{"id":987512308,"date":"2022-01-23T21:42:51","date_gmt":"2022-01-23T18:42:51","guid":{"rendered":"https:\/\/www.drsadimankiykac.com\/idrar-kacirma\/"},"modified":"2026-08-02T16:20:56","modified_gmt":"2026-08-02T13:20:56","slug":"urinary-incontinence","status":"publish","type":"post","link":"https:\/\/www.drsadimankiykac.com\/en\/urinary-incontinence\/","title":{"rendered":"Urinary Incontinence"},"content":{"rendered":"<h1>Urinary Incontinence<\/h1>\n<h2>1. What is urinary incontinence?<\/h2>\n<p style=\"font-weight: 400;\">Urinary incontinence, or involuntary leakage of urine, is a condition that affects millions of women worldwide. Although it is more common among older women, it can also affect younger women. Urinary incontinence is not a natural part of ageing, nor is it a condition that women have to live with.<\/p>\n<h2>2. What are the types and causes of urinary incontinence?<\/h2>\n<p style=\"font-weight: 400;\">The two most common types of urinary incontinence are stress urinary incontinence, which occurs with an increase in intra-abdominal pressure, and urge urinary incontinence. Urinary incontinence may be associated with weight gain, medical conditions or comorbidities, medications being used and\/or impaired brain function related to stroke or dementia.<\/p>\n<ul style=\"font-weight: 400;\">\n<li><strong>Stress urinary incontinence:<\/strong>\u00a0This occurs during activities that increase intra-abdominal pressure, including coughing, sneezing, laughing, heavy lifting, running and jumping. Although there is no sensation of needing to urinate, the patient involuntarily leaks urine when intra-abdominal pressure increases. This occurs because the muscles and tissues surrounding the urethra, the tube through which urine passes, cannot close adequately when intra-abdominal pressure increases, thereby allowing urine to leak. Risk factors include multiple vaginal deliveries, being overweight or obese, vacuum-assisted delivery, a history of delivering a large baby and menopause.<\/li>\n<li><strong>Urge urinary incontinence:<\/strong>\u00a0These patients experience an uncontrollable and urgent need to urinate. Patients typically describe this condition as, \u201cI suddenly leaked urine while I was on my way to the toilet.\u201d Triggers for this type of urinary incontinence include going outside in cold weather, hearing the sound of running water from a tap and hearing the sound of a key while entering the house. Patients with urge urinary incontinence also have a history of frequent urination, both during the day and at night. In a normal cycle, a person urinates eight times or fewer during the day and once at night. However, these patients go to the toilet continuously in order to avoid leakage. This condition results from the bladder muscles being overactive and hypersensitive. In some patients, urge urinary incontinence may also develop due to spinal cord damage or neurological diseases such as Parkinson\u2019s disease.<\/li>\n<li><strong>Mixed urinary incontinence:<\/strong>\u00a0Both stress urinary incontinence and urge urinary incontinence are present.<\/li>\n<li><strong>Overflow urinary incontinence:<\/strong>\u00a0This develops as a result of excessive distension of the bladder. An excessive amount of urine accumulates in the bladder, and the patient leaks small amounts of urine without feeling the need to urinate. The bladder does not empty completely; some urine overflows, and the bladder then fills again. It may occur in neurological diseases, diabetes, following extensive surgical procedures and in cases of spinal cord injury.<\/li>\n<\/ul>\n<h2>3. What are the risk factors for urinary incontinence?<\/h2>\n<p style=\"font-weight: 400;\">Advancing age, obesity\u2014the prevalence of urinary incontinence is three times higher in women with obesity than in women without obesity\u2014having given birth multiple times, vaginal delivery\u2014although it is a risk factor for stress urinary incontinence, caesarean delivery does not provide protection against urinary incontinence\u2014family history, particularly in cases of urge urinary incontinence, ethnicity, accompanying medical conditions such as diabetes, stroke, depression, faecal incontinence, menopausal vaginal atrophy, genitourinary surgery, including following hysterectomy, radiotherapy to the lower abdominal region, smoking, coffee consumption and recurrent bladder infections are among the risk factors.