What is urinary incontinence?
Don’t waste anymore time, because it’s possible to treat and often cure. Remember; urinary incontinence doesn’t tend to improve with time.
Natalia Gennaro, gynaecologist, expert in pelvic medicine and laparoscopic & reconstructive surgery.
“Urinary continence is a basic function that develops during childhood around the ages of 2 – 3 years old and that you should maintain until an advanced age.
For that reason, losing this continence or developing “urinary incontinence” is not a normal condition.
the female population suffer from this problem.
Only 1 out of every 3 women that suffer from this problem seek help.
It’s estimated that in 2020, it will be the 5th biggest cause of pathology in elderly people
It provokes both hygiene and social problems and has an enormous negative impact on the patient, not solely based on the severity of their incontinence, but also on a series of individual factors, such as their personality, lifestyle and their family, work and social situations.
Current opinion states that urinary incontinence is a symptom of the dysfunction or the poor function of a part of the complex urinary continence mechanism.
What type of incontinence do I have?
Depending on the mechanism that’s responsible for the lost of continence, there exist large branches of urinary incontinence:
- URGE INCONTINENCE.
- STRESS INCONTINENCE.
- MIXED INCONTINENCE.
- OVERFLOW INCONTINENCE
- NEUROGENIC BLADDER
Urge incontinence (loss of urine with urge to urinate) and stress incontinence (loss of urine with laughter, coughing, sneezing, doing exercise) and the combination of the two (mixed incontinence) are the most frequently seen forms of incontinence.
In terms of their evolution over time, they can be classified as either transitory or chronic.
Based on the frequency or severity: mild, moderate or severe.
Diagnosis requires a revision of the patient’s clinical history, a physical exam, an analytical study and further medical exams in order to evaluate the complex function of urination.
With urge incontinence, the treatment consists of blocking the contraction of the bladder muscles or relaxing them with a series of treatments, such as anticholinergic drugs, beta 3 adrenergics, botulinum toxin, neurostimulation or surgery.
The treatment of choice for stress incontinence and for obstructive incontinence is surgery.
For a neurogenic bladder, intermittent catheterisation can be used. Some medicines or surgeries can also be used to treat it.