Does spinal bifida cause urinary incontinence during the day?

Written by Chen Yu Fei
Neurosurgery
Updated on September 08, 2024
00:00
00:00

For patients with spina bifida, if it is occult spina bifida, they generally exhibit nocturnal enuresis, with rare instances of urinary incontinence during the day. For patients with manifest spina bifida, they may experience urinary incontinence during the day. Therefore, for patients with manifest spina bifida, it is usually recommended to perform surgical treatment at an early stage, with earlier surgery leading to better outcomes. It is generally advised for patients with manifest spina bifida to undergo surgery to effectively remove the locally protruding mass and to carefully clear the adherent nerve roots below, while monitoring changes in the patient's condition.

Other Voices

doctor image
home-news-image
Written by Gao Yi Shen
Neurosurgery
48sec home-news-image

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.

doctor image
home-news-image
Written by Chen Yu Fei
Neurosurgery
41sec home-news-image

Does spinal bifida cause urinary incontinence during the day?

For patients with spina bifida, if it is occult spina bifida, they generally exhibit nocturnal enuresis, with rare instances of urinary incontinence during the day. For patients with manifest spina bifida, they may experience urinary incontinence during the day. Therefore, for patients with manifest spina bifida, it is usually recommended to perform surgical treatment at an early stage, with earlier surgery leading to better outcomes. It is generally advised for patients with manifest spina bifida to undergo surgery to effectively remove the locally protruding mass and to carefully clear the adherent nerve roots below, while monitoring changes in the patient's condition.

doctor image
home-news-image
Written by Chen Yu Fei
Neurosurgery
48sec home-news-image

What should I do if spinal bifida causes fecal incontinence?

When patients with spina bifida experience fecal incontinence, it generally indicates that the condition is quite severe and often requires prompt treatment. Many of these patients have an overt form of spina bifida. In such cases, a localized bulging mass can be found at the lower back, possibly accompanied by protruding spinal cord, meninges, and nerve roots. For these patients, early surgical intervention is recommended. Clinically, surgery is usually advised to remove the bulging mass and effectively separate and release the adhered nerve roots. If possible, it is best to reposition them back into the spinal canal to achieve the surgical treatment goals. Such surgeries are generally recommended to be performed at well-known, top-tier hospitals locally.

doctor image
home-news-image
Written by Wang Jian
Urology
1min 2sec home-news-image

What department should I go to for urinary incontinence?

Urinary incontinence refers to the involuntary leakage of urine from the bladder, uncontrollable. There are many causes of urinary incontinence, categorized into stress incontinence, overflow incontinence, urge incontinence, and functional incontinence. If urinary incontinence occurs, it is advisable to visit a urologist and undergo some related examinations. The most common type among female patients is stress incontinence. For instance, urine might involuntarily leak during coughing, sneezing, or lifting heavy objects. This is associated with weak pelvic floor muscles, impaired function of the bladder sphincter or urethral sphincter, lack of coordination among these muscles, and a deficiency of estrogen. Urge incontinence is mainly seen in urinary tract infections, whereas overflow incontinence can be seen in conditions like prostate enlargement, urethral stricture, or neurogenic bladder.

doctor image
home-news-image
Written by Zhang Lu
Obstetrics
57sec home-news-image

How to recover from postpartum urinary incontinence?

During the process of natural childbirth, the presenting part of the fetus significantly compresses the woman's pelvic floor, causing conditions such as uterine prolapse and bladder prolapse. Postpartum, many women experience urinary incontinence. Postpartum urinary incontinence can be alleviated through the following methods. First, one can perform Kegel exercises independently. Kegel exercises, a set of movements that contract the pelvic floor muscles, are quite effective in treating mild urinary incontinence. Second, if the urinary incontinence is more pronounced, it is advisable to undergo assisted treatment at a hospital, mainly involving electrical stimulation. This can stimulate the local pelvic floor muscles, promoting recovery and alleviating symptoms of urinary incontinence. Third, if the symptoms are very severe and conservative treatment is ineffective, pelvic floor functional repair surgery should be considered.