What is Urinary Incontinence?
Urinary incontinence is an involuntary urinary incontinence that is objectively indicated and poses a social or hygienic problem. Many people nowadays have an incontinent incontinence problem due to an increase in intraabdominal pressure in situations such as sneezing, coughing, sneezing, heavy lifting, stair climbing. Urinary incontinence and urinary incontinence problems are more frequent in women than in men. The frequency of females varies between 20-40% according to different publications.Although the frequency of sight increases with age, it should not be regarded as a natural finding of aging.
Urinary Incontinence TVT Operation
Urinary incontinence that occurs when intraabdominal pressure increases such as coughing and laughing is called stress type urinary incontinence and the treatment is surgery. TOT operation is the most recent operation used in stress type urinary incontinence. In this operation, a band of 1 cm width is placed under the urethra, which is the organ that drains the urine from the urine bag. This band is made of surgical threads and does not react on the body.
How to Evaluate a Patient from Urinary Incontinence Problem?
The first is to identify the type of incontinence, the most important of which is the differential diagnosis of stress incontinence, and the evaluation and screening of other incontinence types. The hospital begins with routine laboratory tests including a detailed storytelling, physical examination, complete urine analysis (TIT), urine culture and renal function tests. The most definitive diagnosis of incontinence is made by a gyneco-urological examination. Detailed questions are asked about the incontinence and voiding habits of the onlooked patient. Again, all neurological diseases that may lead to urinary incontinence, diabetes, gynecological operations that have already been experienced are questioned in detail. Most importantly, when planning the treatment, the patient has had to undergo surgery for urinary incontinence and the medications used. Physical examination is extremely important in determining the type of urinary incontinence problem. A number of tests are performed by the physician on the physical examination.The most common of these tests are the "Marshall test", which is performed by removing the bladder neck from the vaginal route, and the "Q type test", which measures the bladder neck motility with the help of a cotton tipped rod. When planning the treatment of the patient, the expectations of the patient, the differences in the quality of life of the treatment, and the treatment method are discussed in detail with the patient.
Dr. Nuh Gumustekin