Dr. David Gordon, 12.02.12
Director of the Osteo-Gynecology Unit, Tel Aviv Medical Center Are uterine surgery effective for urgency and urinary frequency treatment? Does enlargement of the uterus due to fibroids cause urine leakage in the effort? Is Acupuncture Effective for Irritating Bladder? And does eating cranberry prevent recurrent urinary tract infections? Some facts about urinary leakage in women
1. It is better to use networks in any surgery to repair uterine or bladder.
Not true. The use of surgical networks to restore the pelvic floor is relatively new. The use of networks has many advantages, but there are also complications, and therefore the use of the network is only in special cases inappropriate medical instruction.
2. Urinary bladder prolapse surgery is effective in urination and urgency.
Not true. Urgency treatment and urinary frequency are often accompanied by urinary leakage due to difficulty in restraining (also called irritable bladder) is a drug. Surgery usually does not solve this problem. It is important to emphasize this point and avoid unnecessary disappointments after surgery. Irritating bladder treatment is not surgical.
3. Enlargement of the uterus due to fibroids (myasthenia) causes urinary leakage in the effort.
Not true. An enlarged uterus is not the cause of urine leakage in the effort. In a woman who has a urine leak and is scheduled to undergo surgery, there is no need to have a hysterectomy. On the contrary, there are a number of recently published works showing that hysterectomy may even increase the incidence of urinary leakage in the effort.
4. There is a link between surgery for hysterectomy and the occurrence of frequent urgency and uncontrolled postoperative urination.
Not true. Frequent urgency and non-arrival in the bathroom, a condition called “irritable blister,” has nothing to do with an enlarged uterus. Hence a hysterectomy performed with the appropriate instructions does not cause any urgency or uncontrollable urination problems.
5. The prolapse of the uterus and bladder causes pain while having sex.
In most cases, prolapse does not cause pain when you are in a relationship. Therefore, surgery to repair uterine and bladder will not solve the problem. Only a small number of cases exist, and then there is room to recommend surgery.
6. Eating cranberries prevents urinary tract infections.
Right, you can drink cranberry juice or take cranberry-containing capsules. Cranberries are effective as a preventive treatment for recurring infections but are not recommended as a primary treatment for acute bladder inflammation.
7. Topical hormone therapy prevents urinary tract infections.
Right. Most of the work published on the subject shows that giving estrogen in ointment or hand candles is very effective in preventing recurrent urinary tract infections.
8. Acupuncture is effective in the treatment of irritable bladder.
Right. At least in some cases. Some work has shown that this means of treatment should be considered in women with frequent urination and uncontrollable urination.