Urinary incontinence: general recommendations, treatment with folk remedies. Folk remedies for urinary incontinence

Anatoly Shishigin

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Involuntary urine discharge is a common problem faced by many people of both sexes. The reasons why it is impossible to control the flow of urine are quite varied, including stress factors.

This could be a perineal injury, various surgical operations gynecological sphere, intensive work with heavy lifting, as well as elderly age. Moreover, when coughing or laughing, as well as under stress, a person experiences a fairly strong increase in blood pressure. internal cavity abdomen, transmitting forces to the area Bladder. This causes some urine to be squeezed out.

Only a urogynecologist or urologists can determine and diagnose the cause of enuresis. They prescribe drug treatment for urinary incontinence in women, which, in agreement with the doctor, can be supplemented with traditional medicine methods.

How to cure urinary incontinence with herbs?

Traditional herbal medicine offers many medicinal herbs, tinctures and preparations that can actively help in the fight against diseases genitourinary area. Herbs for urinary incontinence in older women most often contain dill and St. John's wort, yarrow and nettle.

Dill seeds

For enuresis, ordinary dill is successfully used, used not only in the form of seeds, but also roots. To prepare dill tincture against inflammation in the urinary system, take a large spoonful of crushed ones and pour a glass of clean boiled water, leave for several hours, then strain and take once or twice a day in the amount of 200 ml.

Dill is contraindicated in patients with hypotension; pregnant women should not drink it due to the possibility of miscarriage. This method is the most effective for eliminating urinary incontinence in the shortest possible time.

Yarrow

Yarrow has a diuretic, astringent and anti-inflammatory effect. effective medicine due to the content of many useful components. To prepare a decoction against incontinence from this plant, you need to grind the yarrow, pour boiling water over the resulting mixture in the following proportion: one small spoon of the herbal mixture per standard glass of boiling water. The decoction must be infused and drunk a couple of times a day, 1/2 cup.

Traditional medicine specialists advise drinking decoctions and tinctures of yarrow not for a very long time, so as not to cause skin dermatitis and dizziness.

St. John's wort

St. John's wort has long been used in folk medicine for incontinence. This plant is so unique that it is a real folk healer for many diseases. Decoctions and tinctures of St. John's wort trigger a long chain in the body recovery processes aimed at improving the general condition.

Making a St. John's wort decoction is very simple: just 40 g of leaves and flowers are enough to pour 250 ml of boiling water. The container with the tincture should be wrapped and left for 2 hours to infuse. During the day, St. John's wort decoction is taken instead of the usual tea.

St. John's wort

Sage

Another popular traditional medicine plant is sage. It has strong antimicrobial properties and is used specifically for genitourinary diseases by patients of any age and gender.

You can prepare a medicine from sage to combat enuresis as follows: 40 g of sage is poured into 1 liter of boiling water, wrapped and left for several hours. After this, you need to strain the liquid through cheesecloth and drink 1/2 at least 3 times a day.

Cowberry

In case of problems with involuntary urine discharge, lingonberries are very helpful, they are used not only for their berries, but also for their leaves. This is a very good diuretic that can effectively fight enuresis. Medicinal mixture Lingonberry is prepared from a large spoonful of dried berries and leaves with the addition of the same amount of St. John's wort.

The mixture is poured with 750 ml of water and boiled for about half an hour over low heat. Then the lingonberry tincture must be filtered through gauze and taken in the 2nd half of the day, at evening time, right up to going to bed.

The minimum amount for consumption should be 3 glasses of liquid.

Blueberry

Blueberries, so familiar to everyone, are not only delicious berry, but also an excellent diuretic, choleretic, anthelmintic and anti-inflammatory agent. It is very easy to prepare a berry decoction; to do this, pour one tablespoon with three hundred milliliters of boiling water, boil for a couple of minutes and leave for a while in a cool and dark place. Take the decoction before bed to improve morning urination.

Herbal infusions

In folk medicine there is a very effective collection, with regular use which can completely eliminate incontinence problems. To do this, you need to mix 100 g of nettle leaves and marshmallow roots, with the addition of 70 g of dry yarrow. This mixture is mixed well, poured in the amount of 2 tablespoons per half liter of boiling water.

It is best to infuse in a thermos so as not to lose useful properties plants. During the day, the infusion is taken as tea. This drink is effective even with enuresis in running forms, but for elderly patients it should be used with caution and the dosage reduced by approximately 2 times.

Herbs for prostatitis

In case of involuntary leakage of urine in men due to the occurrence of prostatitis, you can use one of the unique collections of traditional medicine, which consists of wheatgrass roots, 100 g of violet, 80 g of soldier's grass, which is called yarrow. This mixture has an increased anti-inflammatory effect and antibacterial effect.

In order to prepare the tincture, you need to add one liter of boiling water to the mixture in the amount of 3 tablespoons, preferably in a thermos. Take one glass on an empty stomach.

Herbs for stagnant processes

At stagnant processes In men's prostate area, traditional medicine suggests a drink made from plantain seeds, which is best brewed in a thermos in one liter of clean boiling water. After 3 hours of infusion, the broth is filtered through cheesecloth and taken four times a day in the amount of one glass.

Herbs for incontinence in pregnant women

Pregnant women often experience urinary incontinence, and herbal treatment should be safe not only for the health of the expectant mother, but also for the developing fetus. A safe remedy would be a mixture of 70 g of St. John's wort, 100 g of agrimony and 50 g of hernia. Two large spoons of this mixture should be poured into 1/2 liter of boiling water. clean water and leave for about three hours. Before taking it, it is important to strain the broth through cheesecloth and drink 1/2 cup throughout the day.

In the period after childbirth, women also often experience enuresis. Traditional medicine recommends taking a tincture of chopped carrot tops, which is poured cool water in proportion: three tablespoons of mixture per liter of clean cold water. Place the container on the stove and cook for half an hour at a low simmer. You need to drink the strained infusion 2 times a day, at least 1 glass at a time.

What herbs will help with urinary incontinence?

In severe stages of incontinence in people, it is necessary to brew agrimony seeds in the amount of 50 g in 1/2 liter of red wine. The bottle with the mixture is infused for about a week in a dark and cool place, and then it is filtered through a bandage or gauze and drunk in a large spoon throughout the day at least four to five times. Already after 2 weeks regular intake it will be possible to note the first results of improvement.

Bay leaf for urinary incontinence – excellent remedy, relieving symptoms. A couple of laurel leaves are brewed in a glass of boiling clean water for about 10-15 minutes, wait until it cools down, and drink 1/2 glass three times every 24 hours. Herbal medicine should continue for at least 1 week.

Urinary incontinence in women negatively affects almost every aspect of life, making it much more difficult professional activity, limiting social contacts and introducing disharmony into family relationships.

This problem is considered by several branches of medicine - urology, gynecology and neurology. This is due to the fact that urinary incontinence is not independent disease, but only a manifestation various pathologies in a woman's body.

It is a mistake to believe that urinary incontinence affects, if not the older part of the fair sex, then women after 50 years of age. The disease can appear at any age. Especially if the lady has crossed the thirty-year mark or has given birth to 2-3 babies. The problem does not pose a danger to the female body, however, it is morally depressing and greatly reduces the patient’s quality of life.

In this article we will look at why urinary incontinence occurs in women, including after 50 years. What reasons contribute to this phenomenon, and what to do about it at home.

Classification

There are several types of urinary incontinence in women, namely:

  1. Imperative. Female urinary incontinence may result from malfunction the central and peripheral nervous systems, as well as disorders of the innervation of the bladder itself. In this case, the woman is bothered by an extremely strong urge to urinate, sometimes it is impossible to do so. by force of will hold urine. In addition, the patient may suffer from frequent urination during the day (more than 8 times) and at night (more than 1 time). This type of disorder is called imperative and is observed in overactive bladder syndrome.
  2. Stress urinary incontinence in women is associated with sudden increases intra-abdominal pressure, which occurs as a result of lifting heavy objects, coughing or laughing. Most often, doctors have to deal with stress urinary incontinence in women. Muscle weakening and sagging pelvic organs Experts also associate it with the amount of collagen content observed in menopausal women. According to medical statistics, 40% of women have experienced stress incontinence at least once in their lives.
  3. Mixed form - in some cases, women may have a combination of imperative and stress incontinence. This phenomenon is most often observed after childbirth, when involuntary urination leads to traumatic injuries muscles and tissues of the pelvic organs. This form of urinary incontinence is characterized by a combination of an irresistible desire to urinate with uncontrollable leakage of fluid during exercise. This urinary disorder in women requires a two-pronged approach to treatment.
  4. - the form is characterized by involuntary release of urine at any time of the day. When bedwetting is noted in women, we are talking about nocturnal enuresis.
  5. Urgent urinary incontinence It is also characterized by involuntary release of urine, which, however, is preceded by a sudden and irresistible urge to urinate. When such an urge is felt, a woman is unable to stop urinating, she does not even have time to reach the toilet.
  6. Permanent incontinence- associated with pathology urinary tract, abnormal structure of the ureter, sphincter incompetence, etc.
  7. Dripping - immediately after urination, a slight dripping of urine occurs, which remains and accumulates in the urethra.

