The urinary tract infection is a physical disorder very common among seniors, whose frequency tends to increase with age. There are several types of treatments to better live with this condition and reduce the severity. Furthermore, it is possible to prevent its occurrence by adopting simple actions in their daily lives to reduce the risk factors.
Who is affected by urinary incontinence ?
Also called the “leakage of urine” urinary incontinence is a loss, uncontrollable, and involuntary urine, which exists in different forms : stress incontinence is caused by a physical effort (even small) does not necessarily preceded by a need to urinate, and incontinence due to an overactive bladder, always preceded by an irrepressible need and compelling.
A lot more frequent than we imagine, urinary incontinence affects several million people in France. It affects men and women of all ages. However, its frequency increases with age : seniors are more likely to be affected. Thus, it is estimated that at least 1 in 3 women over the age of 70 is concerned, even that 8% of men over 65 years of age. Figures probably under-estimated, because the people who are faced with theincontinence dare rarely talk about it with their physician…
The causes and aggravating factors
Urinary incontinence related to a physical effort often affects women who have experienced difficult childbirth or multiple pregnancies, and those who have undergone surgery small pelvis, or a descent of the pelvic organs (genital prolapse). In men, it is sometimes caused after a surgery of the prostate.
Urinary incontinence caused by overactive bladder is observed in multiple situations : cancer of the bladder, cystitis-acute, pyelonephritis acute, cancer or an adenoma of the prostate, a narrowing of the urethra. It is also present in people with neurological disease (Alzheimer’s, Parkinson’s, multiple Sclerosis).
Risk factors may also increase the risk of developing urinary incontinence, such as aging, menopause, obesity, tobacco, alcohol, lack of mobility or, conversely, a intensive physical activity. The excessive consumption of caffeine, sedative and diuretic drugs also seems to play a role aggravating.
What is the treatment for urinary incontinence ?
As soon as the appearance of the first urinary leakage, it is important to speak with his treating physician, who will attempt to determine the frequency of and the circumstances triggering the symptoms to fine tune diagnosis and the appropriate treatment.
There are drug treatments antispasmodic drugs against urinary incontinence caused by overactive bladder, which act on the control of the tonus of the bladder. In contrast, for stress incontinence, it offers rather a behavioral treatment that is performed by a physical therapist : rehabilitation périnéo-sphincter. A technique that aims to strengthen the muscle tone of the urethra, the perineum and the sphincter.
When the conventional treatments have not worked, the patient can opt for surgical treatment, after discussion with a urologist or a gynecologist-obstetrician :
For stress incontinence, the operation consists of positioning of the test strips sub-urethral or balloons adjustable to support and compress the urethra, or even in the more serious cases to replace the sphincter natural for an artificial sphincter.
For a incontinence for overactive bladder, the intervention is designed to inject the botulinum toxin into the bladder muscle or to implant a neuro-stimulator to the nerve roots.
As in the case of thefecal incontinence in senior citizensurinary incontinence in senior citizens can be prevented by adopting good habits in adulthood : having a balanced diet to prevent overweight, the household his or her bladder (do not hold it too long or straining to urinate), do not bear heavy loads immediately after childbirth, etc