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Female Urinary Incontinence

Stress, urge, or mixed type urinary incontinence is treatable; one should not hesitate to seek help.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Female Urinary Incontinence?

Urinary incontinence (inkontinans) occurs with uncontrolled emptying of the bladder. It is divided into three main forms: stress incontinence (leakage with coughing, sneezing, exercise), urge incontinence (leakage with sudden urgency), and mixed type that includes both.

The main causes of urinary incontinence in women include weakening of pelvic floor muscles and ligaments due to pregnancy and vaginal delivery, mucosal atrophy due to estrogen deficiency after menopause, and pelvic organ prolapse.

Most women experiencing urinary incontinence do not consult a doctor due to embarrassment and fear of social stigma. However, effective treatment options exist, including physiotherapy and surgery.

Symptoms

Urine leakage during coughing, sneezing, or exercise (stress type)
Sudden and severe urgency sensation to find a toilet (urge type)
Frequent urination (more than 8 times a day or more than 2 at night)
Feeling that the bladder has not emptied completely
Vaginal fullness or sensation of outward protrusion (may be with prolapse)

Risk Factors

Vaginal delivery (especially long labor, large baby, forceps)
Obesity
Menopause and estrogen deficiency
Chronic cough (smoking, asthma)
Constipation and straining
History of radiotherapy to the pelvic area

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If urinary incontinence restricts daily activities or social life
  • If there is pain or bleeding with urge incontinence
  • When urinary tract infection is suspected
  • If pelvic organ prolapse (swelling sensation) accompanies
  • If no response is obtained to Kegel exercises in 3-6 months

Treatment Methods

01
Pelvic floor physiotherapy: Kegel exercises and biofeedback
02
Bladder training: Gradual prolongation of voiding intervals
03
Topical vaginal estrogen: For postmenopausal mucosal atrophy
04
Drug therapy: Anticholinergics or mirabegron (for urge type)
05
Tension procedures (sling, TVT): Surgical option in stress incontinence
06
Sacral neuromodulation: Neurostimulation in resistant urge incontinence

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.