Obstetrics and Gynecology Specialist Op. Dr. Hakan Seven explained the causes, risk factors, symptoms and treatment methods of urinary incontinence in women. Kiss. Dr. Hakan Seven pointed out that urinary incontinence is a common problem that middle-aged and older women may encounter.
TRAUMA DURING BIRTH
Kiss. Dr. Hakan Seven “The complaint of urinary incontinence in women occurs for several different reasons. These conditions can occur alone, but often more than one cause can be seen at the same time in the same person. Traumas that occur during normal birth can cause urinary incontinence by causing weakness in the pelvic floor muscles. Especially birth unhealthy healing of tears, difficult births,
The most important reasons are the birth of large babies and the increase in the number of births. “During the aging process, pelvic muscles may weaken, the body’s control over the bladder may deteriorate, which may increase the risk of urinary incontinence,” he said. Op. Dr. Hakan Seven stated that another reason is hormonal changes during menopause and added, “Diabetes, previous surgical procedures, radiotherapy and “Similar situations may also cause urinary incontinence,” he said.
IT MAY ALSO HAPPEN WHEN COUGHING OR SNEezing.
KISS. Dr. Hakan Seven listed the symptoms to be aware of in urinary incontinence as follows:
AFTER THE ACTIVITY URINARY INCONTINENCE
Sudden urinary incontinence often occurs during situations such as coughing, sneezing, or heavy lifting. These patients have usually had one or more normal births. Urinary incontinence may occur in cases where intra-abdominal pressure increases due to the displacement of the bladder along the vaginal line. This complaint gradually increases in the post-menopausal period. These patients respond very positively to surgical treatment.
FREQUENT URINATION
Individuals who have urinary incontinence problems feel the need to urinate frequently. When they feel the urge to urinate, they cannot reach the toilet. These are patients over the age of 40. Their general complaint is that after they notice the feeling of urgency, they leak urine while heading towards the toilet before reaching the toilet door. The treatment for this condition is medical.
SUDDEN URINARY INCONTINENCE
Urinary incontinence may occur suddenly without any specific stimulus. These patients do not realize that the bladder is full. When the bladder reaches its maximum capacity, it overflows because it cannot hold any more urine.
CONSTANT URINARY INCONTINENCE
After surgical procedures involving the bladder or vagina, a channel may form between the bladder and vagina. Since these patients urinate uninterruptedly through the vagina, they describe the urine as discharge.
KEGEL EXERCISE STRENGTHENES PELVIC MUSCLES
KISS. Dr. Hakan Seven stated that the diagnostic methods used to detect urinary incontinence are physical examination, urine tests and bladder evaluations. Seven listed the treatment options as follows:
SURGICAL TREATMENT: Surgery is the treatment for urinary incontinence problems, especially due to postpartum pelvic floor weakness. The most commonly applied technique is performed with a tape placed under the urinary tract originating from the base of the bladder.
PHYSICAL THERAPY: Kegel exercises can be done with or without equipment to strengthen the pelvic floor muscles. When you apply 5-10 cures a day by tightening and relaxing the pelvic floor muscles every 5-6 seconds, the changes will be noticeable within a few months.
MEDICAL TREATMENT: Medications can be used to increase urinary control and bladder capacity. Medical treatment is preferred in patients with bladder hyperactivity (frequent urination). Drug choice is made according to the positive effect the person has on these drugs.
