Urinary incontinence is defined as the complaint of involuntary loss of urine. It is common in the general population, prevalent in women, and increases with age. It can also appear in younger women of childbearing age, usually as a postpartum problem.
Despite its frequency and major impact on women’s quality of life, urinary incontinence continues to be underdiagnosed and under-treated. Many of the difficulties in seeking medical help for urinary incontinence stem from the fact that many women feel ashamed or ashamed, or the importance of the problem relative to other pathologies considered to be more severe, or because of preconceived notions as the relationship between symptoms and aging. or high number of births. Likewise, there are people who fear that health professionals will devalue their complaints or who do not believe in the effectiveness of treatments.
During this time of the pandemic, there was a decline in the demand for medical care for fear of hospitalization. The urinary incontinence, which was not considered a “disease”, has undoubtedly been left behind. Health units follow protocols and circuitry to ensure the safety of patients and healthcare professionals. You should therefore not postpone travel to hospitals, be it for a consultation, examination or treatment.
Follow-up care at a urogynecology consultation is recommended for women with urinary incontinence or pelvic floor pathology ranging from large urogenital prolapse to small perineal tears.
The International Continence Society describes three dominant forms of urinary incontinence:
Stress Urinary incontinence or stress in which the loss of urine occurs when intra-abdominal pressure increases, e.g. B. when coughing, jumping, laughing, sneezing or exercising. Urgent urinary incontinence, in which the loss of urine is associated with an urgent need to urinate. The patient cannot get to the bathroom in a timely manner, resulting in minor or total loss of urine. It’s often associated with simple everyday gestures, like washing dishes or putting a key in the door when you get home. Mixed urinary incontinence in which patients may experience symptoms of stress or urgent urinary incontinence.
Urinary incontinence may be associated with other symptoms or signs, such as: B. Frequent night wakes to urinate, recurrent urinary tract infections, hypogastric severity, burning and vulvo-vaginal itching, lack of vaginal lubrication, or difficulty having a “ball” or “egg” sensation in the vagina while urinating or defecating, given the frequent occurrence Association with genital prolapse.
The study at the urogynecological consultation, urinary incontinence and pelvic floor pathologies, is mainly clinical. Performing the urodynamic examination and pelvic ultrasound may be necessary to define the most appropriate therapeutic strategy.
The therapeutic approach is personalized and adapted to the woman’s phase of life. Treatment in mild situations can be counseling, education, and teaching, and can prevent urinary incontinence from worsening. In more serious situations, pharmacological treatment (drugs) or pelvic floor rehabilitation through physical therapy or surgical treatment may be required, and the different treatments may need to be combined. The surgical treatment indicated for stress urinary incontinence has advanced over the past few decades with generally excellent results. However, the successful operation must be performed by specialized and experienced surgeons and follow the correct diagnosis.