What is urinary incontinence and what types are there?
La Urinary incontinence It is the involuntary loss of urine. There are fundamentally 4 types of incontinence within the urination disorders in women. We can say that the most frequent one that means an 50% of urinary incontinence is the stress or stress incontinence that is the one that is conditioned to physical efforts or abdominal contracture. The other type of urinary incontinence that exists is that of urgency that is related to the imminent desire to urinate. There is another type of incontinence that is overactive bladder, the need to urinate repetitively on several occasions. We have another type of urinary incontinence that is mixed, a mixture of symptoms between urge urinary incontinence and urinary stress incontinence.
How can you prevent the loss of urine?
The main thing is the change of life habits based on a series of aspects such as smoking, obesity and moderate diet fundamentally. Some people suggest that by lowering an 5% of the initial weight, we can have a significant impact on women's urinary incontinence.
What are the conservative treatments of urinary incontinence?
There are conservative treatments such as pelvic floor rehabilitation that is very important. Rehabilitating pelvic floor muscles is very important in incontinence, especially in stress incontinence and mixed incontinence. In this case in conservative treatments we can use some methods such as intravaginal devices.
Do you want more information about the treatment of urinary incontinence with Dr. Jorge Vaquero?
What are the pharmacological treatments of urine loss?
We have pharmacological treatments that are the most commonly used drugs such as Fesoterodine, Solifenacin, Imipramine, Propiverine ...
How is the surgical treatment of urinary incontinence?
The surgical treatment consists of operations such as the Burch operation, which is more complicated because it has meshes, fixings, etc. There are other operations such as suburethral bands that are simpler and more modern, TVT and TOT, which consist of placing slings below the urethra and the very simple tension-free band of a single incision that is the most used at this time. .
How is the laser treatment of urinary incontinence?
El laser treatment It is a very new vulvovaginal treatment that is used especially in menopausal patients and in relation to postpartum and puerperium. The CO2 laser is based on a spot or focal point that allows us to perform several interventions in our specialty such as vaporizing, splitting, incising and also allows us in many cases with the new advances of these technologies to use the laser from the point of view. fractionated or pulsed view. There are programs for vaginal laxity, for urinary incontinence and for the genito-urinary syndrome of menopause.
