Urinary incontinence and uterine prolapse

Peeincontinence and uterine prolapse

Incontinence while coughing or sneezing is not normal. Most women in our country accept this as normal because they see that the women around them have the same complaint. 15% of women in the United States have urinary incontinence.

There are different types of urinary incontinence and therefore different treatments. The most common:

Stressincontinence

In this type, urinary incontinence occurs with the sagging of the bladder due to the weakening and relaxation of the muscles in the lower region of the woman. Having had a normal birth before is the most important risk. Urinary incontinence may occur when coughing, sneezing, pulling a rope, jumping and climbing stairs.

Urgeincontinence

The problem with this type is the unnecessary contraction of the bladder. As soon as the patient feels that his urine is coming, he leaks urine before he can reach the toilet. The bladder is not fully inflated. Therefore, there is a frequent urge to urinate. When the request comes, it is not possible to keep it and urine leakage occurs.

Continuallyincontinence

In this case, there is a constant leakage of urine. The patient may have to constantly use pads. It is mostly caused by the opening of a channel between the urinary bladder and the vagina due to previous surgeries. This channel must be closed surgically.

Diagnosis

In the examination, sagging of the urinary bladder can be detected. The patient is strained and coughed during the examination. Urine leakage is controlled. Multi-channel urodynamic testing usually makes a definitive diagnosis when the diagnosis cannot be clarified.

Treatment

In stress urinary incontinence, the sagging bladder is surgically lifted and a hammock-like band that will stay on your body is placed under the neck of the bladder (Transobturator tape (TOT)). The success rate of this method is around 85% for 5 years, which is very effective. It is an operation that takes about 15 minutes and you need to stay in the hospital for 1 day.
The TOT application was carried out by me for the first time in the field of gynecology in our country and our first results were published in the journal of our association.
Urge urinary incontinence, on the other hand, is drug therapy. Medicines that relax the muscle in the bladder are given.

Protection

Kegel exercises at a young age will reduce the risk of stress urinary incontinence by preventing sagging of the pelvic muscles in the future. You can do this exercise from sitting position. Sit on a chair. Press down on the floor with your legs shoulder-width apart. Then try to bring your legs together without moving your feet. This move will work your pelvic muscles. It will be enough to do this work for 5 minutes a day.

Uterus,bladder, rectal prolapse

With the weakening of the pelvic muscles holding the uterus, the uterus may sag in advanced ages. This sagging can be so much that the uterus can come out of the vagina and not be inserted inside. Along with the uterine prolapse, the bladder and rectum usually droop.

The diagnosis is easily made during the examination. The treatment is surgical removal of the uterus, lifting the bladder and rectum by pulling up. After the uterus is removed, the remaining part must be hung on a special solid tissue so that it does not sag again. Removal of the uterus should be done from below (Vaginal hysterectomy)

Today, the most up-to-date and successful method is an operation called sacrospinous ligament fixation.

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