CGS
Κέντρο Γυναικολογικής Χειρουργικής

Urinary Incontinence

Urinary incontinence is a condition that can often be treated effectively and should not be a cause of social isolation.

Involuntary urine loss is a common problem that affects the quality of life of many women. There are different types of incontinence. Diagnosis is of great importance, as not all types of incontinence are treated the same way.

Types of Urinary Incontinence

Stress incontinence — urine loss occurs during physical exertion such as lifting, coughing, or sneezing
Urge incontinence — a sudden and urgent need to urinate, with the patient unable to reach the toilet in time
Mixed incontinence — a combination of stress and urge incontinence
Overflow incontinence — urine loss because the bladder becomes excessively full

Urinary incontinence may be classified as one type or may be a combination of more than one.

Causes

The causes of incontinence are usually multiple. Stress incontinence is mainly caused by weakness of the muscles and tissues that support the urethra and prevent urine loss. Urge incontinence is caused by an overactive detrusor muscle of the bladder that controls emptying. Overflow incontinence is caused by the bladder's inability to empty, resulting in overfilling and urine loss due to pressure. Conditions that increase the likelihood of incontinence include: pregnancy, vaginal delivery, obesity, neurological conditions (multiple sclerosis, Parkinson's disease), connective tissue disorders, constipation, and family history.

Treatment

Treatment depends on the type of incontinence — which is why correct diagnosis is essential

Conservative therapies — weight loss, reduced caffeine/alcohol intake, smoking cessation, improved bowel habits, Kegel pelvic floor exercises, bladder retraining, adjustment of medications that may increase urination
Medication — prescribed for urge or mixed incontinence
Botox treatment — for severe, persistent, and refractory forms of urge incontinence
Surgical treatment — placement of TVT/TVT-O slings to support the urethra; if pelvic organ prolapse coexists, simultaneous treatment is recommended
CallBook Appointment