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Many women complain of incontinence both during pregnancy and after birth. In fact, 6 out of every 10 mothers during pregnancy are incontinent.Istanbul Medical Faculty Obstetrics and Gynecology Specialist Dr. View Önay's Full Profile She states that the treatment of this condition, which affects the quality of life of women, is not at all difficult.
: Is incontinence seen during pregnancy in all mothers?
Professor Dr. View Önay's Full Profile Urinary incontinence is not seen in all pregnant women. However, it is possible to say that the pregnancy rate is very high. 60 percent of pregnant women are faced with incontinence.
: Does this condition seen in pregnancy continue after birth?
Professor Dr. View Önay's Full Profile A part of the mother with the birth, while passing in part, continues after maternity. To give an estimate, 1/4 of those who miss urine in pregnancy continue to face this problem after birth.
: To what extent does this disturb women?
Professor Dr. View Önay's Full Profile In fact, when you look at a problem with the quality of life. Some women are very uncomfortable because they miss too much urine. Some women may not feel uncomfortable. However, even one time a day to miss urine problem is considered. In fact, the fact is that one out of every three women has more or less urinary incontinence all their lives. But the ratio of those who make a problem and apply to a doctor does not exceed 12%.
: What are the reasons for incontinence?
Professor Dr. View Önay's Full Profile Urinary incontinence during pregnancy occurs roughly for two reasons. One of them is the condition that manifests itself with urinary incontinence until they go to the toilet. Another is the situation that occurs with intra-abdominal pressure-increasing movements such as coughing sneezing, laughing, jumping rope and jumping. If the support system is not intact, this pressure increase is reflected in the urinary tract and therefore the urine escapes. Normally, when there is a certain amount of urine, we need to urinate. However, the muscle surrounding the urinary bladder and emptying the urine works randomly.
: Are there genetic factors?
Professor Dr. View Önay's Full Profile Laxity of supportive tissue is genetic. Interestingly, women who suffer from urinary incontinence are often women who wet their diapers in childhood.
: What is the treatment method?
Professor Dr. View Önay's Full Profile The type of incontinence needs to be determined to assess the incontinence problem. In some cases, treatment can be performed only by surgical methods, while in some cases non-surgical techniques are used. Numerous techniques are available. There are over 100 surgical treatments. One of the most commonly used methods is what we call the TVT technique. In particular, 98 percent of women abroad use the TVT technique.
: How is the TVT technique applied?
Professor Dr. View Önay's Full Profile The quality of life of the patients is restored with the TVT technique and the patient regains its health with an intervention performed under local anesthesia for 30 minutes. A ribbon-like strip is placed at the point where the bladder hangs with needle-like materials at both ends. Since it is synthetic textured, it is attached in place and then the needles are removed and left here.
: What should be considered after the operation?
Professor Dr. View Önay's Full Profile Postoperative pain, bleeding, itching, constipation, no problems such as sitting. The patient may be discharged on the same day or the following day. It is necessary to rest after surgery and avoid sexual intercourse for a while.