Urinary Incontinence Guidelines

Someone is said bedwetting when he can not hold urine at the time of discharge or place that is not desired. urine is produced by kidney and accommodated by bladder. During the gathering process, urethra must close. Once the bag is full, there will be reflect want to urinate. In this time, the urethra is opened. If the mechanism is not running properly, then there is an urinary incontinence.

Causes

Urinary incontinence (bedwetting) causes can be divided into two. The bladder dysfunction, urethral dysfunction, or a mixture of both. Bladder dysfunction can be divided into two kinds, namely Urgency Urinary Incontinence (UUI). This type is caused by bladder nerve that is too sensitive, so that urine hurried exit. The second is called Over Flow Incontinence (OI). Caused by bladder nerve which is not very sensitive enough, so that the bladder becomes too full, and then overflows to the outside. Nerve that is not sensitive can caused by certain diseases, such as chronic diabetes, enlargement Prostate gland and spinal injuries.

Urethral dysfunction can be divided into 2, namely, Stress Urinary Incontinence (SUI). Because of the pressure from the get around that is push the bag urine, or because the base of pelvis muscle that is weak, for example, is too often give birth. Stress urinary incontinence experienced by many women.

Handling

To heal bedwetting, the doctor will do diagnoses, consisting of anamnesis (interview), physical examination, laboratory examination, supplementary examination (urodynamic, urine residues).

Interviews conducted for the medical records of patients, whether they had suffered a particular disease such as diabetes, etc Prostate gland enlargement

Physical examination, usually carried out by inserting a kind of cotton or tissues to know the sex of the patient make it or not, when asked to cough.

Laboratory examination is done to check the urine. whether there is a possibility of infection by the bacteria E. coli.

Urodynamic examination was conducted to measure the bladder nerve sensitivity.

The diagnostic results from the doctor will determine the action that must be made, based to urinary incontinence causes.

In the case of urgency urinary incontinence, first, the doctor will take action behavior therapy. in this therapy, patients are asked for a healthy pattern of living, avoid cigarettes, alcohol and caffeine. If this therapy failed, the doctor will perform pharmacologic therapy, with anti cholinergic drugs, to decrease the level of bladder nerve sensitivity. If this therapy also failed, the only way is to perform surgery.

Surgery for urinary incontinence is done to increase the capacity collection of bladder. bladder is splited, and added with illeum (small intestine) with this surgery, it is expected that the volume of urine can cause the urethra to be open more.

Handling over flow incontinence with similar urgency urinary incontinence. First of all be patient behavior therapy, one with kegel exercise. If this therapy is fails, continue with pharmacologic therapy. If it still fails then do catheter. People will be trained to install the catheter. each time when the bladder is already full of urine, the patient can immediately install catheter.

Action of the surgical stress urinary incontinence is done in a way binding ligamentum (network buffer ligament) on the bone or pubis with installing sling, a kind of rope made from synthetic materials. Both intended to support the urethra so that the original position.

Alternative action is injected with the agent such as Silicon or teflon on the bladder neck. This aims to replace the function of the pelvic base muscles weak.

With the appropriate therapy, the patient will not being embarrassed again by the urinary incontinence problem.