Urinary Incontinence Treatment - Female Urology Care
AMVI Hospital offers Female Urology Treatment, which includes stress incontinence, leaking of urine, urinary incontinence treatment. Female Urology also known as Urogynecology is a highly specific branch of Urology that deals with diagnosis and treatment of problems related to the female genitourinary tract.
Incontinence in literal means involuntary leakage of urine. The incontinence could also be urge incontinence or leakage following the inability to postpone urination. It may be stress Incontinence which is leakage on cough or stress.
Most of the men and women suffer from urinary incontinence in silence thinking that it’s an inevitable outcome after multiple childbirths or aging. Even the males also have a prostate which might equally be responsible for incontinence.
Types of Incontinence
- Stress Urinary Incontinence ( SUI)
This type of incontinence happens once the control valve of the bladder outlet is damaged or weakened as a result of multiple causes. This might include pelvic prolapse, multiple childbirths, previous surgery typically prostatectomies in men. This ends up in leakage of urine on any involuntary abdominal stress as an example coughing or sneezing or straining.
- Urgency Incontinence
This type of leakage happens when the incontinence happens when one is unable to delay urination. This happens due to over activity of bladder or uninhibition of bladder contractility. This might be de novo or on its own or it could also be the result of any previous surgery or procedure.
- Mixed Incontinence
When both stress and urgency incontinence occur together.
- Overflow Incontinence
This happens when leakage occurs after inability to pass out urine completely, resulting to spillover of urine outside leading to wetting of clothes.
Causes of Incontinence
- Chocolate
- Sparkling water and carbonated drinks
- Sedatives, blood pressure, and heart medications, muscle relaxants
- Citrus fruits
- Caffeine
- Alcohol
- Chili peppers
- High doses of Vitamin C
Available Treatments for Urinary Incontinence
The patients are often not forthcoming due to embarrassment and taking it as normal part of ageing. The treatment is directed by the cause of incontinence and mostly starts from the basic therapy like treatment with medications.
Evaluation
Includes Bladder Diary that is essentially a record of the fluid that one consumes vis a vis the urine collection charted over couple of days which is an indirect measure of urine output, toilet habits and hydration of the patient.
Along with these basic tests, it also includes Ultrasonography of the abdomen which test the kidneys and bladder and the post void residual urine.
General Urine tests include Urine routine and Culture.
- Uroflowetry : A measure of how fast or slow the speed of exiting urine is, which when scaled against population database provides the appropriate measure of obstruction.
- Urodynamics : It is an elaborate measure of pressure of the bladder measured against the flow and symptoms of the patient. This is often a primary line treatment and is indicated only in rare circumstances when the treatment has unsuccessful or rare causes are suspected as in Neurological causes.
Treatment is started with correction of lifestyle if indicated to drugs and last resort any corrective surgery.
