Urinary incontinence in old age treatment. Helpful information

With age, the chances of the emergence of problems with the urinary system are growing. One of the most common inconsishes is the incontinence of urine in the elderly, which is often fixed in women and men whose age exceeds 60 years. Such a disorder is manifested in the form of an involuntary separation of urine during everyday activity (for example, when lifting heavy items, sneezing, cough, and so on), which brings serious inconvenience to men and women and causes a desire to cure a parable as soon as possible.

About the problem

The incontinence of urine is a characteristic sign of old-age organism and its systems, deviations and disorders of which are the cause of the formation of the described phenomenon. At the same time, in old men living in various conditions, the frequency of development of the disease is uneven. Disorder detected:

5-15% of the elderly people living in housems;
in 20-30% of the old age patients who were hospitalized;
in 70% of residents of nursing homes.

Causes of occurrence

In the prealtimate number of cases, urinary incontinence (both day and night) is due to various pathological processes occurring in the body. First of all, they include cystitis and utility. Also among the reasons you can allocate the formation of bedding, medical procedures (for example, too frequent administration of the catheter in the bladder). In addition, such a condition often appears after the micrification.

But the main cause of such disorder doctors consider the weakening of the urinary bubble sphincters serving to hold Urin. At the same time, women are stronger than the formation of such a deviation. This is due to the change in the hormonal background during menopause and braking the metabolism.

Symptomatics

Patients suffering from urinary incontinence note that a frequent satellite of the disease is the feeling of a foreign body in the vagina or urethra, the increase in urges to urinate and the appearance of a sense of incomplete emptying. The last symptom is associated with the fact that patients really cannot empty the bladder for various reasons, among whom a significant deterioration of its tone.

Diagnostics

Before appointing treatment, the doctors establish the culprit of the appearance of incontinence in the patient. To do this, a complex of diagnostic procedures is used, and this list includes:

consultation at the gynecologist (for women);
ultrasound examination of the organs of the urinary system (primarily the kidneys and bladder);
uroofloometry, cystometry and profilometry, as well as other ways to observe urodynamics;
fibrocystoscopy (patient examination method using a soft cystoscope);
compilation of the diary of urinary (in it is recorded the number of hikes in the toilet per day, indicating the volume of the isolated liquid).

Methods of treatment

Depending on the patient's complaints, as well as the reasons for the appearance of the disease and the degree of development, various treatment options are prescribed to which drug, surgical and other methods relate. The selection of the necessary method is carried out by the attending physician, taking into account the results of the diagnosis. At the same time, the greatest efficiency was noted when using complexes of therapeutic measures.

Drug

Treatment with drug use is aimed at reducing bladder reductions. For this purpose, antidepressants and antispasmodic drugs are used (they include spasmis, tolterodine and pantogam), the use of which people in the scenitry must occur under the control of the doctor. In cases where incontinence is stressful, adrenomimetics are used, increasing the tones of sphincters and urethra.

In women in the period of climacterium, hormone-plating therapy is characterized by good effectiveness, as well as the use of local ointments and gels aimed at eliminating unpleasant sensations and itching.

Surgical

Not in all cases, conservative methods are characterized by high efficiency. This causes the periodic need to apply surgical intervention. First of all, the method of surgical treatment is necessary in cases where the patient is diagnosed with stress incontinence of urine. However, its use is possible and when the urgent form of the disease is detected. Among the operations carried out during surgery, there is a complete removal of the bladder, which is accompanied by implantation of an artificial sphincter or the removal of the prostate gland. The most modern method is considered to use a laser.

other methods

Other methods of treatment of urinary incontinence in older people include vitamino and physiotherapy, as well as various means of traditional medicine. Among the latter, Sage and Hypericum permanent decractions were especially shocked, lingonberry leaves with rosehip fruits, as well as millennian inflorescences and other herbs. During physiotherapy, it is necessary to make special exercises necessary to strengthen the muscles of the pelvic bottom, legs, press. In order to avoid the appearance of skin diseases caused by the leakage of urine, it is recommended to use urological gaskets.

