Urinary incontinence
Urinary incontinence is the involuntary release of urine from the bladder when intravesical pressure increases. Such incontinence often occurs when coughing, sneezing, laughing, walking fast, jumping, lifting weights, having sex, and orgasm.
This increases the intra-abdominal pressure and, accordingly, the pressure inside the bladder.
Such urinary incontinence is also called stress incontinence. It occurs mainly in women. Although this disease does not threaten health, it can cause a lot of trouble for its owner, causing discomfort, stress, and social distancing.
Incontinence is not only a hygienic problem, but also a social one. Incontinence maladjusts women. At a sexually active age, women cannot find a sexual partner because they are ashamed of their urinary problems. According to statistics, about 25% of women over the age of 45 suffer from urinary incontinence to some extent, but only 3% of them seek medical help. The frequency of urinary incontinence increases with age.
Diagnostic methods include examination of the patient on a gynecological chair, cough test, and pad test. Additional methods include urethrocystography, ultrasound, urodynamic examination, and MRI.
The severity of urinary incontinence is distinguished by the degree of severity:
- mild degree - loss of urine during coughing, sneezing, heavy physical exertion;
- moderate degree - urinary incontinence when walking, running, standing up suddenly;
- severe incontinence - incontinence at rest, without tension.
Treatment
Treatment of stress urinary incontinence can be both conservative and surgical. Patients with mild incontinence are subject to conservative treatment. In this case, treatment is carried out in two main areas - increasing the tone of the bladder closure apparatus and inhibiting the activity of the detrusor.
Conservative methods include medical treatment with adrenomimetics and estrogens, as well as gymnastics to strengthen the perineal muscles.
To date, the most effective method of treating moderate to severe incontinence is surgery. In Diyevo, minimally invasive techniques are used, based on the passage of a synthetic tape made of biologically inert material through the urethra.
The tape is placed in the form of a hammock, suspending the urethra and enhancing the closing function of the sphincter. These operations can be performed under local and epidural anesthesia. This allows contact with the patient during the operation, so that the degree of band tension can be adjusted. In case of severe urinary incontinence, when sling operations do not give the desired effect, it is possible to install an artificial bladder sphincter.
At the Dievo Center, the problem of urinary incontinence is solved only by gentle and effective methods of surgical treatment. Our surgeons select an individualized treatment plan for each woman's prolapse and urinary incontinence, using all the best effective solutions: from conservative treatment to minimally invasive surgical procedures, including the TVT-O technique, or "tension-free synthetic suburethral sling".
The surgical intervention is performed by gynecologist Popkov Oleksandr Vasyl'ovych, a doctor of the highest qualification category, PhD in Medicine.
Dear women!
Regain your confidence, harmony of relationships and full quality of life, do not delay your visit to a specialist!
Let the urologists at the DIEVO Surgical Solutions Center in Kyiv offer effective modern methods of treating this disease.
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