Urinary incontinence (NTM) can be effectively treated. However, most people are ashamed to talk about urinary incontinence with their loved ones or even their doctor. They suffer for years because they are not looking for help. Meanwhile, it is enough to exercise the abdominal muscles. If this does not help, there are pharmacological and surgical methods. Check what are the treatments for urinary incontinence.
Urinary incontinencecan be successfullycured . There are many methods of treating urinary incontinence - physiotherapy, drug therapy and surgery. Physiotherapy is safe, generally accepted by women of all ages and there are practically no contraindications for its use.
The following types of urinary incontinence and physiotherapy methods can be distinguished: Kegel muscle training, behavioral therapy (bladder training), magnetostimulation, electrostimulation, biofeedback. If that doesn't help, there are pharmacological methods. In cases of significant intensification of urinary incontinence, surgical methods are used.
Urinary incontinence - pelvic floor muscle training (Kegel exercises)
Experts at the American College of Physicians recommend that women suffering from stress urinary incontinence are the first choice of Kegel exercise, which keeps the bladder in place and keeps the organ functioning properly.
Treatment depends on the type of urinary incontinence and the severity of the ailment.
The exercises can also be performed by men. You can practice everywhere: sitting at your desk, waiting for the lights to change, taking the bus. How to do it? You should contract your muscles as if you wanted to stop the flow of urine. The Kegel muscle can also be trained in the toilet.
This involves stopping urination by suddenly tightening the muscles and relaxing them only after a few seconds. Everyone should have Kegel exercises in their blood, even people who are currently okay with nothing. Exercise 3 times a day. Perform each exercise 10 times.
CHECK>> Patients with urgency are recommended to train the bladder - a therapy consisting in urinating according to a schedule (at specific times) and graduallyincreasing the time between going to the toilet (high degree of recommendation, moderate quality of evidence). With stress-induced NTM in women, the doctor may recommend inserting a special vaginal disc (the so-called pessary), which strengthens the pelvic muscles and makes it easier to control urination. Another pelvic floor training is to insert a cone-shaped weight into your vagina. You must hold it for 30 minutes when you contract your muscles. If it succeeds, change the weight to a larger one. The exercise must be repeated for many months - this is the time needed to strengthen the muscles well and be able to control their work. Laser therapy IS NOT a method of treating urinary incontinence The position of the Polish Urogynecological Society on the use of lasers for the treatment of stress urinary incontinence and the lowering of the pelvic organs: ³ There is no reason to consider the laser method as a treatment method in cases of urinary incontinence and pelvic lowering, as no information on the treatment mechanism or reliable evidence of its effectiveness has yet been provided, and the risks have not been determined. In particular, there are no reliable observation periods. This method is also not a non-invasive method, as the use of a laser leaves irreversible effects in the tissues subjected to coagulation. Taking such actions may delay or hinder proper treatment, exposing patients to suffering. In Western European countries, the laser method of treating stress urinary incontinence is not widely used and it is certainly not a standard of care. Biofeedback consists in providing feedback on changes in the physiological state. Physiological and pathological changes in the organism are monitored by apparatus, which includes rectal or vaginal probes, which receive signals about the desired and undesirable work. The visualization of these signals on the screen and the sound effects allow patients to understand the function of the assessed muscles, their work, and also facilitate their control. The operation of this method is based on sensory feedback. The patient, feeling the weight coming out of the vagina, contracts the pelvic floor muscles and thus strengthens them. The exercises begin with a weight that a woman is able to hold in her vagina while walking for 1 minute. With him, she carries out daily activities for 15-20 minutes a day. It happens in patients with urinary incontinence"Denervation" of the muscles that make up the pelvic floor. Electrostimulation causes contraction of the external urethral sphincter, causing its tightening and an increase in intraurethral pressure, as well as contraction of the levator ani contributing to the elevation of the bladder neck and thus elongation of the initial segment of the urethra. It leads to the strengthening of the pelvic floor muscles, which previously lost their function and were weakened. Electrostimulation can be continuous - it is used for many months, several hours a day, or short-term - when it lasts several or several dozen minutes and is used twice a day or less frequently, even once a week, for several weeks or months .