Prevention

There are simple rules that should be observed to avoid premature development of the described disorder. First of all, it is necessary to observe the drinking mode, using a sufficient volume of fluid throughout the day (not to limit yourself if you wish to drink, but also not drinking too much). In the shortest possible time to empty the bladder when urinary urges appear.

Normalization of lifestyle

The main role during the prevention plays the lifestyle, which a person adheres to. First of all, it is worth abandoning bad habits (smoking, excessive alcohol consumption). In the presence of overweight, it is necessary to bring body weight to normal values. When any diseases associated with the urinary system appear, it is necessary to immediately contact the doctor and conduct timely treatment (while it is impossible to drink tablets on their own without the recommendations of the doctor). In addition, prophylactic medical examinations should be performed periodically.

Differ training using a drink mode

In some cases, the cause of the advent of urine incontinence in people of old age becomes the weakening of the bridge of the bladder (the muscles necessary for the removal of urine from the human body). Experts recommend to train the described organ, and one of the ways is a special drinking mode. Help in its compilation can have a attending physician, as it is able to do this, taking into account the individual characteristics of the patient's body.

Kegel exercise

During physiotherapy with special exercises when urinary incontinence in older people (especially women), special attention is played by the Kegel technique. The exercise complex is necessary to bring into the tone and strengthen the muscles of the pelvic bottom. In the daily activities of the muscles of this category, they are practically not involved, and therefore, with time (or after delivery), their elasticity and strength deteriorate significantly.

Dr. Arnold Kegel developed a system of exercises for women suffering from urinary incontinence due to the weakness of the pelvic dna muscles, in the middle of the 20th century. The main attention was paid to the muscles supporting the internal organs (uterus, bladder and the rectum). The execution of this complex ensures the elimination of their omission, which helps to get rid of urinary incontinence. Particular attention is paid to strengthening vaginal and lobkovo-cleaned muscles. At the same time, there is an improvement in the blood supply to the organs of the small pelvis.

About the problem

5-15% of the elderly people living in housems;
in 20-30% of the old age patients who were hospitalized;
in 70% of residents of nursing homes.

Causes of occurrence

Symptomatics

Diagnostics

Before appointing treatment, the doctors establish the culprit of the appearance of incontinence in the patient. To do this, a complex of diagnostic procedures is used, and this list includes:

consultation at the gynecologist (for women);
ultrasound examination of the organs of the urinary system (primarily the kidneys and bladder);
uroofloometry, cystometry and profilometry, as well as other ways to observe urodynamics;
fibrocystoscopy (patient examination method using a soft cystoscope);
compilation of the diary of urinary (in it is recorded the number of hikes in the toilet per day, indicating the volume of the isolated liquid).

Methods of treatment

Drug

In women in the period of climacterium, hormone-plating therapy is characterized by good effectiveness, as well as the use of local ointments and gels aimed at eliminating unpleasant sensations and itching.

Surgical

other methods

Prevention

Normalization of lifestyle

Differ training using a drink mode

Kegel exercise

Implanting urine is a frequent medical and social problem that occurs in 40% of older women. Despite the prevalence, only about 10% apply for medical help. Nevertheless, when untreated treatment, the disease progresses, which leads to a decrease in the quality of life, self-isolation from society and the emergence of depression. But modern medicine has the possibilities to return to the elderly women freedom of communication and movement.

What is urine incontinence in older women

Incontinence of urine (incontinuation) is an involuntary allocation of urins associated with the inability to control this process. The greater the age of the woman, the more often the pathology and the worse it is to treat. More often with such a problem for medical assistance in 50 years. The second peak of morbidity falls on age after 65 years.

Doctors can only assume how actually the problem of the incontinencies among the elderly women is common, because not all of them are addressed for medical care. First, most women are shy to talk about the problem arising, and with age begin to perceive it as an application to an aging body.

Scientists have determined the relationship between the frequency of the manifestation of intensity and age. After the occurrence of menopause every 5 years, the risk of pathology increases 1.34 times.

