The bladder, commonly referred to as the urinary bladder or urinary sac, is the area where urine from the kidneys is stored. The contraction and relaxation of the bladder muscles are controlled by the nerves in the area and the brain. As the bladder fills, it expands, and the muscles at the lower end of the bladder help keep the opening closed. Urinary incontinence, medically known as urinary incontinence, refers to the inability to control urination, resulting in involuntary leakage.

Urinary incontinence affects 15-30% of women aged 65 and older, and up to 50% of those receiving home nursing care. This condition can have a significant impact on women's social, clinical, and psychological well-being. There are different types of urinary incontinence, including genuine stress incontinence, urgency incontinence, overflow incontinence, mixed incontinence, and incontinence caused by anatomical abnormalities in the urinary tract.

Depending on the cause of the condition, gynecologists, urologists, and neurologists can assist in managing this issue. Before visiting a doctor, it is recommended to keep a diary for at least two days, recording the frequency and intensity of urination and the number of episodes. The patient's symptoms, including their details, duration, frequency, and severity, will also be gathered through a questionnaire.

During the diagnosis and treatment phases, various methods can be employed.

In non-surgical treatments, the goal is to address the underlying causes of urinary incontinence. Pelvic floor exercises (Kegel exercises) are highly effective in strengthening the pelvic floor muscles and managing urinary incontinence.

Bladder training aims to establish a habit of visiting the toilet at specific intervals. This method is typically recommended for individuals with urgency incontinence or urge-related leakage.

Electrical stimulation is a technique that uses low-level electrical currents to stimulate the pelvic floor muscles. This approach may help strengthen the muscles and improve control.

For more detailed information on urinary incontinence, please refer to the related section on our website.

When looking at surgical treatment options for urinary incontinence, we come across procedures performed through abdominal and vaginal approaches.

Cystocele Repair Surgery is one of the most commonly performed surgeries. Vaginal sutures are placed under the bladder to correct and support bladder prolapse.

Sling Procedures are among the most commonly used surgical treatments. A small sling is placed beneath the urethra to support it, preventing urine leakage during physical activity. Slings can be made from synthetic materials or tissue strips taken from the patient's own body.

Bladder Neck Suspension is a procedure that lifts and stabilizes the bladder neck and urethra to provide better support to the pelvic bones. This procedure is typically performed through an incision in the abdominal area.

Artificial Sphincter Implantation is often preferred for severe urinary incontinence, particularly in men. An artificial sphincter is placed around the urethra to control urination.

Injections involve injecting special substances around the urethra to narrow and support it, preventing urinary leakage. This procedure is generally less invasive and can be done under local anesthesia.

Botox Injections are used for urge incontinence (urgent urinary leakage). Botox is injected into the bladder to reduce the overactivity of the bladder muscles, helping to control the frequency of urination.

For more detailed information and support regarding these procedures, please contact us through the communication number provided on our clinic's website.