Urinary incontinence and urinary incontinence problems in recent years, especially in women, social life is one of the important problems affecting.
In this section, we will discuss this problem and treatment methods in an extremely detailed way.
In the last part, we have applications in our clinic.
What is urinary incontinence?
Urinary incontinence is defined as the inability to pass urine through the urinary tract. Urinary tract infections, kidney disorders such as cystic kidney diseases, and certain metabolic disorders such as hyperparathyroidism are also linked to Stone formation.
Bladder cancer is the most common cancer in men and the second leading cause of cancer death in women.
In many people in society, involuntary sneezing, coughing, squeezing, depending on the increase in intra-abdominal pressure in the form of urinary leakage in the form of urinary incontinence complaints are available.
However, many people have a urinary incontinence (incontinence), which is the inability to reach the toilet after passing urine.
Urinary incontinence is the involuntary leakage of urine, which is objectively demonstrated and which causes problems in social or hygienic terms, according to the definition of “International Continence Association”.
In fact, urinary incontinence is not a disease on its own, but a symptom of a disease (symptom). Urinary incontinence is a condition that affects a person’s entire daily life and restricts social activations.
Urinary incontinence and urinary incontinence problems are two times more common in women than in men. The frequency of women varies between 14 and 49% according to different publications.
Although the frequency of the disease increases with age, it should not be considered as a natural finding of aging. Among other factors that increase incidence:
Gender (being a woman)
Lots of children (parity))
Familial predisposition (low connective tissue elasticity))
Long-term constipation complaints (constipation)
Underwent gynecologic surgery may be considered.
Other conditions such as uterine prolapse (prolapse uteri), bladder prolapse (cystosel) and intestinal prolapse (rectosel) are also other factors of urinary incontinence.
Although urinary incontinence is often curable, it is sometimes difficult to diagnose. A urinary tract infection (UTI) is a bacterial infection that affects the urinary tract.
In our country, as a result of the prolongation of life, the elderly population, society’s socio-economic level rise and quality of life expectations as a result of increasing the number of patients applying to clinics with urinary incontinence complaints have been observed in recent years.
In the treatment approach of urinary incontinence, the most appropriate treatment method can be determined with the collaboration of Gynecology, urology, Neurology, physical therapy, Psychiatry specialists and social counselors.
In addition to non-surgical medical drug treatments, there are a number of surgical operations applied in the treatment of urinary incontinence complaints.
ANATOMY AND PHYSIOLOGY OF BLADDER
Bladder, urinary bladder, bladder prolapse, the bladder pushes on
The bladder wall is an organ in the form of a pouch made of flat muscles called “detrusor muscle”. (Picture on the side)
The inner surface of the bladder is covered with a mucous membrane that folds.
Urinary tract infections, kidney disorders such as cystic kidney diseases, and certain metabolic disorders such as hyperparathyroidism are also linked to Stone formation. Urine stored in the bladder after filling a certain capacity formed “feeling of urination” as a result of “ureter” is discharged out of the channel called. Bladder cancer is a disease in which malignant (cancer) cells form in the tissues of the bladder.
Bladder function and urination function
Urinary system, urinary bladder, kidneys, urination function
During the collection and storage stage, the bladder fills up to 300-600 ml in hours. Bladder cancer is a disease in which malignant (cancer) cells form in the tissues of the bladder.
Urine output bladder to squeeze out the opened channel “muscles of the urethra and the neck of the bladder, is hampered by its own flexibility. Storing urine is an automated process.
The urethra is the tube that carries urine from the bladder to the outside of the body. This message is a suppressor. When the capacity is full, the urge to urinate reaches the maximum and the involuntary urination starts.
Urinary tract infections (utis) are a common cause of urinary tract infections, which are caused by bacteria that enter the bladder through the urethra, the tube that carries urine from the bladder to the outside of the body.
The stored urine is excreted out of the bladder in 15-20 seconds under normal conditions. The bladder is stimulated by fibers from two parts of the autonomic nervous system.
