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Although it touches more three millions of people, the incontinence could really constitute the last taboo illness. Object of ashamed unsaid or guilty silences, the urinary flights bring back to pejorative pictures. Yet, this trouble must not be considered like a fatality, some solutions exist. July 1st, 1998, the world organization of health organized the first international consultation on the incontinence. On this occasion already, the specialists had recalled "that there are more 200 millions of case of urinary incontinence in the world and the life of these people, that suffer too often in silence of a trouble that spoils them the existence, is disrupted some" deeply. Psychoanalysis of the incontinence President of the first international consultation on the incontinence and surgeon in urology in the Bristol board Urological Institute (Southmead Hospital), the Dr Abrams declared as well as "Now that one overtly evokes the problem of the impotence, the question of the incontinence remains the only real taboo of the 20th century." In the setting of a press conference organized by the Madaus laboratories, the Dr Gisèle Harrus-Revidi, psychoanalyst and director of research in the university Paris VII evoked the symbolic of the mictions "If urine is the object of pity at the baby, considered like a sign of life, it becomes horrible at the old man. The control of the sphincter is one of the elements that differentiates us of the animal and the incontinence is lived like a regression, that besides sends back to the collective thoughtless person of "pee in the panties" and his/her/its share of forbidden parental." Finally, the psychoanalyst underlines that in our modern societies, a body in good health is a dry body, the different components of the humidity are enemies to proscribe (sweat, vaginal losses, etc.). A taboo that has the hard lifeResults: those that endure incontinence feel alone and tend to sink in a certain fatality. In spite of the clarification of more and more efficient treatments, lived it of millions of women is as two patients on three don't dare to consult and live their incontinence like an ashamed deterioration that all price is necessary to hide. A patient's first consultation for unrests vésicaux can only intervene 5 to 7 years after the apparition of the first symptoms! But thanks to the effort of the associations of patients and the scholarly societies, the situation seems to change henceforth. According to the association French of urology, only 10% of the incontinent patients dared to consult ten years ago, they are henceforth 25 to 30%. This evolution is undoubtedly positive but it remains again many to make. The dédramatisation of the incontinence will necessarily pass by information and the general public sensitization to the new treatments that allow the incontinent of more to disregard their social and personal life. Of the dramatic consequences on the quality of lifeIn the very big majority of the cases, it is possible to treat the incontinence or of the less to decrease the hindrance considerably that she/it can cause. The psychosocial impact of the incontinence was the object of different studies. And many agree on the considerable impact of the incontinence on the quality of life of the patients. On this plan, it is the incontinence bound to a hyperactivity vesicale (at the origin of pressing desire) that is more deleterious than the incontinence bound to the effort. Less easily controllable, these urinary flights cause more anxiety. Ties between depression and imperiosites have even been put up to date. Today, the incontinence must not be considered more like a fatality, some solutions exist: rehabilitation, medicines or surgery. You are not seul(e), the millions of people endure the same trouble that spoils them life. The first step toward the recovery is to speak of it to your physician. To exchange your opinions and to debate some with people that as suffer you of the same problem. 2010-10-19
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