Post partum urinary incontinence
Which are the symptoms?
The symptom is precisely the involuntary loss of urine in an unsuitable social context. In most cases it is associated with an abdominal effort such as a cough, lifting a weight, or laughing.
- involuntary loss of urine
How is it diagnosed?
Urinary incontinence should be simply objectified on examination or by taking a careful history with the patient.
How is it treated?
Conservative treatment: It consists of rehabilitation of the pelvic floor that includes sessions of electrostimulation and the so-called pelvic gymnastics. With the help of specialized midwives, you learn exercises that can be repeated independently at home. The percentage of benefit varies from 30 to 70%. In case there is no improvement after 3-6 months of therapy, other methods should be tried.
Pharmacological therapy: used in case of urge incontinence (rarer, as mentioned before). The drug of choice is anticholinergic drug.
Surgical treatment: it is the best method to treat stress incontinence and urethral sphincter deficit. The techniques are numerous and must be adapted to the patient. The traditional surgical interventional procedure requires the application of a suburethral bandage capable of maintaining continence (sling); newer techniques are the periurethral injections of substances such as collagen and silicone.