Urge incontinence is defined as an involuntary loss of
urine associated with a compelling urge to empty the bladder. Thus if a person
with a compelling incentive can not reach the toilet in time (and sometimes the
weather can be very short notice), empty the bladder, even completely,
everywhere. If the unstable bladder contractions occur during the night, the
person may wet the bed during sleep.
Cases
overactive bladder: a case may be a brain injury at the center of control of
urination. Often the sensitivity is maintained, and the person knows to urinate
urgently, but can not stay until you reach the bathroom. The degree of urgency
and incontinence varies from person to person. Sometimes the neurological damage
is not clinically detectable (motor urgency).
urethra or bladder infections (cystitis) may cause frequency and urgency.
receptor hypersensitivity to distension of the bladder and urethra, which
implies the need to urinate at an early stage of filling the bladder (sensory
urgency)
Therapy
The treatment of urinary incontinence includes three possible treatments:
rehabilitation, medication and surgery.
Rehabilitation therapy provides specific exercises combined with electrical
stimulation aimed at strengthening the pelvic floor muscles and urinary
sphincter. Useful forms of stress incontinence or intrinsic sphincter deficiency
in mild forms of prolapse because it gets a pelvic muscle toning. The long-term
results are satisfactory but require periodic re-treatments.
Drug therapy (Tolterodine, Trospium chloride, oxybutynin, etc..) Is given to
treat idiopathic detrusor overactivity. In case of hyperactivity secondary will
need to take action on specific cause (urinary infection, bladder stones, cancer,
etc.).
Principals have been prepared recently pharmacological (duloxetine) useful in
stress incontinence, with satisfactory results. This drug, reducing the
selective reabsorption of serotonin and adrenaline, the concentration increases
with increasing tone and contractile ability of the external urinary sphincter.
Treatment relies on surgical interventions that aim to correct selectively
altering that led to urinary incontinence, ranging from endoscopic treatments (reinforcement
urinary sphincter periurethral injection of various substances) than minimally
invasive (TVT, TOT , etc.) to more complex surgical approach to abdominal. The
choice of treatment depends on alteration to be corrected and the
characteristics of the patient.
Currently the most widely used surgical approach in the treatment of stress
incontinence is the transobturator urethral suspension (TOT) using a strip of
polypropylene of approximately 1.5 cm wide that is passed bilaterally through
the obturator foramen using a two special needle and positioned below the
urethra without tension through a minimal vaginal incision. And 'minimal
intervention carried out in DH, or with two or three days of hospitalization. No
major complications are described and the cure rate is very high (more than
eighty percent).
. Often people suffering from incontinence after prostate surgery. Part of the
muscles of the pelvis and pelvic nerve structures are damaged or no longer
present. The method ORGAWELL ® activates these muscles damaged, rebuild them and
strengthens them.
Over 90 per cent of men fail to resolve the problem of incontinence: This is
confirmed by eminent urologists. Diapers are absorbent or unnecessary, man can
go back home without worries.
Even if weak bladder simple therapy ORGAWELL ® for the first time in Europe, is
of great help. It is easy to do at home, you do not need a cure. Within weeks,
the quality of life of people suffering from these disorders is improved
significantly.
.. IncontinenzaUn myth to debunk: Urinary incontinence is not an inevitable
consequence of age but an illness and is treatable! Over 2 million women over
the age of 35 suffer from urinary incontinence in Italy but the estimates
confirm the experts, is failing. The treatment options are different today. Want
to know more?
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