Urinary incontinence is the involuntary loss of urine. It is a common condition that often causes embarrassment and distress, leading many women to remain silent about it. Feelings of guilt, anxiety, and even depression can develop. Contrary to popular belief, this issue does not only affect elderly women. Stress urinary incontinence is frequently observed in women between the ages of forty and fifty.
Urinary incontinence occurs when increased intra-bladder pressure overcomes the bladder sphincter, allowing urine to leak. This increase in pressure may result from an overactive bladder or elevated abdominal pressure.
Les principales causes de l’incontinence urinaire d’effort sont :
There are also contributing factors that either increase abdominal pressure or weaken the pelvic floor muscles, including constipation, excess weight, pregnancy, a sedentary lifestyle, and a history of pelvic or gynecological surgery.
Les symptômes de l’incontinence urinaire d’effort ont un impact sur la qualité de vie. Cette condition peut entraîner une gêne sociale, affecter la confiance en soi et limiter la participation à certaines activités.
Symptoms include :
There are three main types of urinary incontinence :
Stress urinary incontinence is the most common, affecting nearly half of all women. Mixed incontinence ranks second in prevalence, followed by urge incontinence.
Il existe plusieurs solutions pour traiter ou éviter l’aggravation de l’incontinence urinaire d’effort.
Simple lifestyle adjustments can help improve this condition. The key is to eliminate aggravating factors such as constipation, excess weight, smoking, sedentary lifestyle, and activities that increase abdominal pressure (heavy lifting, intense exertion, etc.).
Perineal rehabilitation plays a fundamental role in managing this condition. The goal is to strengthen the pelvic floor muscles and improve muscle control to prevent urine leakage.
Laser treatment is a non-invasive and effective method for treating stress urinary incontinence. This procedure uses laser technology to gently heat the tissues of the pelvic floor, stimulating collagen production and strengthening the supporting structures.
It is particularly effective for mild to moderate cases of stress incontinence.
In women suffering from stress incontinence, the connective tissue metabolism of the vaginal mucosa is altered, leading to decreased collagen production necessary for structural support.
The vaginal laser stimulates collagen synthesis, improving the trophicity (thickness and quality) of the vaginal mucosa, its vascularization, and its elasticity.
The session consists of several steps.
The advantages of laser treatment are :
The results are relatively quick. One month after the first session, urine leakage is significantly reduced. Optimal results are achieved between four and six months after the session.
Results include :
Depending on the severity of the condition, a single session may be sufficient to stop leakage. However, Dr. Romano recommends completing the three-session protocol to ensure long-term stability of results.
A maintenance session is advised every one to two years.
L’incontinence urinaire ne doit pas empêcher l’activité sportive. Cependant, il est important de choisir des exercices qui minimisent la pression sur le plancher pelvien pour éviter d’aggraver les symptômes.
Recommended sports and activities
Sports to avoid
Laser treatment for mild to moderate urinary incontinence is a non-invasive solution that now forms an integral part of the therapeutic approach in intimate medicine. For patients wishing to undergo this procedure, the price of one laser session for urinary incontinence is set at 600 CHF.
The number of sessions required varies according to the degree of urinary discomfort, age, hormonal background, and tissue response. In most cases, during the first year, a series of 2 to 3 sessions spaced a few months apart is recommended to achieve significant and lasting improvement. A personalised treatment plan is always established following an evaluation.
The total cost of laser treatment for urinary incontinence is therefore directly linked to the number of sessions performed. However, pricing remains transparent, with no unexpected additional charges, and a detailed quote is provided before any treatment is undertaken.
Patient feedback on laser treatment for stress urinary incontinence is highly positive, highlighting the effectiveness of this non-invasive method. Many women report a significant reduction in urine leakage after just one session.
The procedure is also widely appreciated for being simple, quick, painless, and requiring neither anesthesia nor recovery time.
The laser stimulates collagen production by gently heating the pelvic floor tissues, improving their firmness and support function.
The number of sessions required depends on the severity of the incontinence. In general, 2 to 3 sessions are recommended for optimum results.
Laser treatment offers fast, long-lasting results without the risks and recovery times associated with more invasive procedures.
Patients can expect a significant reduction in bladder weakness, improved quality of life and increased self-confidence.
Most patients feel a slight warmth during the procedure, but there is no pain.
Side-effects are minor and transitory: sensation of heat, slight loss of blood.
Healthy women with symptoms of mild to moderate stress urinary incontinence who want a non-invasive solution are good candidates for this treatment. An initial consultation with a doctor will confirm patients' eligibility.
Pour l’incontinence par impériosité, les anticholinergiques comme l’oxybutynine sont souvent utilisés. Pour l’incontinence d’effort, il n’existe pas de médicament spécifique.
Oui, l’incontinence urinaire peut t être traitée par des médicaments, des interventions chirurgicales, des exercices de renforcement du plancher pelvien ou des thérapies comportementales.
La racine de griffonia et la graine de courge sont connues pour la gestion des symptômes d’incontinence urinaire.
Chamomile tea is renowned for its soothing properties and can help reduce the frequency of urination.
L’huile essentielle de cyprès est souvent utilisée pour ses propriétés astringentes et tonifiantes.
Kegel exercises are the most recommended.
Les remèdes homéopathiques courants sont l’Equisetum et le Belladonna.
Regular Kegel exercises help to strengthen and tighten the muscles of the perineum.
Les exercices de Kegel et l’utilisation de dispositifs comme les cônes vaginaux peuvent être efficaces pour renforcer le périnée après 60 ans.
Yes, regular walking can help maintain good muscle tone, including that of the perineum.
Geisha balls help strengthen the pelvic floor muscles, improving urinary control and bladder tone.
Electro-stimulators for the pelvic floor.
Pilates and yoga are excellent for strengthening the pelvic floor.
Rehabilitation can be achieved through daily Kegel exercises and the use of biofeedback devices.
Multiple births, intense exertion and inappropriate sporting activities can weaken the perineum.
Les causes sont la grossesse, l’accouchement, l’âge, la ménopause, l’obésité, et certaines maladies chroniques.
Consultez un médecin si les fuites urinaires sont fréquentes, affectent votre qualité de vie ou s’accompagnent d’autres symptômes.
Illnesses such as diabetes, urinary tract infections and neurological disorders can cause bladder weakness.
L’âge, le sexe (plus fréquent chez les femmes), les antécédents familiaux, le tabagisme et certaines activités physiques sont des facteurs de risque.
Bladder weakness can occur at any age, but is more common after the age of 40, especially in women after the menopause.
Les examens sont une analyse d’urine, une échographie, une cystoscopie et des tests urodynamiques pour évaluer la fonction de la vessie et de l’urètre.
Oui, le stress peut exacerber les symptômes d’une vessie hyperactive et provoquer des fuites urinaires.
Spicy foods, citrus fruits, chocolate and artificial sweeteners can irritate the bladder.
Oui, la caféine est un irritant de la vessie et peut aggraver les symptômes d’incontinence urinaire.
