{"id":6645,"date":"2025-05-20T17:48:07","date_gmt":"2025-05-20T16:48:07","guid":{"rendered":"https:\/\/www.klinika-but.si\/urinary-incontinence\/"},"modified":"2025-11-17T12:53:20","modified_gmt":"2025-11-17T11:53:20","slug":"urinary-incontinence","status":"publish","type":"page","link":"https:\/\/www.klinika-but.si\/en\/urinary-incontinence\/","title":{"rendered":"Urinary Incontinence"},"content":{"rendered":"\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t\t\t
<\/div>\n\t\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\t\t
\n\t\t\t\t\t\n\t\t\t\t\t\t\"\"\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<\/figure>\n\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t
<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t
\n\t\t\t\t\t\t\t\t\t
\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tUrogynecology\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tUrinary Incontinence\t\t\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t\t\t\t\t<\/h4>\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t\t\t

Urinary incontinence refers to the involuntary leakage of urine during physical activity, which may also be preceded by a strong urge to urinate. It is a common condition, affecting about 35% of women over 30 years old, with the frequency increasing with age. <\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t\t\t\t\t
\n\t\t\t\n\t\t\t\t\t\t
\n\t\t\t\n\t\t\t
\n\n\t\t\t\t\n\t\t\t\t\tSCHEDULE AN EXAMINATION\t\t\t\t<\/span>\n\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t
\n\t\t\t\t\t
\n\t\t
\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t
\"\"<\/figure>

Stress Urinary Incontinence (SUI)<\/h2><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

In stress urinary incontinence (SUI), urine leaks during coughing, sneezing, running, jumping, and lifting. One in three incontinent women also experiences leakage during sexual intercourse. <\/strong><\/p>

The most common cause of stress urinary incontinence is vaginal childbirth, while other factors include heavy physical work, obesity, and certain chronic diseases (e.g., COPD). All these issues put significant strain on the pelvic floor. <\/p>

The cause of stress urinary incontinence can also be rooted in genetics, which determines the quality of connective tissue.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t\t\t
\"\"<\/figure>

Treatment<\/h2><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

MINISLING OPERATIONS<\/strong><\/p>

The most effective method for treating stress urinary incontinence is sling operations.<\/p>

At BUT Clinic, we implant the sling (minisling) in the least invasive way. The procedures are performed under local anesthesia with the patient in the gynecological position on the operating table. We make an approximately 1 cm incision just behind the vaginal entrance, under the urethra, and through this opening, we place the sling that supports the urethra and thus prevents urine leakage. <\/p>

Patients go home immediately after their first spontaneous urination, which usually occurs within half an hour after the operation.<\/p>

We recommend patients take up to 5 days of sick leave after the procedure if needed, otherwise they can return to work the day after the operation. The success rate of the operation, if there are no associated bladder or spine issues, is over 90% after 10 years. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t\t\t\t\t
\n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

URETHRAL BULKING AGENTS <\/strong><\/p>

The procedure is performed under local anesthesia using a urethroscope, an optical device with a cold light source, which allows us to examine the inside of the urethra.<\/p>

During the procedure, we inject hydrogel or hyaluronic acid into 4 sites in the upper part of the urethra, near the bladder entrance, which causes the mucosa to swell and thus reduces the risk of urine leakage.<\/p>

The success of this procedure is significantly lower than the minisling operation, as even in the most experienced hands it does not exceed 60%, which is why the procedure needs to be repeated.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t\t\t\t\t
\n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

LASER THERAPY <\/strong><\/p>

The effectiveness of laser in urogynecology is not well researched and has not been proven, except in biased studies. The laser energy simply does not penetrate deep enough into the vaginal tissue under the urethra to induce a therapeutic effect. <\/p>

Any potential “success” of the laser is mostly short-term (a few months) and only in very mild forms of stress urinary incontinence, which often represents a placebo effect rather than success. At BUT Clinic, we do not recommend vaginal laser therapy for the treatment of stress urinary incontinence! <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t\t\t\t\t
\n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

PRP and Stem Cells<\/strong><\/p>

Similar to laser therapy, we do not recommend the use of platelet-rich plasma (PRP<\/strong>) and stem cell<\/strong> injections for treating urinary incontinence.<\/p>

While it may sound attractive and have a modern appeal, unfortunately, there isn’t much more in terms of effect. International urogynecological and urological organizations do not support the use of plasma, stem cells, and laser therapy! <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

\n\t\t\t\t\t
\n\t\t
\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
\n\t\t\t\t\t
\n\t\t
\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t
\"\"<\/figure>

Overactive Bladder (OAB)<\/h2><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

OAB is a disorder that can be diagnosed in one in six people over the age of 40. The main symptom of the disorder is urgency, which means a sudden and strong desire to urinate without prior warning. <\/strong><\/p>

Urgency forces a person to abandon all activities they are engaged in and go to the bathroom immediately. In this case, one in three women may leak urine before reaching the toilet. This is referred to as urge urinary incontinence. <\/p>

The disorder (OAB) is often accompanied by a feeling of frequent urination during the day (frequency) and nighttime urination (nocturia).<\/p>

The frequency of the disorder increases with age, and the symptoms progress over the years in both variety and intensity. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t\t\t
\"\"<\/figure>

Treatment<\/h2><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t