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Urinary incontinence
Can elderly people with prostate enlargement experience urinary incontinence?
In the advanced stages of lower urinary tract obstructive diseases caused by prostate enlargement, overflow urinary incontinence can occur. After chronic urinary retention caused by prostate enlargement, if the bladder is extremely full, the pressure inside the bladder can exceed the resistance of the normal urethral sphincter, allowing urine to overflow through the urethra. Additionally, pressure incontinence can also be caused by damage to the external urethral sphincter or to the perineal and urethral areas following prostate surgery due to prostate enlargement.
Can you wear diapers for urinary incontinence?
Urinary incontinence generally requires the use of diapers, as the condition is primarily caused by various pathological changes, leading to the involuntary discharge of urine from the urethra. Due to the easy infiltration of the perineum and around the urethral opening by urine, there might be occurrences of eczema or perineal infections. Wearing diapers can timely absorb the leaked urine, thereby reducing the chances of developing eczema and perineal infections. It is also necessary to actively seek the underlying cause of urinary incontinence and treat it accordingly. Common types of urinary incontinence include persistent, stress-related, overflow, and urge incontinence. By conducting thorough examinations, the specific type of urinary incontinence can be identified, followed by targeted treatment.
Is urinary incontinence due to kidney deficiency?
Generally, urinary incontinence is also considered a symptom of kidney deficiency, and kidney deficiency can also lead to urinary incontinence. Actually, these are two symptoms but both can potentially lead to the disease, so it is important to pay close attention. If urinary incontinence occurs, it is essential to get timely treatment. One should visit a reputable hospital and undergo effective treatment under the guidance of a doctor to avoid impacting daily life. It is also important to maintain personal hygiene, wash frequently, and change clothes regularly to effectively prevent the worsening of the condition. In terms of diet, it is necessary to avoid eating cold, raw foods or fruits to prevent exacerbating the condition.
Can I eat mutton for postpartum urinary incontinence?
In cases of postpartum urinary incontinence, it is acceptable for new mothers to consume lamb in moderation. Lamb is highly nutritious, rich in protein, as well as vitamins and minerals. It can enhance the physical immunity of postpartum women and is also helpful in improving postpartum urinary incontinence. When urinary incontinence occurs, it is necessary to first visit a hospital for an examination to assess the severity of the condition and to choose an appropriate treatment method. Generally, mild urinary incontinence can be improved over time with proper care and can return to normal. However, severe urinary incontinence may require surgical treatment. It is important to rest, strengthen nutrition, and ensure adequate sleep.
What should I do if spina bifida causes fecal incontinence?
Patients with spina bifida who experience fecal incontinence are in a relatively severe condition. In such cases, it is best to actively pursue surgical treatment to prevent further progression of the condition. This includes suturing the dura mater of the corresponding spinal defect, repositioning the spinal cord, and appropriately repairing the bone structure, all of which are very important. Additionally, it may be possible to partially restore bowel function, but complete recovery is not guaranteed. If there is no significant improvement later on, a colostomy might be considered. This involves creating an opening in the abdominal wall, forming a stoma, and using an artificial method for bowel movement. This can help reduce contamination and restore some bowel function.
How to care for incontinence-associated dermatitis
The care for incontinence-associated dermatitis primarily involves keeping the affected skin clean and dry. It is important to avoid skin contact with urine as much as possible. If the skin does come into contact with urine, it should be washed promptly and kept clean and dry. If there is itching or discomfort at the site of the dermatitis, topical corticosteroid ointments may be used to alleviate the itching. Some patients might also develop infections, typically bacterial, which can be managed with antibiotics. For patients with recurrent dermatitis, considering bladder fistulation or other treatment methods might be necessary to prevent skin contact with urine.
What is urinary incontinence in the elderly?
For elderly people with urinary incontinence, such as elderly men, the main cause is benign prostatic hyperplasia. Due to the enlargement of the prostate, there is an obstruction at the bladder outlet, which increases the resistance during urination. Urine is not completely expelled and accumulates in large amounts within the bladder. When the pressure reaches a certain level, urinary incontinence occurs. For female patients, the main cause is usually an acute urinary system infection, resulting in localized infections that stimulate the bladder's detrusor muscle, causing it to contract involuntarily and, consequently, leading to urinary incontinence.
How to treat stress urinary incontinence?
Stress urinary incontinence primarily refers to the leakage of urine from the urethra while sneezing, coughing, laughing, or lifting heavy objects, which increases abdominal pressure. This condition is commonly seen in women who have given birth, mainly due to the relaxation of the pelvic floor muscles and the detrusor muscles. If the symptoms are not very severe, they can be improved through functional exercises of the pelvic floor muscles and the detrusor muscle. If the condition is moderate or severe stress urinary incontinence, surgical treatment is recommended. Mid-urethral sling procedures can be adopted to control urination.
What is postpartum urinary incontinence?
Many women experience urinary incontinence after childbirth, and the severity varies from person to person. The causes of postpartum urinary incontinence include the following aspects. First, during pregnancy, the enlargement of the uterus can significantly press on the female pelvic floor, causing damage to pelvic floor function. Second, for women who have a vaginal delivery, the fetus needs to pass through the vagina. This process can further exacerbate damage to the female pelvic floor. These factors together can lead to pelvic floor dysfunction, resulting in conditions like uterine prolapse, bladder prolapse, and even urinary incontinence. For postpartum urinary incontinence, interventions such as Kegel exercises and electrical stimulation therapy should be used together to alleviate clinical symptoms and minimize impact on daily life. If conservative treatments are ineffective, pelvic floor repair surgery should be considered.
Does postpartum urinary incontinence require surgery?
In cases of postpartum urinary incontinence, treatment should be selectively based on the individual condition of the mother. For those with mild postpartum urinary incontinence symptoms, normal recovery can be achieved through effective physical exercise and a period of rest and recuperation. However, in severe cases of urinary incontinence, surgery is also a treatment option. Therefore, the treatment for postpartum urinary incontinence should be determined based on the specific cause and severity of the condition. It is not limited to surgical treatment alone, so it is necessary to conduct an examination first and then choose the method of treatment.