Why does it happen?
Childbirth, age and hormonal changes can weaken the pelvic floor muscles and the supporting structures of the urethra. As a result, every moment of increased abdominal pressure — laughing, sneezing, running — causes urine to leak.
First step: identifying the type
Treatment depends on the type: stress incontinence (during physical strain), urge incontinence (a sudden strong urge) and the mixed form each require a different approach. That is why the first step is a doctor's examination, not products from advertisements.
Treatment options
A staged approach is applied:
- In mild cases: pelvic floor muscle exercises with correct technique (Kegel) and lifestyle adjustments
- In persistent stress incontinence: surgical correction — long-term results in most patients
- When pelvic floor repair is needed: can be performed in the same session as vaginoplasty
- In every case: individual assessment and a discussion of realistic expectations
The bottom line
Most patients who seek help say the same sentence: "Why did I wait for years?" You do not have to live with urinary incontinence — the evaluation takes a day, and in most cases the solution is a matter of a single plan.