<\/p>\n<h2>4. What diagnostic methods are used for urinary incontinence?<\/h2>\n<ul style=\"font-weight: 400;\">\n<li><strong>Medical history:<\/strong>\u00a0As the different types of urinary incontinence have different characteristics, the first and most important step in establishing the correct diagnosis is determining which type of urinary incontinence is present. Questions are asked about how the urinary leakage occurs; whether it happens during coughing, sneezing, laughing or jumping, whether difficulty reaching the toilet in time is more prominent, whether urinary leakage occurs during sexual activity and how many times the patient urinates during the night. These questions help determine the type of urinary incontinence. Chronic diseases and medications being used, such as diuretic blood pressure medications, are also assessed.<\/li>\n<li><strong>Examination:<\/strong>\u00a0The patient is examined on a gynaecological examination table by a gynaecologist. The presence of pelvic organ prolapse involving the bladder, uterus or bowel is assessed. Urinary leakage is observed while the patient is asked to strain and cough. If no leakage is observed during these manoeuvres, the examination is repeated while the patient is standing. A basic neurological assessment is also performed.<\/li>\n<li><strong>Tests:<\/strong>\u00a0Urinalysis to assess the presence of infection, measurement of post-void residual urine volume to determine the amount of urine remaining in the bladder after the patient has urinated, the Q-tip test, a 24-hour bladder diary and urodynamic testing may be performed. During urodynamic testing, pressure measurements are taken through catheters placed inside the bladder, allowing the type of urinary incontinence to be determined using specialised equipment.<\/li>\n<\/ul>\n<h2>5. What are the treatment methods for urinary incontinence?<\/h2>\n<p style=\"font-weight: 400;\">First of all, it is important to implement lifestyle changes that may help improve urinary incontinence:<\/p>\n<ul style=\"font-weight: 400;\">\n<li><strong>Weight loss:<\/strong>\u00a0If you are overweight or obese, your physician will first recommend that you lose weight. If you also have diabetes or hypertension, weight loss will contribute to the treatment of these conditions as well as urinary incontinence.<\/li>\n<li><strong>Fluid management:<\/strong>\u00a0When insufficient water is consumed, urine becomes concentrated, its colour darkens and it appears darker than usual. This irritates the bladder and increases urge urinary incontinence caused by being unable to reach the toilet in time. Instead of consuming a large amount of fluid at once, it is recommended to drink smaller amounts at regular intervals throughout the day. The consumption of beverages containing caffeine or alcohol should also be reduced. If you need to use the toilet during the night, it is advisable to stop fluid intake three to four hours before bedtime.<\/li>\n<li><strong>Prevention of constipation:<\/strong>\u00a0Constipation worsens urinary incontinence. Consuming approximately 30 grams of fibre per day helps prevent constipation.<\/li>\n<li><strong>Scheduled voiding:<\/strong>\u00a0Emptying the bladder at regular, planned intervals rather than allowing it to remain continuously full can reduce urge urinary leakage and help prevent stress urinary leakage that may occur during physical activity when the bladder is full.<\/li>\n<\/ul>\n<h3>PELVIC FLOOR EXERCISES<\/h3>\n<h3>KEGEL EXERCISES<\/h3>\n<p style=\"font-weight: 400;\">The primary purpose of these exercises is to strengthen the muscles around the bladder neck in order to prevent urinary leakage during activities that increase intra-abdominal pressure, such as laughing and coughing.<\/p>\n<h3>MEDICATION<\/h3>\n<p style=\"font-weight: 400;\">Medications used in this group include anticholinergics, beta-adrenergic agents and oestrogens. In patient groups considered appropriate by the physician, medication is tried before surgical treatment.