Stress urinary incontinence

Health And Medical Video: Stress Urinary Incontinence - Crash! Medical Review Series (May 2019).


About 45% of women in European countries aged 40 to 60 years old and 38.6% of women's population of Ukraine suffer from this disease.

Inhibition of urine is a condition that leads to involuntary urine excretion. This problem is relevant for both men and women, but in women it occurs approximately twice as much as in men. Its causes and the main risk factors are childbirth, dysplasia of connective tissue, diseases that contribute to increased intraabdominal pressure, obesity, and estrogen deficiency.

The essence of the problem.

Urinary incontinence (urinary incontinence) in women is one of the most common urological diseases that occurs at any age and does not depend on living conditions and the nature of work. This pathology is always associated with insufficiency of pelvic floor muscles. Thus, about 45% of women of European countries aged 40 to 60 years and 38.6% of women's population of Ukraine suffer from this ailment (D.Yu. Pushkar, 1996). Inhibition of urine does not endanger the lives of patients, but leads to a significant reduction in its quality.

Often, women prefer to tolerate this "inconvenience" without resorting to a doctor for various reasons. The most common cause is fear of cure and the fear of surgery. Untreated urinary incontinence is associated with permanent wearing of special urological liners, which is not only uncomfortable, but also requires some material costs. This became the main reason for many research and development aimed at non-surgical treatment of stress urinary incontinence.

What can you do about it?

Currently, numerous works on the study of the disease and develop new treatments that allow most of the patients achieved improvement or recovery.

Operational methods are still the most effective today, but they are associated with a number of operational risks. Another promising direction in the treatment of stress urinary incontinence is the introduction of so-called formative tools that create a seal in the involuntary sphincter and prevent urine. This technique is also referred to as operative, but unlike sling operations, this technique is minimally invasive.

In addition to surgical techniques, treatment for urinary incontinence includes behavioral therapy, pharmacotherapy, physiotherapy, strengthening of pelvic floor muscles. Methods of treatment of incontinence of urine are selected individually, depending on the clinical manifestations of the disease, taking into account indications and contraindications. In patients with severe forms of urinary incontinence, they resort to a combination of these methods.

To date, there are no methods of medical treatment of stress urinary incontinence with proven clinical efficacy.

Classification of stress incontinence of urine.

There are three main types of stress incontinence:

1 type

: Characterized by the lowering of the bottom of the bladder during stress and involuntary discharge of several drops of urine.

2 type

: Determined omission bottom of the bladder alone to the top of lonnogo joints, the tension is a significant omission of the bladder and urethra, which leads to the release of large amounts of urine. In addition, in this type there is tsistotsele or cystourethrocele (variants of omission of the anterior wall of the vagina).

3 type

: The lowering of the bottom of the bladder below the lumbar joints, the neck of the bladder and the ureter are open at rest, which leads to spontaneous leakage of urine with slight increase in intrapulmonary pressure.

The main task in diagnosing this disease is to determine the indications for conservative or surgical treatment, since the wrongly chosen tactic of treatment leads to frequent relapses requiring repeated interventions, the implementation of which is difficult and dangerous.

Stress urinary incontinence
Category Of Medical Issues: Diseases