The medical condition of the patient with urinary incontinence is evaluated and treated. Urinary incontinence is a condition that is mostly treated with TOT operation and is usually seen in advanced ages in women. Urinary incontinence creates serious problems in the social life of women. Women become reluctant to leave the house because they frequently encounter postmenopausal urinary incontinence.
Some people see incontinence as a normal effect of aging and do not need medical support. Some people can’t tell anyone because they are afraid of this situation. Urinary incontinence can also be caused by other diseases such as urinary tract infection.
You can find more information about Urinary Incontinence TOT Operation and other treatment types in the rest of our article. You can always contact Op. Dr. Burcak Tok for urinary incontinence treatment in Istanbul.
Urinary incontinence causes
Urinary incontinence is a very common condition in children. Urinary incontinence is considered normal up to a certain age. In addition, adult incontinence can also be the first sign of some serious conditions. Urinary incontinence may suggest pelvic organ prolapse, especially in women who have given birth. However, causes such as menopause and urinary tract infections are also the most common causes of urinary incontinence in women. When examining the causes of enuresis in general, two headings may be mentioned: ‘urge incontinence’ and ‘stress incontinence’. Especially when these two coexist. In general, the causes of enuresis can be listed as follows;
- urinary tract infections,
- menopause,
- hormonal disorders,
- pelvic muscle weakness,
- senility,
- Vaginal infections,
- difficult birth,
- overweight (obesity),
- diabetes mellitus (diabetes),
- DNA,
- Bladder infections,
- Constipation,
- enlarged prostate,
- Cystitis,
- kidney stones,
- It can be seen in the use of drugs such as sedatives, blood pressure medications, and diuretics.
Urinary incontinence in women
Urinary incontinence is more common in women because the urethra is shorter than in men. In some cases, the urethra may be damaged. Pregnancy and childbirth come to the fore in these situations. Particularly difficult births, overweight babies, and multiple births are motivating factors. However, during menopause, the urethra may not fully perform its functions. Other causes of urinary incontinence in women include constipation, genetic factors, advancing age, a sedentary life, and being overweight. Specifically, women who had a first-degree relative (such as a mother or sister) with incontinence were three times more likely to develop the condition.
Urinary incontinence occurs in one in four women and may develop due to some diseases. In this case, when the underlying cause of the disease is treated, enuresis also disappears. In some cases, the incontinence is permanent. This situation should be taken seriously and handled appropriately. Urinary incontinence in women can be treated with a mulching process. This method of treatment gives very successful results.
Urinary incontinence Risk Factors
- Systemic diseases:Systemic diseases such as kidney disease and diabetes (diabetes) increase the risk of incontinence.
- Obesity: Urinary incontinence can develop from excess weight and increased pressure on the bladder and pelvic floor muscles. Coughing, sneezing and stress incontinence are common due to weak pelvic muscles.
- Gender: Urinary incontinence is frequently observed in women due to both anatomical predisposition to incontinence, pregnancy, childbirth, and menopause.
- Age: As we age, the frequency of urinary incontinence increases due to weakening of the bladder muscles and pelvic floor structure. However, incontinence is not considered normal as a normal process of aging, and quality of life can be improved by treating it.
- Smoking: : A chronic cough caused by smoking and a persistent increase in intra-abdominal pressure increases the risk of stress incontinence. Additionally, smoking can affect bladder spasms and cause overflow incontinence.
What are the complications of urinary incontinence?
Urinary incontinence can affect an individual psychologically and socially, as well as cause some illnesses and physical ailments. People may find themselves in a difficult situation because of incontinence in both daily and social life and in professional life. This not only affects the psyche of people, but also reduces their quality of life.
- Skin problems: Urinary incontinence causes the genital area to come into contact with urine permanently and causes the skin to stay moist all the time, and after a while, rashes, rashes, and cuts may occur in the genital area.
- Changes in quality of life: : Incontinence can negatively affect a person’s quality of life. Because of the fear of incontinence during sexual activity, the person’s self-confidence decreases and avoidance of sex can be seen in the person. In addition, diseases such as anxiety and depression can be seen more frequently in women with enuresis.
- Changes in daily activities: As a result of incontinence, the thought of going to the toilet in planned places on a daily basis may limit a person’s daily activities due to restrictions on sports and exercise.
- Urinary tract infection: Frequent urinary tract infections may be seen in people with urinary incontinence.
- Changes in working life: Urinary incontinence negatively affects working life. It prevents participation in long meetings and can cause problems concentrating by creating tension and distress in the person. It can also cause weakness and fatigue due to difficulty sleeping at night.
(Urinary Incontinence) Types of Urinary Incontinence
Stress Incontinence: Stress-type urinary incontinence, which is more common especially in young women who gave birth vaginally, usually occurs drop by drop after actions such as laughing, coughing, sneezing. However, it can also occur after physical activities such as running, jumping and activities such as lifting heavy objects. In these cases, the pelvic floor muscles cannot control the increased pressure in the bladder and the person experiences urinary incontinence. Stress urinary incontinence can be treated with TOT operation.