¹ Types of urinary incontinence and methods of physiotherapy² A pulsed magnetic field of very low frequency penetrates the tissues and penetrates deep into the body, stimulating the pelvic floor muscles. As a result, it increases their strength and endurance. In addition, magnetostimulation has an analgesic, anti-inflammatory and anti-swelling effect. Treatments are used in women with various forms of urinary incontinence. It is a painless and non-invasive method. During this procedure, the patient sits on the armchair, which is the source of the magnetic field. The magnetic field passes through the clothing, which allows patients to avoid undressing during the procedures. They are usually performed for 20-30 minutes, twice a week, for about 2 months. Botox (botulinum toxin) blocks the nerves responsible for bladder contraction and causes controlled paralysis of the muscles responsible for bladder contraction, which causes urine to leak out. Thus, it blocks the feeling of sudden pressure on the bladder in the brain. Thanks to its use, problems with urinary incontinence disappear for min. 6 months. However, the main risk of using botoxthere is immediate or short-term urinary retention. The botulinum toxin under the National He alth Fund can benefit, among others. patients with urinary incontinence who do not respond or cannot use (due to side effects) pharmacological treatment. Pessary therapy involves placing various shapes - a pessary - deep into the vagina. With the correct location of the pessary in the vagina, even very severe symptoms of urinary incontinence may disappear. The patient ama can insert the pessary in a standing position. Source: x-news.pl/TVN Style When muscle exercise is ineffective in patients with urgency, medication is required. Medicines are used to reduce bladder spasms (anticholinergics - they cannot be taken by people suffering from glaucoma), and in the case of women, also vaginal balls. Drug therapy is not recommended for patients with stress urinary incontinence. Medicines eliminate urine leakage and the so-called Urgent pressures forcing frequent visits to the toilet. A specialist may recommend hormonal drugs that will rebuild the mucosa of the urethra, making it more elastic and tighter. Antidepressants help to reduce the strength of bladder contractions and at the same time increase the tone of the sphincter muscles. Treatments are most often performed in women with stress urinary incontinence, patients of both sexes suffering from neurological diseases and urinary incontinence due to the so-called urgency and men with stress urinary incontinence after prostate surgery. The contraindication to the operation is urgent urinary incontinence. After surgery, more than 80 percent of patients forget about their disease forever. There are many techniques for surgical treatment of urinary incontinence. The choice is made by a doctor who takes into account age, general he alth, lifestyle and previous abdominal operations. The referral is issued by an internist or urologist. There is no payment for the operation (regardless of its type), unfortunately, it takes up to 2-3 years to complete. Privately, the operation costs 3-5.5 thousand. zloty. The most expensive (about PLN 6,000) is TVT - a method developed by prof. Ulf Ulmstena from the University Clinic in Uppsala, which is gaining great popularity in Poland. Helpline: 0-801 800 038 Internet: http: //www.ntm.pl Bibliography: 1. Gałczyński K.,Romanek K., Kulik-Rechberger B., Rechberger T., Electrostimulation of pelvic floor muscles in the treatment of urinary incontinence in women, "Przegląd Menopauzalny" 2011, No. 62. Smolarek N., Pisarska-Krawczyk M., Sajdak S., Physiotherapy as a method of therapy used in women due to urinary incontinence, "Gynecology Praktyczna" 2007, No. 43. Position of the Polish Urogynecological Society on the use of lasers for the treatment of stress urinary incontinence and lowering pelvic organs, www.ptug.plUrinary incontinence - behavioral therapy: bladder training
Urinary incontinence - behavioral therapy: biofeedback
Urinary incontinence - vaginal weights
Urinary incontinence - electrostimulation
True Stress Urinary Incontinence (SUI) Urge incontinence Overflow incontinence Mixed urinary incontinence
combination therapy, mainly electrostimulation combination of available physiotherapy methods
Urinary incontinence - magnetic field (magnetotherapy, magnetostimulation)
Urinary incontinence - botox (botulinum toxin)
Urinary incontinence - pessary therapy
How to treat urinary incontinence?
Urinary incontinence - drug treatment
Urinary incontinence - surgical procedures