Stress incontinence

Droplets way when coughing, sneezing, crunches
Therapy

Pelvic floor exercises, vaginal cones, electrical therapy, biofeedback, possibly sympathomimetics, estrogens, surgery for severe forms.
When laughing, coughing, sneezing comes from urine drips.
With a passive printers increase in the bladder, as caused for example by coughing, sneezing, laughing or crunches when lifting or exercising, is involuntary urine from the urethra. One does not need to urinate. Usually the urine is low. The urine can be quickly stopped again at will.


A weakness of the sphincter is responsible for the incontinence.
This is demonstrated in the study of Detrusormuskulatur no contraction. The Detrusormuskulatur, or bladder muscle is formed by the strong muscular layer of the bladder, which is responsible for the Harnaustreibung. For details on the anatomy of the bladder can be found here. Frequently affected are women, who have a weakness of the pelvic floor muscles. The load or stress incontinence often occurs as a mixed form in conjunction with other forms of incontinence. Therefore not always a clear assignment is possible.


The sphincter muscle can be trained.
In the therapy is to strengthen the sphincter system in the first place. For this, a pelvic floor exercises are performed, that possibly be supported by biofeedback or vaginal cones training can. Also, the electrical therapy can complement the pelvic floor muscle training should be applied. Successful, this therapy, particularly in light of medium severity in young women.


Drugs are not always successful.
Medication can be a treatment trial with sympathomimetics, which can increase the muscle tone in the bladder area. Overall, though here the success rate is rather low. Estrogens promote the circulation of the mucous membranes and may thus indirectly influence the incontinence positive.


The operation is performed only if clearly indicated in severe incontinence and great suffering.
In the severe forms of stress incontinence in women, when other treatments fail, surgery may be considered. Here, the goal of the normal position and function of the vagina, bladder and urethra is to be restored. In principle there are two access routes - through the vagina (transvaginal) or through the abdomen (retropubic). Which way makes sense depends very much on the individual circumstances. Depending on the anatomical changes may be necessary to reduce the vagina (vaginoplasty), or they hang up on fixed points in the abdominal cavity. There are a variety of possible surgical techniques. Adding together all the previously existing surgical procedures, one comes to nearly 200 different procedures. Surgery should only by an experienced surgeon with expertise and diverse experience in the field of bladder, urethral and vaginal surgery are performed. Which method he chooses, from hanging heavily on his personal experiences, his special skills and knowledge.