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It is estimated that urinary incontinence affects 25% of the population, although in many cases medical attention is not sought because it is considered a normal part of aging or an untreatable condition. However, there are increasingly more treatments available to cure urinary incontinence or at least improve symptoms and quality of life.
Urinary incontinence is the involuntary loss of urine, a condition that is more common in women than in men, among other reasons, because the female urethra is shorter.
Urinary incontinence is the involuntary, spontaneous loss of urine, which can significantly impact a patient's quality of life. This leakage can occur in various situations, such as during physical exertion, coughing, playing sports, laughing, at the end of urination, or when the urge to urinate arises. Urine leakage can also occur during sexual intercourse.
Depending on the symptoms present, urinary incontinence can be classified as follows:
Urinary incontinence can be caused by certain daily habits, underlying medical conditions, or physical problems. A thorough evaluation by a doctor can help determine the cause of the incontinence.
If urinary symptoms in women are not treated properly, they can lead to their worsening and the progression of the mechanisms involved, such as pelvic floor weakness, making treatment more difficult.
Other complications that may arise include:
Although urinary incontinence cannot always be prevented, the risk of developing it can be reduced by leading a healthy life with physical exercise, avoiding foods that irritate the bladder, consuming more fiber, and quitting smoking.
To diagnose female urinary incontinence, the doctor should ask about the timing of urine leakage to determine if the incontinence is primarily due to physical exertion or having to rush to the bathroom.
We use questionnaires and a diary that patients keep to record when and how much urine they leak. This helps us understand the impact of these leaks.
To reliably measure the amount of urine leakage per day, it is essential that the person maintain a normal lifestyle. If, at the time of measurement, a patient suspected of having stress urinary incontinence stops her activities for fear of leakage, she will likely experience less leakage than she would while leading a normal life, making an accurate measurement very difficult.
The following diagnostic tests are usually performed to rule out other conditions, but with a good medical history and questionnaires we can arrive at an accurate diagnosis.
Since urinary incontinence is often associated with urinary tract infections, a urine culture is performed to rule out this prevalent condition.
An ultrasound will be performed to identify any underlying issues, such as bladder stones or any type of bladder emptying problem, since most of the patients are elderly and may have bladder or uterine prolapse, which can also cause urine leakage.
Urodynamic testing is not necessary for all patients. This test provides a subjective assessment of urinary incontinence and is very helpful in distinguishing the type of incontinence.
The first step in the recommended treatment for all patients, regardless of the type of incontinence they have, is conservative measures that do not require surgery or medication.
Conservative treatment includes a combination of hygienic-dietary measures, bladder training, personalized training by a physiotherapist specializing in the pelvic floor - with or without biofeedback - electrical stimulation and the use of vaginal devices.
When conservative treatments have failed, medication such as pills, patches, or vaginal treatments may be used, depending on the patient's specific symptoms. This involves an individualized assessment and specialized care, ensuring the patient is fully informed about the expected effects. Treatments administered to the bladder include botulinum toxin, hyaluronic acid, or, in cases of urinary tract infection and related bladder pain, chondroitin sulfate.
Vaginal laser treatment plays a role in several functional urological conditions in women. It is a painless treatment that involves applying a CO2 laser to the vagina to stimulate collagen production at the muscular level, resulting in tightening of the pelvic floor.
This treatment requires no special preparation before or after treatment. The patient can immediately return to her daily activities.
For patients with mild stress urinary incontinence, we offer intraurethral bulking agent injections. This is a minimally invasive, effective treatment option that allows for immediate return to daily activities.
In cases of stress incontinence, surgery may be necessary. This type of surgery for urinary incontinence traditionally involves the use of mesh or slings . In cases of abdominal prolapse, surgery can be performed vaginally or with a minimally invasive abdominal approach using laparoscopy or robotics. For incontinence, the surgery typically takes about 25 minutes, and the patient can usually go home the same day.
We conduct a detailed study of the patients and apply the different treatment maneuvers with suburethral bands, adjustable slings or artificial urinary sphincters in an individualized manner.
For recovery from surgery, it is recommended to avoid strenuous activity during the first few weeks to ensure proper healing of the pelvic floor. Recovery time is approximately six weeks. Returning to work will depend on your profession. If it is an office job, you may be able to return the next day. However, if it is a job that involves lifting heavy objects, it is necessary to wait the full six weeks of recovery to allow the mesh to integrate with the body and heal properly, preventing any problems.
We treat our patients at the ROC Chamberí clinic and in the HM Hospitals network of centers in Madrid: Sanchinarro, Montepríncipe, Madrid Río, Rivas, Puerta del Sur, Nuevo Belén, Policlínico HM Moraleja and Nuevo Norte.
Coming soon
We treat our patients at the ROC Chamberí clinic and in the HM Hospitals network of centers in Madrid: Sanchinarro, Montepríncipe, Madrid Río, Rivas, Puerta del Sur, Nuevo Belén, Policlínico HM Moraleja and Nuevo Norte.
Coming soon
We left very happy with the doctor-patient relationship
Our patients' trust reflects our commitment to providing excellent, personalized, and attentive urological care. Every experience motivates us to continue improving and offering the care and support each patient needs.
Excellent urological clinic due to the professionals who work there.
A highly professional clinic, with a very high scientific level and advanced technology. They helped me solve my urological problem.
I can only say one thing, the urology girls are the best you can find in this...
I want to express my gratitude to the Roc team, especially Dr. David Carracedo, for their professionalism, the...
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