of urinary incontinence forever possible with a minimally invasive procedure TVT (TVT -O).
TVT (TVT -O)
is the gold standard among existing operations.

During the operation, the doctor places a special synthetic tape under the urethra in such a way as to save the patient from urinary incontinence.

The TVT-O tape is unique, so cases of recurrence of urinary incontinence are rare, and the number of complications is minimal. Operation TVT-O has no age restrictions. It can be performed under local anesthesia.

The procedure takes 15-25 minutes. The patient can be discharged home on the day of surgery or the next day.

Doctor’s advice on surgical treatment of urinary incontinence
can be obtained at:

SM-Clinic, m. Voikovskaya, st. Clara Zetkin, 33/28. tel. 518-94-74, 777-48-49.

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