Tratamiento y servicios para la incontinencia urinaria

It can happen to anyone. Cuando se ríe demasiado, se le escapa la orina. Or out of nowhere, you suddenly need to use the bathroom, and you don't make it in time. But if this is a regular pattern, there may be an underlying medical cause.

La micción frecuente, la pérdida del control de la vejiga o la necesidad repentina y extrema de ir al baño pueden indicar incontinencia urinaria o vejiga hiperactiva.

Whether it’s an overactive bladder, urinary incontinence or fecal incontinence, our urogynecology team offers a variety of treatments to provide bladder control and help you feel comfortable again.

Collaborative care from our integrated team

Ofrecemos una amplia gama de opciones de tratamiento y planes de atención personalizados que se adaptan a su caso y sus objetivos específicos. Our compassionate, multidisciplinary team is dedicated to you and improving your quality of life.

Trust us for effective care that includes:

• Equipo de expertos: urólogos, uroginecólogos, cirujanos colorrectales, gastroenterólogos, fisioterapeutas y otros especialistas se unen para brindarle la atención más integral posible.
• Técnicas comprobadas: su plan de atención puede incluir entrenamiento de la vejiga o los intestinos, ejercicios para el suelo pélvico, ajustes de líquidos y dieta u otras terapias beneficiosas.
• Últimos tratamientos: Ofrecemos opciones que van desde las menos invasivas hasta las más avanzadas, entre ellas, medicamentos, agentes espesantes, inyecciones de bótox, electroestimulación, insertos uretrales y pesarios, terapia de neuromodulación y cirugía.

Para programar una cita, llame al 800-3-ADVOCATE o encuentre un médico en línea. Ofrecemos fácil acceso a ubicaciones en toda el área de Chicago.

Evaluaciones integrales para planes de atención personalizada

La creación de un plan de atención personalizado para usted empieza con una evaluación integral que permite a nuestros expertos determinar el tipo de incontinencia que está experimentando y qué la está causando.

Tipos de incontinencia

Hay muchos tipos de incontinencia, y los síntomas y el tratamiento varían con cada uno.

Incontinencia urinaria

• Incontinencia urinaria por rebosamiento: Micción extremadamente frecuente e incapacidad para vaciar por completo la vejiga
• Incontinencia de la urgencia urinaria: Aumento general de la urgencia o frecuencia urinaria o flujo incontrolable de orina
• Incontinencia urinaria de esfuerzo: Pérdida de orina causada por toser, estornudar, reírse, agacharse o levantar objetos
• Incontinencia ambiental (funcional): Abnormal bladder function and involuntary loss of urine caused by a physical or mental condition
• Incontinencia urinaria mixta: Combinación de síntomas de los otros tipos de incontinencia

Incontinencia fecal

• Fístulas rectovaginales: Una conexión anormal entre el recto y la vagina que causa pérdida de heces debido a una lesión durante el parto
• Lesión esfinteriana de origen obstétrico (OASIS): Es la causa más común de incontinencia fecal en las mujeres generalmente causada por la lesión durante el parto

Causes of urinary incontinence

La vejiga hiperactiva puede provocar incontinencia urinaria, y es importante buscar tratamiento temprano para los problemas de control de la vejiga para ayudarla a volver a la normalidad.

Las posibles causas incluyen:

Causes of fecal incontinence

Fecal incontinence can be particularly embarrassing and inconvenient. There are many treatable causes.

Las posibles causas incluyen:

Treatments for urinary incontinence

No existe un tratamiento único para la incontinencia o la vejiga hiperactiva que funcione para todas las personas. Es por eso que ofrecemos opciones de tratamiento médico y quirúrgico adaptadas a usted.

From medical management and pelvic floor care to state-of-the-art urogynecologic surgery, we help you regain health, confidence, comfort and quality of life.

Tratamientos no quirúrgicos

The following treatments are effective for urinary incontinence and urinary urgency:

• Medicamentos: There are a number of bladder control medicines in pill, liquid or patch form that can effectively treat certain types of urinary incontinence.
• Biorretroalimentación: Sensors are used to study muscle control.
• Urethral bulking injections: Collagen or synthetic materials are injected around the tube that lets urine out of your bladder (the urethra). Este procedimiento sella el conducto con más fuerza para evitar escapes de orina.
• Botox® injections: Botox, which is a toxin that relaxes muscles, is injected into the bladder muscle to help relieve symptoms of overactive bladder. Las inyecciones se realizan en el consultorio.
• Sacral nerve stimulation (also called neuromodulation therapy): A neurotransmitter device is placed under your skin to give mild electrical pulses that stimulate the nerve that controls the bladder and surrounding muscles. The stimulation reduces symptoms of overactive bladder and urinary retention.
• Pelvic floor therapy: This comprehensive approach to treating the pelvic floor can be effective for strengthening pelvic floor muscles and possibly preventing the need for surgery.
• Vaginal pessaries: These devices can be placed into the vagina to prevent urine leakage.
• Kidney stone treatment: Kidney stones can lead to issues with urinary incontinence. They can be treated with dietary changes or medication. If not, surgery is also an option.
• Dispositivos médicos: Self-catheterization with a straight catheter allows you to drain urine on your own when your bladder won’t empty completely by going to the bathroom.

Tratamientos quirúrgicos

The following treatments are effective for pelvic floor disorders, incontinence and other bladder and bowel control issues:

• Laparoscopic and robotic surgery: These minimally invasive robotic surgery approaches offer faster healing and smaller scars. Procedures include treating uterine fibroids, pyeloplasty (removal of blockages in the upper urinary tract), pelvic organ prolapse repair, tumor removal and urethral implants.
• Sling procedure: This procedure treats stress urinary incontinence – the most common form of urinary incontinence. El cabestrillo restaura y respalda el correcto posicionamiento anatómico de los órganos pélvicos.
• Cirugía reconstructiva: These procedures can be used to treat incontinence by reconstructing the bladder, genitourinary system or pelvic floor.

Urinary incontinence in older adults

Urinary incontinence can happen to anyone, but it’s more common in older people, especially women. Some causes of urinary incontinence in older adults include:

• Arthritic or other pain that limits the ability to move quickly enough to get to the bathroom in time
• Congestive heart failure and other conditions that cause excessive fluid buildup in the body
• Dementia or Alzheimer’s disease causing you to forget to go to the bathroom or where to find the toilet
• Deterioration in how the nerves and muscles signal the bladder, causing the need to urinate more often or unexpectedly
• Greater risk for urinary tract infections in women after menopause
• Loss of elasticity in the bladder and pelvic floor muscles, reducing the amount of urine the bladder can hold
• The need to urinate more frequently during the night

Tips for managing urinary incontinence in older adults

• Keep hallways and bathrooms well-lit and clutter-free to make it safer and easier to get to the bathroom during the night.
• Avoid caffeinated drinks such as coffee, tea and soda, which can increase urination.
• Limit fluids before bedtime.
• Lose weight to increase your mobility and reduce pressure on your bladder.
• Avoid smoking, which can irritate the bladder.
• Wear absorbent briefs when necessary to avoid soiling clothing.
• Use underwear that’s easy to put on and take off.
• Exercise the pelvic floor muscles regularly to help prevent bladder leakage and urgency.