(STRESS INCONTINENCE)
Urinary incontinence causes an annual cost of 10-20 billion in the USA. Adult women, middle-aged women and elderly patients complain of this problem. Stress incontinence is the most common type of urinary incontinence. ” “Stress Incontinence” is urinary incontinence due to increased intra-abdominal pressure. Examples include coughing, sneezing, laughing, heavy lifting and daily activities.
There is no measurement of urinary incontinence. Even infrequent urinary incontinence causes sociocultural problems. Stress Incontinence is reported by both doctors and patients because it is a social problem for patients and is thought to be a natural consequence of aging.
Stress Incontinence is a problem that can be seen in one in every 4 women over the age of 30, one in every 5 women over the age of 35 and one in every 3 women over the age of 65.
It is especially seen after menopause, in women who have given birth a lot, women who have given birth with difficulty and rarely in young girls who have never given birth. Research shows that 25% of women face Stress Incontinence at some point in their lives.
It is observed that 70% of women with urinary incontinence consult a doctor for other reasons and the presence of the disease is detected during the examination and interview.
TREATMENT METHODS
Stress Incontinence is a treatable disease. Preoperative treatment methods are bio feedback, strengthening of the groin muscles, hormone and electrical stimulation in menopause. Complications of surgery are very rare. These include injuries to the urinary tract, bladder injuries and long-term temporary catheterization after surgery.
The treatment is performed easily and safely under short-term anesthesia. In the operation, the bladder neck is removed (with a special material) like a necklace. The treatment has achieved 85% success rate in 5 years. After treatment, the catheter is worn for 1 day. The patient is sent home after urinating. The urology outpatient clinic, gynecology and obstetrics outpatient clinic provide services with a multidisciplinary approach.