The most common are stress and urgency urinary incontinence; all other forms are rare.

Causes of urinary incontinence in women

In the female population, including those over 50 years of age, the causes of urinary incontinence can be very diverse. Nevertheless, this pathology most often observed in those women who have given birth. IN in this case a large percentage of cases were seen among those who had prolonged or rapid labor, if they were accompanied by ruptures pelvic floor or other birth injuries.

In general, urinary incontinence occurs due to weakening of the pelvic floor and/or pelvic muscles and disturbances in the functioning of the urethral sphincter. These problems may be provoked by the following diseases and conditions And:

  • pregnancy and childbirth;
  • overweight, obesity;
  • old age (after 70 years);
  • bladder stones;
  • anomalous structure genitourinary system;
  • chronic infections in the bladder;
  • chronic cough;
  • Alzheimer's disease, Parkinson's disease;
  • sclerosis;
  • bladder cancer;
  • pelvic organ prolapse;
  • chronic cough.

Also, some medications, as well as food, increase the manifestations of urinary incontinence at any age: smoking, alcoholic drinks, carbonated water, tea, coffee, drugs that relax the bladder (antidepressants and anticholinergics) or increase urine production (diuretics).

Diagnostics

To figure out how to treat urinary incontinence in women, you need to not only diagnose the symptom, but also determine the cause of its development. Especially when it comes to women over 50 or 70 years old.

Therefore, for the correct choice of treatment tactics (and to avoid mistakes) in mandatory It is necessary to perform the following special examination protocol:

  • filling out specific questionnaires ( best option– ICIQ-SF, UDI-6),
  • compiling a urination diary,
  • daily or hourly test with pads (Pad test),
  • vaginal examination with cough test,
  • Ultrasound of the pelvic organs and kidneys,
  • complex urodynamic study (CUDI).

Treatment of urinary incontinence in women

The most effective treatment depends on the cause of the woman's urinary incontinence, and even your personal preferences. Treatment is different for each woman and depends on the type of incontinence and how it affects life. Once a doctor diagnoses the cause, treatment may include exercises, bladder control training, medications, or a combination of these methods. Some women may need surgery.

  • caffeine-free diet (no coffee, strong tea, cola, energy drinks, chocolate);
  • body weight control, combating obesity;
  • quitting smoking and alcoholic beverages;
  • emptying the bladder by the hour.

Conservative treatment methods are indicated mainly for young women with mild symptoms of urinary incontinence that arose after childbirth, as well as in patients with increased risk surgical treatment, in elderly patients previously operated on without positive effect. Urgent urinary incontinence is treated only conservatively. Conservative therapy usually start with special exercises aimed at strengthening the pelvic floor muscles. They also have a stimulating effect on muscles abdominals and pelvic organs.

Depending on the cause of enuresis in women, various drugs and tablets are prescribed:

  • Sympathomimetics– Ephedrine – promotes contraction of the muscles involved in urination. The result is that enuresis stops.
  • Anticholinergics– Oxybutin, Driptan, Tolteradine. They make it possible to relax the bladder and also increase its volume. These medications for urinary incontinence in women are prescribed to restore urge control.
  • Desmopressin - reduces the amount of urine produced - is prescribed for temporary incontinence.
  • Antidepressants– Duloxitine, Imipramine – prescribed if the cause of incontinence is stress.
  • Estrogens are drugs in the form female hormones progestin or estrogen - prescribed if incontinence occurs due to a lack of female hormones. This happens during menopause.

Urinary incontinence in women can be managed with medication. But in many cases, treatment is based on change behavioral factors and therefore Kegel exercises are often prescribed. These treatments, combined with medications, can help many women with urinary incontinence.

Kegel exercises

Kegel exercises can help treat any type of urinary incontinence in women. These exercises help strengthen muscles abdominal cavity and pelvis. When performing exercises, patients should tense their pelvic muscles three times a day for three seconds. The effectiveness of using pessaries and special intravaginal rubber devices largely depends on the type of incontinence and individual characteristics anatomical structure body.

Squeeze the muscles of the perineum and hold the compression for 3 seconds, then relax them for the same time. Gradually increase the duration of compression-relaxation to 20 seconds. At the same time, relax gradually. Also apply fast contractions and activation of muscles used during bowel movements and childbirth.

Operation

If devices and medications for urinary incontinence in women do not help, then surgical treatment becomes necessary. There are several types of surgical intervention that help eliminate this problem:

  1. Sling operations (TVT and TVT-O). These interventions are minimally invasive, last about 30 minutes, and are performed under local anesthesia. The essence of the operation is extremely simple: insertion of a special synthetic mesh in the form of a loop under the neck of the bladder or urethra. This loop holds the urethra in a physiological position, preventing urine from leaking out when intra-abdominal pressure increases.
  2. Laparoscopic colposuspension according to Burch. The operation is performed under general anesthesia, often through laparoscopic access. The tissues located around the urethra seem to be suspended from the inguinal ligaments. These ligaments are very strong, so the long-term results of the operation are very convincing.
  3. Injections of volume-forming drugs. During the procedure, under the control of a cystoscope, a special substance is injected into the submucous membrane of the urethra. More often it is a synthetic material that does not cause allergies. As a result, the missing soft tissues are replaced and the urethra is fixed in the desired position.

Any operation for urinary incontinence is aimed at restoring correct position organs of the urinary system. Surgery for urinary incontinence results in significantly less leakage of urine when coughing, laughing and sneezing. The decision to perform surgery for urinary incontinence in women should be based on a correct diagnosis, since the absence of this aspect can lead to serious problems.

Traditional treatment of urinary incontinence in women

Opponents traditional methods treatment, you are probably interested in the question of how to treat urinary incontinence with folk remedies. In this aspect, several recipes can be given:

  1. Dill seeds will be a great help. Pour 1 tablespoon of seeds into a glass of boiling water and leave for 2-3 hours, wrapping them well. Then the resulting infusion is filtered. The entire glass of the product should be drunk at once. And do this every day until you get results. Traditional healers claim that this method can cure urinary incontinence in people of any age. There are cases of complete recovery.
  2. Infusion of sage herb: you need to drink one glass three times a day.
  3. Steamed infusion of yarrow herb you need to drink at least half a glass 3 times a day.
  4. Yarrow is a herb that is found almost everywhere - a real treasure trove for traditional healers. If you need to get rid of involuntary urination, then take 10 grams of yarrow with flowers in 1 glass of water. Boil for 10 minutes over low heat. Then leave to infuse for 1 hour, remembering to wrap your decoction. Take half a glass 3 times a day.

When treating with folk remedies, it is important not to start the process of urinary incontinence and prevent the development of more serious illnesses, the prerequisites of which may be involuntary urination (for example, cystitis, pyelonephritis).

Urinary incontinence is a common symptom of dysuria (impaired urination). It is more common in older women, but it also affects young women. It is important to distinguish between true pathology, which depends on the loss of contractility of the bladder sphincter, and secondary pathology, which arises as a result of various diseases.

Before prescribing treatment for urinary incontinence in women, it is necessary to find out its causes.

Statistics say that up to 30% of women with pelvic organ prolapse suffer from the stress type of the disease. Urgent type dysuria is common among 1/5 of the female population.

You can find out detailed information about the anatomical and physiological characteristics of the female gender that predispose to urinary incontinence.

