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Approach to Urinary Incontinence in Women
About half of urinary incontinence in women is stress urinary incontinence. The only treatment for this type of urinary incontinence is surgical intervention. With 20 years of gynecologic surgery experience, urinary incontinence surgeries are one of the surgical operations that I am particularly interested in and perform most frequently. My urinary incontinence surgery patients can be discharged on the same day.
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The medical term for urinary incontinence is urinary incontinence.
Urinary incontinence is involuntary urinary incontinence that causes social and hygienic problems and affects a woman’s quality of life.
It is seen in 6-20% of women between the ages of 20 and 49 and in 20-40% of women over the age of 50.
Urinary incontinence is associated with important medical conditions such as infection, sepsis (inflammation of the body), skin lesions and increased risk of falls. It is also associated with impaired quality of life, psychological stress, social isolation and depression.
The types of urinary incontinence that we see more in gynecological terms are mainly divided into two.
The first is those caused by problems in the storage phase of the bladder (urinary bladder).
- Urge urinary incontinence
- Stress urinary incontinence
- Mixed type urinary incontinence
Secondly, problems that occur in the emptying phase of the bladder.
- Overflow urinary incontinence
- Functional urinary incontinence
Stress Type Urinary Incontinence
Exertion, exercise or coughing, laughing, sneezing, climbing stairs, etc. that increase intra-abdominal pressure. During activities, involuntary urinary incontinence occurs. Incontinence can be a few drops or severe enough to wet an entire pad.
The cause of this type of urinary incontinence is the anatomical displacement of the bladder and the urethra, a 5-6 cm long tube through which urine is passed.
Women with this type of urinary incontinence do not benefit from medical treatment. Treatment of this type of urinary incontinence is surgical. After surgery, our patients can go home on the same day.
How is Urinary Incontinence Diagnosed?
The patient is asked some questions. If necessary, they are asked to keep a diary of urination or incontinence.
Below are some of the most frequently asked questions.
-Does urinary incontinence occur with exercise, coughing and sneezing, heavy lifting?
– Did the symptoms start after pregnancy or vaginal delivery?
-How often does she leak urine?
-What is the amount of urine leakage?
-How many pads are changed per day?
The patient then undergoes abdominal and genital examination and, if necessary, rectal and neurological examination.
In some cases, provocative tests such as standing straining test, bladder length mobility (Q type test), pad test can be performed to evaluate urinary incontinence.
In complicated cases, urodynamic testing may also be required.
Urinary Incontinence Treatment
Drug treatment can be useful in urge type, that is, urge, inability to catch up style urinary incontinence. However, the gold standard treatment for mixed type or stress type is surgical treatment. The biggest advantage of urinary incontinence surgeries is that the patient can be discharged on the same day. Of course, if this surgery is performed by experts in this field, a high rate of success can be achieved. Kegel exercises can be tried in all patients before surgery.
For more detailed information, please call 0 533 049 66 87.
Stay healthy.
Assoc. Dr. H. Onur Topçu
Gynecology & Obstetrics – IVF and Advanced Gynecologic Endoscopy Specialist
PATIENT COMMENTS
Onur teacher was very supportive and encouraging at every stage from the very beginning of the process to the postoperative period. He informed us in the best and correct way by explaining all the details of the process in a complete and clear way. I would like to thank Onur Hoca very much and definitely recommend him to those who are looking for a doctor in this field.
Arz*** A***
We met Onur by chance during the pandemic. I’m glad we met. Only my Onur teacher solved my mother’s unexplained abdominal pain. He is so friendly and successful that he is one of the rare doctors I can close my eyes and entrust myself to… I am glad you are my teacher.
Eda S***
Friendly, caring, reassuring and competent; Onur Hocam, one of the rare doctors you can trust yourself with your eyes closed, thank God that our paths are crossed.
Shul*** S***
