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Friday 5 May 2023

Regaining Control: Overcoming Urinary Incontinence and Living with Confidence

 Understanding Urinary Incontinence


Urine Incontinence (UI): A common problem in women

  • Urinary incontinence (UI) is urine leaks from the urethra. Urologists treat urinary incontinence in various ways.
  • What is urinary incontinence in women?
  • Urinary incontinence affects many women. Bladder control issues are common, especially among seniors. Urinary incontinence (UI) causes health problems but is treatable. 


We divide urinary incontinence into two types: 

  1. Stress Incontinence: This is a frequent type of bladder control issue in women.
  2. Urge Incontinence: Urge Incontinence occurs when you have a powerful urge to urinate but cannot reach a restroom on time. 

To seek treatment, you can search online for a urology hospital near me or a urology doctor near me.


Urinary Incontinence In Females
Urinary Incontinence In Females


What are the symptoms of urinary incontinence?

Accidental release of urine. If you have stress incontinence, you may urinate when you cough, sneeze, laugh, exercise, or do similar things. 

  • If you have urge incontinence, you may feel a sudden urge to urinate, and there will be frequent urination.
  • If you have incontinence, you may have symptoms of both problems.


What causes UI in women?

When a woman’s pelvic muscles weaken, urinary stress incontinence may occur. The muscles in your pelvis can become weak because of childbirth, pelvic surgery, or injuries. Age and a history of pregnancy are both significant risk factors. Diabetes-related nerve damage, excessive urination medications that increase urine production, and UTIs all contribute to the risk of UI.


What options do you have for treatment?

There are a variety of treatments available. 

These include: 

  • Prescription drugs
  • Non-surgical options
  • A surgical procedure


Your surgeon may also recommend weight loss to relieve pressure on your stomach, bladder, and pelvic organs. Your urologist may prescribe medications to treat an overactive bladder and reduce bladder contractions. You may also need non-surgical kegel exercises to strengthen your pelvic muscles. 


Biofeedback is a technique that helps you become more aware of your pelvic floor muscles. Several urologists use sensors to record your muscle activity to help you identify specific pelvic floor muscles. Your bladder will get support by compressing your urethra with a vaginal pessary. Your doctor will determine the proper magnitude vaginal pessary for you and assert how to remove it for cleaning.

If all other options fail, your surgeon may suggest surgery. 


Listed below are the options:

  • Therapy delivered via injection
  • Vaginal tape with no tension (TVT)
  • Sling for the vagina
  • Vaginal repair from the front or cystocele repair
  • Suspension retropubic


The surgeon performs a surgical procedure to prevent urine incontinence (UI) in the patient.

  • The surgeon places the patient under general anaesthesia or a spinal block, depending on the type of surgery and the medical history.
  • The surgeon makes a small incision in the abdomen or perineum, depending on the type of surgery.
  • The surgeon then locates the muscles and nerves responsible for controlling urine flow and examines them to determine the cause of incontinence.
  • Based on the cause of incontinence, the surgeon may perform many procedures, such as a sling procedure, bladder neck suspension, or artificial urinary sphincter implantation.
  • After the surgery completion, the patient is monitored closely in the recovery room and may need to stay in the hospital for a day or two.
  • Doctors advise the patient to avoid strenuous activity for several weeks after the surgery and follow any other specific instructions for a successful recovery. 


How can you prevent UI?

Kegel exercises can help you strengthen your pelvic muscles and reduce your risk of incontinence. Your surgeon may inject botulinum into your bladder to relax the muscles that control urge incontinence. The botulinum injection is a temporary treatment that will need repetition. Using neuromodulation devices also helps to stimulate the nerves in the bladder to achieve bladder control.


Conclusion

UI is a fairly common problem in women after a certain age. Seek proper treatment and enhance your quality of life.


FAQs:

Is incontinence reversible?

Yes, depending on the cause, incontinence can come and go. Some patients, for example, will only complain of stress incontinence when they have a severe cold with coughing or are overly active.


What causes urine leakage?

We understand many causes of UI, including pregnancy, childbirth, menopause, and the structure of the female urinary tract. Doctors know that diseases like diabetes, Parkinson’s and multiple sclerosis can damage the nerves that control your bladder.


How is urinary incontinence diagnosed in women?

Pregnancy, childbirth, and menopause are all medical conditions that might affect the urinary system and accompanying muscles. The muscles that support the bladder, urethra, uterus (womb), and bowels in the pelvic floor may weaken or be injured. The muscles in the urinary system must work harder to hold urine until you are ready to urinate when the muscles that support the urinary tract are weak. Urinary incontinence or leakage can result from this added tension or pressure on the bladder and urethra. 


The female urethra is shorter than the male urethra, as we know. Urinary incontinence is more likely in women if the urethra is weak or damaged. Doctors are aware that there is less muscle keeping the urine in until you are ready to urinate. Your doctor may request you to keep a record of your bladder for 3 to 4 days before any of your observations. 


What causes urinary incontinence during menopause?

After having periods, some women experience bladder control issues. Low estrogen levels after menopause, according to researchers, may damage the urethra. The urethra aids in the retention of urine in the bladder until it is time to urinate.














 

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