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Delicate question: how to treat urinary incontinence

Expert — doctor of Sciences, Professor of the Department of urology and surgical andrology of the Russian medical Academy, honored doctor of the Russian Federation Alexander Seregin — answering those questions you are often too shy to ask

It's hard to believe, but almost every fourth woman at least once in his life faced with the manifestations of urinary incontinence. This delicate issue may seem minor, but in fact it often degrades the quality of life, limit physical and social activity and even affects sex life.

Unfortunately, women are frequently shy may think that this problem is too intimate, so do not always refer to a urologist for treatment.

Moreover, as a rule, incontinence affects women between the ages who see it as a natural manifestation of aging, to treat which is not necessary.

But such need is: if this disease is not addressed, over the years, he not only will not disappear, but will progress significantly impairing quality of life. In addition, urinary incontinence can be a symptom of more serious disorders in the genitourinary system.

Деликатный вопрос: как лечить недержание мочи

Doctor of medical Sciences, Professor of the Department of urology and surgical andrology of the Russian medical Academy, honored doctor of the Russian Federation Alexander Seregenti: materials of press-services

Who is at risk

At risk — women who have had a difficult birth, those engaged in heavy physical labor, suffer from constipation and, very importantly, overweight women. Incontinence can develop with age, during menopause, reduced levels of female sex hormones, decreases the elasticity of the tissues of the urinary tract.

The three main types of urinary incontinence: stress, urgent, and mixed

Stress urinary incontinence is manifested during exercise, coughing, sneezing. That is, when the abdominal muscles tense up and put pressure on the bladder. In the normal course of liquid prevents the sphincter of the urethra (the urethra). Leakage occurs when it is weakened and can not cope with its function. According to statistics, this type of incontinence varying degrees of severity suffer from 4% to 35% of women.

For urgent urinary incontinence a woman is experiencing a very strong urge to urinate, but in time to go to the toilet might not make it. About 19% of women older than 44 years had the violation.

Mixed incontinence is a combination of urgent and stressful types.

How to treat

Training of the pelvic floor muscles using Kegel exercises helps to treat stress incontinence, mixed and even some of the urgent symptoms. In the set of exercises consists of training different types of complexity. They need to be performed regularly, increasing the duration and the load.

The essence of Kegel exercises is to repeat the exercises on the compression (slow pressure), reduction (high voltage) and pushing out (which should be tighter).

The most basic form of exercise: squeeze the muscles for 10 seconds, then relax them for the same amount of time, repeat 10 times several times a day.

Before the training be sure to ask the gynecologist if you had a contraindications. In any case do not do these exercises while urinating, you will achieve the opposite effect.

In cases where kegels do not help to cope with incontinence, surgical treatment is indicated, the most effective type of which is the installation of a free synthetic loop (TVT-loop).

Such a loop a few punctures placed in a space between the urethra and the anterior vaginal wall. This method is currently recognized as the most effective in the fight against stress incontinence.

The procedure loop is short (about an hour), it can be carried out women of any age, and with the large weight (95 kg). The recovery period is painless and short (2-3 weeks). Home patient may return the next day after surgery.

In urgent and mixed type shows treatment with anticholinergic drugs (to reduce the ability of brain cells to transmit nerve signals). However, given the possible side effects, elderly patients they should be administered only under strict medical supervision.

In addition, with all the varieties of stress incontinence should observe certain water-drinking regime, to limit the use of caffeine and alcohol, reduce excess weight, if any.


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