TIPOS DE INCONTINENCIA DE ORINA: ESFUERZO, URGENCIA, MIXTA, OTRAS... - Ginecología y Obstetricia -

Urinary Incontinence One in five women over 40 suffers from some degree of urinary incontinence. Despite being an underdiagnosed problem, it is a common reason for consultation in Gynecology. In this video, we will introduce the different types of urinary incontinence. VISIT OUR WEBSITE, DOWNLOAD THE PODCAST, AND TAKE THE QUIZ: https://aulaginecologia.com/profesion... RELATED VIDEOS FOR PATIENTS: https://aulaginecologia.com/area-muje... Urinary incontinence (UI) is the involuntary release or loss of urine, which represents a hygienic or social problem for the individual and significantly impacts their quality of life. However, only 25% of people affected by UI seek treatment due to the social stigma. RISK FACTORS AGE: especially for urge incontinence. PARITY: Urinary incontinence is more common in women who have given birth. The delivery method can also influence the risk of urinary incontinence, being somewhat higher after vaginal delivery. However, it is important to note that having a cesarean section does not completely prevent the development of this type of condition. OBESITY SEX: Women are at higher risk of developing urinary incontinence. MEDICATIONS and OTHER SUBSTANCES: Alcohol, caffeine, and some medications such as diuretics, sympathomimetics, or antiparkinsonian drugs can cause incontinence. CONSTIPATION HYSTERECTOMY Below, we will discuss the main types of urinary incontinence, without going into detail on any of them, as they will be explained in more depth in other videos. It is also recommended to first study the topic: “Medical History and Examination of Pelvic Floor Pathology”: https://aulaginecologia.com/profesion... STRESS URINARY INCONTINENCE (SUI) People with SUI experience involuntary urine loss that occurs with increases in intra-abdominal pressure (e.g., with exertion, sneezing, coughing, laughing) in the absence of bladder contraction. PATHOPHYSIOLOGY: Urethral hypermobility or hyperlaxity. Intrinsic sphincter deficiency. DIAGNOSIS: As explained in other videos, the diagnosis of SUI is primarily clinical. TREATMENT: As explained in other videos, SIO can be addressed more or less conservatively depending on the patient and the severity of the incontinence: Conservative management through pelvic floor rehabilitation, lifestyle changes, etc. Surgical management: urethral volume injection, urethral slings, retropubic colposuspension, etc. URGE URINARY INCONTINENCE (UOI) It is more common in older women. In many patients, the condition begins as urinary urgency WITHOUT incontinence, and over time, increasingly frequent and copious urine leakage occurs. PATHOPHYSIOLOGY: It is believed to be the result of detrusor overactivity, which causes uninhibited contractions of the detrusor muscle during bladder filling. OVERACTIVE BLADDER: Although the terms "urinary urgency" and "overactive bladder" are often used interchangeably, some texts refer to overactive bladder as the presence of urinary urgency along with nocturia and pollakiuria. DIAGNOSIS: Diagnosis is usually made through medical history, as explained in the section "Medical History and Examination of Pelvic Floor Pathology." TREATMENT: Pelvic floor rehabilitation and lifestyle changes. Pharmacological treatment: The most commonly used drugs are antimuscarinics, such as fusoterodine, and beta-3 adrenergic agonists, such as mirabegron. Second-line treatments: such as intravesical botulinum toxin injection or sacral neuromodulation. MIXED URINARY INCONTINENCE (MIO) This is described as having symptoms of both stress and urge urinary incontinence. TREATMENT: Treatment is similar to that for each type of incontinence separately, although resolving one component can significantly improve the other. OTHER TYPES OF INCONTINENCE OVERFLOW INCONTINENCE: Overflow urinary incontinence is caused by detrusor underactivity or bladder outlet obstruction. It presents with continuous or dribbling urine leakage. FUNCTIONAL INCONTINENCE: Functional urinary incontinence occurs when a patient has intact urine storage and voiding functions but is physically unable to urinate in time. OCCULT INCONTINENCE: As explained in the video on "Medical History and Examination," occult incontinence is stress incontinence that only appears after pelvic organ prolapse is repaired. VISIT OUR WEBSITE: WWW.AULAGINECOLOGIA.COM