Installing suburethral tapes will help women with incontinence, and facing such a problem, they should replace traditional visit to gynecologist with a visit to urologist, because the incontinence is a subject matter of Urology, said the head of urological service in medical center "Yerevan" VahagnAshughian.

In an interview with NEWS.am Medicine the doctor explained that urinary incontinence in women is of two kinds - Stress and Urge, or mandatory. "Urge incontinence is a neurological nature, associated with changes in the central peripheral nervous system, manifested with other comorbidities, this condition is associated with involuntary, uncontrolled bladder contraction. Stress incontinence is associated with changes in the pelvic floor, the ligamentous apparatus of the pelvic floor, with hypermobility of the urethra, with internal failure of the urethra and is manifested in those states, which we call stress in urology.These are the conditions which lead to an increase in intra-abdominal pressure: a change in body position, sneezing, coughing, weight lifting, laughing.All this leads to an involuntary leakage of the urine.In the first case urology provides conservative treatment, in the second case, in principle and basically, the treatment is operational.Of course, there are physical therapy, exercise, etc.There are balls with special diameters, different weights, which are used for medicinal purposes, to strengthen the pelvic floor muscles, "- said the doctor.However, the main treatment in this case is surgical - installation of suburethral tapes, so-called TVT and TOT procedures.

«But in our country women usually go to gynecologists, whomake traditional colporrhaphy, because stress incontinence is most often associated with anterior vaginal wall prolapse. In a certain percentage of cases it is effective, but mostly not, because pathogenicallyanterior vaginal wall prolapse and cystocele (bladder prolapse) with continence mechanism are linked mediately», - he said.

According to the doctor, incontinence may be associated with severe childbirth, complexion, left over from other diseases affecting the pelvic region of women, and with physical activity.

"This disease is being treated, and the operation is very effective. They belong to the field of minimally invasive surgery, done on an outpatient basis, after such operations almost immediately a woman feels that holds urine, "- he said.

Speaking about the cost of such an operation, the doctor said that the operation itself is not expensive, but the tapes are.However, according to the doctor, the unpopularity of such operations in Armenia is most likely, not because of their price, but because of the lack of awareness.«I am sure that the vast majority of women with this problem are aware of neither tape, nor its cost. They just do not want to go to the doctor and everything, "- he said, adding that, of course, an important role in this respect plays a shame.

Most of the women suffer from this disease in old age - older than 50-55 years.