TREATMENT OF FEMALE URINARY INCONTINENCE

January 8, 2022
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The urinary incontinence in female is a common problem, especially in young women and may have an impact significant and important in the quality of life of the patient. Female urinary incontinence involves an involuntary leakage of urine, which can lead to a number of symptoms, which include urinary urgency (sudden need to urinate and the difficulty or inability to avoid it), urinary frequency (urinating more than 8 times during a 24-hour period) and nocturia, explains the urologist in Noida.

Female urinary incontinence can be classified in different ways. Depending on what causes it, it can be:

  • Stress urinary incontinence: It is related to the actions that generate increased pressure within the abdominal cavity and the bladder (laughing, coughing, sneezing, climbing stairs, among others)
  • Urge urinary incontinence: It presents as involuntary urine leakage that is accompanied by the sudden need to urinate.
  • Functional urinary incontinence: It is related to the inability to retain urine within the bladder due to neurological injuries and / or existing injuries in the urinary tract (delirium, psychiatric disorders, urinary infections, among others).
  • Mixed urinary incontinence: It is presented as the combination of stress urinary incontinence and urge urinary incontinence, which is why it is characterized by both involuntary urine leakage and various actions (laughing, sneezing, climbing stairs, among others).

Although urinary incontinence tends to occur more frequently in women who are going through menopause, anyone can be affected. It is difficult to determine the exact number of patients who suffer from urinary incontinence, says the best urologist in Noida.

It is estimated that female urinary incontinence affects 20-30% of young women, 30-40% of middle-aged women, and 30-50% of elderly women.

What is the treatment for female urinary incontinence?

Currently there are multiple ways to manage and treat female urinary incontinence. The treatment to be used will largely depend on the type of urinary incontinence that the patient presents:

  • Stress urinary incontinence: It can be managed through surgery, exercises that strengthen the pelvic floor, as well as anti-incontinence devices and medications.
  • Urge urinary incontinence: It can be managed with changes in lifestyle, which include modifications in diet, exercises are also used to strengthen the pelvic floor, medications and in some cases, surgery can be used.
  • Functional urinary incontinence: It is due to the underlying condition that causes urinary incontinence.
  • Mixed urinary incontinence: It can be managed with medications (anticholinergics) and sometimes surgery.

Although, in many cases surgery can be used as a treatment option, it is preferable to use medical treatment (pelvic floor exercises, medications, among others) before submitting the patient to surgery, says the urologist in Greater Noida.

In cases of severe urinary incontinence, it is advisable to use surgery as the first-line treatment, unlike mild or moderate cases.

Treatment of conditions that may cause or accentuate female urinary incontinence is widely recommended by the urologist in Greater Noida and necessary to minimize symptoms of urinary incontinence.

Absorbent devices as a treatment for female urinary incontinence

Absorbent devices are products (pads or garments) designed to absorb urine and thereby protect both the patient’s skin and clothing. Because they reduce the odour and moisture of absorbed urine, they help maintain a certain comfort and facilitate the performance of daily activities, says the urologist in Ghaziabad.

While absorbent devices help control the symptoms of urinary incontinence, they are not a cure for the problem. Patients who benefit from the use of these devices are those who meet the following criteria:

  • Persistent urinary incontinence despite having used the appropriate treatments.
  • Lack of ability to participate in behavioural programs due to various illnesses or disabilities.
  • Presence of urinary incontinence disorder that cannot be improved with the use of medications.
  • Presence of urinary incontinence disorder that cannot be improved with the use of surgery.

Surgical treatment for female urinary incontinence

Surgical treatment for urinary incontinence is offered by the urologist in Vaishali when patients have already undergone drug treatment as well as pelvic floor exercises and there is no improvement.

There are different types of surgeries that can be performed as treatment; however, it will depend on what type of urinary incontinence is present, states the best urologist in Greater Noida.

For patients with stress urinary incontinence, surgeries are recommended to strengthen the urethral sphincter (suspension of the bladder neck, among others).

For patients with urge urinary incontinence, surgeries are recommended by the best urologist in Ghaziabad that increase the elongation of the bladder, as well as the amount of urine it can retain (sacral nerve modulation, injection of neurotoxins such as botulinum toxin, bladder enlargement).

Pharmacological treatment for female urinary incontinence

The purpose of drug treatment is to reduce the frequency of symptoms of urinary incontinence. The medications used are anticholinergics, antispasmodics, and tricyclic antidepressants.

Depending on the type of urinary incontinence that the patient presents, the drugs that are going to be administered will be administered.

It has been observed that when drug treatment is combined with pelvic floor exercises the results are even better and the symptoms decrease is greater.

If you or any of your family members have symptoms such as those mentioned, do not hesitate to contact urologist in Delhi to treat these types of problems.

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