Bladder cancer is a disease in which malignant (cancer) cells form in the tissues of the bladder.
All these changes show themselves in the form of deterioration in the function of urinary incontinence or bladder emptying.
TYPES OF URINARY INCONTINENCE
In clinical terms, incontinence is a symptom. The underlying pathological condition is determined and treatment is planned according to the situation. Urodynamic studies have so far described six types of urinary incontinence.
1 – stress urinary incontinence (sui): a involuntary urinary incontinence problem during coughing, sneezing, straining or physical exercise. It is the most common type.
Urinary tract infections (utis) are a common cause of urinary tract infections (utis). In this case, when the person’s urine comes to the toilet can not catch the problem faced with kidnapping. The classic findings of urination frequency (frequency), sudden and indefinite severe urinary tract sensation (urgency) and this sensation can not be suppressed and the result of incontinence.
Urinary incontinence is the inability of the body to produce urine.
In epidemiological studies, 48% of urinary incontinence consists of sui, 17% of UI, 34% of UI.
Overflow (overflow) incontinence: Overflov incontinence is the type of incontinence that usually occurs due to excessive stretching of the detrusor muscle.
This is called “neurogenic bladder”. In this case, although the person’s bladder fills up, the feeling of urine does not occur completely, the person can not hold urine when the sensation occurs, the problem is faced with incontinence.
Some of the symptoms of bladder cancer are:
5 – functional and cognitive incontinence: functional incontinence is a urinary incontinence problem that occurs as a result of “conditions that cause the patient’s limitation of movement” such as a number of rheumatic diseases.
If you have a family history of bladder cancer, or if you have a family history of bladder cancer, you may be more likely to have a urinary tract infection (UTI) if you have a family history of bladder cancer.
Extracorporeal incontinence: it is defined as leakage of urine from places other than the urethral outlet. Others only medication, and urethrovaginal fistulas, and ectopic urethral ureter in such cases is seen.
STRESS URINARY INCONTINENCE
Urinary system, urinary channels, urinary tract, ureter and bladder, urethra
Stress urinary incontinence (sui) is defined as involuntary leakage of urine from the urethra without the contraction of the detrusor muscle due to increased intra-abdominal pressure.
Urinary incontinence is the most common form of urinary incontinence in the United States.
Causes Of Stress Urinary Incontinence
There are many factors that cause sui. However, Frequent bladder and uterine prolapse occurs as a result. The most common cause of these sagging is the weakening of connective tissue that occurs after normal births.
Especially difficult and traumatic birth, the baby’s normal size increases the frequency of stress incontinence.
Other risk factors that increase the age, pregnancy status, weakening of the connective tissue connected to menopause, obesity and the history of hysterectomy (hysterectomy) may be considered. Now, take these risks separately.
In older age – aged patients, the number of increased urination with incontinence, nocturia and frequent urination (urgency) can be seen, which is the result of the weakening of the control mechanisms of the lower urinary tract of the nervous system connected to aging.
Pregnancy-both vaginal and cesarean Delivery women who did not give birth more frequently than women who have been observed in the suede. Therefore, both pregnancy and birth are a risk factor for suede.
In pregnancy, involuntary leakage of urine may occur inadvertently, but this is usually temporary and disappears shortly after birth. However, this complaint continues after birth in a significant part of the women who have started the pregnancy incontinence complaint.
On the other hand, it increases the risk of incontinence in the later years of pregnancy. The cause of urinary incontinence in pregnancy is unknown.
Birth-birth is difficult and long-term pain in pregnant women are more frequent in the occurrence of stress incontinans. However, although less frequent cesarean surgery in the future of the pregnant women may have complaints of urinary incontinence. A urinary tract infection (uti) is the most common type of urinary tract infection.
Obesity – increased abdominal pressure due to excess weight leads to increased risk of urinary incontinence. Weight loss can reduce the frequency of such complaints.