Most people are ashamed of their incontinence problems. What are the appropriate ways to treat it?

Incontinence or spontaneous leakage of urine bothers about a tenth of the population. It is often considered a problem for older women, but it is also not avoided by men and children. The cause may be a weakening of the pelvic floor after childbirth or during a sedentary job, in men, it signals, for example, prostate problems. Most patients are ashamed of their incontinence and do not want to admit it to their doctor. However, thanks to early diagnosis and appropriate treatment, problems with urine leakage can be successfully solved.

What are the degrees and symptoms of incontinence?

The manifestations of this disease may vary according to the degree of incontinence. If it is a mild form, urine leaks in drops once or twice a day. When urine leaks in the range of 100-200 ml in 4 hours, doctors talk about moderate incontinence.

We consider urinary leakage to be a severe degree of incontinence that bothers the person practically constantly. It typically occurs in seniors who leak more than 200 ml of urine in 4 hours. Also, this problem persists during the night.

Other possible manifestations of incontinence:

• Burning and cutting when urinating
• Frequent nocturnal urination
• Odor
• Irritated skin and sores
• Inflammation

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What causes incontinence?

The causes of incontinence can be different, usually, more than one factor is involved in the development of this disease. Very often urine infection or weakening of the pelvic floor muscles is responsible for the leakage of urine.

Other causes are;

• Genetic predispositions and congenital malformations
• Birth trauma
• Radical gynecological procedures (eg removal of the uterus )
• Long-term strenuous physical work
• Injuries associated with spinal cord injury
• Chronic cough due to asthma or smoking
• Obesity and lack of exercise
• Prostate enlargement in men
• Diabetes

The pelvic floor descent, which is also often responsible for problems with urine leakage or bowel movements, can be manifested by a feeling of pressure, or a small lump can be felt, which descends from the vagina. For a woman, it can mean, among other things, difficulty walking or having sex.

See what helps with incontinence

In addition to a variety of herbs, some dietary supplements or aids will help solve the problem or make your situation easier. So what to choose? Talk to your doctor about which remedies are best for you. 

• Herbs -

for normal urinary tract function, for example, nettles, coconut shepherd capsules, horsetail, or dandelion are suitable, also, pumpkin seeds are good.

• Food supplements  -

If you are not one of those who like to make herbal decoctions and teas, choose food supplements. Usually, you will find a combination of extracts from several herbs.

• Incontinence drugs -

There are not many of them, they are used exceptionally and their use must be consulted with a doctor. These are mostly parasympatholytics or hormonal treatment.

• Incontinence aids -

The most common aids include incontinence pads, which are manufactured in many sizes and shapes (for men and women) so that they are completely discreet and at the same time maximally functional. Incontinence briefs are just as practical.

• Cosmetics for incontinence - leakage of urine is also associated with frequent and recurrent skin problems in the genital area. To solve them or prevent their formation, it is suitable to use cleansing foams, which on the one hand remove impurities from the skin, at the same time have a pH of 5.5 and, also, neutralize odors.

HOW DO YOU PREVENT URINARY INCONTINENCE?

Incontinence can be prevented, for example, by the above-mentioned exercises to strengthen the pelvic floor, but also by maintaining a healthy lifestyle. Regular gynecological examinations and consultations with a doctor in case of any problems are also important.

How do you treat incontinence?

The treatment of incontinence depends mainly on its type and degree. It also depends on the timely and correct diagnosis. Slight urine leakage is usually solved with the help of special exercises, which focus on strengthening the pelvic floor muscles. The non-hormonal supplement I've InkontinStop is also suitable for women during menopause, which helps to reduce urine leakage.

How do you treat stress incontinence?

Regarding stress incontinence, milder stages are often treated with conservative procedures, including rehabilitation, low-frequency pulse electrical stimulation, pressotherapy, or pharmacological therapy. If this treatment is not effective enough, surgery will be started. If the cause is a violation of the urethral sphincter, for example, an artificial one can be implanted.

A standard procedure in the treatment of stress incontinence is also the introduction of a "tape" around the urethra, where it provides support in increasing intra-abdominal pressure. There are several different types of tapes, such as TOT, TVT, TVT-O, Monarc, or others.

In the case of a mild or moderate form, laser incontinence treatment is also applied. In this case, no anesthesia or anesthesia is necessary, the advantage is a reduction in the burden on the body and faster healing.

How do you treat urge incontinence?

In the case of urge incontinence, conservative treatment consists mainly of adjusting the lifestyle and physiotherapy of the pelvic floor muscles, but it also includes a micturition drill or "urination according to the watch". Your doctor may also prescribe parasympatholytics, which are used to loosen the bladder wall and reduce the frequency of urination.

If neither method is successful, applying Botulinum toxin to the bladder wall can help the patient. Sometimes, however, even this treatment is not enough, and in such a case it is possible to proceed to an operative solution. These are operations that increase the capacity of the bladder (myectomy) or the complete diversion of urine from the lower urinary tract. However, these procedures are irreversible.

EXERCISE FOR INCONTINENCE

To strengthen the pelvic floor muscles, it is advisable to try Kegel exercises. They help prevent problems with urine leakage, but they are also suitable for improving the quality of sexual life and for women before and after childbirth. Regular and long-term exercise is important because the results often come after a few weeks.

HERBS FOR INCONTINENCE

For example, pumpkin seeds, which you can get in the form of tablets at the pharmacy, can support the proper function of the bladder. Other recommended remedies include cranberries in any form, coconut tea, pasture capsules, or licorice.

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