Why pathology develops

The main reason for the incontinuations in old age is the natural aging of the body and reduce the level of hormones. The elasticity of the muscles of the bladder and its sphincter decreases, and the organ cannot hold even a small amount of urin.

Allocate urinary incontinence types:

Stress incontinence accounts for 41% of pathology, urgent - 12%, mixed - 47%.

A number of factors can exacerbate the course of the disease:

neurological diseases:
- Alzheimer;
- Parkinson;
tumors of the head and spinal cord;
strokes in history;
diabetes mellitus - leads to vascular pathologies of organs, including the bladder, the incidence of incontinencies in diabetes is higher than in healthy women;
work in adverse conditions with lifting weights;
preceding pathological childbirth and the birth of several children, especially with the natural delivery;
overweight;
operational manipulations on the organs of the small pelvis (rectum, the uterus, the vagina) - lead to a violation of the nervous regulation of the bladder;
reception of drugs affecting the tone of muscles, and diuretic agents;
chronic infectious pathology of the bladder;
genetic predisposition - women who have relatives with incontinencies are in the risk group on the development of pathology;
ethnicity - Women of European countries suffer from such a paragraph 3 times more often than women of African and Asian races;
smoking - causes a permanent cough, which contributes to the jumps of intra-abdominal pressure;
publishers - lead to the color of the muscles of the pelvic bottom, which cease to control the deduction of urin.

Video: Causes of urinary incontinence at older age

Diagnostics of Incontinuation in women in old age

The diagnosis is made on the basis of complaints of the patient and additional examination methods:

Differentiate urinary incontinence is necessary from the following pathologies:

cystitis - inflammation of the mucous membrane of the bladder, which is manifested including frequent strong urinary urges;
neurogenic urinary bubble dysfunction - impaired nervous regulation of this organ;
the tuberculosis of the bladder is the defeat of the koche stick.

To diagnose the incontinencies and its cause, a woman should also contact the urologist, and to the gynecologist. Only the joint efforts of these specialists will help identify the source of the problem for its best solution.

Video: Three doughs for urine incontinence diagnosis

Treatment of senile urinary incontinence

In the treatment of urinary incontinence, the initial measures are aimed at preventing provoking factors. Woman recommended:

reduce weight;
limit coffee and tea reception (have a diuretic effect);
reduce drinking fluid when it is excessive;
refuse smoking.

If it does not help, other types of treatment are appointed:

drug;
physiotherapeutic;
surgical.

Medical therapy

Medicase therapy is selected individually taking into account the reasons that caused the development of pathology. Can be appointed:

Photo Gallery: Medicines for Incontinety

Amitriptin - antidepressant, which is used in urgent urinary incontinence
Dryriptan - a drug that weakens the smooth muscles of urinary tract
Minigin - a drug that reduces the volume of the urine allocated
Estivals are used to treat urine incontinence easy
Botox injeces help cope with urine incontinence

Physiotherapy and LFK

Physiotherapeutic methods and LFC are aimed at strengthening the muscles of the pelvic bottom using special exercises and appliances.

Apply gymnastics by the method of Kegel:

Take the position of the lying.
Reduce the crotch muscles for 5-10 seconds, followed by recreation. This muscle can be in advance during urination. Try in the process to delay the urine stream for a couple of seconds. Muscles that work at the same time, and there are the most that you need to train.
Repeat up to 12 times daily.

When this exercise is already worked out, it is possible to perform it not only lying, but also sitting, standing. You can do this when traveling in transport, in the workplace. Execution is imperceptible to others, but the more often the exercise, the stronger and the muscles will become functional.

Kegel's exercise helps strengthen the pelvic bottom muscles

Video: Exercises for strengthening the muscles of the pelvic bottom

The possibilities of physipesis are aimed at stimulating the muscles of the pelvic bottom:

Elektormorosis - Impact on the bladder area with a constant electric current with a medicinal substance (commonly used antispasmodics that remove the muscle tone).
Galvanotherapy is an action on the body with a constant electrical current of weak voltage and intensity, is used in the same way as electrophoresis, to deliver the drug directly to the problem area.
Electrostimulation - the method stimulates the innervation of the bladder, raises the tone of relaxed muscles of the organ and sphincter, which become capable of keeping the urine and control its output.

