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Urinary Incontinence

Urinary incontinence is a common problem affecting millions of people across the world. Urinary incontinence is leaking of urine without any control. It is not just a medical problem but it affects a person emotionally and psychologically. A person's daily chores can be affected by urinary incontinence and many people with urinary incontinence are forced to stay nearby to a toilet all the time. Many people perceive the problem as a sign of aging and hesitate to consult the doctor. 

There are several types of urinary incontinence. For some people urine leaks occasionally and for some people, the problem of urine leakage occurs frequently.

Stress incontinence- Urine leaks while doing some activities, coughing, sneezing, laughing or lifting something heavy. In women, the common cause of stress incontinence is childbirth. During pregnancy, the sphincter and pelvic muscles stretch out and become weak. Stress incontinence is more common in women than in men.

Urge incontinence- There is a sudden urge to urinate and urine leaks suddenly at the same time.

Overflow incontinence- One may experience frequent dripping of urine due to the inability to completely empty the bladder.

Total incontinence- When the bladder cannot store urine, a person may feel like urinating frequently or have constant leaking.

Mixed incontinence- A person may have one or more types of incontinence conditions.

Complications of Urinary incontinence

Urinary incontinence leads to various skin problems like rashes, skin infection, urinary tract infection, and it can also affect a person's personal or social life. 

Treatment for Urinary Incontinence

At Rashmi Hospital, we mainly use a surgical procedure called TOT (Transobturator Tape) to treat urinary incontinence. It is the latest and most effective treatment for urinary incontinence. 

TOT (Transobturator Tape)

TOT (Transobturator Tape) is the most common and successful treatment for stress incontinence in females.  TOT is a simple, safe, minimally invasive and cost-effective treatment for female urinary stress incontinence.

The surgical procedure is performed under general or spinal anesthesia. A small incision is made on the wall of the vagina. A permanent mesh tape is inserted through the vagina to fit under the urethra and it is adjusted with the needles. The tape which is inserted does not dissolve in the body.  

After the procedure, the recovery period is quick and one can start doing the lighter activities after two weeks. There may be slight vaginal discharge and if the patient develops any other symptoms like Urinary Tract Infection and constant Vaginal Discharge, it is necessary to consult the doctor. 

TOT procedure is successful in 93 percent of the cases. There is a great improvement in incontinence episodes and it has helped the patient in leading a quality life.

What to avoid after the procedure?

The patient should avoid indulging in the following activities after the procedure:

  • Sexual Intercourse for at least four to six weeks 
  • Lifting heavy things
  • Avoid smoking
  • Avoid gaining excess weight to avoid the recurrence 
If you are suffering from urinary incontinence problems, do not hesitate to consult us for the best treatment for urinary incontinence at Rashmi Hospital, where the specialists use highly advanced techniques to treat various kinds of diseases. For more details, contact- Rashmi Hospital, Bengaluru. Call@9880108844.
Authored by Dr.Deepak Rao

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Dr. Deepak Rao is a gynaecologist and laparoscopic surgeon. A pioneer of endoscopic surgery (laparascopy and hysteroscopy) in Bangalore

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