Urinary Incontinence: Causes, Symptoms, and Treatment
Overview
- Causes: Pregnancy and childbirth, hormonal changes, menopause, pelvic floor weakness, or age-related tissue changes.
- Symptoms: Involuntary urine loss when coughing, sneezing, or exercising, as well as frequent or sudden urge to urinate.
- Diagnostics: Medical history, gynecological examination, urinalysis, and possibly ultrasound and urodynamic studies.
- Treatment options: Pelvic floor training, behavioral therapy, medications, pessaries, surgical procedures, and LaEvita™ laser therapy.
- Advantages of LaEvita™ laser therapy: Outpatient treatment without surgery, promotion of collagen formation, and support of tissue tightening in the vaginal area.
Urinary incontinence refers to the involuntary loss of urine. It is one of the most common conditions in women and can significantly impact quality of life. Many affected individuals do not discuss their symptoms out of embarrassment, even though numerous effective treatment options are available today.
Depending on the cause, the symptoms vary in intensity—from a few drops of urine loss when coughing or laughing to a sudden, barely controllable urge to urinate.
What Forms of Urinary Incontinence Are There?
The most common forms are:
- Stress incontinence
- Urge incontinence
- Mixed incontinence
- Overflow incontinence
- Reflex incontinence
Stress and mixed incontinence are particularly common in women.
How Does Urinary Incontinence Develop?
The most common causes include:
- Pregnancy and childbirth
- Hormonal changes during menopause
- Age-related tissue relaxation
- Pelvic floor weakness
- Overweight
- Chronic cough
- Surgeries in the pelvic area
Due to the decreasing stability of the pelvic floor, the urethra can no longer adequately fulfill its closure function.
What Symptoms Occur?
Depending on the form of incontinence, the following symptoms may occur:
- Urine loss when coughing, sneezing, or laughing
- Urine loss during sports or lifting heavy objects
- Sudden strong urge to urinate
- Frequent urination
- Nocturnal urge to urinate
- Involuntary urine loss without warning
How Is Urinary Incontinence Diagnosed?
After a detailed conversation, a gynecological examination is conducted.
Depending on the symptoms, additional tests may include:
- Urine test
- Ultrasound
- Residual urine measurement
- Bladder diary
- Urodynamic study
- Cystoscopy in selected cases
What Treatment Options Are Available?
The therapy depends on the cause and severity of the symptoms.
Possible treatments include:
- Pelvic floor exercises
- Weight reduction
- Bladder training
- Medications
- Pessaries
- Surgical procedures
- LaEvita™ Laser Therapy
LaEvita™ Laser Therapy for Urinary Incontinence
The LaEvita™ treatment is a minimally invasive laser procedure for treating mild to moderate stress incontinence and for vaginal tissue regeneration.
A special handpiece is inserted into the vagina. Gentle laser impulses are used to control the warming of the tissue. This stimulates natural regeneration processes and supports the formation of new collagen fibers. The aim is to improve tissue stability and support the urethra.
The treatment is performed on an outpatient basis and usually takes only a few minutes. Typically, three sessions are recommended at intervals of several weeks.
What Are the Benefits of the LaEvita™ Treatment?
- Outpatient treatment
- No incisions
- No surgery
- No general anesthesia
- Short treatment duration
- Promotion of collagen formation
- Support of tissue tightening
- Quick return to daily activities
Who Is the Treatment Suitable For?
The LaEvita™ laser therapy may be particularly suitable for women,
- with mild to moderate stress incontinence,
- after pregnancy and childbirth,
- during or after menopause,
- with decreasing tissue tension in the intimate area,
- when surgical treatment is initially to be avoided.
Whether the treatment is suitable in the individual case should be clarified in the context of a gynecological examination.