Is it possible to reverse urinary incontinence? Learn more about the condition – Cities on the Net

Urinary incontinence is a urological problem that affects nearly half of women over the age of 40. The condition is usually caused by a weakening of the pelvic floor muscles and urinary tract, but symptoms can appear even before the near menopausal period.

Leakage of urine can occur early due to genetic predisposition, brain or spinal problems and even risk factors such as physical inactivity, vaginal birth, obesity, stress, smoking and food.

Symptoms begin with loss of urine on exertion, especially during high-impact physical activity, and progress to coughing or sneezing. Over time, it becomes difficult to control urine, resulting in a constant need to rush to the bathroom. However, experts say urinary incontinence is reversible with proper treatment.

Gynecologist Caio Couto, from the Anchieta Hospital in Brasilia, explains that it is not normal to have urinary incontinence and that patients must seek treatment so as not to affect their quality of life. “It’s important for the patient to know that she can see a doctor, that this is a problem with a solution,” says Caio.

Gynecologist Daniela Nogueira Barros Rocha recommends exercises and physiotherapy to strengthen the pelvic floor, but warns that, depending on the case, surgery can bring the best result.

The doctor specifies that the main types of urinary incontinence are: stress incontinence, overactive bladder and mixed incontinence. See the characteristics of each:

stress incontinence

Stress incontinence usually occurs due to weakening of the pelvic floor muscles that support the bladder. It can also be caused by injury or weakening of the urethral sphincter.

The disorder is characterized by loss of urine related to physical exertion, such as high-intensity exercise, coughing, sneezing, laughing, or weight bearing.

The gynecologist indicates that the best treatment is usually surgery. The procedure consists of the correction of the prolapse, also known as a loose bladder or low bladder.

Another option is the implantation of a sling in the urethra. The sling is a band inserted into the vaginal canal that acts as a barrier to contain urine. According to the Portal of Urology, this procedure improves urinary incontinence in 70-90% of patients.

overactive bladder

Overactive bladder or urge incontinence is usually accompanied by increased frequency of going to the bathroom and nocturnal urinary incontinence. It is due to an involuntary contraction of the bladder. In this case, the doctor recommends drug treatment combined with pelvic physiotherapy, such as Kegel exercises.

It should be remembered that not all patients with an overactive bladder suffer from urinary incontinence, but when there is leakage of urine, it should be assessed whether it is caused by this condition.

mixed incontinence

This incontinence is, as its name suggests, a combination of the two previous types. In this case, the recommendation is to combine drug treatment with perineal physiotherapy and surgery.

Source: Metropolis

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