Like men, women also suffer from various urological problems including urinary tract. But with proper treatment these problems are completely cured. This special report on women’s UTI (Urinary Tract Infection) problems has been written by eminent urologist Professor Dr. Jahangir Kabir.
A woman can suffer from other urological diseases just like a man. These include kidney and urinary tract cancer, kidney and urinary tract stones, traumatic problems, etc. However, due to the physical constitution and natural differences between men and women, there are special differences in women’s urinary tract diseases. Notable among these are urinary tract infections, urinary incontinence, fistulas and streaks.
Urinary Tract Infections
Frequent UTI in women are a common problem worldwide. Urinary tract infections (UTI) occur in women for a variety of reasons, including the short length of the urethra, the location of the urethra near the genital tract, and the reduction of the normal resistance of the urethra after menopause. However, in some cases, the tendency is seen more. In addition, the tendency of urinary tract infections (UTI) increases many times during pregnancy due to various reasons. Urinary tract infections (UTI) are caused by diabetes, rheumatic diseases and aging. UTIs are not always as good as taking antibiotics for a short period of time (ie 5-7 days) like other common ailments. Many times you have to take antibiotics for a long time.
However, for those who have frequent UTI, it is important to do some tests. In the case of UTIs, 85% of the germs are found in E.coli. Other germs include Klebsiella, Enterobacteriaceae, Proteus, etc. However, pseudomonas can be found in special cases. Urine culture sensitization is done before taking antibiotics so that the right antibiotics can be applied. Moreover, whether there are any other complications of the urinary tract, especially in the field, it is necessary to see through ultrasound or X-ray examination. For example, whether urine remains in the bladder after urination, whether there are urinary tract stones, whether any part of the kidney is abnormally swollen, or whether the urine flows in the opposite direction. For those who have such problems, UTI is not good if they are not treated initially.
Frequent urination, tendency to urinate in a hurry, loss of urination before reaching the toilet, urination as soon as you reach home or contact with water, feeling uncomfortable in the lower abdomen is urinary incontinence. In this condition uncontrolled contraction of the flesh of the bladder occurs.
This condition can be caused by various reasons. Such as- neurological complications, strokes, strictures etc. However, this instability of the bladder can occur without any reason. Which we call idiopathic detrusor instability. This problem is more common in women and can occur at any age. However, it should be kept in mind that this can be said only after other causes of urinary incontinence have been ruled out through necessary tests. Lastly, it can be diagnosed by urodynamic examination (cystometry). Mild to moderate urinary incontinence can usually be controlled with medication. However, surgery is needed to control high levels of instability and the patient can be completely healed.
Urinary incontinence can occur in different ways-
Stress incontinence: In this condition urine is excreted with sneezing. This is due to weakening of the pelvic floor muscles due to aging or childbirth and poor control of the urethra. Although this condition can be significantly improved through exercise, in many cases surgery is required.
Urge incontinence: In this condition, urine is excreted before reaching the toilet due to sudden urination. It can be from an overactive bladder or a neurological complication. Although most patients are well on medication, the field requires special surgery.
Continuous incontinence: When urinary tract control is completely lost, there may be fistulas formed by abnormal contact of the genitals with the bladder. Medicine does not usually work here. It can only be cured through arms smuggling. Fistulas are discussed separately below.
Fistula: It is caused by abnormal contact between the urinary tract and the genitals. This can happen for a variety of reasons. Notable among these are congenital, complications of operation, complications of childbirth etc. One of the major causes in our country is postpartum complications. In developed countries, such fistulas have disappeared. But the services of pregnant women in this country are still inadequate. Such a condition is an extreme condition for any woman. They are socially and in many cases abandoned by their husbands. It can be completely cured through surgery.
Finally, it must be said that urological problems are by no means kidney or gynecological diseases. Many people have misconceptions about this. Again, many people think that it is a chronic disease, there is no treatment and they are suffering unnecessarily without treatment. But many people do not know that it is now possible to give advanced treatment for such diseases in our country.