<\/p>\n<h3>SURGERY<\/h3>\n<p style=\"font-weight: 400;\">Surgical treatment is particularly effective for stress urinary incontinence. Various surgical techniques and procedures are available for the treatment of stress urinary incontinence. An important consideration is that, whenever possible, the patient should have completed her childbearing and should not be planning a future pregnancy before undergoing these operations.<\/p>\n<h2>WHICH DEPARTMENT TREATS URINARY INCONTINENCE IN WOMEN?<\/h2>\n<p style=\"font-weight: 400;\">Urinary incontinence in women is evaluated by gynaecologists. Evaluation by a gynaecologist with a particular interest in urogynaecology is especially important. A complete gynaecological assessment must be performed, and any accompanying prolapse of the bladder, uterus or bowel must be documented. The examination should be carried out by an experienced specialist capable of assessing the patient with regard to complete pelvic reconstruction.<\/p>\n<h2>WHY IS CYSTITIS MORE COMMON IN WOMEN?<\/h2>\n<p style=\"font-weight: 400;\">Women are more prone to cystitis than men. The female urethra is shorter, and because it is located close to the anal region, bacteria can enter the bladder more easily. There are also several associated risk factors:<\/p>\n<ul style=\"font-weight: 400;\">\n<li><strong>Menopause:<\/strong>\u00a0As oestrogen levels decrease, the urethra, the tube through which urine passes, becomes shorter and thinner. The vaginal flora changes, and the vaginal tissues become thinner and less vascular.<\/li>\n<li><strong>Diabetes mellitus:<\/strong>\u00a0The likelihood of developing cystitis increases when blood glucose levels are high.<\/li>\n<li><strong>Incomplete emptying of the bladder<\/strong><\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">\n","protected":false},"excerpt":{"rendered":"<p>Urinary incontinence, or involuntary leakage of urine, is a condition that affects millions of women worldwide. Although it is more common among older women, it can also affect younger women. Urinary incontinence is not a natural part of ageing, nor is it a condition that women have to live with.<\/p>\n","protected":false},"author":1,"featured_media":987512309,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[919],"tags":[3003,2986,2989,2996,3001,2992,2993,2991,2987,2997,2990,2988,2998,2999,3000,3002,2995,2985,2026,2994],"dipi_cpt_category":[],"class_list":["post-987512308","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","tag-bladder-prolapse-and-urinary-incontinence-treatment-ankara","tag-causes-of-urinary-incontinence-in-women","tag-female-urinary-incontinence-diagnosis-and-treatment","tag-female-urinary-incontinence-specialist-in-ankara","tag-gynaecologist-for-urinary-incontinence-ankara","tag-kegel-exercises-for-female-urinary-incontinence","tag-non-surgical-treatment-for-urinary-incontinence","tag-pelvic-floor-exercises-for-urinary-incontinence","tag-stress-urinary-incontinence-symptoms-and-treatment","tag-stress-urinary-incontinence-treatment-ankara","tag-treatment-for-urine-leakage-when-coughing-or-sneezing","tag-urge-urinary-incontinence-causes-and-treatment","tag-urge-urinary-incontinence-treatment-ankara","tag-urinary-incontinence-after-childbirth-treatment-ankara","tag-urinary-incontinence-after-menopause-treatment-ankara","tag-urinary-incontinence-surgery-in-ankara","tag-urinary-incontinence-treatment-in-ankara","tag-urinary-incontinence-treatment-in-women","tag-urogynaecology-specialist-in-ankara","tag-which-doctor-treats-urinary-incontinence-in-women"],"_links":{"self":[{"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/posts\/987512308","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/comments?post=987512308"}],"version-history":[{"count":1,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/posts\/987512308\/revisions"}],"predecessor-version":[{"id":987512314,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/posts\/987512308\/revisions\/987512314"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/media\/987512309"}],"wp:attachment":[{"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/media?parent=987512308"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/categories?post=987512308"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/tags?post=987512308"},{"taxonomy":"dipi_cpt_category","embeddable":true,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/dipi_cpt_category?post=987512308"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}