Dr. Ahmad Al-Kandari, Urology Consultant and Assistant Professor at the University of Kuwait's Faculty of Medicine, said that the problem of women's bedwetting is significant in Kuwait. He added that the problem caused psychological, social and social negative and stressed the need for women to seek treatment.
He said that the problem usually occurs in women aged 30-50 years, especially those who have repeated pregnancy and childbirth, and may occur cases of bladder irritation in unmarried and even children.
Dr. Alkandari explained that there are two basic types of problems of bedwetting in women: the first is the accompanying effort and the other is sudden. The two types may meet at the same patient in varying degrees, and may be accompanied by vaginal fall to varying degrees. He attributed d. Alkandari causes the involuntary urination associated with the effort to weaken the tissues and muscles of the pelvis and support the urinary tract because of repeated pregnancy and births in women. He pointed out that this type complains of women who lost control of the urine with effort, such as cough, sneezing or laughing, even during exercise and sometimes even during marital cohabitation. The degree of urinary leakage may vary from large to large amounts, requiring the wearing of a protective girdle and changing it several times, causing considerable psychological distress and social embarrassment. In some cases, persistent severe urinary leakage can cause skin irritation, ulceration and even urinary infections, complicating the situation. Such a situation may deprive women of freedom of movement or travel because of the severe embarrassment and psychological suffering. Many women are reluctant to consult a doctor because of embarrassment, fear, or acceptance of reality as a tax for complications of pregnancy and childbirth, which is a big mistake should be corrected.
It is worth mentioning that the treatment of this disturbing case of incontinence associated with the effort is easy and effective and is through a simple surgery during which a tape of artificial material to support the urinary tract and the patient graduated from the hospital on the same day. It is useful to know that up to 80% of the cases are treated as an excellent and effective result. The potential complications are simple and minimal in most cases, making this process the most in the world and especially Western to treat the problem.
In cases of sudden urinary incontinence, which arises due to bladder irritation, which usually does not have a clear cause, this condition makes the patient suffer from repeated desire to urinate with sudden sensation at any time and place causing severe embarrassment, and the attempt to delay urination may Failure and sudden urinary incontinence occur in varying amounts that may be significant, causing psychological and social embarrassment. There is no bacterial infection in most of these cases when examining the urine. This condition may occur with the previous case is the urinary incontinence associated with the effort. Women usually need to do a dynamic urine examination and plan a comprehensive bladder to assess the situation. The treatment methods used in this case are different from the above, as usually used oral medicine for periods of up to several months to calm the bladder muscle, which helps to reduce symptoms. If the patient does not respond to drugs, the doctor may seek to inject the bladder muscle Btoks laparoscopic medicine, which proved the effectiveness of 70-80% of cases. It is important to make sure that the patient does not have difficulty urinating with bladder irritation and this is precisely determined by bladder planning.
It is important that the bladder is planned in such cases and other cases in a complete picture such as examination of the stage of fullness and urination together and in the presence of catheterization bladder, and this comprehensive examination in addition to the examination of the muscle control urine is ignored in many medical centers and hospitals, making the diagnosis inaccurate Many of those situations.
In some cases of severe bladder irritation, one solution may be the use of the electrical regulator of the bladder nerves, which begins the test period of the external device for several days. If symptoms improve, then the doctor will implant the device through a simple operation in the lower back and this device to improve excellent in 70 % Of cases.
It is important to note that there are additional important solutions in reducing urinary symptoms, especially during the exit of women such as: reduce drinking fluids, regular urination, and learn exercises strengthen the pelvic muscles (exercises) Kegel. Diabetics should also be careful to control sugar and adherence to treatment. Also, the diagnosis and treatment of urinary infections that may accompany the condition is important in reducing urinary symptoms and the comfort of patients.
He said that the problem usually occurs in women aged 30-50 years, especially those who have repeated pregnancy and childbirth, and may occur cases of bladder irritation in unmarried and even children.
Dr. Alkandari explained that there are two basic types of problems of bedwetting in women: the first is the accompanying effort and the other is sudden. The two types may meet at the same patient in varying degrees, and may be accompanied by vaginal fall to varying degrees. He attributed d. Alkandari causes the involuntary urination associated with the effort to weaken the tissues and muscles of the pelvis and support the urinary tract because of repeated pregnancy and births in women. He pointed out that this type complains of women who lost control of the urine with effort, such as cough, sneezing or laughing, even during exercise and sometimes even during marital cohabitation. The degree of urinary leakage may vary from large to large amounts, requiring the wearing of a protective girdle and changing it several times, causing considerable psychological distress and social embarrassment. In some cases, persistent severe urinary leakage can cause skin irritation, ulceration and even urinary infections, complicating the situation. Such a situation may deprive women of freedom of movement or travel because of the severe embarrassment and psychological suffering. Many women are reluctant to consult a doctor because of embarrassment, fear, or acceptance of reality as a tax for complications of pregnancy and childbirth, which is a big mistake should be corrected.
It is worth mentioning that the treatment of this disturbing case of incontinence associated with the effort is easy and effective and is through a simple surgery during which a tape of artificial material to support the urinary tract and the patient graduated from the hospital on the same day. It is useful to know that up to 80% of the cases are treated as an excellent and effective result. The potential complications are simple and minimal in most cases, making this process the most in the world and especially Western to treat the problem.
In cases of sudden urinary incontinence, which arises due to bladder irritation, which usually does not have a clear cause, this condition makes the patient suffer from repeated desire to urinate with sudden sensation at any time and place causing severe embarrassment, and the attempt to delay urination may Failure and sudden urinary incontinence occur in varying amounts that may be significant, causing psychological and social embarrassment. There is no bacterial infection in most of these cases when examining the urine. This condition may occur with the previous case is the urinary incontinence associated with the effort. Women usually need to do a dynamic urine examination and plan a comprehensive bladder to assess the situation. The treatment methods used in this case are different from the above, as usually used oral medicine for periods of up to several months to calm the bladder muscle, which helps to reduce symptoms. If the patient does not respond to drugs, the doctor may seek to inject the bladder muscle Btoks laparoscopic medicine, which proved the effectiveness of 70-80% of cases. It is important to make sure that the patient does not have difficulty urinating with bladder irritation and this is precisely determined by bladder planning.
It is important that the bladder is planned in such cases and other cases in a complete picture such as examination of the stage of fullness and urination together and in the presence of catheterization bladder, and this comprehensive examination in addition to the examination of the muscle control urine is ignored in many medical centers and hospitals, making the diagnosis inaccurate Many of those situations.
In some cases of severe bladder irritation, one solution may be the use of the electrical regulator of the bladder nerves, which begins the test period of the external device for several days. If symptoms improve, then the doctor will implant the device through a simple operation in the lower back and this device to improve excellent in 70 % Of cases.
It is important to note that there are additional important solutions in reducing urinary symptoms, especially during the exit of women such as: reduce drinking fluids, regular urination, and learn exercises strengthen the pelvic muscles (exercises) Kegel. Diabetics should also be careful to control sugar and adherence to treatment. Also, the diagnosis and treatment of urinary infections that may accompany the condition is important in reducing urinary symptoms and the comfort of patients.
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