One. Types of urinary incontinence

Urinary incontinence can generally be divided into stress urinary incontinence, urge incontinence, mixed urinary incontinence, postpartum urinary incontinence, senile urinary incontinence and various urinary incontinence caused by pelvic floor dysfunction.

1. Stress urinary incontinence

It means that when the patient coughs, sneezes, laughs, has a tight body, dances, runs, walks fast or makes sudden movements, the pressure in the abdomen increases, and urine leaks out or becomes incontinent involuntarily. This condition is more common in women. It occurs when the bladder neck and other tissues in the bladder that control urine malfunction.

There are many reasons for stress urinary incontinence, which may be due to obesity and overwork. After a woman gives birth, the pelvic floor muscles become loose and weak, and the pelvic and perineal muscles are damaged during delivery. In addition, the pelvic floor increases with age. The muscles will undergo degenerative relaxation. Menopausal women will atrophy and relax the pelvic floor muscles due to lack of hormones after menopause. These causes make the urethra unable to block the outflow of urine from the bladder when the abdominal pressure increases, resulting in urinary incontinence.

2. Urgent urinary incontinence

Refers to patients who urinate frequently, may suddenly have a strong urgency to urinate, and often cannot control urinary incontinence, such as leakage due to the strong urge to urinate before going to the toilet.

The cause of urge incontinence is that the bladder function is hyperactive and hypersensitive, which makes the detrusor muscle contract involuntarily, causing urine to flow out quickly. This condition is common after female hormone deficiency, urinary tract infection, diabetes, and urinary tract surgery.

3. Mixed urinary incontinence

There are both stress incontinence and urge incontinence, so it is called mixed incontinence.

4. Postpartum urinary incontinence

Refers to the urinary incontinence caused by the loss of local tension of the pelvic cavity, external sphincter and perineal muscles after delivery.

5. Stool incontinence

About 0.5% of people have symptoms of fecal incontinence. There are many reasons, mainly caused by pelvic and external sphincter relaxation.

two. Treatment of urinary incontinence

According to statistics, nearly 34% of women aged 25 to 55 have experienced urinary incontinence. The older they are, the higher the proportion of urinary incontinence, but less than one-fourth of them seek treatment for urinary incontinence. The reason is that many people find it difficult to speak and feel embarrassed to seek medical treatment, or think that this is a phenomenon of natural aging of the body without seeking medical assistance. Therefore, some people are afraid to go out for too long because of urinary incontinence, or they dare not drink water and beverages when they are away. All of these will cause various inconveniences in social life. In addition, the damp discomfort and peculiar smell caused by leakage of urine can also affect personal hygiene and even cause urinary tract infection. How to solve this problem and perplexity has increasingly become a necessary task.

The treatment of urinary incontinence usually has the following methods: electrical stimulation therapy, biofeedback training method, drug therapy, "Kegel exercise" exercise method, and surgical therapy. Urinary incontinence can be treated according to the severity of the disease. Among them, electrical stimulation is the most widely used in Europe and America.

1. Mild stress urinary incontinence can be improved by doing "Kegel exercise" to strengthen the pelvic floor muscles. The purpose of "Kegel exercise" is to train the function of the levator ani muscle. The method is as follows: forcefully contract the anus

    After about 5 seconds, slowly relax and rest the muscles around the door, vagina and urethra for 5 seconds, and continue to repeat the contraction and relaxation actions. This exercise can be performed regardless of whether you are lying down, sitting or standing. Do it for at least 20 minutes a day, which is helpful for improving the problem of urinary incontinence. This therapy requires the patient to persevere, otherwise it is easy to lose all previous efforts.

2. Patients with urge incontinence can use drugs to relieve symptoms and treat them.

    This therapy requires long-term medication until the condition is relieved, and long-term medication will have side effects.

3. For patients with severe stress urinary incontinence and no obvious improvement with medication or physical therapy, surgery may be considered. Obstetricians and gynecologists will first assess whether the patient has bladder prolapse and then consider different surgical methods, such as vaginal surgery or laparoscopic suspension surgery. This therapy has a certain impact on the patient's psychology, and the condition will also relapse.

5. Most patients are suitable for electrical stimulation therapy. The pelvic floor muscles can be directly stimulated through the vaginal probe, which will quickly achieve the purpose of exercising pelvic floor muscles and enhance the strength of the relaxed pelvic floor muscles, so that various urinary incontinence conditions can be obtained as soon as possible improve.

In short, in today's medical advancement, the problem of urinary incontinence can be effectively improved. Friends who are troubled by urinary incontinence, do not blindly tolerate and avoid doctors, making the situation more and more serious. Instead, you should seek medical treatment from a doctor so that you can choose the appropriate treatment to get rid of this embarrassing urinary incontinence problem and be a healthy and active person.

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