Surgery

Surgical treatment is used in the ineffectiveness of conservative therapy:

Video: Sling operations when urine incontinence

Folk Methods

People's methods cannot have any significant impact on the problem of urinary incontinence in old age, so it is pointless to rely on them. But they can be a good help in the fight against the accession of a secondary infection and improve the effect of the treatment carried out:

Infusion of dill seeds. It has spasmolytic action:
1. 1 tablespoon of seeds poured a glass of boiled water.
2. Insist 3 hours.
3. Drink in the morning the whole glass before meals.
Infusion of cornflowers. Apply with frequent urges to urination:
1. 1 teaspoon of raw materials pour a glass of boiled water and give it to breed for 15 minutes.
2. Drink as tea several times a day.

Absorbent linen

At any stages of urine incontinence, special linen helps to improve the quality of life. Use absorbent pants or gaskets created in such a way as to prevent the flow and unpleasant odor. A woman can get out of the house without fear that the trouble suddenly happened will be seen surrounding. The use of linen improves the psychological state, and in the case of lying patients, facilitates care for them.

Urological gaskets will help with a lot of urinary incontinence

Video: Hygiene products when urine incontinence

Forecast treatment

The diversity of methods will help the doctor to choose a rehabilitation scheme in each case. With episodic incontinence of urine, changing lifestyle and special exercises will be able to get rid of the problem. But with untimely treatment for medical care, the severity of the disease progresses, and then to eliminate pathology, not only drug treatment will require, but also surgical, which in rare cases can lead to complications:

damage to the locking nerve and the muscles of the thigh, which is manifested by gentle pain;
the difficulty of urination associated with excessive hinge tension during installation;
protrusia (penetration) of sling to the urethra.

Prevention of urine incontinence in old age

Despite the end of the reproductive function, a woman after 50 years must be regularly visiting the gynecologist and describe any changes in the body in detail. If necessary, the doctor will send for additional examinations and consultations of specialists. Even if the problem of urine incontinence does not bother, it is worth thinking about the likelihood of its appearance and timely adjust the lifestyle.

At the delicate problem of incontinence of urine, it is worth paying attention in time and do not be shy to attend a doctor. The treatment started in a timely manner will help to eliminate the problem in time and remain active for a long time, despite the elderly age.

Among all diseases? Characteristic elderly people, urinary incontinence occupies a significant place and has its own characteristics. The incontinence of urine in older women delivers many inconvenient moments, causes constraint, so it is not always about this problem that they speak openly with doctors and close people. Recently, specialists are trying to find a solution and the ability to adjust such a deviation.

With incontinence of urine, women of old age are often faced, referring to the weakening of health and sexual predisposition to this fellow.

Causes and risk factors

Elder urinary incontinence in women is a consequence of the aging of the body. With age in the body, changes occur, causing a failure of organs in the functional activities. There is a loss of tone in the muscles, including the bladder. Its walls are losing elasticity and cannot be stretched. And the development of atrophic changes of the urethra is influenced by hormonal failure due to the menopacteric period.

The manifestation of senile incontinence is influenced by a complex of reasons:

changes in a climacteric nature;
aging of the body;
stressful situations;
natural childbirth and postpartum complications;
excess body weight;
injuries of small pelvis organs;
hard work.

The risk of earning urine incontinence in old age is higher in women with a large body weight that gave birth a large number of times naturally (during pregnancy and during childbirth, muscle tissues supporting the small pelvis organs become less elastic). Additional causes of incontinence:

infection (the development of the inflammatory process irritates the wall walls, which leads to a non-controlled cutting of the walls);
food and medication preparations;
neurological diseases (atherosclerosis, Parkinson's disease).

Most often there is incontinence of urine in women after 50 years, this is due to the individual structure of the authorities.

Diagnostics

Experts share the age incontinence of urine into several types:

Before therapy Enurraw, women must pass a hardware examination of the bladder and hand over the necessary tests.

stress (arises arbitrarily when coughing, laughter);
urgent (sharp urge with a practically empty bladder);
night incontinence (enuresis);
mixed.

