Urologist warns of urinary incontinence in young women

health

Treatment of urinary incontinence depends largely on the type and degree of the disease, says expert

72% of women over 50 have problems with urinary incontinence from the North to the South of the country, but this is not just a reality for this age group. Younger women also suffer from the condition, which requires attention and prevention, warns urologist Flávio Antunes. The data are from the Brazilian Society of Urology.

“Urinary incontinence is one of the most common problems of the urinary tract and affects women more. It is characterized by the involuntary loss of urine that occurs during exertion maneuvers, such as coughing, sneezing, lifting weight or even changing position, such as getting out of bed. Its frequency increases with age, usually occurring in women over 40 years of age and being very common in older women. It is a very unpleasant condition, where the patient is constantly afraid of urinating in public, causing people to smell it. These women avoid leaving the house or even carrying out the most basic and simple day-to-day activities because they can trigger urine loss,”

highlighted Antunes.

Urinary incontinence can be caused by several factors such as: pregnancy, childbirth, menopause, obesity, chronic cough, impact or strength exercises, among others. According to the Brazilian Society of Urology, one in three people over 60 years of age has urinary incontinence. This happens due to the drop in hormone levels, loss of muscle strength and changes in the bladder.

Urologist Flávio Antunes listed some symptoms so you can seek medical help immediately:

• Sudden onset of urine leakage
• Occurrence of other urinary symptoms
• Excessive thirst and frequent need to urinate
• Difficulty performing daily tasks

“In the case of women, the doctor performs a pelvic examination to detect abnormalities that could cause incontinence, including vaginal atrophy – which is nothing more than menopausal changes in which the vaginal mucosa becomes thinner, drier and less elastic. , which may be accompanied by changes in the urinary tract. We also check for weakness of the pelvic muscles. In general, doctors order imaging tests if they suspect a blockage (obstruction) or an abnormality in the internal organs of the urinary tract,”

explains.

But the test that greatly helps in the diagnosis is the Urodynamic study.

Treatment

According to Antunes, the treatment of urinary incontinence largely depends on the type and degree of the disease. There are surgical, medicinal and physiotherapeutic treatments, each indicated for a specific type of problem.

“In simpler cases, the use of anticholinergics associated with lifestyle changes and physical therapy exercises to strengthen the pelvic floor muscles may be sufficient. In more serious cases, the doctor may recommend surgical intervention with the use of an artificial sphincter and a neural pacemaker, for example,”

alert.

*With information from consultancy

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