Can postpartum urinary incontinence be recovered?

Written by Du Rui Xia
Obstetrics
Updated on September 05, 2024
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Most cases of urinary incontinence postpartum in women are treatable. To manage postpartum urinary incontinence, it is essential to develop good urination habits. Patients with postpartum urinary incontinence should urinate every two to three hours. This practice can help train the bladder control muscles and enhance the new mother’s awareness of urination. Each time you urinate, try to empty the bladder completely to train the pelvic floor muscles. Regularly performing exercises that strengthen the pelvic floor muscles can increase their contraction and control abilities, alleviating cases of urinary incontinence. Most conditions can improve; however, more severe cases may require further treatment.

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Written by Zhao Li Li
Obstetrics
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What should be done about postpartum urinary incontinence in women?

Generally, women are prone to urinary incontinence after childbirth. Normally, due to the significant increase in uterine pressure during childbirth, which compresses the bladder, or damage to the anterior vaginal wall, postpartum urinary incontinence can occur. If urinary incontinence is confirmed, it is still necessary to observe temporarily. Postpartum urinary incontinence can generally last three to six months, and the bladder will recover to its pre-pregnancy state. During this period, it is best to wear thicker clothes and trousers, use a pad, and maintain cleanliness of the vulva. If the symptoms of urinary incontinence cannot be alleviated, it is still necessary to perform pelvic floor exercises or undergo symptomatic surgical treatment.

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Written by Chen Feng
Urology
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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.

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Written by Sun Chun
Urology
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Urinary incontinence includes three types: stress incontinence, urge incontinence, and overflow incontinence.

Urinary incontinence, in clinical terms, is divided into the following categories: First, there is urge incontinence, where the main symptom is that as soon as one thinks of urinating, the urine comes out uncontrollably. This is commonly seen in urinary tract infections, among other conditions. Second, there is overflow incontinence, also known as pseudo-incontinence, which is actually due to an obstruction in the lower urinary tract, leading to an overfilled bladder that naturally overflows, causing involuntary urination. Third, there is true incontinence, which occurs because the mechanism controlling the urinary tract is damaged, resulting in leaks as soon as there is a small amount of urine in the bladder. If urinary incontinence occurs, it is recommended to visit a hospital. First, a routine urine test should be conducted; second, a color Doppler ultrasound of the urinary system should be performed, which can be done while holding urine or during routine times; lastly, a urodynamic test should be carried out to examine bladder function and determine the type of urinary incontinence.

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Written by Wang Shuai
Urology
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Is urinary incontinence related to anything?

There are many causes of urinary incontinence. For example, the most common type, stress urinary incontinence, is related to the relaxation of the pelvic floor muscles and the bladder's detrusor muscle. Conditions like pelvic organ prolapse, as well as factors like being a mature mother or excessive obesity, can lead to stress urinary incontinence. Urgency urinary incontinence is often caused by severe bladder inflammation or associated with certain chronic diseases, such as diabetes or bladder neck sclerosis. Overflow incontinence, most commonly seen in elderly males, typically results from prostate enlargement that blocks the urethra, leading to urinary retention and consequently overflow incontinence. Therefore, to understand the specific causes of urinary incontinence, it is crucial first to differentiate the types of incontinence and combine this with the patient’s specific situation and related examinations for a clear diagnosis.

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Written by Zhao Li Li
Obstetrics
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Why do lactating women experience urinary incontinence?

Under normal circumstances, postpartum women might experience mild urinary incontinence due to incomplete recovery of pelvic floor muscle function, which is within the normal physiological range. If urinary incontinence persists throughout the entire breastfeeding period, it is considered that there may be an abnormal illness. Due to the stimulating effect on the pelvic muscles during childbirth, it is easy for the pelvic floor muscles to become relaxed. If not properly repaired after childbirth, this can lead to urinary incontinence. Persistent urinary incontinence may affect normal life and work, requiring timely medical consultation and examination. If there are no other ways to improve, surgical repair treatment might be necessary.