Urinary Incontinence in Women
Urinary incontinence is defined as the sudden and involuntary outflow of urine from the urethra during daily activities. Urinary incontinence is a common problem in women. Studies have shown that more than 23% of postmenopausal women have a problem of “incontinence”.
However, this problem is encountered not only in postmenopausal women, but also in women of reproductive age from time to time. Many women try to solve this problem with their own efforts, while some women choose to pretend they don’t exist. Others perceive it as normal in women of their own age. Even during the gynecological examination, many women do not tell their doctor about urinary incontinence unless the physician asks.
There can be many types of urinary incontinence. The most common type of urinary incontinence is what we call “Stress Incontinence”. Urinary incontinence occurs in sudden movements or events such as coughing, laughing, sneezing, jumping, and descending the stairs. Leaving aside the causes due to conditions such as neurological diseases and various post-operative complications, the most common causes are diseases that constantly increase intra-abdominal pressure, such as difficult delivery, heavy lifting, and asthma. Especially in our country, this type of urinary incontinence problems occur after births in unsanitary conditions or large baby births.
Another type of “Urge incontinence” that goes with the inability to reach urine is caused by the weakness of the bladder, which we call the bladder, and some abnormal contractions. But while this type of urinary incontinence can be resolved with a simple medication, the type called “stress incontinence” often requires surgical treatment.
Sometimes both types of urinary incontinence can coexist. This type is called “mixed type”.
If patients apply to their doctors without delay, sometimes without the need for surgical treatment, their complaints can be relieved with medication or simple exercises.
In the surgical treatment of urinary incontinence, your obstetrician will choose the most suitable method for you. The most important point is to choose the most ideal method for the patient, as the applied operation methods are very diverse. However, it is necessary to correctly determine the patient who will benefit from the operation and the type of urinary incontinence of the patient.
In recent years, very new methods have been developed in this regard, and a parallel course is followed in our country with the treatment methods in the best treatment centers abroad.