Making the right diagnosis early on
The diagnosis and treatment of incontinence are crucial steps on the way to improving the quality of life for those affected. Early and accurate diagnosis is key to identifying the underlying causes and determining appropriate treatment options. Find out more about the various diagnostic procedures and the wide range of treatment options that can help to alleviate the symptoms of incontinence and enable those affected to lead a more active and self-determined life.
Specialists for incontinence
When it comes to the diagnosis and treatment of incontinence, the support of medical specialists is crucial. Urologists, gynaecologists and other specialists have the necessary expertise to develop individual treatment plans tailored to the specific needs of each patient. Through their expertise and experience, they can help patients not only with diagnosis, but also with the selection of appropriate therapies and management of incontinence symptoms. If you need support, don't hesitate to consult a specialist and be guided on the path to an improved quality of life.
General medicine
As the first port of call for many patients, the general practitioner is an important point of contact for questions about incontinence. Your general practitioner can first examine you to identify possible causes of your symptoms. Depending on the results, they can treat you directly or refer you to a specialist with specific expertise in the field of incontinence. In addition, your general practitioner can provide you with information on lifestyle changes and self-help measures that could enable you to manage your symptoms.
Gynaecology
For women, a gynaecologist can play an important role in the diagnosis and treatment of incontinence. Your gynaecologist may first examine you and ask questions about your symptoms to determine if there is a specific gynaecological cause, such as a prolapse of the uterus or weakness of the pelvic floor. Depending on the diagnosis, your gynaecologist may then recommend treatment options ranging from pelvic floor exercises to surgery.
Urology
A urologist is a medical specialist who specialises in the diagnosis and treatment of diseases of the urinary tract, kidneys and male reproductive organs. In the case of incontinence, a urologist can carry out a comprehensive examination to determine the cause of your incontinence. Based on the results, the urologist can then create a personalised treatment plan, which may include drug therapies, physiotherapy approaches or even surgery.
Proctology
Proctologists are medical specialists who specialise in the diagnosis and treatment of diseases of the rectum. Although incontinence is often associated with bladder problems, bowel dysfunction can also lead to uncontrolled bowel movements. Proctologists are therefore important contacts for people suffering from faecal incontinence. They not only offer diagnostic procedures, but also develop individual treatment plans to target the causes of incontinence, through medication, physiotherapy or surgery. If you have problems with faecal incontinence, a proctologist can help find the right treatment for your needs.
Anamnesis
Taking a medical history of incontinence is a crucial step in understanding the causes and extent of the problem and planning appropriate treatment. During the medical history interview, the doctor will ask important information about your incontinence symptoms, their duration, triggers and frequency. Questions may also be asked about previous operations, existing illnesses, medication taken and, in the case of women, pregnancies and births. In addition, questions about drinking and toilet habits may be asked. A thorough medical history enables the doctor to make an informed diagnosis and recommend a tailored treatment.
Therapy depending on the type of incontinence
The treatment of incontinence is extremely varied and depends heavily on the specific form of incontinence. There are different types of incontinence, including stress incontinence, urge incontinence and overflow incontinence. Each of these forms requires an individual approach and specific treatment methods aimed at addressing the underlying causes and alleviating the symptoms.
Lifestyle and behavioral changes
Maintaining an active lifestyle and changing certain habits can have a positive impact on bladder control. Tips and advice on promoting continence through lifestyle changes are an important aspect of incontinence management. From regular exercise to adjusting fluid intake to proper toileting routines - small changes can make big differences. Learn more about these tips and how they can improve your bladder control!
Medication therapies
Medication therapy for incontinence includes a variety of approaches that can have different effects depending on the type and cause of the incontinence.
Anticholinergics
Anticholinergics are a commonly prescribed class of medication for the treatment of urge incontinence. They work by relaxing the bladder muscles and reducing signal transmission in the nervous system, which can lead to a reduction in the sudden urge to urinate.
Oestrogens
Oestrogens are often used to treat stress incontinence in women. This can help if the incontinence occurs in connection with the menopause (menopause).