To make the right diagnosis, a woman needs to contact the specialists: urologist and gynecologist. The specialists are the main task: to determine the form of pathology, character, causes and choose the necessary treatment. For this purpose, the following research methods are used:

Diary of urination. Records are recorded drunk and extended fluid out over several days.
Collect anamnesis. Allows you to identify the reasons that provoked incontinence.
Inspection of the gynecologist (condition of the mucous membrane, bladder).
Ultrasound of small pelvis organs. It is carried out to be able to exclude or confirm the pathologies and the functional state of the organs.
Complex urodynamic research. It consists of a number of tests that allow determining the condition of the functions of the urinary organs (cystometry, uroflocmetry, profilometry).

Conservative treatment

Conservative treatment of urine incontinence in older women is expressed in determining the system approach, which is always individually. Therapy occupies a rather large period of time. For the treatment of urinary incontinence in the elderly, a sufficiently large number of diverse techniques have been developed.

Medicines for the treatment of urinary incontinence in older women

Under the acute form of the disease, medication treatment is used

The use of medicines from urinary incontinence in women occurs, as a rule, with acute and urgent forms of the disease, but has low efficiency. Drugs from incontinence are used to restore the functions of the organ by increasing the volume. If the anatomical structure of the organs is not broken, the following drug incontinence is used:

Adrenomimetics. They contribute to increasing the tone not only the walls of the urinary organs, but also vessels. The likelihood of the development of side effects is large, therefore they are extremely rarely used ("Gutron").
Anticholinergic preparations for the treatment of reduced tone of the bladder ("will remove", "Omnik").
Spasmalitics. Relax smooth muscles, remove spasms ("SPASMAX", "DRIRTAN").
Antibiotics. Prescribed medicines in the presence of the inflammatory process in the urine.
Antidepressants and hormonal candles to delay age-related changes.

In the stress form of the disease, medication treatment is most often used to prepare for the operation and as rehabilitation (after operational intervention).

Urinary bubble training

As an additional method of treatment, exercises are used

Daily urinary incontinence in adults can be corrected by urination training. You need to create an execution plan. Initial training should be carried out better under the control of the specialist. The meaning of the training is to restrain urination urges, gradually increasing the interval. Training runs in parallel with medication, takes about 3 months.

Exercises are an additional way to treat urinary incontinence in older women. This complex is called - Kegel exercises. Special gymnastics to increase the tone of the pelvic bottom organs are used as prevention and as the treatment of enuresis in adult women. The meaning of the method is to train muscles, thanks to which subsequently you can control the process of urination. Exercises need to do constantly, gradually complicating and increasing the execution time. List of exercises:

Slow compression. Alternation of tension and relaxation of muscles controlling the process of urinary. With each compression and relaxation, you first need to withstand 3 seconds, gradually increase to 20 seconds.
Reduction. Fast change of cutting and relaxing muscles.
Pushing. It is necessary to strain muscles working if desired to empty.

It is better to start from the first, the simplest exercise. The number of repetitions is 10, 5 times a day. Having mastered it, go to more complex. The number of repetitions to increase gradually up to 30, and then up to 150. You can perform the Kegel complex in any position convenient for you and in a convenient location. For others, the exercise will remain unnoticed.

Laser therapy

In modern medicine, doctors have the opportunity to cure old urinary incontinence in women with laser technology. Impacting the mucous membrane, the rays of the laser increase the quality of the existing collagen, contribute to the production of new fibers. Using the laser, it is possible to fully update the muscles of the pelvic bottom. Perfectly compressing and shrinking after reconstruction, improve the support of the organ.

Treatment is carried out in the clinic, with the individual selection of laser treatment programs. The procedure is painless. After it, they are immediately returned to the familiar rhythm of life.

Operational treatment

In some cases, it is possible to cope with the problem only by the method of operational intervention.

In patients of young age, the problem can be solved by conservative treatment, in women about 60 years of urinary incontinence, especially stressful form, can be corrected only by surgery. There are more than 200 varieties of such operations that are aimed at reconstructing anatomically correct placement of the blade of blade, urethra.