Briefly about the symptoms

When choosing therapy for urinary incontinence for a woman, the doctor studies the examination results and asks in detail about the time, frequency of urination, and the presence of previous diseases.

This is necessary to identify the type of disorders associated with pelvic inflammation. It is almost impossible to do without consulting a gynecologist. Intervention by a neurologist is less common.

There are 2 types of violations:

  • stress incontinence;
  • imperative.

A common symptom is involuntary urination. But for the stressful form, loss of urine during physical activity, coughing, sneezing, and lack of incontinence at night are more typical. Chronic cystitis is more often detected, requiring an appropriate method of anti-inflammatory therapy.

If it is impossible to establish an independent regime, you should contact a psychologist. Experts believe that a woman is able to distract herself from the problem and think about other important things. This will automatically lead to urinary retention.

Another tip is to stick to a strict schedule for going to the toilet (for example, every 2 hours). Psychological methods treatments impose a certain mode of operation on the bladder, and are more helpful with urge incontinence.


Some women try to combat incontinence by refusing or sharply limiting their drinking regime.

An erroneous opinion leads to blood thickening and provokes vascular diseases. Therefore, you should drink at least 2 liters of water per day. The urinary system must be flushed so as not to create additional conditions for inflammation.

In your diet you should avoid:

  • spicy dishes, seasonings;
  • tomatoes and citrus fruits, irritating the bladder mucosa;
  • sparkling water;
  • chocolate and sweets.

You can always prepare food from dairy products, cereals, boiled meat and fish, and vegetables. You should eat some fruits and carrots every day.

Features of therapy for stress incontinence

The stress type of incontinence provides for the possibility of both medical therapeutic intervention and the choice of operations. Prescribing pills in most cases does not give the desired results. We are talking about cases of true incontinence, not associated with cystitis or urethritis. During the examination, the doctor makes sure that all the anatomical structures of the bladder are preserved.

In some cases, drugs of three groups are still used.

Adrenergic agonists - to increase detrusor tone. The representative, Gutron, simultaneously affects the sphincters of the urethra and bladder, but has such a negative property as spastic contraction of blood vessels and increased blood pressure. Considering the age and concomitant diseases of the patients, this is completely undesirable. Women with hypertension coronary disease these drugs are not treated.

Anticholinesterase drugs- block an enzyme that disrupts the transmission of nerve impulses. The representative, Ubretil, is limitedly indicated for women in whom, during the examination, there is no doubt about the low tone of the bladder due to damage to its wall.

Antidepressants- allow you to increase stress resistance of the entire body. Representatives, Cymbalta, Duloxetine. The mechanism of action is based on blocking the influence of norepinephrine and serotonin, which increases the availability of transmitters norepinephrine and serotonin through transmission nerve impulses to the centers of the brain. They help in 50% of cases. But their application is limited due to side effect on the digestive system (especially the liver).


Capsules are strictly contraindicated for women who smoke

May cause:

  • mental disorders;
  • arrhythmia up to fibrillation;
  • sharp fluctuations in blood pressure;
  • loss of vision, attack of glaucoma.

Tablet drugs are not very effective. The main attention, in addition to the mode, is paid to the choice of operational aid.

Surgical treatment

Surgical treatment is used mainly for the stress type of pathology. The choice of surgery for urinary incontinence in women is associated with identifying the degree of incontinence and individual anatomical features urethral canal.

For all types of operations the following are contraindications:

  • presence or suspicion of malignant neoplasm;
  • detection of inflammatory diseases in the pelvic area during their exacerbation;
  • severe form diabetes mellitus with complications;
  • blood diseases with impaired coagulation.

Sling operations are considered the most acceptable method. They are carried out in the urology departments of the hospital and last no more than half an hour. The patient does not need general anesthesia; everything is done under local anesthesia.

Through small incisions in the vagina or inguinal folds under the neck of the bladder, a special mesh loop is installed. Its function is to maintain the sphincter in a physiological position. When intra-abdominal pressure increases, an obstacle to the flow of urine is created.


The mesh is able to grow into the connective tissue and firmly hold the urethra; the woman will feel the effect almost immediately after the operation

However, the possibility of relapse remains. Anatomical defects of the urethral canal reduce the result to zero.

Such an operation for urinary incontinence in women as laparoscopic colposuspension is performed under general anesthesia by inserting a laparoscope into the pelvis. It consists of fixing the tissues located next to the urethra to the inguinal folds. The problem of strengthening the muscle corset of the perineum is solved. It is performed in case of ineffective sling surgery or anatomical defects of the urethra. More difficult to tolerate by patients. A possible complication in the form of inflammation.

Colporrhaphy surgery involves suturing the vagina with special threads that dissolve over time. Designed to support prolapsed pelvic organs. Causes scarring and adhesions. The result lasts for several years.

Treatment with injections that increase the volume of the urethral sphincter is carried out under the control of a cystoscope. A synthetic substance (Urodex or Collost gels) administered under local anesthesia allows for fixation urethral canal in the desired position, compact the tissue. The procedure is an outpatient procedure due to its low morbidity. Like the operations described, they do not exclude recurrence of the pathology.

Features of the treatment of urge incontinence

Urge incontinence cannot be cured with surgery. It is in this type that the advice of a psychologist, routine measures, and treatment of the underlying disease are most effective.

The use of medications that regulate the process of impulse transmission turns out to be very effective. Several pharmacological types of medications are used to treat urinary incontinence.


The most popular drugs that increase bladder tone

To reduce increased tone detrusor, reducing its contraction force and frequency are prescribed:

  • Spasmex,
  • Driptan,
  • Vesicare,
  • Detrusitol.

Improves blood supply and affects the filling phase:

  • Omnik,
  • Kaldura,
  • Dalfaz.

For menopausal women, estrogen replacement therapy is used. Ovestin ointment containing estrogens gives good results. Used in vaginal tampons. At the same time relieves dryness and itching of the mucous membrane.

Use of laser therapy

Laser treatment is considered most indicated for initial stages diseases. Since the beam is administered through the vagina, you must first consult with a gynecologist and make sure there are no contraindications such as:

  • viral infection (especially herpes);
  • pregnancy;
  • the presence of uterine prolapse at any degree;
  • diabetes mellitus

Physiotherapy specialists consider the upper age limit for patients to be 61 years. In addition, individual sensitivity to the procedure is possible.


The mechanism of laser action is to tighten the pelvic floor tissues and enhance the synthesis of collagen fibers

Efficiency laser treatment showed that with stress incontinence after six months of observation:

  • 87% of patients noted significant improvement;
  • 70% - complete disappearance of symptoms.

The procedure does not cause harm and lasts about 30 minutes. Irradiation is carried out in two approaches:

  • anterior vaginal wall;
  • entrance to the vagina.

To direct the beam, the devices have special handpieces.

The course of treatment will require 1-2 sessions with a break of two weeks to a month.

What can you do at home?

At home, you must strictly follow the recommendations on the regimen, diet, and exercise. For women who are interested in folk remedies, it is necessary to remember that they do not replace medicinal effects or surgical intervention.

The use of herbs and other plant materials helps to sanitize the external genitalia and the exit from the urethra. Believed to be effective against urinary incontinence folk remedies in the form of plant decoctions with a selective effect on the urinary system. These include:

  • sage,
  • St. John's wort,
  • cowberry,
  • birch leaves,
  • bearberry,
  • dill,
  • blueberries.

It is better to coordinate their use with your doctor and pay attention to individual hypersensitivity.

Women should take urinary incontinence seriously. The problem is quite common and occurs at any age. Without finding out the cause and treatment, it is impossible to get rid of it. Therefore, you should not delay visiting a doctor. Shyness in this case plays a negative role, leading to painful phenomena and a decrease in quality of life.

How to treat urinary incontinence in old age in women and men using folk remedies. Traditional treatment

Urinary incontinence – treatment with folk remedies – Healthy lifestyle recipes

Urinary incontinence in old age - causes, treatment. Based on materials from the newspaper “Vestnik ZOZH” 2012, No. 12, p. 14-15. From a conversation with urologist Zakharchenko N.N.

Why does urinary incontinence occur in old age?

With age, degenerative processes are inevitable in the body. During menopause in women, hormonal changes cause tissue aging and thinning of the membranes genitourinary organs, atrophy of the muscles and ligaments of the pelvis.

