¿For that urinary incontinence occurs?
Urinary incontinence is a highly prevalent disease that can affect even more than 20% of women in our country. In men, it is somewhat more limited but there is also a prevalence above 5 % or 6% depending on the pathology presented by the male. Generally the most common urinary incontinence in our country, which is the female, is produced by a mechanical problem, the pelvic floor over the years and with the Parthians weakens, loses its strength and consistency and this makes the urethra not have adequate support when urinating. Whereupon, when abdominal pressure increases patients lose urine through the urethra because it does not have to lean. Fundamentally it is a problem, basically, mechanic.
¿What types of incontinence exist?
We could say that there are two types of incontinence primarily: stress incontinence that is one situation in which the patient coughs, laughs or somehow increases abdominal pressure suffers a loss or leakage of urine. The second most common type of incontinence would urge incontinence that is one situation in which the patient has to urinate and is quite unable to control the desire to void and must quickly find a bathroom to urinate because of not finding the patient urine, urine escapes. There are besides these two are the most common related to any other drug or some kind of disease a little more complex. But to focus on the two most prevalent are two say, stress incontinence and urge incontinence, urge incontinence. They are the two most common.
¿What is the proper treatment?
Treatment of incontinence both of which fortunately are talking today has been simplified quite. Initial treatment of urge incontinence is a pharmacological treatment and the patient does not respond to these pharmacological treatments there are several options such as neurostimulation of the posterior tibial nerve or injection of a substance such as botox, intravesical, that achieve most high percentage reducing problems of urgency. For stress incontinence, with also quite prevalent as mentioned, the treatment is radically different. Being a mechanical problem, as we have previously said, the main treatment is to be a surgical treatment based on the pelvic floor provide adequate support for the urethra when abdominal pressure increases, have a place to support and so not leak urine. Fortunately today this surgery is very advanced, they are not requiring surgical techniques beyond 30 or 40 minutes and the results are, frankly, very good.