Sling procedures. For adjustment, special hinge supports are used.
Operation Bercha. Hanging urethra using the walls of the vagina.
Artificial sphincter. It is resorted to the replacement of the sphincter in the case of a complete or partial loss of functionality.
Injection. The introduction of collagen provides the volume to support the urethra.
Stimulation of sacred nerves.

The treatment of urinary incontinence in elderly women includes the reception of a complex of medicines with different pharmacological properties, the choice of which depends on the type of disease that caused the pathological condition of the organs of the urogenital system. Also use physiotherapy treatment techniques and surgical intervention.

Urinary in urine in older women is most often associated with age-related changes, when the glands of the internal secretion cease to produce a sufficient amount of estrogen, the tone of muscle fibers of the pelvic bottom decreases, the bladder sphincter is in a relatively relaxed state, which entails the involuntary urine leakage from the urethra.

Urinary incontinence - treatment

How to treat urine incontinence? There are a number of techniques that allow you to reduce the symptoms of pathology, or to fully cure the uncontrolled urination. Incontinence of urine in old age can be provoked by a hormonal imbalance, infection of urinary channels, tumor processes, urolithiasis.

Based on this, select the therapy, which will be most effective in a particular clinical case.

The following methods of treatment of urinary incontinence in older women are distinguished:

physiotherapeutic - lies in the performance of special exercises and procedures, strengthening and supporting the tone of muscle fibers of the pelvic bottom (shown by women of old age, in which the eldest urinary incontinence is due to the natural weakening of the muscles responsible for the reduction of the bladder sphincter);
medical - consists of a course of drugs that eliminate bacterial infection, the spashed walls of the urinary channels are expanding, the kidneys and other organs of the excretory system from stones, sand and other concrections that disturb the natural dying of urin from the body are cleaned (this treatment consists of taking tablets, intramuscular and intravenous injections, vaginal candles, steam baths, solutions for douching);
surgical intervention - It is used if the age incontinence of urine is the consequence of the disease that has arisen, or the organic lesion of the kidney tissues, the bladder and excretory channels (in some cases, after a comprehensive examination, tumors are diagnosed in the urinary bubble, provoking the uncontrolled allocation of urin During cough, lifting weights, squats).

What to choose a remedy for urinary incontinence in the elderly, determines the attending physician who initially conducted a survey established the true cause of pathology and methods to counter the disease.

Medicia treatment

The most common type of urine incontinence therapy in old people. It is especially effective if the inconstantity caused an excessive activity of the bladder or a neurogenic disease, as a result of which the muscles of the pelvic bottom are subjected to a large number of chaotic neural impulses. Such incontinence of urine in the elderly still calls Urgent.

To cure a person from spontaneous leakage of urin with a drug method, it is recommended to use drugs of the following categories:

antispasmodics - drugs, relaxing abbreviated muscles located in close proximity to the bladder and urethre (droterine hydrochloride, spasmod, spasmol, but-shp);
antidepressants - stabilize the neural activity of the cerebral centers responsible for the work of the organs of the urinary system, the timely reduction of the muscles involved in the process of removing Urin beyond the female organism (sertraline, escitalopram, fluoxetine, cytalopram);
sedatives - preparations, pharmacological properties of them are aimed at suppressing excessive bladder hyperactivity, when an old-age woman experiences frequent urge to the toilet with a not fully filled body, and almost immediately an involuntary intention of urine (glycine, passiflora, a latter or a dosage tincture or peon Dormiplant, Persene, Valdispert);
medicines from urolithiasis - are used if the old incontinence is caused by the presence in the bladder or excretory sand channels, stones and other concrections that violate the natural outflow of urine, provoking its cluster in the urethra, inflammation and irritation of the mucous membrane (cyston, phytolizin, nierone, uralitis , Nephrolit, kanefron, rovatineks, oliel);
antibacterial and anti-inflammatory agents are used for the therapy of senile incontinence, if the nature of origin is related to the penetration of the woman's penetration of pathogens of pathogenic microorganisms (the drug of this pharmacological group is selected individually, depending on the strain of bacterial infection, which diagnostics has shown);
injection insulin replacement therapy, when urine incontinence developed as a result of the presence of a concomitant disease in the form of diabetes mellitus (the insulin dosage is determined on the basis of the blood glucose level of a sick woman);
chemistry drugs, if urinary incontinence is associated with the presence of an oncological process in the tissues of the organs of the reproductive or genitourinary system (administered intravenously throughout the pre-developed course of treatment, and applies only with malignant neoplasms).