In men, with age, the pelvic floor muscles also weaken, in addition, the prostate gland enlarges, compressing the urethra, which makes it difficult to empty the bladder, causing a frequent urge to urinate

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All these reasons cause urinary incontinence in older women and men, which is not a disease, but simply a symptom of problems in the urinary system

How does urinary incontinence manifest?

The body produces urine through the bladder, urinary tract, muscles and ligaments. The accumulated fluid stretches the bladder, causing an urge to occur, which the person restrains through willpower, squeezing the bladder sphincter and pelvic muscles. But if the pressure in the bladder is greater than the pressure of the compressed muscles, then a “dam break” occurs.

There are two concepts: “incontinence” and “non-continence”.

Incontinence is when there is involuntary loss of urine without urge

Incontinence is when you cannot run to the toilet when you feel the urge.

It often happens that due to stress (for example, when frightened), intra-abdominal pressure increases sharply, which is transmitted to the bladder, and urine is squeezed out and leaks. The same thing happens when laughing, coughing, or physical activity.

Causes of urinary incontinence

A urologist or urogynecologist must determine why malfunctions occur in the urinary system, in what place and for what reason its normal functioning is disrupted.

Often the cause of urinary incontinence in women is infection - E. coli, streptococcus, enterococcus. The intestines are home to a huge variety of microorganisms. Under certain conditions, even harmless microbes become aggressive and provoke various diseases, the infection rises higher and higher to the kidneys, capturing new territories.

In men, the situation is similar - in old age, the size of the prostate increases, the lumen of the urethra narrows, frequent urination in men it becomes difficult, the bladder does not empty completely, it stretches, and the muscle “shrinks out.” IN last stage During this process, urine drips or involuntarily oozes from a full bladder.

Treatment of urinary incontinence with drugs

Before starting treatment, you should consult a urologist or gynecologist. The doctor will prescribe medications that suppress involuntary contractions and relax the sphincter muscles - detrusitol, spasmex, driptan. Recently they started releasing very effective drug Canephron based on the herbs centaury, lovage, rosemary. He does not have side effects, has a diuretic effect, relaxes smooth muscles, relieves spasms, inflammation, removes salts and small stones from the urethra, and fights pathogenic microflora. Take it 3 times a day after meals, 2 tablets, the course of treatment is 2 weeks.

If the causes of urinary incontinence are stressful, antidepressants are prescribed, which also relax the bladder.

For braking age-related changes mucous membrane in old age, topical hormones are prescribed in the form of suppositories, patches, and gel.

When treating urinary incontinence in adults, medications alone are not enough. This requires physiotherapy and bladder training.

Treatment of urinary incontinence with herbs

If enuresis and frequent urination are accompanied by inflammation of the mucous membrane, then folk remedies should relieve this inflammation. We must remember that bacteria die in acidic environment, and teas made from rose hips, or a mixture of centaury and St. John's wort, or from corn silk will help acidify the body. An infusion of marshmallow roots (6 g per glass of cold water, leave for 10 hours), infusions of viburnum, ash, and elm bark, an infusion of berries and lingonberry leaves in half with St. John's wort, and an infusion of dill seeds are also suitable.

The following recipe will help with bedwetting:

Take 2 parts of parsley seeds, 2 parts of horsetail, and 1 part each of heather, hop cones, lovage root, bean leaves. 1 tbsp. l. Brew the mixture with 1 cup of boiling water and drink throughout the day.

(HLS 2013 No. 10, p. 33)

Bedwetting in women

The woman managed to get rid of nocturnal enuresis, which she developed at the age of 50. This folk remedy helped her: 1 tbsp. l. honey, 1 tbsp. l. grated apple and 1 tbsp. l. grated onion. Mix all. Take 1 tbsp. l. three times a day before meals. Treatment with this mixture lasted only a week - after a week the disease went away, now this woman is 86 years old, and there has not been a single relapse (HLS 2013 No. 10, p. 33)

Treatment of urinary incontinence in women with plantain

Plantain helps cure involuntary urine loss - take 1 tbsp juice from plantain leaves. l. 3 times a day. An infusion of this plant will also help - 1 tbsp. l. For 1 cup of boiling water, drink 1/4 cup 4 times a day. (HLS 2012 No. 16, p. 31)

Folk remedies for urinary incontinence

The following helped a woman cure her nighttime incontinence: folk recipes:

1. 2 cups of milk boiled with 1 tbsp. l. honey, skimmed off the foam, added 2 tbsp. l. dill seeds and 0.5 tbsp. l. carrot seeds. Turned off the fire and left for 30 minutes. Then I filtered the milk and drank it throughout the day. After just 10 days of using this remedy, the suffering ends.

2. 0.5 cups of oatmeal diluted with 1 cup of milk, added 1/4 cup of chopped raisins. The mixture was brought to a boil, then cooled slightly and drunk hot. This procedure should be done as often as possible to warm the ureters.

3. Prepared an infusion of lingonberry leaves - 2 tbsp. l. for 2 glasses of water. I put bone berries (1 cup) into the cooled broth. Leave until the liquid has slightly fermented. Filmed white film, strained and drank, the berries can be eaten. The procedure was repeated 5-6 times. This folk remedy strengthens the bladder.

(HLS 2012 No. 18, p. 40)

How to treat urinary incontinence with herbs

An elderly woman developed urinary incontinence. The following folk remedies helped get rid of this problem.

1. 1 tbsp. l. pour 1 cup of boiling water over dill seeds, leave for 1 hour, strain. Drink this infusion during the day in 2-3 doses.

2. 1 tbsp. l. corn silk pour 1 tbsp. boiling water, leave for 30 minutes, drink half a glass 2 times a day.

3. 1 tbsp. l. peppermint pour 300 ml of boiling water, leave for 1 hour, take 100 g 3 times a day (Healthy Lifestyle 2012 No. 3, p. 32)

Another woman was able to cure involuntary excessive urination with the help of dill seeds; she used a different dosage regimen. I brewed the seeds in the same proportion - 1 tbsp. l. per glass of boiling water, but left overnight in a thermos. In the morning, an hour before getting up, I drank all this infusion and went back to bed. The course of treatment is 10 days. Then a break of 10 days and new course. The woman had to undergo 3 such courses for the disease to go away. (2006 No. 15, p. 31)

Urinary incontinence in men after removal of prostate adenoma - exercises

A 71-year-old man underwent surgery to remove prostate adenoma, after which the man suffered from urinary incontinence for 5 years. They offered him repeat operation for correction of the bladder neck, but he was not sure of the positive outcome of this operation and turned to the newspaper “Vestnik ZOZH”.

Doctor med answered him. Sciences, Professor, Doctor – Reflexologist highest category Kartavenko V.V. The doctor advised the patient to cope with the problem using gymnastics aimed at strengthening the rectus abdominis and long back muscles. These muscles help strengthen the walls of the bladder.

To strengthen your abdominal muscles, you need to lie on your back, fix your legs and lift top part torso. To strengthen your back, you need to do the same thing, but just lie on your stomach

(HLS 2011 No. 21, p. 14)

Urinary incontinence in old age - treatment with aspen

1 tbsp. l. bark, aspen twigs, pour 1 cup of boiling water, boil for 10 minutes. Take 1/2 cup 3 times a day. This infusion also helps with chronic inflammation bladder, with frequent urination in men.

The use of this folk remedy is especially effective if urinary incontinence occurs due to diabetes - a decoction of aspen bark very well reduces blood sugar levels. (HLS 2011 No. 4, p. 37)

Treatment of enuresis with bird cherry

The recipe is similar to the previous one, but instead aspen bark and take bird cherry bark from twigs. The drink is not as bitter as the previous one, so it is drunk all day like tea. (HLS 2011 No. 8, p. 39)

Urinary incontinence in women - causes - exercises. From a conversation with the head of the department female urology Hospital No. 50 in Moscow by doctor Gumin L.M.

The main cause of urinary incontinence in women is that with sudden exertion, intra-abdominal pressure increases sharply, which is transmitted to the bladder. Due to the pressure difference, involuntary release of urine occurs. The load can be very diverse: coughing, sneezing, laughing, lifting weights, running, walking. Over time, stress urinary incontinence can progress to the point where urine leaks even when you change position.

Who is at risk

1. Elderly women who have hormonal disorders. Their pelvic floor muscles are weakened and the elasticity of the ligaments is lost, which disrupts the functioning of the bladder sphincter.

