plen 01506 333 129 Mon - Sat: 8.30 - 17.00
Broom House, Quarrywood Court, Livingston EH54 6AX
plen 01506 333 129 Mon - Sat: 8.30 - 17.00
Broom House, Quarrywood Court, Livingston EH54 6AX

Urinary incontinence in women

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Urinary incontinence in women is a fairly common problem. A higher risk of the disease covers women during menopause, pregnancy, after childbirth and who are very overweight. Urinary incontinence significantly reduces the quality of life. Of course, there are special underwear and inserts available on the market, but they should be treated as an ad hoc action. To regain health, well-being and comfort of life, it is necessary to undergo treatment. In most cases, pharmacological agents and physiotherapy are enough. Urinary incontinence is divided into stress and urgent.

Stress urinary incontinence

It appears during physical activity: running, jumping, lifting weights, and when sneezing and coughing. This case of urinary incontinence most often occurs after childbirth.

Causes of stress urinary incontinence in women:
  • Pregnancy
  • Childbirth by the forces of nature
  • Obesity
  • Menopause
  • Lowering or prolapse of the reproductive organ
  • Chronic cough / cigarette smoking
  • Some systemic or neurological diseases
  • Gynecological or urological surgery

Causes of stress urinary incontinence in women:

Disturbing symptoms that should be a signal for consultation with a doctor and further diagnosis are the inability to hold urine during exercise (running, jumping, sneezing, coughing, laughing, lifting weights). At first it may be only a few drops, over time the problem may intensify. Lack of action can lead to a situation where it will not be possible to maintain urine even when getting up, sitting down or climbing stairs;

Urgent urinary incontinence

There is a sudden urge to urinate, which can not be stopped.

Symptoms:

The need to use the toilet frequently – if the patient has to use the toilet more often than every 2 hours, and the amount of urine is small, below 250 ml, it means that the bladder is not working properly;

  • The need to use the toilet frequently – if the patient has to use the toilet more often than every 2 hours, and the amount of urine is small, below 250 ml, it means that the bladder is not working properly;
  • The need to use the toilet at night;
  • Frequent pressure on the bladder – despite using the toilet, the patient feels the need to urinate even every 15 minutes, it may also be a sign of a bacterial infection;
  • Feeling of non-defecation of the bladder to the end;

Fortunately, most cases of urinary incontinence lend themselves to inoperable treatment.

Urinary incontinence in women – treatment

If there are problems with urinary retention, it is worth consulting a gynecologist or urologist in the first place. The doctor will conduct a detailed interview and order specialist tests to correctly identify the cause of urinary incontinence. The most common are gynecological / urological examination, urine culture and abdominal ultrasound. The doctor may also order neurological tests and cytoscopy, i.e. bladder speculum.

In the treatment of reproductive organ prolapse, physiotherapy is also used. The physiotherapist carries out in. In the treatment of urinary incontinence, pharmacological agents and physiotherapy are most often enough. Strengthening the pelvic floor muscles is crucial to achieve satisfactory results and increase the patient’s quality of life. On the Internet, we will find many ways and exercises to strengthen the Kegel muscles. However, each case is different, and a woman should first consult a physiotherapist who will develop an individual action plan. Pelvic floor muscles can also and even need to be exercised at home, but this should not be done before prior consultation with a physiotherapist.

Treatment of urinary incontinence in the KAL-Med clinic,

In our clinic, we deal with the treatment of both urgent and stress urinary incontinence. At the beginning, we invite patients for consultations with a gynecologist. The doctor will conduct an interview and gynecological examination. He will then present the patient with a treatment plan. Most often, treatment includes the use of pessaries, physiotherapy, modifications, diets (in particular, the amount and type of fluids consumed).

Pessaries are special discs that the gynecologist places in the patient’s vagina. They are used in the treatment of urinary incontinence and in the case of prolapse of the reproductive organ. In our clinic, doctors use pessaries, cubes, mushroom and annular pessaries:

  • Coil pessaries – have the shape of a ring with a bulge in one place, they look like a diamond ring. Most often used in case of stress urinary incontinence. The thickening of the pessary supports and strengthens the area between the bladder and urethra. Thanks to this, when the pressure in the abdomen increases, e.g. during coughing, sneezing or physical exertion, the pessary prevents the upper part of the urethra from opening;
  • Cube pessaries – the shape resembles a cube. Its task is to strengthen the walls of the vagina;
  • Vaginal Pessary – they are used in the case of stress urinary incontinence and in the case of urinary incontinence after childbirth. Mushroom pessaries are also used to treat patients with advanced stage of reproductive organ prolapse;
  • Ring pessaries – have the shape of a ring. They are generally used with a mild form of urinary incontinence and a slight lowering of the vagina.

If you would like to talk to one of our doctors about Urinary incontinence, please contact reception to make an appointment.

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