Urinary Incontinence Treatment

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Incontinence or urinary incontinence is a pathological condition in which urine involuntarily flows out of the urethral canal. Discharge can occur without any prerequisites or after a sudden urge to the toilet.

Approximate statistics show that about 20% of the population suffers from incontinence. Among the patients, women predominate. Predisposing factors are birth injuries and menopausal age. Urination disorders are a symptom that indicates a disease. However, most patients do not seek professional help, attributing the disorder to age-related changes.

The cause and mechanism of the development of the disease allow us to distinguish several types of pathology.

  • Stress. It is characterized by the uncontrolled release of urine against the background of an increase in intra-abdominal pressure. It manifests itself when sneezing, coughing, lifting weights, straining, or changing the body position.
  • Urgent. It is characterized by the emptying of the bladder as a result of a sudden contraction of the detrusor. It is manifested by sharp imperative urges to urinate when the patient does not have time to reach the toilet.
  • Situational. Incontinence manifests itself under certain circumstances (hypothermia, alcohol intoxication, severe stress).
  • Transient. Signs of incontinence appear periodically and disappear on their own.
  • Enuresis. Involuntary emission of urine at night, while during the day the patient can control the process.
  • Mixed. Signs of different forms of incontinence are revealed

Symptoms of urinary incontinence in men and women

The main sign of incontinence in a man or woman is the release of a small amount of urine when coughing, sneezing, and stressing, sleeping at night, or under the influence of other external or internal causes. Depending on the volume of the liquid, the incontinence is classified into mild, moderate, and severe forms. Also, the following symptoms indicate incontinence:.

  • Excretion of urine outside the urge;
  • Expiration of urine drop wise after emptying the bladder;
  • "leakage" after imperative urges;
  • Emptying after delayed mixing (a person tries to urinate to no avail, but urination occurs uncontrollably sometimes after a controlled attempt).

Causes of urinary incontinence

Among men, the following causes of incontinence prevail:

  • Pathology of the bladder, urethra, ureters, and prostate gland (prostate hyperplasia is especially common as a cause of incontinence);
  • Serious diseases of the central nervous system (multiple sclerosis, congenital malformations, injuries, intoxication);
  • Surgical interventions on the urethra, prostate, and bladder;
  • Circulatory disorders in the pelvis;
  • Tumour diseases;
  • Urogenital infections;
  • Displacement of internal organs, leading to pressure on the bladder;
  • The effects of radiation and chemotherapy;
  • Mental disorders;

What are the treatments for urinary incontinence?

The main method of treating urinary incontinence under stress is surgical. To date, the "gold standard" and at the same time, the most studied operation is the installation of a synthetic medium urethral sling. Other existing methods, such as the introduction of volume-forming substances under the urethra, Burch colposuspension, plastic surgery of the anterior wall of the vagina, etc., are less effective and can lead to serious side effects, the main of which is a violation of normal urination.


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