URINARY INCONTINENCE

What is urinary incontinence?

Urinary incontinence is the involuntary loss of urine. Incontinence can be caused by diabetes, a stroke, multiple sclerosis, Parkinson””””””””””””””””””””””””””””””””s disease, some surgeries or even childbirth. Mostly women, suffer from incontinence. Although it is more common in women over 60, it can occur at any age. Most health-care professionals classify incontinence by its symptoms or circumstances in which it occurs. In the normal population, the incidence of incontinence in the female over 65 is more than 25 percent and in the male it is about 15 percent.


WOMAN URINARY INCONTINENCE

What is bladder prolapse?

Under normal conditions in women, the bladder is held in position by a “hammock” of supportive pelvic floor muscles and ligaments. When these muscles and tissues are stretched and/or weakened, the back of the bladder can sag through this layer of muscles and ligaments and into the vagina, resulting in bladder prolapse, also referred to as a cystocele. In severe cases, the sagging bladder will appear at the vagina””””””””””””””””””””””””””””””””s opening and can even protrude (drop) through it. Bladder prolapse can be very bothersome, can be associated with problems emptying the bladder, urinary tract infections or incontinence (unwanted loss of urine), and can usually be corrected.

What are the symptoms for bladder prolapse?

Symptoms associated with prolapse include: frequent urination or urge to urinate; stress incontinence; not feeling bladder relief immediately after urinating; frequent urinary tract infections; discomfort or pain in the vagina, pelvis, lower abdomen, groin or lower back; heaviness or pressure in the vaginal area; painful intercourse; or tissue protruding from the vagina that may be tender and/or bleeding. Mild cases of prolapse may not cause any symptoms.

The procedure of choice will depend on multiple factors, like the need for abdominal surgery for other conditions, the degree of incontinence, the degree of mobility of the urethra and bladder and the surgeon””””””””””””””””””””””””””””””””s personal experience.

For simple stress incontinence with mild to moderate urethral incontinence, a sling is the procedure of choice. The patient can expect more than 80 to 90 percent cure or great improvement.

How is bladder prolapse detected?

Prolapse can usually be detected with a pelvic examination. However, a voiding cystourethrogram may be required. This test involves a series of X-ray pictures that are taken during urination which will show the shape of the bladder and will help identify obstructions blocking the normal flow of urine. Other X-rays and tests may also be required to find or rule out problems in other parts of the urinary system, including urodynamics, cystoscopy and fluroscopy.

Surgical treatment

The most common and most popular surgery for stress incontinence is the sling procedure. In this operation a strip of sling is applied under the urethra to provide compression and improve urethral closure. The operation is minimally invasive and patients recuperate very quickly. The tissue used to create the sling can be a segment of a synthetic material.

Surgery for urinary incontinence (stress incontinence) in the female is in general very successful, but choosing the proper procedure is important. Many patients with stress incontinence also have other conditions like bladder prolapse, rectocele or uterine prolapse that must be treated at the same time.


MAN URINARY INCONTINENCE

Incontinente in men has become a more frequent occurrence in recent times, mainly a side effects of radical surgery for cancer, transurethral prostate resection or sphinter damage by radiotherapy.

Surgery for urinary incontinence in the male like the artificial sphincter can cure or greatly improve more than 70 to 80 percent of the patients.

What is an artificial sphincter?

An artificial sphincter is a patient-controlled device made of silicone rubber that has:

  • an inflatable cuff that fits around the tube through which urine leaves the body (urethra) close to the point where it joins the bladder
  • a balloon that regulates the pressure of the cuff
  • a bulb to control inflation and deflation of the cuff

 The balloon is placed within the pelvic space, and the control bulb is placed in the scrotum of a male or the external vaginal lips of a female.

 The cuff is inflated to keep urine from leaking. When urination is desired, the cuff is deflated, allowing urine to drain out.

Sling for male are the recent advance in surgery for incontinente man you can asking for this surgery.

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