Urinary incontinence and genital prolapse

First: Urinary incontinence

Urinary incontinence is one of the most important health problems facing women, a term called bladder weakness and scientifically called incontinence, which is represented by the weakness of the bladder and its inability to hold the urine and has multiple degrees from which the light begins to drop a few drops of urine involuntarily and until it reaches in the extreme stages of it to the inability to control the control of the smallest amount of urine and at the age of 50 a large proportion of women suffer from the problem of incontinence.

Types of Urinary Incontinence:

Urinary incontinence is characterized by a sudden feeling in the patient urgent need to urinate so that the need is very high to urinate and the patient cannot even reach the toilet and in the advanced stages of it this is repeated during the hour several times.

Stress urinary incontinence is characterized by a significant weakness in the pelvic muscles so that any simple pressure on the abdomen leads to involuntary urination as it can induce physical exertion and coughing and in the advanced stages of it suffer from involuntary urination as a result of any minor movement in the case of standing or lying down.

Urinary incontinence is characterized by a macho muscle failure due to a neurological disorder, which leads whenever the bladder becomes full and is discharged involuntarily.

Urological incontinence can be caused by a neurological disorder that may be the result of plaque sclerosis, paraplegia or Parkinson’s, and the patients do not feel if the bladder is full or empty where the urine is reflexively discharged beyond the patient’s control.

Urinary aureus is the cause of this incontinence outside the urinary tract and is associated with the presence of a channel (hemorrhoids) that connects with the patient’s urinary tract and pours either into the intestines or in the vagina and the urology in this type can never control the flow of urine.

What treatment options are available to solve the problem of incontinence in women?

The following treatment options can improve the problem but not solve it definitively and immediately:

• Lose weight.
• Bladder exercises.
• Pelvic area exercises.
• Drug treatment.Surgical methods

Remain the best for solving the problem of incontinence, including: surgical procedures and methods for the treatment of stress incontinence.

TVT vaginal tape:

is a simple and uncomplicated process that takes 20 to 30 minutes and is performed under lumbar anesthesia so that a small surgical incision is performed in the vagina and a simple tape is placed that keeps the urethra stable in place and fastened with a plastic belt with one and a half centimeters thick in the middle of the urethra area directly on the pubic bone or around the pubic bone.

The surgery is performed

By cutting the lower abdomen and vagina with ligaments around the neck of the bladder to support it and prevent urine leakage.

Vaginal suspension

Is performed either in the form of traditional surgery or through endoscopy, by placing stitches in the vagina on both sides of the urethra and tying these stitches to the ligaments supporting vaginal lift and supporting the urethra, which leads to reducing or stopping the infusion.

Amplification of the urethra:

Is closer to the procedure because it is simple and is done through the use of urethra amplifiers injected into the wall of the urethra and done through the bladder endoscopy without the need to perform any surgical cut in the skin.  The effectiveness of this procedure is weak because it reduces its effect over time and its side effects are a feeling of burning and a slight drop of blood during urination.

Surgical procedures and methods for the treatment of urgent incontinence:

Botox injections:

Injected into both sides of the bladder to treat urgent incontinence in patients, resulting in bladder relaxation and the effect of this process lasts for several months, making it necessary to inject Botox every several months for longer-term effect.

The stimulation of the sedentary nerve is done by stimulating the sedentary nerves at the base of the back responsible for transmitting signals from the brain to the muscles that control the process of emptying urine when urinating and this process is effective if the cause of urgent incontinence is the contraction of the constriction muscles.

The sedentary nerves are stimulated by inserting a device nearby and then an electrical current is sent from the device to the sorial nerve, which improves signals between the brain and the muscles of the bladder, thereby reducing the desire to urinate.

Stimulation of the posterior tibial nerve or fissure: The fissure nerve extends from the lower leg to the ankle and contains nerve fibers starting from the same place as the nerves that fanaticize the bladder and pelvic floor.

The splinter nerve is stimulated by the introduction of a very thin needle through the skin of the ankle and a light electric current is sent to push the foot to move.

You may need 12 30-minute stimulation sessions with a seven-day interval between sessions.

Zein Clinic has an integrated health system starting with its specialized centers equipped with the latest medical equipment and under the supervision of the highest experienced gynecologist.

Second: uterine prolapse

What surgeries are possible in the event of uterine prolapse?

Uterine prolapse is an important health problem experienced by women, especially women who have reached menopause, and we will talk about surgeries in the event of uterine depression, but first let’s get to know more about the problem of uterine prolapse in women.

What is uterine prolapse?

Uterine prolapse or uterine prolapse is the departure of the uterus from its normal place to the vagina due to weak ligaments and muscles that stabilize the uterus, and in most cases uterine prolapse is treated surgically.

What factors play a role in determining surgical procedure in the treatment of uterine prolapse?

• The patient’s age.
• The patient’s desire to have children.
• General health status of the patient.

Uterine prolapse is repaired by surgery through two operations:

Repair of weak pelvic tissue

In this surgery the uterus is lifted and returned to its place by reconnecting and tightening the weak ligaments of the pelvis to the lower part of the uterus allowing it to be installed in place, and in this process the surgeon can start it either through the vagina or through the abdomen, and the risks that can occur during surgery sepsis where the wound, bleeding, pelvic pain, pain during intercourse and injury of neighboring organs during surgery and clotting Blood in addition to incontinence.

Complete hysterectomy

It is a major surgery performed by causing an incision either in the vagina or in the abdomen and then hysterectomy and the operation is performed under general anesthesia and is an effective treatment for the problem of uterine prolapse, but after this procedure the patient loses her ability to have children for life.

The risks that may occur during hysterectomy, especially since it is a major operation that requires an expert surgeon:

• The location of surgery.
• Chronic pain.
• hemorrhage;
• Injury to the surrounding anatomical structures.
• Hemorrhoids, which are an abnormal channel between the vagina, bladder or rectum.
• Vaginal prolapse
• incontinence.
• Coagulation.

Zein Clinic has an integrated health system starting with its specialized centers equipped with the latest medical equipment and under the supervision of the highest experienced gynecologist.

 

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