sometimes only surgery can help

Incontinence is a big taboo, so many don’t even go to the doctor with a complaint or try to fix the problem at home with a hamstring exercise.

However, there is a need for more serious intervention and surgery in order for the person to regain their self-confidence and freedom. Dr. Józan Gyöngyi, the gynecologist at the gynecology center will tell you when this is needed.

Treatment of incontinence

The incontinence means involuntary loss of urine, during which urine may leak or, in bad cases, be excreted in larger quantities. A lot of women struggle with the problem and typically affect pregnant women as well as the elderly. The complaint can sometimes take on such a scale that it already has a serious impact on the person’s daily life and self-confidence, and due to the problem, their room for maneuver is narrowed and they do not dare to leave home.

treatment of incontinence

The incontinence the reason can be more than anything. Most often, the weakness of the pelvic floor muscle is the cause of the complaint, as this muscle helps to keep the bladder closed and is also responsible for supporting it. Muscle weakness can also be caused by genetics, hormonal disorders, pregnancy, being overweight. It is often the case that the affected person leaks urine during sneezes and coughs (stress incontinence). The increased abdominal pressure can no longer be sustained by the pelvic muscle, so the bladder cannot close perfectly.

Menopause and later on, incontinence complaints increase (either when they hit their head or their symptoms get worse) as a lack of progesterone and estrogen weakens the blockage, which loses its elasticity.

If weakness in the back muscle causes a urinary retention problem, there is a lot that can be done to eliminate or reduce the discomfort by changing your lifestyle and exercising regularly. If hormonal changes are involved, hormone therapy may be warranted.

Incontinence may occur inflammation, possibly as a result of a nervous system problem, in which case the patient suddenly feels a strong urge to urinate, which he is unable to maintain (this is especially typical of the older age group). This requires anti-inflammatory / antibiotic treatment and the use of a medicine to help reduce the strong urge to urinate.

When is surgery needed?

In general, surgery is required if there is no improvement despite at least 3 months of pelvic floor exercises or medication for at least 3 months.

treatment of incontinence

In addition, due to a bladder hernia or an anatomical change during childbirth, a surgical solution is warranted. In the latter case, the uterus may fall forward or the gap closed by the bladder / urethra will change and this will cause urine leakage.

Exactly what surgical solution to treat incontinence requires is determined by the underlying cause and severity of the problem. Based on this, e.g. insertion of the hernia, support of the urethra / bladder (band plastic surgery), suspension of the bladder, laser surgery says dr. Józan Gyöngyi, gynecologist at the Gynecological Center.

Although women are more affected by incontinence, many men also experience involuntary leakage of urine.

This can be a cause of incontinence in men

Source: Napidoktor by

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