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How to live with one of the most embarrassing medical problems there is? - Walla! health

2022-04-29T05:06:19.002Z


Over the age of 60, a third of the population will suffer from varying degrees of urinary incontinence, from drips to significant moisture. The problem: A large proportion of them do not treat the problem, so why does it happen and how is it treated?


How to live with one of the most embarrassing medical problems there is?

Over the age of 60, a third of the population (yes, men too) will suffer from varying degrees of urinary leakage, from drips to significant moisture.

The problem: A large proportion of them do not treat the problem, even if it requires them to walk around with a diaper.

Dr. Yariv Stebholtz of Ichilov explains why this happens, and how it is treated. Listen

Iris Cole

29/04/2022

Friday, 29 April 2022, 07:16 Updated: 07:52

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There are some medical problems that cause embarrassment that stops people from getting medical help, and urinary incontinence is definitely in their head.

Dr. Yariv Stebholtz, an expert in functional urology and pelvic floor reconstruction at Ichilov Hospital, was a guest on the "Specialist Clinic" podcast to explain what causes urinary incontinence in men and women, and how to deal with it.

Dr. Stebholtz explained that urinary incontinence is a problem that causes great embarrassment and shame in patients, so many of them prefer to pay the heavy price it charges, rather than approach treatment.

In the end, it's not a matter of life and death, but it's a matter of quality of life, "he said. Blister, drinking habits.

I recommend going to a professional in this field because small changes can completely change your lifestyle. "

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Dr. Stebholtz added that he thinks "that in every field there are diseases that people learn to live with.

When it comes to life and death - oncology or heart disease - people run for treatment, but in matters of quality of life it depends on the person.

I will not push any patient to take pills or undergo surgeries that he does not need, but I will try to ask him where it bothers him, and I will try to show him how things can look different.

"Some people are afraid of surgery, do not want to take medication, and prefer to stay with a diaper ... and it has a personal price, a psychological price and an economic price."

More on Walla!

This medical problem bothers every man - how is it treated?

To the full article

why is it happening?

Urinary incontinence is actually a condition in which there is a loss of control of the urine, and it is divided into several types, including: Urge urinary incontinence, urinary incontinence due to urgency, and Stress urinary incontinence - "Loss of control in exertion. Conditions in which patients laugh, cough, do activity or lift "Grandchildren, then the intra-abdominal pressure rises, puts pressure on the bladder, and if there is not enough strength in the pelvic muscles - urine can escape," explained Dr. Stebholtz.

A more common problem than people think.

Woman holding her belly (Photo: ShutterStock)

There is also a condition called irritable bowel syndrome.

"This is a more common syndrome than you would describe," said Dr. Stebholtz, explaining that it is a condition in which the bladder is more sensitive, and contracts at stronger intensities - in smaller volumes. This means that instead of people going to the bathroom 6-8 times a day, they will "He added that the three most common complaints of irritable bowel syndrome are frequency, urgency and nocturia - a situation where people wake up all night because of the need to urinate."

How is it treated?

It is important to know that over the age of 60, in men and women, a third of the population will suffer from varying degrees of urinary leakage, from drips to significant leakage.

In any such situation, as mentioned, it is advisable to consult a doctor, as there is no reason to live in discomfort and embarrassment, and there are a variety of treatments that can help.



For example, in the case of Stress urinary incontinence the first lines of treatment are conservative: exercises, physiotherapy and changing habits.

If this is not enough, and the problem affects the quality of life, there is an option of surgery, for women.

"The surgeries commonly used today are actually a film that supports the bladder and urethra, and helps strengthen, supports the weaker pelvic floor muscles. It is a relatively small operation that is done with a vaginal approach," Dr. Stebholtz explained. Very high.Another solution, for women, is the injection of a substance that lowers the diameter of the urethra, thus increasing the pressure that the urethra is able to create to prevent leaks.

To watch the full interview:

Iris Cole in a conversation with Dr. Yariv Stebholtz from Ichilov about urinary incontinence - causes and solutions (Walla system)

In men, the most common phenomenon of Stress urinary incontinence is after prostatectomy due to cancer.

"We see a significant percentage of people who leak urine after surgery," said Dr. Stebholtz, "and quite a few of those male patients - who are the most embarrassed population when it comes to urinary incontinence - come to the clinic and those who actually accompany them, or rather encourage them, This is the woman, he would sit at home and get used to the situation.

And she comes and speaks what is on his heart and also what is on her heart. "



In this case, too, there is the possibility of a supporting film, and in slightly more complex cases, there are also artificial brackets today.

"It's a device that wraps around the urethra and has a small pump inside the scrotum, and the patient can control for himself when to urinate and when not to. Most of the day this pump is closed," Dr. Stebholtz explained. Is there. "He added that" it has existed for quite a few years in the world and in Israel, but people have not heard about it or do not talk about it enough, it is a solution that may sound a bit fictional, but it is a solution that people are satisfied with in 96 percent of cases and would recommend On it to others. "



In conclusion, Dr. Stebholtz said he thinks" that people are more and more concerned, and rightly so, with their quality of life and way of life. There is also more access to information, and there is the targeting of information, and that brings information We understand that there are more and more solutions. "

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  • urine

  • Incontinence

Source: walla

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