Antibiotics
Antibiotics are used to treat urinary tract infections, which can be a common cause of temporary incontinence. By eliminating the infection, the incontinence can be improved or eliminated.
Mirabegron
Mirabegron is used to treat urge incontinence. It works by relaxing the muscles and thereby increasing the bladder capacity, which can lead to a reduction in the urge to urinate.
Physiotherapy and pelvic floor exercises
Physiotherapy and targeted pelvic floor exercises play a crucial role in the treatment of incontinence.
Strengthen pelvic floor muscles
Targeted exercises to strengthen the pelvic floor muscles can improve bladder and bowel control. Regular training can strengthen the muscles, which leads to better bladder support and reduces the risk of involuntary loss of urine or stool.
Physiotherapeutic measures
A specialist physiotherapist can create individual programs that are tailored to the patient's needs. In addition to pelvic floor exercises, this also includes techniques to improve posture, muscle tone and sensitivity to stimuli from inside the body.
Improvement of bladder function
Targeted therapy can also be used to treat other factors that contribute to incontinence, such as an overactive bladder or bladder weakness. Techniques such as bladder training and behavioural changes can help to normalize bladder function and regulate urinary behaviour.
Holistic approach
Physiotherapy for incontinence takes a holistic approach that not only treats the symptoms, but also addresses the underlying causes. By integrating relaxation techniques, breathing exercises and stress management, the quality of life of those affected can be improved.
Long-term support
After the initial diagnosis and treatment of incontinence, continuous follow-up and long-term care are crucial for the success of the treatment and the patient's well-being.
Continuous monitoring
Regular medical examinations and follow-up examinations are important in order to monitor the progression of incontinence and to recognize possible progress or deterioration. Regular check-ups also allow the effectiveness of the treatment to be assessed and adjusted if necessary.
Adaptation of the therapy
Depending on the course and individual needs of the patient, it may be necessary to adapt the treatment or consider alternative treatment options. The attending physician or medical team can help to make the right decisions and ensure the best possible care.
Support and advice
Long-term care also includes ongoing support and advice for those affected and their relatives. By providing information, advice and emotional support, patients can better manage their incontinence and improve their quality of life.
Self-management
Long-term care also includes the promotion of self-management of incontinence. Patients are encouraged to monitor their symptoms, identify trigger factors and develop strategies to deal with their incontinence in everyday life.
Support through incontinence products
Incontinence products play a crucial role in managing incontinence and improving the quality of life of those affected. These products not only offer protection against unwanted loss of urine or stool, but also enable those affected to lead an active and self-determined life. Individual needs and preferences are taken into account thanks to a wide range of different products.
Small shaped pads
Small shaped pads are thin products that can be worn discreetly inside underwear. They are ideal for light to moderate incontinence and offer a simple and comfortable solution for daily use. These incontinence pads are available in different sizes and absorbencies to suit individual needs.
Large shaped pads
Large shaped pads are slightly thicker than pads and offer a higher absorption capacity. They can be worn inside normal underwear and are suitable for moderate to heavy incontinence. These incontinence pads offer extended protection for a larger area.
Incontinence slips
Incontinence slips are specially developed disposable panties that are worn like normal underwear. They offer excellent protection for moderate to heavy incontinence and are particularly practical for people with limited mobility. These incontinence slips have elastic waistbands and adhesive strips for a secure fit.
Pull up pants
Pull up pants are similar to conventional underwear and are easy to put on and take off. They are suitable for people with mild to severe incontinence and offer more freedom of movement and discretion than incontinence slips. These pull up pants are available in different sizes and, depending on the version, have elasticated cuffs for a comfortable and secure fit.
Bed protection
Bed protectors are waterproof underlays that are placed on the bed to protect mattresses and bedding from night-time accidents. They are easy to clean and provide an extra layer of protection for beds and mattresses. These pads are available in different sizes and can be used over the entire bed surface or only in certain areas, depending on requirements.