The problem of urinary incontinence in pre – and postmenopausal

Urinary incontinence in women at a young age usually occurs after a complicated delivery. But most often, incontinence is a problem for older women. During menopause, the production of female hormones estrogen is reduced, which are responsible for the elasticity of the tissues in the woman’s body, as well as for the ligamentous and muscular apparatus of the pelvic floor. Because of this, the urethra tone worsens, which leads to involuntary urine leakage under the slightest exertion, for example, when sneezing or coughing, not to mention weight lifting.

Urinary incontinence is divided into three types:

  • Stress incontinence: incontinence occurs only with an increase in intra-abdominal pressure, which can cause weight lifting, exercise, sexual intercourse, and even such minor stresses as sneezing, coughing or laughing.
  • Urge incontinence: characterized by an unbearable urge to urinate, sometimes a woman may not have time to react. What is most strange, while the bladder can be filled very slightly.
  • A mixed form of incontinence that combines the symptoms of the first and second forms of incontinence.

Causes of urinary incontinence in women

  • Severe, traumatic delivery;
  • Overweight;
  • Gynecological surgery;
  • Hormonal changes due to menopause.

Urge incontinence. This condition may be associated with overactive bladder syndrome or with neurogenic bladder syndrome. An unforeseen situation can occur even in the case when a woman, knowing her peculiarity, consciously limits the amount of fluid consumed. This type of urinary incontinence forces a woman to be close to the toilet (she is afraid to move because the urge happens with enviable regularity – at least once a half to two hours). The cause of this type of incontinence can be a neurological problem: cranial or spinal cord injury; it can also be a consequence of a stroke. Other of the reasons may be the urogenital infection, cured of which, the woman forgets about this problem forever.

  • Mixed incontinence. It is a combination of urgent and stressful incontinence.

Treatment

Treatment of incontinence should be made after an exact determination of its causes – these can be not only hormonal disruptions or complications after delivery but also commonplace urinary tract infections or tumor diseases.

Non-surgical non-drug methods

Non-drug incontinence treatments include:

  • Anti-aging gynecological laser;
  • bladder training;
  • exercises to strengthen the pelvic floor, Kegel exercises;
  • physiotherapy;
  • microcurrents;
  • warming up
  • electromagnetic pulses.

Drugs have proven particularly effective in the case of an urgent type of incontinence. For the treatment of this type of urinary incontinence, women are prescribed primarily antispasmodics and antidepressants.

Botox injections in the detrusor have a relaxing effect on the muscles of the bladder;

Extinguishes impulses to the urge of the nervous system.

Surgical intervention

Usually, surgery is resorted to in the form of stress incontinence, but sometimes the operation is also indicated for an urgent form of incontinence. However, conservative methods can help young patients. At the present stage of development of surgery, doctors use about 250 different methods of surgical intervention in order to eliminate stress urinary incontinence in women. Minimally invasive methods, such as throwing a loop of synthetic fabric. After such operations, a woman can go home the next day after surgery. 85% of women who have gone through such an operation live a full life; the only risk factor for them is cystitis due to hypothermia.