Quiet Urinary Incontinence Suffering | DO | 12 05 2022 | 4:05 pm

Radio Doctor – Medycyna i Zdrowie

A taboo subject that affects many

About one million people suffer from urinary incontinence in Austria. Another 100,000 from faecal incontinence. Understandably, these diseases are extremely embarrassing. No wonder, since involuntary leakage of urine or stools can occur anytime, anywhere. The good news: there are many effective treatments out there.

Various forms of urinary incontinence

The most often diagnosed is the so-called stress urinary incontinence, formerly also known as stress urinary incontinence. Due to the weakening of urethral closure, when abdominal pressure increases – for example, when you cough, sneeze, laugh, or exercise – you may experience involuntary leakage of urine. The weakening of the closure of the urethra may be due to weakening of the connective tissue with the relaxation of the pelvic organs and / or a reduction in the strength of the pelvic floor muscles. Stress urinary incontinence often affects pregnant women. There are also threats to multiple births, obesity and old age. Stress urinary incontinence may develop in men after prostate surgery.

If you still have to …

The second form of urinary incontinence is called urge incontinence. The muscles of the bladder involuntarily contract, which increases the pressure inside the bladder. Result: Suddenly there is a strong urge to urinate with loss of urine. People with an overactive bladder must urinate very often, at least eight times a day and several times at night. Urge incontinence affects men and women equally often. The number of cases increases with age. The cause is usually an overactive bladder muscle, which “malfunction” may not always be found. Inflammation of the lower urinary tract, enlarged prostate, and neurological diseases such as multiple sclerosis can also trigger urinary incontinence. Stress and urge incontinence can also go together.

Stool incontinence

She is naturally burdened with even more shame. This is especially true for the elderly. The causes of the loss of intestinal contents are dysfunction of the sphincters and weakening of the pelvic floor muscles. This can be caused by a disturbance in the nerve supply due to neurological conditions such as multiple sclerosis or back problems. In the case of existing weakness in the pelvic floor, diarrheal diseases or medications leading to diarrhea can also cause fecal incontinence.

Urinary incontinence therapy

The treatment for urinary incontinence varies from person to person and of course also depends on the type of disorder. The two most important elements in stress urinary incontinence are weight reduction and pelvic floor training. The exercises can be learned from physiotherapists who have been specially trained in urology and should do them several times a day. If conservative methods are unsuccessful, several surgical interventions may be considered.
For example, in an operation, a sling is attached to the urethra with a tourniquet. The urethra bends when stressed, preventing urine from draining.
There are several medications that work well to treat urinary incontinence, including antimuscarinics, beta-3 agonists, and botox. Pelvic floor training is also effective, but you can also try biofeedback and behavioral therapy. This includes, for example, keeping an emptying log to extend the intervals between emptying.

What helps with fecal incontinence?

Even with this form of urinary incontinence, in many cases regular pelvic floor training is sufficient. In addition, attempts are made to thicken the stool with dietary measures and medications.
Only heavy forms are operated. The new operational possibility is “Sphinkeeper”. Tiny prostheses are implanted around the anal canal, creating an artificial sphincter.
However, symptoms can also be alleviated by electrical stimulation of the pelvic floor nerves (sacral nerve stimulation).

Moderator: prof. university dr in. Karin Gutiérrez-Lobos
Preparation of the broadcast: dr. Christopher Lerich
Editor: dr. Christoph Leprich, Lydia Sprinzl, MA

Have your say! We welcome your questions and suggestions. Our number: 0800/22 69 79, free of charge from anywhere in Austria.

Do you suffer from urinary or stool incontinence?

What is the reason for you?

Does the disease limit your life?

What form of therapy helped you?

Do you do pelvic floor exercises?

Have you had surgery?

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Sightseeing of Funkhaus Vienna:

Dr. Michael Lechner
Surgery specialist, proctology specialization
Member of the board of the Austria Continuing Treatment Society (MKÖ)
Senior Doctor at the Hospital of the Divine Savior
Dornbacher Str. 20-28
1170 Vienna
Telephone: 01/40088/9300
e-mail
Home

Associate Univ.-Prof. Dr. Engelbert Hanzal
Specialist in gynecology and obstetrics
town square 4
3400 Klosterneuburg
Telephone: +43 2243 34141
e-mail
Home

University of Prof. Dr. Hans Christoph Klinger
A specialist in urology
Member of the board of the Austria Continuing Treatment Society (MKÖ)
Board of the Austrian Society of Urology and Andrology
Head of the Urology Department at the Ottakring Clinic
Montleartstrasse 37
1160 Vienna
Telephone: +43 1 49 150 4808
e-mail
Home

Further contact points and information links:

Weak bladder, lethargic intestines? Everyday Life With Urinary Incontinence: A Help Agency Guide
Advisory hotline Society for Medical Continuity Austria
urinary incontinence clinics
abstinence and pelvic floor centers
medical clinics
Urinary incontinence consultancy Fund Soziales Wien
Tips for stoma continence
Physiotherapists with additional training in pelvic floor palpation
Gesundheit.gv.at: urinary incontinence
Pharmacy review: fecal incontinence
Tips for weakening the bladder and intestines
List of self-help groups for urinary incontinence in Austria
urinary incontinence therapy
Incontinence Day Divine Savior

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