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Definition of urinary incontinence

Urinary incontinence is characterized by the condition in which involuntary urine loss occurs continuously or intermittently. The usual age of onset is after the fortieth year.
Following this occurs:
a) Social self-isolation - impact on the psyche.
b) charge
c) skin lesions

25% of men and 45% of women older now affecting incontinence, one of the most prevalent diseases in the world, with serious consequences in the daily life of the person suffering from the problem.
Unfortunately, in our country remains a disease taboo, as the majority of sufferers do not visit the doctor, (only 4% of the cases mentioned the problem to their doctor) because of shame or ignorance about important treatment prospects.

With the new methods, pharmaceutical or surgical, incontinence can be a bad memory for those who make the decision to visit their doctor. As noted injuries childbirth for women and prostate problems for men, are the main causes of incontinence, which is mainly the elderly, since the productive age does not exceed 8%.
Terms anatomical-physiology in women:
The pelvic floor consists of muscles:
a) pelvic diaphragm and the muscles of the inner layer.
b) the urogenital diaphragm and the average layer
c) the outer layer and the same perineum.

Of particular importance is the function of the levator ani muscle. With this mechanism in the contraction that narrows the space of the legs and squeezes the urethra, vagina and intestine so that the pelvic floor pulled over while gripped the urethra above the symphysis.
The female urethra is 4cm and distinguished in pelvic and perineal fate. The external sphincter of the urethra is developed in middle third point at which the urodynamic examination because the maximum intraurethral pressure.

Urinary incontinence in women.
According to the INTERNATIONAL CONTINENCE SOCIETY distinguish:
1. Stress Incontinence
2. Urinary incontinence
a) motor type
b) aesthetic type
3. Urinary incontinence by automation or bladder reflex incontinence
4. Incontinence Overflow
5. Non-urethral incontinence or urinary incontinence without urethral insufficiency.
The frequency of this is:
60% of effort
10% incontinence
20% effort and urge together (Mixed)
10% of all other types.

Stress urinary incontinence (Stress Incontinence)
It concerns 60% of cases and this is secretion of urine in cases of effort for lack of sphincter. Depending on the severity distinguish three degrees:
1st grade: incontinence in cough, tenesmus, sneezing, weight lifting.
2nd grade: incontinence in standing, standing up, walking.
3rd grade: incontinence during cushioning.

Incontinence occurs suddenly, usually causing surprise and horror to the patient, who does not know what's happening. When understands what suffering, usually chooses to hide the problem instead of the face and get rid of it. Aside from psychological problems, chronic incontinence can create health problems such as urinary tract infections and cystitis, which required longer leads the patient to the physician.

Potential solutions.
Depending on the form of the problem, the doctor recommends medical or interventional therapy. New medications are very effective, as they are accompanied by significant side effects. For example, the substance tolterodine acts selectively on the bladder and therefore does not cause side effects associated with other body systems, such as dry mouth. Even more progress has been made and the field of interventional therapies. The doctor now has to choose between a series of new revolutionary methods, depending on the case and the problem of the patient.

Such methods are:
• The electro-stimulation. Special device irritates nerve endings, with result to be significantly improved the behavior of the bladder.
• The periurethral injections. (Dexell SUI) New, much improved materials, imported around the urethra and enhance its operation.
• The artificial sphincter (Remeex). Very effective adjustable mechanical device that is surgically implanted and puts pressure on the urethra.
• The slings or movies, (Remeex). Method perfected recently and offer great efficiency. The movies come in around the urethra, the pushing and closing.
The interventional techniques are not only highly effective but also cheap, compared to what they offer to the patient, as "there is no better feeling than to permanently exempt from a problem in torment for years and your difficult life" ...


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