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How is Incontinence (Urinary Incontinence) Treated?

How Do We Retain Urine? What Are the Factors That Cause Urinary Retention?

As urine accumulates, the bladder begins to expand because it is elastic, so there is no increase in pressure in the bladder; urine from the kidneys can easily enter the bladder. In addition, the muscles that are used to retain urine just below the bladder and constantly contracted prevent the urine accumulated in the bladder from escaping. Anatomically, the urinary tube in women is shorter than in men. Some hormones secreted in women support the urinary tract (urethra). When urinating, the bladder moves down a little.

Why does Urinary Incontinence occur?

There are many reasons. Bladder outlet obstructions can be the cause of urinary incontinence due to infections of the bladder (cystitis in women, bladder inflammation), vagina infections, bladder stones, tumors, difficult births, hormonal changes after menopause, radiation therapy applied to the abdomen, nervous diseases and prostate enlargement, especially in men. In addition, among the reasons that can cause permanent urinary incontinence in women include unions between the bladder and the vagina, or between the kidney and the bladder, the ureter, and the vagina. Urinary incontinence can also occur in uncontrolled diabetes and alcoholism. Various surgeries performed on women or men can lead to urinary incontinence. In men, causes such as surgeries specifically for prostate cancer, other prostate and bladder neck surgeries, surgeries around the bladder, and urinary retention mechanisms can be considered. Medications can also cause or facilitate urinary incontinence. These include muscle relaxants, blood pressure lowering drugs, diuretics, tranquilizers, antidepressants, and allergy medications. It causes urinary incontinence in diseases that cause a slowdown in brain functions (dementia, Alzheimer's, vascular diseases, etc.).

How is Incontinence - Urinary Incontinence diagnosed?

For this, the diagnosis is made with the history, examination, daily urine follow-up chart, the pad test in which the amount of urine missed by the person is determined, and, if necessary, tests that show how the bladder works, called urodynamics. Urodynamics is a more detailed examination applied to patients who continue to miss urine, especially despite previous urinary incontinence surgery and patients who will undergo surgery. During this procedure, valuable findings about how the bladder works and the causes of urinary incontinence are obtained with a catheter inserted into the patient's bladder.

How is Urinary Incontinence Treated?

Exercise, drug therapy, and various surgical methods can be applied in the treatment.

1. Exercise

2. Medication Therapy

Are There Side Effects of Magnetic Pelvic Floor Stimulation (EMI) Therapy?

No. There were no complications in the studies performed.

Can Magnetic Pelvic Floor Stimulation (EMI) Therapy Be Applied Again?

Yes, after 16-20 sessions, if the patient benefits from the treatment, it can be repeated at regular intervals. However, alternative treatments should be switched to the group of patients who do not benefit.

Updated at : 15-09-2022