Urination disorders refer to painful sensations during urination, frequent urges, difficulty urinating, retention, and urinary incontinence.
Causes
Overall, urination disorders are observed in anatomical and hormonal disorders in the body, as well as injuries.
Pain syndrome can be registered in cystitis, bladder tumors, prostate diseases, and inflammations. Pain sensations are associated with nerve compression during the contraction-relaxation of bladder muscles.
Frequent urination may occur with adenoma, in patients with bladder stones.
Difficulty in urination is primarily caused by narrowing of the canal, prostate cancer, and tumors in the neck of the bladder.
Urinary retention may occur due to urethral injury, inflammations, constipation, or diarrhea.
Incontinence may be caused by bladder or urethral exstrophy, ectopic ureters, bladder fistulas, or vaginal wall prolapse (which leads to impaired sphincter closure function).
Symptoms of Urination Disorders and Urinary Incontinence
Symptoms of urination disorders may include delays in urination, painful sensations at the beginning, during, or at the end of urination, urgency or incontinence, and polyuria.
Diagnosis of Urination Disorders and Urinary Incontinence in Israel
In addition to studying patient complaints, statistical data on the frequency and volume of urination are collected in Israel. For women, a consultation with a gynecologist is mandatory to identify pathologies such as cystocele and uterine prolapse. Cough and pad tests are used. Among laboratory studies, ultrasound of the bladder and urethrocystography are widely used. Laboratory analyses and urine cultures for microflora are also conducted.
Treatment of Urination Disorders and Urinary Incontinence in Israel
Treatment in Israel is conducted using medication therapy, non-drug treatments, and surgical intervention. In non-drug treatment for incontinence, pelvic muscle training is performed, and a urination schedule is developed for the patient. Bladder training is necessary to increase the interval between urination acts. Treatment for incontinence is most often conducted conservatively. Minimally invasive methods may be used – injections of Teflon paste, collagen, or autologous fat. Medication therapy may include antispasmodics and antidepressants.
In surgical intervention, so-called sling operations are performed. The most effective in this case is the use of synthetic materials to create a free sling.
Prevention
Prevention in this case is timely detection and treatment of urination disorders.