Urinary tracts problems are common and may occur for a variety of reasons. Although remedies can improve or cure up to 80% of incontinence with treatment, unfortunately only one out of every 12 patients goes to a doctor for treatment. Therefore, in this article we discuss the control and treatment of this problem.
Urinary incontinence is not a disease in itself and is a symptom that can have different causes. So the first step in treating this problem is to find a cause. It is necessary to get a complete medical history and examination of the patient to determine the cause of urinary incontinence. Other diagnostic measures may include urinalysis or culture tests (or both), particularly to check for or exclude urinary tract infection, blood tests, bladder ultrasound, pelvic and urinary tract examination to assess the anatomy of these organs, or for infection and imaging using X-rays of the bladder during urination and after emptying. Correct diagnosis of the cause is very important because it determines the treatment. Here are some ways to control and treat urinary incontinence:
Drinks containing caffeine and chocolate-containing foods generally increase urine levels and exacerbate the urge to urinate. Tea, coffee, energy drinks and a variety of beverages containing caffeine and carbonate are in this category. Restricting the use of these fluids, especially before leaving home, where outside is more difficult to access toilets, or after sunset and close to bedtime, can be effective in controlling urinary incontinence in some people. Alcohol consumption should also be limited, as consuming even one can of beer can increase urine levels and exacerbate an emergency.
Having adequate mobility and weight control
Some types of urinary incontinence, especially stress incontinence, are more common in obese people and weight gain and abdominal fat exacerbate this problem. Exercise, adequate mobility and proper diet can alleviate this problem
Regular Scheduling for Toilet Use
This method helps people who have an Urge Incontinence or a Reflex Incontinence to avoid being in an emergency. Your doctor may advise you to go to the toilet every two to four hours, or at specified hours, according to your doctor. Following this procedure and under the supervision of a treating physician, one may slowly increase the time gap between using the toilet and, in fact, training the bladder to maintain more urine and control the state of emergency. This is called Bladder Re-training.
Pelvic Muscle Rehabilitation
In this method, specific exercises are used to alternate and relax pelvic muscles to strengthen these muscles. These exercises are also known as Kegel Exercise. Other exercises include vaginal weight training with Vaginal Weight Training. Both of these methods are best done after consulting a physician and receiving the necessary training. Pelvic muscle rehabilitation exercises may also be followed by specific techniques such as Magnetic Therapy.
Increasing the amount of urine or urinary incontinence can sometimes be a side effect of certain medications that discontinuation of such medication can resolve a person’s problem. Some people may also be prescribed medications to treat or improve their incontinence problem. This indicates that anyone with urinary incontinence should be sure to consult their physician and not delay treatment for reasons such as shame and embarrassment.
Electrical Stimulation for Overactive Bladder
In people with overactive bladder who do not recover from any of the above methods, it may be suggested to use an electric current generator which helps the individual to have better control on their bladder. Of course, this is not possible for all cases of urinary incontinence.
If all of the above methods fail, different surgical procedures may be used at the discretion of the physician. For example, for obese people and those with Urge Incontinence who may have a urinary leak from coughing or laughing, Bladder Neck Surgery may be used. In this procedure, the so-called lowere bladder is surgically lifted. Other methods include inserting a synthetic urine valve and injecting collagen around the urethra.