2. Women with excess body weight - due to excess weight their pressure on the bladder increases. For the same reason, involuntary loss of urine occurs during pregnancy.

3. Women who have suffered complications after childbirth or gynecological operations, as a result of which the musculo-ligamentous system was damaged.

4. Women whose work involves heavy lifting

Exercises for urinary incontinence

Treatment of urinary incontinence should be carried out in several directions. A good result in treatment can be achieved by performing a certain set of physical therapy exercises. To strengthen the abdominal and perineal muscles, you need to do exercises such as “birch”, “bicycle”, “scissors”. In addition, it is necessary to strengthen the pelvic floor muscles, primarily the sphincter of the bladder and rectum. To do this, you need to determine the location of the frontococcygeus muscle. To find this muscle, you need to try to interrupt urination with muscle effort; the muscle that tenses is the one you are looking for. To cure enuresis in women, you need to do 300 contractions of this muscle per day for 4-6 weeks. First, do 10 exercises, gradually increasing to 50 in one approach. Exercises should be done either at a normal pace, sometimes at a very fast pace, sometimes at a slow pace.

Medications

For urinary incontinence in women, drugs are prescribed that suppress involuntary compression of the bladder and relax the muscles of the bladder walls, such as oxybutynin, tolterodine, solifenacin. Elderly women are recommended to use topical hormone therapy.

Folk remedies for involuntary urine loss

For this disease, you can use folk remedies, but you must remember that we are all different, and find the recipe that will help you.

Here are some recipes for folk remedies

1. When frequent urges to urinate several times a day, drink tea from young cherry twigs

2. 1 tbsp. l. plantain for 1 cup of boiling water, leave for 1 hour, take 1 tbsp. l. 4 times a day before meals 20 minutes

3. 50 g of St. John's wort per 1 liter of boiling water, leave for 4 hours, drink as tea throughout the day.

4. Blueberry decoction is very effective remedy, but it doesn’t help everyone.

5. Mix St. John's wort and centaury 1:1. Pour 1 teaspoon of the mixture into 1 glass of boiling water, leave for 40 minutes. During the day you need to drink 2 glasses half an hour before meals.

The course of treatment of urinary incontinence with these folk remedies is 2-3 weeks.

(HLS 2011 No. 8, p. 39)

Clay treatment

Clay compresses help with involuntary urine leakage in the elderly and frequent urination in men.

To cure these diseases, hot clay is placed on napkins, one napkin with clay is placed on the bladder and prostate area (in men), the other on the lumbar area. When the clay cools, use two more napkins with fresh hot clay. You can't do without an assistant here. The procedure lasts 20 minutes with constant replacement of napkins. Course of 5-10 procedures. (HLS 2008 No. 20, pp. 9-10)

Birch buds

1 tbsp. l. crushed birch buds, pour 1.5 cups of boiling water, cook for 5 minutes over low heat under the lid, leave for 1 hour, wrap well, strain, squeeze. Take half a glass 2-3 times a day 20 minutes before meals. The course of treatment for enuresis is 2-3 weeks. (HLS 2007 No. 4, p. 28; 2006, No. 9, p. 28-29)

Urinary incontinence in older women - treatment with wheatgrass

The woman had involuntary copious urine output, could neither cough nor sneeze without consequences, and could not even look at the water. The roots of wheatgrass, a garden weed, helped cure the disease. You need to dig them up, wash them, cut them and dry them.

1 tbsp. l. pour 1 cup of boiling water over the roots and cook in a water bath for 30 minutes, cool. Drink this glass throughout the day. The course of treatment is 3-4 weeks. At first there may be an exacerbation of the disease, but then everything returns to normal. (HLS 2007 No. 20, p. 32, 2005 No. 11, p. 29)

Walking on the buttocks treats enuresis in women and adenoma in men

Urinary incontinence in old age occurs in a large number of women. There is an easy way to get rid of this problem - walking on your buttocks. The exercise is done like this: sitting on the floor, move your right buttock with your leg straight or bent forward. Watch the right kami swing to the left. Repeat the same with the left buttock. Move 1.5 - 2 meters forward, then go back in the same way. And so on, do this exercise every day. In addition, squeeze and unclench the muscle that regulates the functioning of the bladder sphincter.

The man had frequent urination - he ran to the toilet every 30 minutes at night, because he had an adenoma. After I included walking on my buttocks in my exercises, I only get up 1-2 times at night.

In addition to enuresis, this exercise - walking on the buttocks - eliminates constipation and treats prolapse internal organs, hemorrhoids, strengthens the abdominal and back muscles. (HLS 2002 No. 16 p. 7)

Belarusian folk remedy for enuresis

Take a pig's bladder (not a wild boar's), soak it in salt water for several days, changing the water. Then soak in water and baking soda. Then lightly boil the bubble, grind it through a meat grinder, add minced meat, make cutlets, and freeze. In the morning, fry 1-2 cutlets and eat on an empty stomach. Eat a piece of bread. The course of treatment is 9 days. (HLS 2001 No. 5, pp. 18-19)

Involuntary loss of urine during pregnancy

Frequent urination during pregnancy is an inevitable occurrence. Due to the fact that the growing fetus puts pressure on the walls of the bladder, its size decreases slightly, creating a feeling of pressure and fullness, which forces the woman to go to the toilet much more often. There is nothing to worry about here, and after childbirth everything returns to normal.

But sometimes women experience involuntary leakage of urine during pregnancy. Small portions urine is released uncontrollably when sneezing, laughing, sudden movements, i.e., with an increase in intra-abdominal pressure, which is transmitted to the bladder. On latest dates During pregnancy, fetal movements directly affect the walls of the bladder and can also cause urine leakage.

The cause of involuntary urination during pregnancy is increased load on the walls of the bladder, and hormonal changes. A few months after giving birth, everything usually returns to normal. But a woman should be wary. After all, another reason for urinary incontinence in pregnant women is weakness of the muscular system. And if everything is left as it is, then in old age this woman will also suffer from urinary incontinence. In addition, the situation may worsen after the next pregnancy. To avoid these troubles in the future, a woman must do exercises to prevent involuntary leakage of urine during pregnancy. Every woman before pregnancy should do exercises that strengthen the muscles of the back and abdominals. If pregnancy was accompanied by urinary incontinence, then after childbirth the woman should also strengthen her abs, do exercises aimed at strengthening the frontococcygeus muscle (Kegel exercises), and do the “Walking on the buttocks” exercise for 5-10 minutes a day.

All traditional methods of treatment may have contraindications. Before using prescriptions, consult your doctor!

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curk.ru

What causes urinary incontinence in older women: pills and treatment

Uncontrolled urine output is one of the urological pathologies that is well known to women. Incontinence affects men and women of all ages. But urinary incontinence most often occurs in women over 50 years of age.

With the onset of menopause, the urethral muscles relax, and the pelvic muscles lose their elasticity and weaken. Such age-related changes lead to uncontrolled urine output. Modern medicine has found many ways to provide comfort to women at any age.

Causes of incontinence in older women

Reasons that can cause pathological condition in older women, quite a lot, but the main one is considered to be hormonal changes in female body. Because of it, the amount of female hormones is significantly reduced, which leads to changes in the organs of the genitourinary system. Other causes of urinary incontinence include:

Malfunctions of the urinary system are also provoked by factors such as diabetes, smoking, alcohol, heavy physical work and taking certain medications.

Types of urinary incontinence

Urinary incontinence manifests itself in varying amounts from a few drops to complete emptying of the bladder. There are three degrees of incontinence:

  • Mild degree incontinence may occur when coughing or laughing. The bladder sphincter does not hold a few drops of urine.
  • Average degree incontinence is characterized by uncontrolled release of fluid under light loads.
  • In severe cases, patients produce a large volume of urine when taking vertical position or in a dream.

Depending on the reasons that caused urinary incontinence and the symptoms, there is the following classification:

  • Stress incontinence;
  • Urgent incontinence;
  • Mixed form.

Any degree and form of incontinence causes the patient a feeling of discomfort. But despite this, not everyone is in a hurry to seek help from a specialist.

