Urinary incontinence is a problem that can be seen in women and seriously affects the quality of life.
How many types of urinary incontinence are there?
There are several subgroups of urinary incontinence, today I will talk about stress urinary incontinence.
What is stress urinary incontinence?
In the female urogenital tract, there are very strong connective tissues that ensure the healthy functioning of the urination physiology and keep the intra-abdominal organs in the correct anatomical layers. Connective tissues, which have this important role, become weak due to risk factors such as age, menopause, pregnancy, large birth, difficult and prolonged birth, breech birth, birth with intervention, obesity. Genetics may be a factor that plays a role in the weakness of the connective tissue. When there are reasons that increase intra-abdominal pressure, coughing, sneezing, laughing, running, bending, jumping and even involuntary urinary incontinence may occur during sex.
What can be done in the treatment?
Pelvic floor exercises (kegel) are helpful in strengthening the pelvic floor muscles. Lifestyle change (nutrition, weight loss) may be recommended first along with kegel exercises. Patients who are decided to have surgery should be operated on in experienced hands, because these surgeries are specific surgeries that are directly related to anatomical and functional well-being, where the right patient, the right material, the right surgeon and the right technique are essential.
How is the operation process?
There is a one-day hospital stay. Control is performed in the 1st week and then in the 1st month of the operation. A sexual prohibition is recommended for about 1 month until the stitches heal.
What would be our advice to the patients who said that the surgery decision was made but they are afraid?
Pelvic floor exercise lifestyle change can slow down the progression, but not completely eliminate it. Additional internal diseases such as diabetes, blood pressure, which will be added with advancing age can make the surgery much more difficult.
Is there any non-surgical treatment?
There are conservative approaches such as magnetic chair, posterior tibial nerve stimulation, electrical stimulation to the vagina and laser applications.