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2023, Number 06

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Revista Médica Sinergia 2023; 8 (06)

Pathophysiology and treatment of urinary incontinence in women

Salazar PD, Aguilar HLM, González AFJ
Full text How to cite this article

Language: Spanish
References: 15
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PDF size: 155.75 Kb.


Key words:

urinary incontinence, stress urinary incontinence, pelvic floor muscle training, pathophysiology, conservative treatment.

ABSTRACT

Urinary incontinence (UI) refers to any involuntary leakage of urine. This pathology is more frequent in women than in men, where 10% of all adult women suffer from this disease. Aging, hormonal changes, obesity, being multiparous, high-impact training and sedentary lifestyle are some of the risk factors associated with UI. Urinary incontinence is divided into several types, which are: urge incontinence, stress incontinence, mixed incontinence and incontinence associated with urine retention. The most common symptoms include involuntary leakage associated with urgency and exertional activities. Various urodynamic evaluations allow the diagnosis of the type of UI present. The pathophysiology of urinary incontinence is associated with failures in the contractions of the detrusor muscle; Intrinsic activation of the detrusor muscle and deterioration in the nervous system at the bladder level. Conservative treatments such as dietary changes, pharmacological methods, surgery and laser therapy are different alternatives for the correction of urinary incontinence. Pelvic floor muscle training (PFMT) is the preventive treatment par excellence, as well as the most effective long-term healing methods.


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Revista Médica Sinergia. 2023;8