Urinary incontinence: causes, treatment
1. What is urinary incontinence when under pressure?
This condition is also known by other names such as urinary incontinence due to increased pressure in the abdomen, pressure incontinence, and stress incontinence.
2. Causes of urinary incontinence under pressure
3. Non-surgical treatment of urinary incontinence on exertion
Adjust water intake appropriately. Minimize the use of stimulants. Example: Coffee and substances containing caffeine,... Stop smoking. Weight loss. Other non-surgical options include
Pelvic muscle exercises (Kegel exercises). Physical therapy. Biofeedback therapy. Use lifting ring. Use tampons. Note: The application of non-surgical measures is only adjunctive or preventive, not decisive for formal treatment, any measures applied should only be decided by a specialist. .
4. Surgery for urinary incontinence
T.O.T method (Trans Obturateur Tape: Placing a band to support the urethra through the obturator) is a gentle, minimally invasive and highly effective surgery. The surgeon will make a small incision in the anterior vaginal wall, then place a synthetic bandage to support the posterior urethra to create a strong fulcrum to replace the weak pelvic floor muscles. When the patient exerts himself, the intra-abdominal pressure increases, pushing down the pelvis, which will force the urethra into the area where the bandage has been placed, blocking the urethral lumen, thereby blocking the outflow of urine. The surgery takes about 20-30 minutes, after the surgery, the patient stops urinating immediately.
In Quang Ninh, Vinmec Ha Long General Hospital is the first hospital to apply the method of transvaginal bladder lift with TOT net - helping patients to have no pain, short hospital stay, good recovery. After 5 days, the patient was able to walk normally and was discharged from the hospital.
5. Factors to consider when choosing surgery
How much the disease affects the patient's quality of life . Age. Plan to have children in the future. Current lifestyle. Pelvic floor - pelvic floor pathology combined. Medical history (if you have had radiation therapy for pelvic cancer or had surgery to treat urinary incontinence). General health status. Causes of urinary incontinence. You can always rest assured that before surgery, your doctor will weigh the benefits and risks of each treatment option to ensure an improved quality of life for you.
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