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More gentle operations for women with incontinence

Publication |
2005

Abstract

Female urinary incontinence is a very common problem in adult women. Its prevalence in the population increases with age and, according to renowned epidemiological studies, affects twenty to thirty percent of women, for example, between the ages of 30 and 60.

The vast majority of them suffer from so-called stress incontinence, when urine inadvertently leaks during physical activity (coughing, sneezing, laughing, exercise, etc.). Risk factors that predispose to this type of urinary incontinence include, for example, the birth of a large fetus weighing more than 4,000 grams, obesity, or a previous surgical removal of the uterus.

Not all women with stress incontinence have such severe problems that surgery is necessary. Some can be helped by rehabilitation or electrostimulation of the pelvic floor muscles, others are helped by medication.

The whole diagnostic process of an incontinent patient leads to a slightly smaller group of those with severe incontinence who cannot be helped other than by surgery to be separated from women with milder forms of stress incontinence who are being treated non-surgically.