What causes urinary incontinence in women

Urinary incontinence in women and depression problems

At the Urological Clinic and Polyclinic, the complete urological diagnosis and therapy of urinary incontinence in men and women carried out. One focus is the treatment of stress urinary incontinence and bladder dysfunction in women caused by pelvic floor defects. Difficult cases are dealt with in an interdisciplinary manner as part of the Pelvic floor center of the LMU clarified and treated. Urologists, gynecologists and surgeons work together to enable optimal individual therapy.

General

Urinary incontinence is a widespread ailment among women: between the ages of 25 and 75, every fifth woman suffers from urinary incontinence; if only those over 50 are considered, every third woman is affected. However, the inhibition threshold to talk about existing urinary incontinence is high and only about 30% of those affected seek medical help.

Urinary incontinence often causes not only a significant reduction in quality of life, but also depression, social isolation and relationship problems. The subject of "urinary incontinence" is still taboo today, even if the problem has become more public awareness in recent years.

Above all, stress urinary incontinence, urinary incontinence and mixed incontinence as well as descent symptoms are of importance (Table 1).

Stress incontinence

(formerly stress incontinence)

Involuntary loss of urine during physical exertion (e.g. coughing, sneezing, exercise) without the need to urinate; Loss of urine in sync with physical exertion
Urine incontinenceInvoluntary loss of urine in combination with a sudden sensation of urination (urgency)
Mixed incontinenceInvoluntary loss of urine is associated with the urge to urinate but also with physical exertion
OAB

(overactive bladder syndrome)

Urgency, with or without involuntary loss of urine, which is usually associated with increased micturition frequency and nocturia, without infection or other illnesses being present.

Table 1: Classification of urinary incontinence types according to the ICS (International Continence Society)

A wide range of conservative, medicinal and surgical therapy options are available today for treatment. Minimally invasive loop surgery has found its way into the surgical treatment of stress urinary incontinence in women over the past 15 years, but mesh implants are now also used in the treatment of descent symptoms.

With professional diagnostics and well-founded advice, every affected woman can now have the chance of an individualized treatment of her urinary incontinence and descent symptoms.