stressinkontinentsuse

Stressinkontinens, also known as stress urinary incontinence, is a common condition characterized by the involuntary loss of urine during physical activity that increases abdominal pressure. This pressure is exerted on the bladder and can cause urine leakage. Activities that commonly trigger stress incontinence include coughing, sneezing, laughing, exercising, and lifting heavy objects. It is not a disease in itself but rather a symptom that can arise from various underlying causes.

The primary cause of stress incontinence is a weakening or damage to the pelvic floor muscles and the urinary sphincter. These structures are responsible for keeping the bladder closed and preventing urine leakage. Factors contributing to this weakening include pregnancy and childbirth, which can stretch and damage the pelvic floor muscles. Menopause, due to hormonal changes that affect tissue elasticity, can also play a role. Obesity increases intra-abdominal pressure, further straining the pelvic floor. Surgical procedures in the pelvic region, such as prostatectomy in men or hysterectomy in women, can also sometimes affect bladder control. Aging itself can lead to a natural decline in muscle tone and support for the bladder.

Diagnosis typically involves a medical history, a physical examination, and sometimes further tests like a urinalysis to rule out infection, or urodynamic testing to assess bladder function. Treatment options vary depending on the severity of the condition and its underlying cause. They can range from conservative approaches like pelvic floor muscle exercises (Kegels) and lifestyle modifications (weight loss, fluid management) to more advanced treatments such as medication, pessaries, or surgical interventions.