By Dr. Tulip Chamany, Bariatrics
Urinary incontinence is a very problematic condition. Some people even fall prey to depression and anxiety from embarrassment and fear of incontinence in public. The condition has several causes and can be treated in most cases. Stress urinary incontinence is a condition in which incontinence occurs under the pressure of sneezing, coughing, or even laughing.
Causes of Urinary Incontinence -
Urinary incontinence can be caused by many health conditions like:
1. Neurological disorders
4. Prostate enlargement
5. Prostate cancer
These are the common causes and risk factors of urinary incontinence. While most of the causes are medical factors that need permanent care, as in neurological issues and cancer, some are temporary causes like pregnancy and surgery. Incontinence resolves itself with time if it is caused due to pregnancy or some kind of surgery. But obesity also could be one of the reasons for it, which people sometimes tend to ignore.
Types of Incontinence -
- Stress incontinence
- Overflow incontinence
- Urge incontinence
Symptoms of Stress Urinary Incontinence -
People with stress incontinence may experience urine leakage while -
- Standing or sitting
- Having Sex
- Lifting heavy object
It is not necessarily important to experience this whenever these activities are done; however, when pressure increases, people may often feel this, especially when the urine bladder is full.
Stress Urinary Incontinence and Obesity -
People who are obese have various health issues. They might even have some mental health issues like depression and anxiety due to their physical incompetence and society’s outlook towards them. So, when they also suffer from urinary incontinence due to their body type, they are too embarrassed to talk about it or too demotivated to do anything about it. The fear of ending up urinating just because of bending a little, or lifting something, or coughing or sneezing, is real. It makes them avoid social situations, thereby alienating them from people.
Bariatric Surgery to Rescue -
People who are too obese to retain bladder control even when they sneeze or laugh will find it very difficult to exercise. Their stress and loneliness accounts for poor eating habits to add to all the trouble. Bariatric surgery helps them lose weight without having to try doing things they are not in a position to do, exercise for example.
How Does It Work?
Bariatric surgery helps to lose weight by reducing appetite, reducing the capacity of the stomach or altering the hormones in the gut. Once they lose a substantial amount of weight, the intraabdominal pressure decreases and thus the pressure on the urinary bladder decreases. The results are awesome and they can get back to their normal social life. Aftercare After bariatric surgery, one should take supplements regularly and have a regular exercise pattern. This will not only ensure excellent weight loss but will also help one maintain weight over many years.
Conclusion - One should always consult a doctor or maintain a healthy lifestyle for the better results of Bariatric Surgery. Also, follow the instructions and precautions after the surgery to reduce the complications.