Urinary incontinence after surgery to remove the uterus causes and what to do

Uterus elimination

Removal of the uterus (hysterectomy) is a typical gynecological operation carried out utilizing laparoscopy, laparotomy or vaginal. There are various kinds of surgery depending upon the volume – extreme hysterectomy, overall, subtotal and panhysterectomy.

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There are lots of indicators for its execution, frequently ladies who have actually currently delivered at the age of about 40 are run on.

Like any stomach intervention, elimination of the uterus has a variety of issues:

  • Early postoperative issues – discomfort, fever, danger of apoplexy, stitch failure, peritonitis, and so on.
  • Late issues – early beginning of menopause, urinary incontinence, prolapse of the vaginal walls, mental pain.

Post-elimination urinary incontinence

Violation of urination after hysterectomy can manifest itself as incorrect desire, regular or agonizing urination, and urinary incontinence, consisting of tension. Most frequently, a female feels continuous prompts, which in the end are incorrect.

In this undesirable scenario, the ran female is required to utilize health items every day. Against the background of this problem, a sensation of inability might appear, the advancement of mental complexes.

A female withdraws into herself, prevents crowds, withdraws from interaction with enjoyed ones, sexual tourist attraction vanishes.

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Causes of incontinence

The advancement of the above issues is related to the physiological functions of the female body.

The causes of incontinence are:

  • Most frequently, weakening of the ligaments and muscles of the pelvic flooring. The musculo-ligamentous device lies in layers, there are just 3 layers – the upper (or inner layer, the muscles cover the vaginal area, urethra and anus), middle (the urethra and its sphincter, vaginal area lie in it) and the lower (external, includes 4 circular muscles, forming the entryway to the rectum and vaginal area). Urinary incontinence is related to the musculo-ligamentous device of the middle layer.
  • Descent of the anterior vaginal wall. It is related to a modification in the flexibility of muscles and fascia, due to the displacement of the vaginal area, inflammation of the nerve receptors of the bladder takes place.
  • Inflammatory procedures of the urinary system. Damage to the mucous membrane of the bladder due to the inflammatory element requires an incorrect excitation of the receptors. Desires develop at the smallest build-up of urine, can be so strong that it is difficult to control the procedure.
  • Climacteric hormone modifications

The production of estrogen, which is accountable for tissue flexibility, reduces:

  • Weakening of the pelvic flooring muscles.
  • The flexibility of the bladder reduces, and its level of sensitivity boosts.

How is this hazardous?

Often ladies choose to stay quiet about this issue. They choose to wait till it goes by itself. It is “ashamed” to discuss this to loved ones, it is “ashamed” to inform the medical professional. And a particular classification of ladies thinks that incontinence is related to age and that it is difficult to treatment this condition. These are the incorrect positions.

If you have grievances about impaired urination, you ought to call a professional and start treatment. This problem can and ought to be treated, because it is not safe to reside in such a state.

What are the repercussions of incontinence:

  • Urethritis and cystitis.
  • Kidney swelling.
  • Defecation conditions.
  • Redness of the skin, swelling up to the advancement of ulcers.
  • Psychological conditions.

What to do?

Urologist or gynecologist handle the treatment of impaired urination. And the quicker the client addresses this issue, the much better. This is due to the truth that incontinence versus the background of inflammatory procedures can advance.

So, what suggestions can be offered:

  • Estrogen drugs for climacteric syndrome.
  • Antibacterial treatment of inflammatory procedures of the urinary system.
  • For agonizing urination, nonsteroidal anti-inflammatory drugs.
  • With increased irritation of the walls of the bladder, preparations of the group of m-anticholinergics, nootropics and antidepressants.
  • Kegel workout completely enhances the pelvic flooring muscles, hence fixing the primary issue of incontinence. Technique: Tighten the pelvic flooring muscles for 10 seconds, then unwind, duplicate a number of times. Repeat 6-8 times throughout the day. The workout can be carried out while sitting, standing or resting, while being undetectable to others.

Exercising routinely will bring back the extended pelvic flooring muscles. Contraindications inflammatory procedures, early postoperative duration.

Women who have actually been run on for pelvic oncology are at danger.

  • Silicone pessaries for decreasing the vaginal walls.
  • A diet plan focused on weight-loss, with the exemption of liquors and coffee from the diet plan. At the exact same time, the water program ought to not be lowered.
  • Surgical treatment – when the above approaches are inefficient, it is hardly ever utilized.


Urinary incontinence after elimination of the uterus is a relatively typical problem. But, prior to you get upset and plunge into mental conditions, seek advice from a professional. There suffice treatment approaches to discover a method to each client.

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Svetlana Borszavich

General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.