Impingement Type Urinary Incontinence: Although the bladder is not full, the person has a feeling of squeezing. It can be seen in people with urinary tract infections, stones in the bladder, Alzheimer’s and Parkinson’s diseases. In this type of incontinence, irresistible or uncontrollable contractions occur suddenly that press on the bladder. In this case, urinary incontinence is seen even when the person does not want to leak urine and tries to control the urine.
It does not depend on age and gender. One of the most important causes of urinary incontinence, which can affect every individual, is cold weather. The cause is cold air, which causes the bladder to contract suddenly. At the same time, the sound of water can also be a trigger in some cases.
Overflow Type Urinary Incontinence: It is the leakage of urine as a result of not feeling the bladder even though it is full.
Total Urinary Incontinence: Total incontinence is often seen in Alzheimer’s and Parkinson’s diseases. They leak all the time and they don’t notice.
Urinary incontinence treatment (TOT operation)
Urinary incontinence is a disease that appears more often than society realizes. Nearly half of all women will experience incontinence of the neck. While many of these are manageable in daily life, about 10-20% develop very troublesome incontinence.
Urinary incontinence is not just a normal condition that accompanies the aging process. Urinary incontinence is not considered normal at any age. There are treatment options that will completely eliminate or at least reduce incontinence, depending on the age and characteristics of the patient.
However, the problem of incontinence due to bladder prolapse is very common, especially in women. Therefore, when treating incontinence, it is important to carefully evaluate the individual’s complaints and to assess any problems with the pelvic organs. Urinary incontinence is a TOT process. 
Urinary Incontinence TOT Operation
TOT incontinence surgery is a procedure performed to treat stress incontinence. The operation takes 20-25 minutes under general or spinal anesthesia. It is performed by making a small incision of 1 cm in length just below the urinary outlet. Urinary incontinence is prevented by placing a sling under the urethra by entering through the open incision. Then the open wound is sutured and the operation is over. Since self-dissolving thread is used during sewing, there is no need to take the thread.
Frequently Asked Questions About Incontinence TOT surgery
1- What are the risks of TOT incontinence?
In experienced hands, the risks are very rare. Possible risks include bladder damage, urinary tract dysfunction, signs of urgency, vascular damage, vaginal spot erosion, pelvic pain, pain during intercourse, and incontinence.
2- How is the recovery period after TOT incontinence surgery?
Recovery from incontinence will be very fast after a TOT procedure. After about a week, you can resume your light daily activities. There may be a small amount of vaginal bleeding and discharge. After the operation, a pain reliever medication is given by the doctor so that you can take it when necessary.
3- When should you shower after TOT incontinence?
After TOT incontinence, you should wait a day or two to shower. Avoid contact with hot water for the first few days. Do not wash and do not lie in the bathtub for two weeks.
4- How long do you need to have sexual intercourse after TOT?
You should not have intercourse for an average of 1.5 months. This time will be enough to rejuvenate the vagina.
5- What should be taken into consideration after TOT surgery?
As with any surgery, regular care and adequate rest is recommended for toot surgery. To speed up the healing process, it is recommended to adhere to the following recommendations:
- 1.5-2 liters of fluid should be consumed per day.
- Do not drink more than 3 cups of coffee or tea per day, as this can irritate the bladder.
- Do not smoke.
- Be careful not to gain excess weight because of the risk of disease recurrence.
- Do not lift heavy loads.
- In order for the wound to heal, you should abstain from sexual intercourse for 6 weeks.
6- How long does the TOT process take?
It is a very effective method against the problem of urinary incontinence. This process, which is performed 2-3 times a week, takes about 20 minutes.
7- How is urinary incontinence examined in women?
In gynecological examinations, a simple but important test is performed based on monitoring the incontinence by coughing or exerting force on the patient to increase intra-abdominal pressure. These tests measure bladder pressure at rest and during urination.
8-What causes urine leakage in women?
Some causes of incontinence in women include constipation, genetics, advanced age, inactivity, and weight gain. In particular, women with first-degree relatives such as mothers or sisters with incontinence are three times more likely to develop the disease.
9- Does a urinary tract infection cause incontinence?
Normally, bacteria from the external urinary tract travel through the urinary tract and multiply in the bladder. After hitting, it causes a number of symptoms. these; A burning sensation during urination, pain in the groin, enuresis, nausea, vomiting and frequent urination.
10- Which disease is one of the symptoms of urinary incontinence?
Other problems associated with urinary incontinence should be investigated. While the problem may be simple urinary incontinence, the underlying cause can sometimes be a precursor to diabetes and various nervous system diseases. If the blood sugar is high, the person will urinate more frequently and the risk of developing incontinence is increased