Treatment methods

Involuntary urination is a pathology that is not fatal and most often does not cause pain. But women who are faced with this disease constantly feel discomfort and internal tension. They lead to social isolation and significantly worsen the quality of life. Modern medicine has a large arsenal of tools that will help get rid of urinary incontinence and permanently consolidate the results of treatment.

Attention! Treatment is prescribed by a doctor after collecting tests and finding out the causes of incontinence, taking into account individual characteristics individual patient. Taking medications on your own can make the problem worse.

There are three main methods for treating incontinence:

  1. Physiotherapy
  2. Drug treatment
  3. Surgical method.

Tablets for urinary incontinence in older women

Drug therapy is usually prescribed to a patient with urge incontinence. Several groups of drugs are used in the treatment of incontinence:

  • Antidepressants are recommended for use by patients with stress incontinence. They relieve signs of stress and promote relaxation, resulting in a noticeable reduction in the number of trips to the toilet.
  • Antispasmodics (Driptan, Spazmex) relieve inflammation and increase the time between bladder emptyings.
  • Hormonal drugs (Desmopressin and its analogues) are aimed at combating atrophic changes in the bladder.
  • Anticholinergic drugs (Driptan).
  • Vitamin complexes (groups B, A and C, folic acid).

Folk remedies

Traditional healers will always have effective recipes for the treatment of any ailment, including urinary incontinence. Before treating incontinence with tablets, you can use herbal medicine. Unfortunately, folk remedies are effective only in the treatment of incontinence in mild degree.

  1. Among homeopaths, plantain is especially valued, known for its medicinal properties. Its components have a beneficial effect on the human genitourinary system, so its use for incontinence will be equivalent to medicine. You can use the leaves and juice of a fresh plant. tablespoon fresh leaves Brew in a glass of boiling water and leave for an hour. Spread a glass of infusion over the whole day, take on an empty stomach.
  2. If you notice symptoms of incontinence, you can start taking strengthening preparations. Brew St. John's wort and centaury in equal proportions (1 teaspoon each) in a glass of boiling water. Leave for 30 minutes and take throughout the day. Pour two tablespoons of St. John's wort and lingonberries (1:1) into 500 ml. water, boil in a water bath for 5-10 minutes. Drink half a glass before bed.
  3. Recipes for incontinence often mention marshmallow, a perennial plant with medicinal properties. Pour a teaspoon of dry crushed marshmallow root into two glasses of boiling water and leave for half a day. Drink throughout the day.
  4. Elecampane root is often used in the treatment of diseases of the genitourinary system. Pour a tablespoon of roots into two glasses hot water, boil in a water bath for 10-15 minutes, leave in a warm place for 3-4 hours. Take three times a day on an empty stomach.
  5. Pour a teaspoon of dill seeds with a glass of boiling water and leave for 4-5 hours. Drink in one go.


Medical solutions

Nobody wants to go under the surgeon’s knife, but sometimes it is forced and the only thing possible option relief from urinary incontinence in older women. Most operations (on this moment There are more than 250 species) are simple. The day after surgery, the woman can go home.

The most common are:

  • Urethrocervicopexy;
  • Proximal fascial slings, tissue to support the urethra, are removed from the patient’s body;
  • Urethral support;
  • Loop operations.
Important! Operation is necessary only in cases where all methods conservative treatment did not give positive results.

Devices that make life easier

Unfortunately, urinary incontinence is a disease that has been known to women and doctors for many years. Therefore, many devices have been invented specifically for people suffering from incontinence to make their lives much easier.

Urological pads for women and men, perhaps the most common means of protection against involuntary urination.

They differ in the degree of absorption. For severe incontinence or for bedridden patients, adult diapers are suitable, which also vary in size. Protective underwear with a waterproof coating effectively retains urine. Diapers and special clothing are sold in pharmacies and specialty stores. In addition to them, the following will help get rid of the problem:

  • Uroponoms for men suffering from severe incontinence;
  • Urological inserts;
  • Sanitary panties for fixing pads;
  • Urethral inserts that prevent uncontrolled urine output;
  • Pessaries (vaginal ring) that keep the urethra closed;
  • Vaginal cones;
  • Disposable sheets.

You should consult with a specialist about the advisability of using devices to combat incontinence. The initial installation of some of them, for example, a pessary, is carried out by a doctor.

Women over 40 years of age may experience age-related changes, which may result in urinary incontinence. Protect yourself from this unpleasant phenomenon possible if you adhere to the following rules:

  • Limit your consumption of caffeinated drinks, including alcohol. They have a diuretic effect.
  • Stop smoking. Cigarette smoke irritates the mucous membranes of the body, undermines the immune system and generally has an adverse effect on the general physical condition.
  • You should not limit your fluid intake. Lack of water in the body will not eliminate the problem.
  • Do Kegel exercises regularly, which exercise your pelvic floor muscles. Train your bladder by holding the stream of urine for 5-6 seconds.
  • Get rid of stress and tension.

Most women consult a doctor only when the problem becomes pronounced. Although in the initial stages you can get rid of it in a fairly short time. Use only hygiene products will not help cope with age-related incontinence. Therefore, it is important to promptly seek help from a specialist.

naturdoc.ru

How to treat senile urinary incontinence with folk remedies

Hello my readers! Today we will discuss with you what is relevant today delicate issue, especially concerning the elderly - treatment of urinary incontinence. With age, irreversible devaluation processes occur in the human body. There are reasons that lead to urinary incontinence. What are these reasons and how to treat urinary incontinence, I will talk about this further.

This problem causes shame and embarrassment for many. There is nothing supernatural about this. Don't be afraid to ask for help. Urinary incontinence can happen to anyone due to various factors and therefore it is never too late to start treating this intimate problem.

Causes of an “irritable” bladder

Urinary incontinence is not a separate disease, it is only a symptom. Another name for it is: overactive bladder, or irritable bladder. So, I present to your attention the main reasons, they may be different for each gender.

Among women:

  • Infection of the genitourinary system;
  • Consequence of hysterectomy (removal of the uterus);
  • Parkinson's disease;
  • Stroke;
  • Spinal cord injury;
  • Stress incontinence;
  • Taking medications;
  • Low estrogen levels, after menopause;
  • Frequent natural childbirth.

For men:

  • Prostatic hyperplasia;
  • Multiple sclerosis;
  • Strokes and injuries;
  • Postoperative trauma and radiation;
  • Prostate cancer;
  • Infection;
  • Stress incontinence.

From all of the above it follows that more often this symptom occurs in women. And mainly in old and senile age. Risk factors: age, weight, constipation.

Treatment of a “wet” case

I advise all women to start treating urinary incontinence with gymnastics, absolutely everyone. Firstly, physical education always has a beneficial effect on the body. Do exercises: birch tree, scissors, bicycle, etc. These exercises strengthen the muscles and organs of the pelvis.

Treatment of urinary incontinence with herbs and other traditional methods

Herbs will help get rid of infection and relieve inflammation of the mucous membrane. What herbs will help us get rid of infection? St. John's wort, marshmallow root, lingonberry berries, viburnum bark, dill seeds. Once visiting a herbalist friend, she shared with me several recipes that received favorable reviews from aesculapians. Now I will share these recipes with you.

  1. A woman with bedwetting was helped by a very simple recipe: honey, onion and an apple, grated on a fine grater. Mix everything in equal proportions and take before meals. Just a week and the symptom goes away. The woman was very pleased, as there were no more signs of urinary incontinence. This recipe is very easy to prepare at home. There will always be such products.
  2. Next remedy: plantain. Juice from plantain leaves, drink 3 times a day, 1 tbsp. After a couple of weeks the symptom disappears.
  3. Warm milk with a spoon of honey and two tablespoons of dill seeds, drink throughout the day for two weeks. According to one woman who used this method, everything went away within 10 days. Helps at any age.
  4. You can make an infusion of lingonberries, drink it every morning for a week or two. Excellent remedy to strengthen the bladder.
  5. Infusions of St. John's wort and marshmallow root are some of the best remedies. Unpleasant sensations stopped after 7-10 days and did not appear again.

These recipes have been around for over 100 years. Don't be afraid to talk about problems and don't be afraid to ask for help and use traditional medicine. But don't forget to consult your doctor. Watch this video showing simple exercises to strengthen the pelvic muscles and, accordingly, to eliminate such an intimate problem.

And if similar problem If your children have it, you can find out how to deal with it in this article.

