Urinary Incontinence

GENERAL FEATURES OF THE OPERATION

Urinary incontinence — the involuntary leakage of urine — is a common condition that affects many women, especially with aging. It can result from weakened pelvic floor muscles, hormonal changes during menopause, pregnancy and childbirth, neurological disorders, or even certain medications.

Types of Urinary Incontinence in Women

Women can experience different types of urinary incontinence, including:

  • Stress incontinence: Leakage that occurs during physical activity, coughing, laughing, or exercise.

  • Urge incontinence: A sudden, intense urge to urinate followed by leakage before reaching the toilet.

  • Mixed incontinence: A combination of both stress and urge symptoms.

These symptoms can have a significant impact on daily comfort, emotional well-being, and confidence — but effective treatments are available.

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Choosing the Right Treatment

Each woman’s experience with urinary incontinence is unique. The best treatment plan depends on the type of incontinence, underlying cause, and individual medical history.
A consultation with an experienced gynecology or urogynecology specialist can help determine the most effective and personalized approach.

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Treatment Options for Urinary Incontinence

There are several proven approaches to help women regain bladder control and improve quality of life:

  1. Pelvic Floor Exercises (Kegel Exercises):
    Strengthening the muscles that support the bladder and urethra can greatly improve bladder control and reduce leakage.

  2. Bladder Training:
    Involves gradually increasing the time between bathroom visits to help retrain the bladder and restore control.

  3. Medications:
    Drugs such as antimuscarinics and beta-3 agonists can relax bladder muscles and reduce the urgency to urinate.

  4. Pessary Devices:
    A small medical device inserted into the vagina to support the bladder and reduce stress incontinence.

  5. Bulking Agent Injections:
    Collagen or other fillers can be injected around the urethra to help it close more effectively and prevent leakage.

  6. Electrical Stimulation Therapy:
    Uses mild electrical impulses to strengthen pelvic floor muscles and improve nerve function.

  7. Surgical Treatments:
    For more severe cases, surgical options such as sling procedures (TOT/TVT) or bladder neck suspension can provide long-term results by repositioning and supporting the urethra.