Involuntary urinary incontinence is terminologically called urinary incontinence.
There are many factors that can cause urinary incontinence in women. After the urological examination of the woman with urinary incontinence and the necessary tests, the treatment for the etiological cause is planned.
The main causes of female urinary incontinence are:
Incontinence is one of the first symptoms of diseases such as lower urinary tract infections (cystitis),vaginal infections, prostate diseases, diabetes (diabetes),urological cancers (prostate or bladder) and kidney stones passing into the lower urinary tract (bladder stone, urethra stone).
For sudden or long-term urinary incontinence in women, you can have your treatment by applying to a urology doctor.
Lifestyle changes and exercises are available for some types of urinary incontinence. Avoiding caffeine, bitters, spices, acidic beverages and foods for urge incontinence will reduce complaints. For individuals who do not have complaints during the day and who leak urine at night, limiting the fluids taken before going to sleep will work.
Again, pelvic floor exercises to be applied in women with coughing, sneezing and urinary incontinence show benefits in these patients.
First of all, it is tried to distinguish the type of urinary incontinence from the patient's history. Examination findings are very important in the differential diagnosis and treatment of diseases. In these patients, genital (vaginal) examination is required. Considering the concerns of the patients, treatment can be started with the history and examinations.
However, in the type of stress incontinence that requires surgery, examination is absolutely necessary. Hypermobility of the urethra and bulging of the bladder (cystocele) can only be diagnosed by examination.
For patients with sudden urges called urge incontinence and unable to produce urine, a solution is provided with medication and some diet recommendations. Surgery is required to correct the aforementioned anatomical pathologies, especially in cases of stress incontinence, which are anatomical problems, and cystocele, which is popularly called 'bulging'.
Yes. Some pathologies that cause urinary incontinence in women can only be corrected with surgery.
The definition of stress incontinence is used for urinary leakage that develops in situations that increase intra-abdominal pressure in women (coughing, sneezing, laughing, etc.). The most preferred surgical method for this pathology is transobturator tape and transvaginal tape operations.
This surgery is performed with slings that are not visible from the outside and placed in the urinary canal (middle of the urethra) with an incision of approximately 2 cm made from the vagina. It can be performed with general or spinal anesthesia.
Trans obturator tape (TOT) surgery is the most commonly used sling surgery in women with a high success rate and low side effects. In cases where the urethra (urinary canal) is hypermobile and causes sphincter (urinary holding muscle) insufficiency, it is aimed to reduce this mobility by hanging the urethra up.
In these surgeries, the duration of the surgery is half an hour on average. If anesthesia times are taken into account, it can be accepted as an average of 1 hour.
Patients are usually discharged in about 12-24 hours. Apart from non-challenging physical activities, it is possible to return to daily routine life easily within 2-3 days.
Mid-urethral sling operations, which are mostly performed in women, are in the class of relatively easy surgeries and provide rapid recovery. There is no serious pain after surgery.
Sexual intercourse is not recommended for 4-6 weeks after urinary incontinence surgery in women. No restrictions are required afterwards.
In particular, transobturator tape surgery has a very low rate of serious complications (side effects). Simple side effects (bleeding, infection, and bladder injuries) are easily managed. Very rarely, these sling materials may need to be removed due to difficulty in urination due to excessive tension of the sling or erosion caused by the placed synthetic slings.
Urinary incontinence surgery prices in women vary according to the chosen surgical method, patient factors, hospital factors and the experience of the surgeon.
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