My dear readers! I am very glad that you visited my blog, thank you all! Was this article interesting and useful to you? Please write your opinion in the comments. I would really like you to also share this information with your friends on social media. networks.

I really hope that we will communicate with you for a long time, there will be many more interesting articles on the blog. To avoid missing them, subscribe to blog news.

Be healthy! Taisiya Filippova was with you.

taiafilippova.ru

Urinary incontinence in older women

Among all the diseases? characteristic of older people, urinary incontinence occupies a significant place and has its own characteristics. Urinary incontinence in older women causes many uncomfortable moments and causes embarrassment, so this problem is not always discussed openly with doctors and loved ones. IN Lately specialists are trying to find a solution and an opportunity to correct such a deviation.


Elderly women often face urinary incontinence due to poor health and sexual predisposition to this disease.

Causes and risk factors

Senile urinary incontinence in women is a consequence of the aging of the body. With age, changes occur in the body that cause disruption in the functional activity of organs. There is a loss of tone in the muscles, including the bladder. Its walls lose elasticity and cannot stretch. And for development atrophic changes urethra affects hormonal deficiency due to menopause.

For manifestation senile incontinence is influenced by a complex of reasons:

  • climacteric changes;
  • aging of the body;
  • stressful situations;
  • natural childbirth and postpartum complications;
  • excess body weight;
  • pelvic organ injuries;
  • hard labour.

The risk of developing urinary incontinence in old age is higher in women with large body weights who have given birth a large number of once naturally(during pregnancy and childbirth, the muscle tissue that supports the pelvic organs becomes less elastic). Additional reasons incontinence:

  • infection (the development of the inflammatory process irritates the walls of the organ, which leads to uncontrolled contraction of the walls);
  • food and medications;
  • neurological diseases (atherosclerosis, Parkinson's disease).

Urinary incontinence is most often observed in women after 50 years of age; this is due to the individual structure of the organs.

With age, degenerative processes are inevitable in the body. During menopause in women, hormonal changes cause tissue aging, thinning of the membranes of the genitourinary organs, atrophy of the muscles and ligaments of the pelvis.

In men, with age, the pelvic floor muscles also weaken, in addition, the prostate gland enlarges, compressing the urethra, which makes it difficult to empty the bladder, causing a frequent urge to urinate

All these reasons cause urinary incontinence in older women and men, which is not a disease, but simply a symptom of problems in the urinary system

How does urinary incontinence manifest?

The body produces urine through the bladder, urinary tract, muscles and ligaments. The accumulated fluid stretches the bladder, causing an urge to occur, which the person restrains through willpower, squeezing the bladder sphincter and pelvic muscles. But if the pressure in the bladder is greater than the pressure of the compressed muscles, then a “dam break” occurs.

There are two concepts: “incontinence” and “non-continence”.

Incontinence- this is when involuntary release of urine occurs without urge

Non-retention- this is when, when you have the urge, you cannot run to the toilet.

It often happens that due to stress (for example, when frightened), intra-abdominal pressure increases sharply, which is transmitted to the bladder, and urine is squeezed out and leaks. The same thing happens when laughing, coughing, or physical activity.

Causes of urinary incontinence

A urologist or urogynecologist must determine why malfunctions occur in the urinary system, in what place and for what reason its normal functioning is disrupted.

Common cause of urinary incontinence Among women is an infection - Escherichia coli, streptococcus, enterococcus. The intestines are home to a huge variety of microorganisms. Under certain conditions, even harmless microbes become aggressive, causing various diseases, the infection rises higher and higher to the kidneys, capturing new territories.

In men A similar situation is that in old age the size of the prostate increases, the lumen of the urethra narrows, frequent urination in men gives way to difficulty, the bladder does not empty completely, it stretches, and the muscle “shrinks out.” In the last stage of this process, urine drips or involuntarily oozes from the overfilled bladder.

Treatment of urinary incontinence with drugs

Before starting treatment, you should consult a urologist or gynecologist. The doctor will prescribe medications that suppress involuntary contractions and relax the sphincter muscles - detrusitol, spasmex, driptan. Recently they began to produce a very effective drug, Canephron, based on the herbs centaury, lovage, and rosemary. It has no side effects, has a diuretic effect, relaxes smooth muscles, relieves spasms, inflammation, removes salts and small stones from the urethra, and fights pathogenic microflora. Take it 3 times a day after meals, 2 tablets, the course of treatment is 2 weeks.

If the causes of urinary incontinence are stressful, antidepressants are prescribed, which also relax the bladder.

To inhibit age-related changes in the mucous membrane in old age, topical hormones are prescribed in the form of suppositories, patches, and gel.

When treating urinary incontinence in adults, medications alone are not enough. This requires physiotherapy and bladder training.

Treatment of urinary incontinence with herbs

If enuresis and frequent urination are accompanied by inflammation of the mucous membrane, then folk remedies should relieve this inflammation. We must remember that bacteria die in an acidic environment, and teas made from rose hips, or a mixture of centaury and St. John's wort, or from corn silk will help acidify the body. An infusion of marshmallow roots (6 g per glass of cold water, leave for 10 hours), infusions of viburnum, ash, and elm bark, an infusion of berries and lingonberry leaves in half with St. John's wort, and an infusion of dill seeds are also suitable.

The following recipe will help with bedwetting:

Take 2 parts of parsley seeds, 2 parts of horsetail, and 1 part each of heather, hop cones, lovage root, bean leaves. 1 tbsp. l. Brew the mixture with 1 cup of boiling water and drink throughout the day.

Bedwetting in women

The woman managed to get rid of nocturnal enuresis, which she developed at the age of 50. This folk remedy helped her: 1 tbsp. l. honey, 1 tbsp. l. grated apple and 1 tbsp. l. grated onion. Mix all. Take 1 tbsp. l. three times a day before meals. Treatment with this mixture lasted only a week - after a week the disease went away, now this woman is 86 years old, and there has not been a single relapse

Treatment of urinary incontinence in women with plantain

Plantain helps cure involuntary urine loss - take 1 tbsp juice from plantain leaves. l. 3 times a day. An infusion of this plant will also help - 1 tbsp. l. For 1 cup of boiling water, drink 1/4 cup 4 times a day.

Folk remedies for urinary incontinence

The following folk recipes helped a woman cure bedwetting:

1. 2 cups of milk boiled with 1 tbsp. l. honey, skimmed off the foam, added 2 tbsp. l. dill seeds and 0.5 tbsp. l. carrot seeds. Turned off the fire and left for 30 minutes. Then I filtered the milk and drank it throughout the day. After just 10 days of using this remedy, the suffering ends.

2. 0.5 cups of oatmeal diluted with 1 cup of milk, added 1/4 cup of chopped raisins. The mixture was brought to a boil, then cooled slightly and drunk hot. This procedure should be done as often as possible to warm the ureters.

3. Prepared an infusion of lingonberry leaves - 2 tbsp. l. for 2 glasses of water. I put bone berries (1 cup) into the cooled broth. Leave until the liquid has slightly fermented. I removed the white film, filtered and drank, the berries can be eaten. The procedure was repeated 5-6 times. This folk remedy strengthens the bladder.

How to treat urinary incontinence with herbs

An elderly woman developed urinary incontinence. The following folk remedies helped get rid of this problem.

1. 1 tbsp. l. pour 1 cup of boiling water over dill seeds, leave for 1 hour, strain. Drink this infusion during the day in 2-3 doses.

2. 1 tbsp. l. corn silks pour 1 tbsp. boiling water, leave for 30 minutes, drink half a glass 2 times a day.

3. 1 tbsp. l. peppermint pour 300 ml of boiling water, leave for 1 hour, take 100 g 3 times a day (Healthy Lifestyle 2012 No. 3, p. 32)

Another woman was able to cure involuntary excessive urination with the help of dill seeds; she used a different dosage regimen. I brewed the seeds in the same proportion - 1 tbsp. l. per glass of boiling water, but left overnight in a thermos. In the morning, an hour before getting up, I drank all this infusion and went back to bed. The course of treatment is 10 days. Then a break of 10 days and a new course. The woman had to undergo 3 such courses for the disease to go away.

