​Chronická onemocnění

Incontinence

 

Incontinence refers to any uncontrolled loss of urine, which can cause both medical and social challenges. This condition can be effectively managed through treatment and the use of appropriate incontinence aids.

 

Types of Incontinence

 

Stress Incontinence

Urine leakage occurs when intra-abdominal pressure increases, such as during coughing, sneezing, lifting heavy objects, or physical activity. The cause is insufficient closure pressure in the urethra.

 

Overactive Bladder (OAB)

This type is characterized by an urgent need to urinate, frequent urination (more than eight times a day), and nocturia (urination that disrupts sleep).

 

Mixed Incontinence

A combination of stress incontinence and overactive bladder symptoms.

 

Overflow Incontinence

This occurs due to impaired urine flow caused by an obstruction in the lower urinary tract or weakened bladder contractions.

 

Incontinence Aids and Their Prescription

The reimbursement for incontinence aids depends on the degree of incontinence, determined by the volume of urine leakage within 24 hours. These aids can be prescribed by general practitioners, urologists, gynecologists, neurologists, or geriatricians.

 

Degrees of Incontinence and Insurance Contributions:

• Grade I: Leakage of 50–100 ml. The insurance covers 449.65 CZK, with a 15% co-payment by the patient.

• Grade II: Leakage of 100–200 ml. The insurance covers 900.45 CZK, with a 5% co-payment.

• Grade III: Leakage over 200 ml. The insurance covers 1,699.70 CZK, with no co-payment required.

 

Patients may combine different types of aids (e.g., pads, briefs, and diapers), but the limit is set at 150 items per month or the financial maximum based on the degree of incontinence.

 

Further details on changes in the prescription of incontinence aids can be found on Moliklub.cz.

 

Test for Determining Incontinence Severity

To accurately determine the degree of incontinence, you can perform a simple Pad-Weight Test at home by weighing used pads over 24 hours. These results can assist your doctor in making a diagnosis.

 

Learn more about the test and voiding diaries on Urosoft.cz.

 

Strengthening Pelvic Floor Muscles

To alleviate symptoms, regular pelvic floor muscle exercises are recommended. Practical instructions for these exercises are available at Moliklub.cz.