Urinary incontinence: treatment. Prices, reviews, ratings
General information
According to statistics, this abnormal phenomenon is more common in women, but men also often face this problem. One thing is clear, this disease not only indicates problems with the urinary system, but also prevents people from living a full life.
There are two types of urinary incontinence: stress and urgent. Stress urinary incontinence is involuntary urination that occurs during physical activity, when a person coughs or laughs. In this case, the person does not have the “desire” to go to the toilet. With urgent urinary incontinence, a person has a strong urge to urinate, immediately after which (or simultaneously) involuntary urination occurs.
The combination of stress and urgent urinary incontinence is called mixed. Most often, this type of disease occurs in women in menopause.
The treatment process
Preparation
Before prescribing treatment, the urologist must determine the causes of the pathology in the following sequence:
- recording all patient complaints;
- filling out the so-called urination diary by the patient;
- ultrasound diagnostics of the bladder and urethrocystography;
- laboratory analysis of urine and urine culture for microflora testing;
- "cough tests" (for both women and men);
- consultation with a gynecologist (for women);
- conducting uroflowmetry, profilometry, cystometry, intraurethral pressure test (for men).
Urinary incontinence treatment procedure
Usually, urinary incontinence in women and men is treated based on the type of urinary incontinence. But there are three generally accepted types of treatment:
- Non-drug treatment involves the need to train the bladder. First, the patient is taught, then a urination schedule is drawn up together with him, and the patient performs this task. All this is done in order to increase the time interval between trips to the toilet. In case of a desire to urinate at the wrong time, the patient must restrain his urge. Gradually, this interval increases by half an hour with a maximum duration of up to 3.5 hours. This treatment lasts on average about 3 months in combination with medication.
- Drug treatment is carried out by taking medications to increase the capacity of the bladder and reduce its contractile function. Urgent incontinence is most effectively treated with medication. Often, antispasmodic and antidepressant drugs are used, which are selected by the urologist in each case individually. The duration of the course is also three months.
- Surgical intervention is carried out if conservative methods have not helped. Often, patients suffering from stress or paradoxical urinary incontinence are operated on. This procedure usually lasts half an hour under general anesthesia. Urinary incontinence in men is treated by sling (loop) surgery to correct the urinary sphincter. They also install such a valve made of artificial material.
Rehabilitation course after treatment of urinary incontinence
Most often, a preventive course is needed after surgical treatment of the disease. It consists of individual selection of restorative and anti-relapse agents, as well as control tests.
Indications
Treatment of urinary incontinence is indicated in the following cases:
- stress urinary incontinence in men and women (manifested by urination during coughing, sneezing, fits of laughter, lifting heavy objects and other processes);
- postpartum urinary incontinence in women;
- urgent urinary incontinence (the patient experiences the urge to urinate, but is unable to hold it);
- paradoxical urinary incontinence (deterioration of the tonic tension of the pelvic muscles);
- prevention of stress urinary incontinence.
Contraindications
Treatment of urinary incontinence is contraindicated:
- in inflammatory processes in the male and female genital organs;
- in the presence of tumors in the urogenital system;
- during pregnancy (for women);
- in diabetes mellitus;
- in acute genital herpes (in men and women).
Complications
After treatment of urinary incontinence or surgery, some discomfort and complications may occur:
- skin irritation, dermatitis and infectious skin lesions;
- inflammatory processes in the urinary tract (cystitis, urethritis and etc.);
- deterioration in quality of life due to the inability to lead a normal life.
Prices and clinics
In their positive reviews, patients who have undergone treatment for this pathology claim that the problem of urinary incontinence cannot be left unresolved. Urinary incontinence should only be treated by an experienced urologist, taking an individual approach to the patient. The cost of treatment will depend on the number of procedures performed and the choice of institution. On the website you will find a list of clinics that treat urinary incontinence.
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