The problem of urine incontinence is very common. In this problem, the person loses control of the bladder, which sometimes creates a very embarrassing situation. The severity of the issue may range depending on several factors. In some cases, there is an occasional leaking of urine when a person sneezes or coughs, while in some cases, the urge to urinate is so strong and sudden that making it to a toilet in time becomes difficult.
This problem is more pronounced in seniors due to aging, but it is not necessarily restricted to this age group. It is important to look for a specialist treating urine incontinence in Delhi if the problem starts interrupting and affecting daily activities. Sometimes, dietary changes, following a simple lifestyle, or simple medical care can help take care of symptoms of this problem.
Visiting a specialist can help manage these symptoms and lead a normal life. The doctor may suggest making simple lifestyle changes, like drinking the right amount of liquids at the right time, maintaining a healthy weight, being physically active, avoiding constipation, and quitting smoking.
A visit to the gynaecologist like Dr. Deepti Asthana for urinary incontinence treatment in Delhi helps the patient know if the problem is temporary or more serious that needs medical treatment.
Symptoms of Temporary Urine Incontinence
It is important to know about symptoms of urine incontinence to know if the problem is temporary or persistent. Here are the symptoms of temporary urine incontinence.
As per the specialists, certain medications, foods, and drinks may act as a diuretic. These foods and drinks stimulate the bladder while increasing urine volume. These may include:
- Caffeine
- Alcohol
- Artificial sweeteners
- Sparkling water and carbonated drinks
- Chilli peppers
- Chocolate
- Spicy food, sugar-rich foods, citrus foods
- Large Vitamin C doses
- Sedatives, muscle relaxants, and blood pressure medications.
In some cases, the problem may also occur due to urinary tract infection or constipation.
Persistent urinary incontinence
In some cases, the problem of urine incontinence may be persistent. It happens due to changes in health or underlying physical conditions. Here are a few conditions that may trigger persistent urine incontinence problems:
1. Child Birth
Muscles weaken after vaginal delivery, damaging bladder nerves, leading to the prolapsed pelvic floor.
2. PregnancyIncreased fetus weight and hormonal changes can lead to stress incontinence.
3. MenopauseReduced estrogen after menopause is also one of the reasons behind urine incontinence.
4. Change with ageAging of muscles in a bladder decreases its capacity to store urine, and bladder contractions increase, resulting in urine incontinence.
Other health issues responsible for persistent urine incontinence problems are prostate cancer, enlarged prostate, neurological disorders, and obstruction.
Treatment of Urinary Incontinence
The urine incontinence treatment depends on the type of incontinence, its underlying cause, and its severity. Dr. Deepti Asthana is a renowned obstetrician and gynecologist in Delhi with more than 14 years of experience handling various gynecology issues. At Kalosa Aesthetics & Cosmetics Gynaecology Clinic, treatment of urine incontinence problems is available. Depending on the severity of the problem, the doctor may suggest a combination of treatments. Here are a few treatment options recommended to treat the problem.
1. Pelvic floor muscle exercises
If the problem is not too severe and temporary, the doctor may suggest pelvic floor muscle exercises. These are also known as kegel exercises and are recommended to strengthen pelvis floor muscles responsible for urine control. These are very effective exercises helping in controlling the sudden urge to urinate. In this exercise, the person has to imagine stopping urine flow by contracting or tightening muscles, holding for five seconds, and then relaxing muscles. Gradually increase the holding time. Repeat these exercises at least ten times a day to feel the difference.
2. BTL EMSELLA and its Mechanism
With advanced technology, several new mechanisms have come up that help treat urine incontinence problems. BTL EMSELLA is one such mechanism that helps in tightening the loose and lax pelvic floor muscle. A High-intensity Focused Electromagnetic technology (HIFEM) is used to deliver 11,000 kegel contractions. It helps in increasing neuromuscular coordination. It is a quick and effective treatment that takes hardly half an hour per session. It is a completely non-invasive, non-surgical intervention, and completely pain-free treatment. It is an FDA-cleared urinary incontinence treatment for men and women. Patients can stay clothed while undergoing treatment of the entire pelvic floor.
3. Medications
The urine incontinence problem can also be treated through medications. Some of the common medications prescribed for this problem are-
- Myrbetriq or Mirabegron-This medication works by relaxing the bladder muscle and treat urge incontinence. It also increases the urine amount that the bladder can hold. The medicine also increases the amount of urine that can be urinated at one time. This way, the bladder gets emptied completely.
- Anticholinergics-This medication is prescribed to calm an overactive bladder. It helps in treating urge incontinence. Some of the medicines commonly used for this purpose are tolterodine (Detrol), oxybutynin (Ditropan XL), fesoterodine (Toviaz), darifenacin (Enablex), trospium chloride, and solifenacin (Vesicare).
- Topical Estrogen-Topical estrogen is a low-dose medication available in the form of a vaginal ring, cream, or patch to help rejuvenate and tone tissues in vaginal and urethra areas.
- Alpha-Blockers-Alpha-blockers help men with overflow incontinence and urge incontinence problems. These medications work by relaxing muscle fibers and neck muscles of the bladder and prostate. It helps in easy and quick emptying of the bladder. Some of these medications are alfuzosin (Uroxatral), tamsulosin (Flomax), doxazosin (Cardura), and silodosin (Rapaflo).
4. Medical devices
Certain medical devices are also used to treat women with urine incontinence problems. Some of the devices used for this purpose are-
- Pessary-It is a commonly used medical device that looks like a ring made up of flexible silicon material. It can be worn all through the day. It is inserted into the vagina. Women with vaginal prolapse problems use this device to prevent urine leakage.
- Urethral Insert-It is a disposable, tampon-like device. It is also inserted into the urethra before a woman indulges in a specific activity like playing tennis, etc., triggering incontinence.
5. Surgery
If any of these treatments are not working as expected, surgical intervention seems to be the best alternative for urine incontinence in Delhi NCR. Here are a few surgical procedures usually recommended to treat this problem.
- Bladder Neck Suspension– In this procedure, support is provided to the bladder neck and urethra. This thickened muscle connects the urethra and the bladder. An abdominal incision is involved, which is administered under spinal or general anesthesia.
- Sling Procedures-In this procedure, a mesh of synthetic material or strips of body tissues creates a pelvic sling under the thickened muscle that connects the bladder neck with the bladder. The use of the sling helps to keep the urethra closed when sneezing or coughing.
- Artificial Urinary Sphincter-It is a tiny, fluid-filled ring. It is implanted surrounding the urethra to keep the urinary sphincter shut until the person needs to urinate. The valve implanted under the skin is pressed, causing the ring to deflate, opening the bladder mouth to open, and allowing urine flow.
- Prolapse Surgery-Another surgical intervention that is used to treat urine incontinence. This treatment is used for women with pelvic organ prolapse problems. In this surgery, a combination of prolapse surgery and a sling procedure is used.
Schedule an appointment with Dr. Deepti Asthana and get the best treatment for urine incontinence problem.