Urinary stress incontinence

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Non-stop urge, constant feeling of wetness, never-ending checking of your underwear, non-stop stress whether you’ll let out more than what would be appropriate. This all is what  incontinence can look like. A problem that can affect any woman, including you! So what are the symptoms of stress incontinence? What are its causes? And how to get rid of it once and for all?

What is urinary stress incontinence?

Urinary incontinence or involuntary loss of urine is a potentially serious condition. It decreases the overall quality of life. It even decreases the quality of life more that being overweight. Unfortunately a lot of ladies are embarrassed, they don’t want to talk about it and they accept it as a normal part of getting older. The truth is that  involuntary loss of urine affects one in five women older than 40 in Czech Republic. With increasing age the prevalence of urinary incontinence increases. So even if you have no problems now, with time you can also be affected.

Normal pelvic floor muscles

What are the causes of urinary stress incontinence?

Involuntary loss of urine can be triggered by many different factors. The most frequent type is stress incontinence, which is caused by incorrect functioning of muscles and ligaments which encircle and help close the urethra.

The normal anatomy of pelvic organs can be disrupted during pregnancy, delivery or after pelvic surgery. This causes the urethra to be more mobile than it should be and improper closure and increased intraabdominal pressure can lead to the loss of urine. The problem is that increases in intra-abdominal pressure are normal and are caused by activities such as coughing, laughing, physical work but also during constipation or because of obesity.

Another reason for involuntary loss of urine is insufficient closure pressure of urethra. This is a consequence of lower concentration of estrogens, female sex hormones, especially after the menopause.

Poor pelvic floor muscles

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Don’t let the problem get worse, resolve it as soon as you can!

A detailed history of urinary problems, including the frequency, painfulness and other conditions leading to the loss of urine, is a crucial part of the diagnostic process of this condition.

Then your doctor examines you, send a sample of urine for laboratory analysis and performs further examinations such as X-ray, ultrasound or magnetic resonance imaging. The most frequently performed is urodynamic examination. During this procedure a thin urinary catheter is introduced into your urinary bladder. This allows the doctor to perform a detailed measurement of the relationship between different volumes and pressures. Even though this whole process may seem unpleasant, it is a vital step in the diagnosis of the type and the grade of your incontinence. It is only after this, that planning an effective therapeutic plan becomes possible.

Don’t worry, surgical procedure will not be necessary!

Most women don’t want to do anything about their incontinence. They think that it means a difficult and dangerous surgical procedure.

But the opposite is true! Depending on the grade of your disease the doctor will always choose the least invasive method. Today, a laser treatment appropriate for any grade and type of urinary incontinence is available.

Laser treatment is painless and has immediate effects. We recommend to perform the so called Kegel exercises together with this procedure. These exercises will strengthen the muscles of you pelvic floor. Another possibility your doctor can offer you is hormone therapy with estrogens or gestagens, but this comes with its risks. If all these non-invasive treatments don’t successfully resolve your problems, then a surgical procedure would be advisable.

So don’t be embarrassed and resolve your issues soon enough! You’ll spare yourself a lot of unnecessary problems and you will improve the overall quality of your life.

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