Urinary incontinence in menopausal female

A 67 year old menopausal female complaints of urinary incontinence. She complains of leakage of Urine only while laughing hard. This is happening since past 2-3 years which has increased now. What should be the management?

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IT'S A..CASE OF.. ? POST MENOPAUSAL URINARY INCONTINENCE.. ? STRESS URINARY INCONTINENCE.. ? OVERACTIVE BLADDER.. NEED'S.. EXPERTS OPINION WITH.. NECESSARY INVESTIGATIONS.. TO CONCLUDE DIAGNOSIS AND TREATMENT..

Tnx Dr Shivraj Agarwal sir
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Incontinence of urine in postmenopausal female is because of weakening of the pelvic floor. Withdrawal of the oestrogen leads to weakening of the muscles in general. Ask for regular exercise s Yoga,kapalbhati Kegle's exercises for toning the pevic floor muscles. Urine exam to rule out Cystitis Vit D supplementation Local Ps,PV to rule out any inf or senile vaginitis or erosion. She can be given tab Darilong 7.5 mg bd for 15 days. Control of DM,HT if r there. Avoid more fluids in the night.

Thank you Dr Neelam.
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Post menopausal women having insurgency bcz of weak bladder tone Or triagan irritation Also r/o neurogenic bladder Prolapsed uterus Vesicovaginal cyst Counseling Avoid excessive fluid intake Adv visit to toilet in time Multivitamins supplements Keagals exercises so also called vajroli mudra and chalan Ashwini mudra and chalan Kapal bathi Pelvic floor muscles to be toned up Urologist opinion

Thanx dr Aishwarya Singh
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Stress incontinence in menopause Likely cystocele Or may be associated with rectocele PFR with Anterior colporraphy with Posterior perinocolpoeraphy operation

A case of stress incontinence Due to weakness of pelvic floor muscles in multiparae. Suggest Urologist + gynec opinion Pelvic floor exercises DC stimulation of pelvic floor muscles Sling surgery

At this stage she requires Kegel's exercise to tone up pelvic floor , regularise toilet time and Vitamin D supplementation. Rule out UTI

Restrict fluids excess..coffe ,tea,; pelvic floormuscle training; behavioral therapy.; Vaginal cones; but be sure to consult with gynaecologist /urologist to evaluate the type of incontinence and to device the best treatment

Agreed with Dr.Vasundhara N

Post menopausal urinary incontinence Urine RM Urine c/s,CBC,ESR,x-ray KUB Ultrasound whole pelvic and abdomen Consult immediately to urologist

First rule out a uti.then,Kegel's pelvic floor exercises can be advised.

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