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If you have urinary incontinence; DO NOT CONSIDER

Urinary incontinence disaffects life standarts and causes social problems. It occurs particularly among women because of age, giving too much birth and over weight and it may be a sign for serious diseases.

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Urinary incontinence disaffects life standarts and causes social problems. It occurs particularly among women because of age, giving too much birth and over weight and it may be a sign for serious diseases.

You should consult to Urology Polyclinic if you have urinary incontinence while

Laughing

Legging

Sneezing

Lifting heavy

It is known that cesarean delivery or normal delivery has no effect on urinary incontinence, while hard and traumatic deliveries, problems in vaginal ways increase the risk of it. However having too many hard or traumatic deliveries may cause urinary incontinence.

Other factors increasing the risk are smoking and straining.

Urinary incontinence may occur in several types;

Urinary incontinence in physical activity or compulsion (stress-typed urinary incontinence)

Incontinence by incarceration sense and sudden urinate need

Mixing of both types

Incontinence as overflowing by exceeding the capacity of urinary bladder

 

Risk Factors

Gender:Inclination to incontinence is seen because of anatomical reasons and urinary incontinence is seen because of pregnancy, delivery and menapause frequently among women

Age: Incontinence frequence increases as getting older because of weakness in bladder muscle structure and pelvic bottom muscle structure. But incontinence is not accepted as a normal process of getting older. Life standart may be increased by treatment of it.

Obesity: Incontinence may develop as a result of pressure increasing in bladder and pelvic bottom muscles through gaining weight. As a result of pelvic muscles becoming weak stress incontinence is seen frequently with coughing and sneezing.

Smoking: Particularly chronic coughing upon smoking and continuously increasing intraabdominal pressure increase stress incontinence risk. Smoking may cause also overflowing-type incontinence by affecting bladder spasms.

Systemic diseases: Sistemic diseases such as kidney diseases, diabetics increase incontinence risk.

 

When should get medical advice?

Complaints about urinary incontinence should be informed without worrying. Because it is not a normal part of daily life or a disgraceful situation. Patient must immediately consult to a doctor, if they have situation following:

It is recommended to consult to a doctor immediately,

If you have serious complaints with urinary incontinence (blood in urinary, burning, difficulty during urinating)

If urinary incontinence affects your daily life, social relations, life standarts and daily plans.

If urinary incontinence complaints increases by time.

HOW URINARY INCONTINENCE IS HEALED?

Most effective method presently is surgical techniques made via vaginal ways. Patient may be discharged one day after operation and may continue daily life. Most frequently used surgical methods are Sling operations (TVT, TOT and mini-sling).

It may be applied under operating conditions in approximately 15 minutes under general or spinal anaesthesia. Patient may be dischadged next day. Success rates are above 90% and long-term results are very successful. They are most frequently applied operations in the world.

Complication rates are very low. Particularly in stress-type and mixed-type urinary incontinence seen frequently results and its effects on patient’s life standarts are pleasing.

SIK SORULAN SORULAR
It is urinary incontinence situation occurring out of person’s control, causing social and/or hygenical problems.
Delivering many times, delivering a big baby, having delivery with intervention, hard delivery, delivery by oneself, genetic reasons, pregnancy, over weight, menopause, obstruction, chronic obstructive lung diseases (bronchitis, asthma etc.) having operations relating to pelvis layer and smoking are the reasons for urinary incontinence.
There are three type oberseved frequently: • Stress-type (stress incontinence): It is seen in situations such as coughing, sequeezing, pushing, having difficulty and increasing of intraabdominal pressure. Its reason is becoming weak of bladder layer and anatomical support of urethra. •Squeezing-type (Urge incontinence): It occurs as urgent need to urinate during working relating to water. Its reason is sudden spasm of bladder while filling with urinary. Reason in many patients is not known. Among some of them chronic diseases such as diabetics, parkinson’s disease, dementia and multiple sclerosis are observed also. These findings are findings of over active bladder syndrome. • Mixed incontinence is being together both types.
Aim of surgery is to make sagged bladder normal again, to fix if there is prolapsed in uterus and to turn muscles in genital area in previous form.
Operation is made only to fix urinary incontinence and if any to fix additional pelvis anomalies (bladder, prolapsed of colon and uterus, fart out of control). Surgeries only for urinary incontinence are made under local anaesthesia and patient can be discharged in same day.