Living with Incontinence or Leaving Incontinence?

 

What Is Urinary Incontinence?

Urinary Incontinence is a complaint of involuntary leakage of urine.

 

What Is stress incontinence?

Stress incontinence is a complaint of involuntary leakage on effort or exertion. or on sneezing or coughing. laughing and bending.

 

How common Is stress Incontinence in India?

Population studies show a prevalence of urinary incontinence in 10% - 42% of Indian women. It shows a clear trend towards increase in prevalence. About 1 in 3 women suffer from SUI at some point in their lives.

 

What causes Stress Incontinences?

Urethral support. bladder neck function. and function of the urethral muscles are important determinants of continence. Damage to the connection between this fascia and muscle. loss of nerve supply to the muscle. or direct muscle damage can influence continence. In addition, loss of normal bladder neck closure can result in incontinence despite normal urethral support.

 

What are other types of incontinence than stress incontinence?

Urge incontinence & mixed incontinence. Urge incontinence is Complaint of involuntary leakage accompanied by or immediately preceded by urgency and mixed incontinence is Complaint of involuntary leakage associated with urgency and also with exertion, effort, sneezing, or coughing

 

What is Nocturnal enuresis?

Nocturnal enuresis is complaint of involuntary loss of urine that occurs during sleep.

 

What Is overactive Bladder?

Overactive bladder (DAB) syndrome as -urinary urgency. usually accompanied by frequency and nocturia. with or without urgency urinary incontinence MI), in the absence of urinary tract infection (UT)) or other obvious pathology"

 

 

Can we prevent Stress Incontinence?

Prevention is better than cure. Prevention of Stress incontinence includes life style modifications, high fiber diet. quitting smoking. losing excess weight. and avoiding overindulgence in caffeinated. carbonated and alcoholic beverages and Kegel exercises to strengthen your pelvic floor muscles and urinary sphincter.

 

What are the symptoms of stress incontinence?

The main symptom of stress incontinence is a leakage of urine at times of physical movement or activity. Examples of the kinds of activities associated with urine leaking include laughing, coughing, lifting heavy weights or exercise.

 

What are the signs when you should visit a Urologist?

If you're embarrassed by urine leakage. forced to wear diapers due to this involuntary leak and you avoid important activities because of it visit your Urologist.

 

What is the role of the Urologist in Incontinence?

Urinary complaints are best addressed to a Urologist - Gynaecologist with your history and needs. He addresses and evaluates by set of needed investigations namely voiding diary. Uroflowmetry and Urodynamics if needed to take bothersomeness of Incontinence towards treatment and cure depending on the state and evidence.

 

Is stress in continence related to age and gender?

Women experience stress incontinence twice as common as men; Pelvis 8, urinary sphincter muscles weaken by child bi. 8, menopause resulting in more episodes of leakage of urine and incontinence.

 

How is Stress Incontinence diagnosed?

The diagnosis need detailed medical history. physical examination. Stress test (in which the doctor observes urine loss when you cough or bear don). pelvic and rectal examination and neurological examination, urine analysis and blood tests. Evaluation tests as needed as /Sonography/cystoscopy/urodynamic study may be indicated in right cases

 

Is Stress Incontinence curable?

Treatments are usually available to cure or significantly reduce the effects of stress incontinence on your life.

 

 

What are complications of Stress Incontinence if left untreated?

Skin problems. Rashes. skin infections and sores can develop from constantly wet skin.

Urinary tract infections. Incontinence increases your risk of repeated urinary tract infections. Emotional distress. II you experience stress incontinence with your daily activities. you may feel embarrassed & distressed by the condition. It can disrupt you work, social activities, relationships and even your sex life.

 

Can Stress Incontinence be cured by medications and meditation?

Medications act as an adjunct to other therapies of stress incontinence like behavioural therapies. pelvic floor exercises and surgery.

 

Do pelvic floor exercises help in curing Stress Incontinence?

Pelvic floor muscle exercises are considered first line treatment for stress incontinence. They are most help in post-delivery period to rejuvenate stretched pelvic floor

 

When should a patient of Stress Incontinence be offered surgery?

Surgery is usually d3ne only after conservative Kegel fails and Patient finds significant leak to minimal stress or need for diapers as neglected state.

 

What Surgery is done for Stress Incontinence?

Surgery can fix stress urinary incontinence. Various surgical options in Stress in continence include Colposuspension, Sling surgery, vaginal mesh surgery (tape surgery). Urethral bulking agents and artificial urinary sphincter.

 

What is sling surgery?

In this surgery. a small strip of material (a sling) is placed under your mid urethra to prevent it from moving downward during activities. It acts as a hammock to support the urethra.

 

What Is the message to the society and all women in Incontinence?

Incontinence can't be avoided but delays can be avoided. Living with urgency incontinence and diapers can be prevented by understanding oneself and the awareness attempt. Women suffer in silence. Only you can make the difference and bring your urinary health to the front row seat

 

Written by

Dr. Sanjay Pandey

Consultant Urologist

 

 

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