Urinary incontinence in men after removal of prostate adenoma - exercises

A 71-year-old man underwent surgery to remove prostate adenoma, after which the man suffered from urinary incontinence for 5 years. He was offered a repeat operation to correct the bladder neck, but he was not sure of the positive outcome of this operation and turned to the newspaper “Vestnik ZOZH”.

Doctor med answered him. Sciences, professor, doctor - reflexologist of the highest category Kartavenko V.V. The doctor advised the patient to cope with the problem using gymnastics aimed at strengthening the rectus abdominis and long back muscles. These muscles help strengthen the walls of the bladder.

To strengthen your abdominal muscles, you need to lie on your back, fix your legs and lift your upper body. To strengthen your back, you need to do the same thing, but just lie on your stomach

Urinary incontinence in old age - treatment with aspen

1 tbsp. l. bark, aspen twigs, pour 1 cup of boiling water, boil for 10 minutes. Take 1/2 cup 3 times a day. This infusion also helps with chronic inflammation of the bladder and frequent urination in men.

The use of this folk remedy is especially effective if urinary incontinence occurs due to diabetes - a decoction of aspen bark very well reduces blood sugar levels. (HLS 2011 No. 4, p. 37)

Treatment of enuresis with bird cherry

The recipe is similar to the previous one, but instead of aspen bark and twigs, bird cherry bark is used. The drink is not as bitter as the previous one, so it is drunk all day like tea.

Urinary incontinence in women - causes - exercises. From a conversation with the head of the department of female urology of hospital No. 50 in Moscow, doctor L. M. Gumin.

The main cause of urinary incontinence in women is that with sudden exertion, intra-abdominal pressure increases sharply, which is transmitted to the bladder. Due to the pressure difference, involuntary release of urine occurs. The load can be very diverse: coughing, sneezing, laughing, lifting weights, running, walking. Over time, stress urinary incontinence can progress to the point where urine leaks even when you change position.

Who is at risk:

1. Elderly women with hormonal disorders. Their pelvic floor muscles are weakened and the elasticity of the ligaments is lost, which disrupts the functioning of the bladder sphincter.

2. Women with excess body weight - due to excess weight, the pressure on their bladder increases. For the same reason, involuntary loss of urine occurs during pregnancy.

3. Women who have suffered complications after childbirth or gynecological operations, as a result of which the musculo-ligamentous system was damaged.

4. Women whose work involves heavy lifting

Exercises for urinary incontinence

Treatment of urinary incontinence should be carried out in several directions. A good result in treatment can be achieved by performing a certain set of physical therapy exercises. To strengthen the abdominal and perineal muscles, you need to do exercises such as “birch”, “bicycle”, “scissors”. In addition, it is necessary to strengthen the pelvic floor muscles, primarily the sphincter of the bladder and rectum. To do this, you need to determine the location of the frontococcygeus muscle. To find this muscle, you need to try to interrupt urination with muscle effort; the muscle that tenses is the one you are looking for. To cure enuresis in women, you need to do 300 contractions of this muscle per day for 4-6 weeks. First, do 10 exercises, gradually increasing to 50 in one approach. Exercises should be done either at a normal pace, sometimes at a very fast pace, sometimes at a slow pace.

Medications

For urinary incontinence in women, drugs are prescribed that suppress involuntary compression of the bladder and relax the muscles of the bladder walls, such as oxybutynin, tolterodine, solifenacin. Elderly women are recommended to use topical hormone therapy.

Folk remedies for involuntary urine loss

For this disease, you can use folk remedies, but you must remember that we are all different, and find the recipe that will help you.

Here are some recipes for folk remedies

1. If you have a frequent urge to urinate, drink tea from young cherry branches several times a day.

2. 1 tbsp. l. plantain for 1 cup of boiling water, leave for 1 hour, take 1 tbsp. l. 4 times a day before meals 20 minutes

3. 50 g of St. John's wort per 1 liter of boiling water, leave for 4 hours, drink as tea throughout the day.

4. A decoction of blueberries is a very effective remedy, but it does not help everyone.

5. Mix St. John's wort and centaury 1:1. Pour 1 teaspoon of the mixture into 1 glass of boiling water, leave for 40 minutes. During the day you need to drink 2 glasses half an hour before meals.

The course of treatment of urinary incontinence with these folk remedies is 2-3 weeks.

  • Clay treatment:

Clay compresses help with involuntary urine leakage in the elderly and frequent urination in men.

To cure these diseases, hot clay is placed on napkins, one napkin with clay is placed on the bladder and prostate area (in men), the other on the lumbar area. When the clay cools, use two more napkins with fresh hot clay. You can't do without an assistant here. The procedure lasts 20 minutes with constant replacement of napkins. Course of 5-10 procedures. (HLS 2008 No. 20, pp. 9-10)

  • Birch buds:

1 tbsp. l. crushed birch buds, pour 1.5 cups of boiling water, cook for 5 minutes over low heat under the lid, leave for 1 hour, wrap well, strain, squeeze. Take half a glass 2-3 times a day 20 minutes before meals. The course of treatment for enuresis is 2-3 weeks. (HLS 2007 No. 4, p. 28; 2006, No. 9, p. 28-29)

Urinary incontinence in older women - treatment with wheatgrass

The woman had involuntary copious urine output, could neither cough nor sneeze without consequences, and could not even look at the water. The roots of wheatgrass, a garden weed, helped cure the disease. You need to dig them up, wash them, cut them and dry them.

1 tbsp. l. pour 1 cup of boiling water over the roots and cook in a water bath for 30 minutes, cool. Drink this glass throughout the day. The course of treatment is 3-4 weeks. At first there may be an exacerbation of the disease, but then everything returns to normal. (HLS 2007

Walking on the buttocks treats enuresis in women and adenoma in men

Urinary incontinence in old age occurs in a large number of women. There is an easy way to get rid of this problem - walking on your buttocks. The exercise is done like this: sitting on the floor, move your right buttock with your leg straight or bent forward. Watch the right kami swing to the left. Repeat the same with the left buttock. Move 1.5 - 2 meters forward, then go back in the same way. And so on, do this exercise every day. In addition, squeeze and unclench the muscle that regulates the functioning of the bladder sphincter.

The man had frequent urination - he ran to the toilet every 30 minutes at night, because he had an adenoma. After I included walking on my buttocks in my exercises, I only get up 1-2 times at night.

In addition to enuresis, this exercise - walking on the buttocks - eliminates constipation, treats prolapse of internal organs, hemorrhoids, and strengthens the abdominal and back muscles.

Belarusian folk remedy for enuresis

Take a pig's bladder (not a wild boar's), soak it in salt water for several days, changing the water. Then soak in water and baking soda. Then lightly boil the bubble, grind it through a meat grinder, add minced meat, make cutlets, and freeze. In the morning, fry 1-2 cutlets and eat on an empty stomach. Eat a piece of bread. The course of treatment is 9 days.

Involuntary loss of urine during pregnancy

Frequent urination during pregnancy is an inevitable occurrence. Due to the fact that the growing fetus puts pressure on the walls of the bladder, its size decreases slightly, creating a feeling of pressure and fullness, which forces the woman to go to the toilet much more often. There is nothing to worry about here, and after childbirth everything returns to normal.

But sometimes women experience involuntary leakage of urine during pregnancy. Small portions of urine are released uncontrollably when sneezing, laughing, sudden movements, i.e., with an increase in intra-abdominal pressure, which is transmitted to the bladder. In the last stages of pregnancy, fetal movements directly affect the walls of the bladder and can also cause urine leakage.

The cause of involuntary urination during pregnancy is both the increased load on the walls of the bladder and hormonal changes. A few months after giving birth, everything usually returns to normal. But a woman should be wary. After all, another reason for urinary incontinence in pregnant women is weakness of the muscular system. And if everything is left as it is, then in old age this woman will also suffer from urinary incontinence. In addition, the situation may worsen after the next pregnancy. To avoid these troubles in the future, a woman must do exercises to prevent involuntary leakage of urine during pregnancy. Every woman before pregnancy should do exercises that strengthen the muscles of the back and abdominals. If pregnancy was accompanied by urinary incontinence, then after childbirth the woman should also strengthen her abs, do exercises aimed at strengthening the frontococcygeus muscle (Kegel exercises), and do the “Walking on the buttocks” exercise for 5-10 minutes a day.

    All traditional methods of treatment may have contraindications. Before using prescriptions, consult your doctor!