Incontinence Treatment Approaches And Pelvic Floor Rehabilıtation
Urology

Incontinence Treatment Approaches And Pelvic Floor Rehabilıtation

    Incontinence is sneezing the involuntary leakage of urine. The person may experience urinary incontinence with coughing, and feeling of overflow.

    Depending on this situation, the quality of life of the person decreases and psychosocial effects may also be experienced. In our hospital, type of incontinence is diagnosed with a multidisciplinary approach and appropriate treatment approaches are decided at council meetings and treatment is offered. Pregnancy, childbirth and menopause processes in women cause weakening of the pelvic floor muscles and cause urinary incontinence. Bladder and uterine prolapse may also be the cause of urinary incontinence. In addition, secondary incontinence complaints may occur after gynecological surgeries and surgical interventions, especially for prostate tissue in men or medical treatments.

    Types of urinary incontinence

    Caused by pathologies occurring in the storage phase of the bladder

    1- Urge urinary incontinence

    2- Stress type urinary incontinence

    3- Mixed type urinary incontinence

    Caused by pathologies occurring in the excretory phase of the bladder

    4- overflow type incontinence

    5- Functional type incontinence

    Stress type urinary incontinence

    It is the involuntary leakage of urine during exertion, exercise and activities such as coughing, laughing, sneezing etc. Urinary incontinence in SUI may be a few drops, or it may be more to wet a pad.

    Diagnosis in urinary incontinence

    3-7 day urination diary

    Urinary incontinence inquiry form

    hysical examination (abdominal, genital, rectal and neurological examinations)

    Special tests: Provocative stress test, Q type test, pad test, evaluation of the amount of urine remai-ning in the bladder after increased urination by la-boratory and USG, urodynamics

    Stress urinary incontinence surgical treatments

    1-Midurethral Slings

    Mini sling

    TVT

    TOT

    Retropubic Colposuspensions

    Burch

    MMK

    Pubovaginal Slings

     

    2-Bladder Neck Injection Treatments

    3-AÜS and pro-ACT

    Pelvic floor rehabilitation in urinary incontinence

    Pelvic floor is a muscular structure that covers the bottom of the pelvis and supports the bladder, uterus, and large intestines and wraps them like a hammock. Physiotherapy applications to solve the problems of weakness or excessive activity in these muscles are called pelvic floor rehabilitation.

    What does pelvic floor rehabilitation involve?

    Physiotherapy applications for pelvic floor muscles are non-surgical procedures and do not involve any intervention. Techniques used in pelvic floor rehabilitation;

    • Pelvic floor muscle training and exercises
    • Posture training and exercises
    • Patient training and lifestyle changes
    • Toilet training
    • Pelvic floor exercises with EMG-biofeedback
    • Electrical stimulation
    • Magnetic innervation
    • Tibial Nerve Stimulation
    • Myofascial relaxation techniques and massages