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To get rid of urinary incontinence in older women, one or several drug therapy methods can be used. Tableted, injection, as well as intravenaginal candles are used. It is important to remember that independent treatment is prohibited, since, for obtaining effective therapy, a comprehensive diagnosis of the entire body must first be carried out, the cause of the pathology of the excretory system is established, and only after this is prescribed treatment of uncontrolled urine leakage.

Physiotherapy of urinary incontinence

This method of treating the disease is based on the performance of exercises and procedures that strengthen the muscles of the urinary bubble sphincter and the pelvic bottom as a whole. Some of them are older woman can perform independently, being at home, and such as warming up, stimulation of nerve endings using electromagnetic pulses, is carried out in the manipulation offices of polyclinics.

To get rid of the non-complicated form of urine incontinence, it is recommended to perform the following exercises and physiotherapy procedures:

squats with their own weight (enough to do 10 repetitions in the morning and in the evening to maintain muscle fibers in the tone, responsible for the removal of urine);
deliberately reduce and relax the sphincter of the anal hole, together with which the muscles are compressed and train, located in the circumference of the bladder and urethra;
warming up the pelvic area in warm water, it is recommended to pre-add a small amount of manganese, ragger of chamomile, chlorhexidine solution with 3% concentration;
therapeutic massage of the lower part of the abdomen with the impact on the walls of the bladder, to ensure the supply of additional blood volume, there was a natural relaxation of the spashed muscles;
the electromagnetic stimulation of muscle fibers of the pelvic bottom in the presence of features of polyneuropathy, when the enumenet appeared due to the dysfunction of the nerve endings, poor conductivity of neural pulses (performed in the stationary compartment of the Cabinet of physiotherapy, where electrophoresis and body warming devices are used using electrical energy).

The positive therapeutic effect of the daily performance of physiotherapy procedures and exercises occurs after 1-3 months. It is best that the healing physical culture and stimulation of the muscles of the pelvic-bottomed electrophoresis was performed in a complex with traditional drug therapy.

Surgery

What if drugs and physical exercises for training the muscles of the pelvic floor do not bring the desired result, and urinary incontinence continues to disturb the elderly woman? The radical method of therapy is the use of operational intervention.

It can be applied in the following cases:

removal of a malignant or benign tumor in the tissues of organs of the genitourinary system, if their presence broke the natural process of urine outflow, its delay in the urethra cavity and further leakage during the fulfillment of physical movements;
plastic or surgical lift of the muscle fibeter of the bladder sphincter, as well as those that ensure the removal of urin from the body of a woman;
urethra's bunction conducted under the operating room under local or general anesthesia (performed in order to restore urine passage, if the structure of the urethra was broken as a result of inflammatory processes or mechanical damage);
sling or surgery, the principle of conducting them is to lave a bladder neck, so that it is in a wicked state and minimized the chances of spontaneous leakage of urin due to the weakness of the muscles (polymer materials are used, they do not enter into a biochemical reaction with a woman's body, the probability is eliminated rehabilitation of threads, as foreign objects, reduced rehabilitation time);
laparoscopic penetration into the cavity of the urethra and fixation of the cereal tissues to the inguinal folds (it is considered the most recommended method of surgical treatment, after it has a positive effect, a positive effect is maintained);
surgical extraction of stones, if they are stuck in the bladder or excretory channels and interfere with the natural process of urination (can be used as laparoscopic penetration through the urethra, so as not to injure the epithelial surface of the abdominal cavity and the walls of the internal organs and the traditional bandwidth of the body).

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