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Gynecology
We record situations when urine leaks and look for training and treatment that fit you.
Needed care differs depending on whether urine leaks when you cough or a sudden urge is hard to hold. Both can occur together. Non-surgical options are also chosen after we review the type of symptoms and how they affect daily life.
Please record the times you urinate, situations when urine leaked, and what you drank, and bring the record with you. How long to keep the record and how to do it can be explained during consultation.
If urine does not pass well, or you have pain, blood in the urine, or other symptoms different from before, see a clinician before continuing training. We also check whether existing conditions or medicines may be involved.
We look at whether it is related to laughing, coughing, or exercise, and whether a sudden urge to urinate comes first.
We check how often you go to the toilet, how often you wake at night, and drinks such as water and coffee.
Please also tell us if you feel residual urine after voiding, if urination is painful, and which medications you are taking.
This is not a process in which you receive every method below. We choose what is needed after examination and adjust as we follow your progress.
This is practice in properly contracting and relaxing the muscles that control urination. First, it is important to confirm which muscle you are engaging.
This is considered for urine leakage with coughing or exercise, among other situations. How to practice and for how long is explained according to muscle function and symptoms.
This is practice in managing a sudden urge to urinate while adjusting the interval between voids. We make a plan from your records that does not push you too hard.
This is considered when a hard-to-hold urge to urinate is the main issue. Do not try to push through pain on your own.
We look at caffeine intake, how much you drink, and how weight relates to your symptoms. We also counsel you not to cut back on water too much just because urine leaks.
The same fluid amounts or restriction rules are not applied to everyone.
If training alone is not enough or it is difficult to contract the muscles, additional options are considered. Suitability of medication, electrical stimulation, or biofeedback is assessed individually.
Medication side effects, existing conditions, and what can actually be treated at this clinic should be reviewed.
Physical therapy and laser treatment to help relieve urinary incontinence are available in a private setting at our clinic. We assess the type and symptoms of incontinence before discussing suitable treatment.
We talk about which activities bother you most, and set goals you can check in daily life.
We check whether you are doing the exercises correctly, and whether leaking frequency or urgency is changing.
If there is no change or other discomfort develops, we review the cause and the method again. If surgical counseling is needed, you will receive a separate explanation.
Learn about incontinence surgery consultationIt depends on whether you are using the correct muscles and on the type of urinary incontinence. Not every cause is weakness of the pelvic floor muscles, so it is advisable first to have your symptoms assessed and receive guidance on how to train.
We do not recommend simply reducing intake no matter the situation. Both too much and too little can affect discomfort, so we review drinking times and amounts together with your voiding record.
This is not a fixed sequence. The need for further treatment is decided by looking at symptoms, test results, response to treatment, and your preferences.
Please tell us what is bothering you and your previous examination and treatment history. Together we will confirm the care you need.
This is general medical information. Individual care plans and what is offered at the clinic are confirmed during consultation.
