For a long time on this issue, dismissed the doctors, it is not even considered a disease. Finding a specialist in this area are often held for many years.
The disease has existed since time immemorial,but effective ways to treat, until recently, almost non-existent, and even the official medicine, in principle, did not recognize stress urinary disease. Therefore, women who suffer from stress incontinence, and even many physicians perceive the disease and related problems as the norm - part of the natural aging process. Recently, the active period of life of women has increased significantly, and we can say that incontinence is not a senile disease, and disease affects even young women.
Stress incontinence - a conditionwhen the voltage at the abdominal muscles and increase intra-abdominal pressure by coughing, physical exercise (running, walking, playing sports), sudden rising, sexual intercourse, etc. there is involuntary and uncontrolled leakage of urine - occurs in 40% of women after 40 years and 50% of women after 60 years. About 30% of workers in Moscow women suffer from this disease.
Causes of urinary incontinence:
As a result of childbirth or heavy physicalworking the pelvic floor muscles weaken, in some cases there is even prolapse (prolapse) of pelvic organs (vaginal walls, uterus, bladder and rectum).
Weakened pelvic floor muscles can help:
- congenital anomaly of muscle and connective tissue;
- perineal trauma during childbirth, disorders of the nervous control of the pelvic floor muscles;
- trauma and congenital anomalies of the pelvis and urethra;
- the effects of surgery on the pelvic organs;
- hormonal disorders in the body.
As a result of any physical load, or inintercourse urinary leakage occurs in a volume of a few drops to larger quantities. Unfortunately, most women prefer not to go about his ailment, believing that it occurs due to age and terminally. Many women stop having sex. All this is not the best way affects the mental health of the young and active women.
Diagnosis and treatment of stress incontinenceurine engaged urologist, uroginekologii and gynecologists. Furthermore complaints history and examination, it is necessary to fill voiding diary, where fixed frequency and amount of leakage of urine, the amount and thickness of the pads, which are used during the day, the amount of fluid leakage of urine and triggers the event. It is important to study the functions of the pelvic organs, as their condition may significantly affect the results of the treatment of urinary incontinence. It is also important to find out and the impact of urinary incontinence on quality of life.
Often during a thorough medical examination andspecial tests already possible to identify the cause of stress urinary incontinence and even choose the best method of treatment. In some cases, it may require ultrasound and X-ray examination of the bladder, the optical inspection of the bladder - cystoscopy, examination (computerized study funded and expelling functions of the bladder and urethra). Perform standard tests of urine and her crop on the microflora.
When slightly pronounced incontinencecan be useful exercises to strengthen the pelvic floor muscles. However, the effectiveness of such exercises small. The main method of treatment of stress urinary incontinence stress is operational. Standard surgical methods for correcting urinary incontinence require a long hospital stay, and are associated with discomfort due to the surgical incision.