Where is there a specialty for urinary incontinence?

Written by Guan Hai Fang
Urology
Updated on September 16, 2024
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Generally speaking, urinary incontinence falls under the category of urology, though some aspects could also be seen by specialists in men's health, who can effectively treat symptoms of urinary incontinence. Generally, it is recommended that patients seek examination and treatment in public hospitals, as the treatment provided in private hospitals is often not as reliable. For patients with urinary incontinence, it is advisable to consult the urology department if visiting a hospital. The urology department primarily deals with diseases of the kidneys, ureters, bladder, and urethra. Typically, urinary incontinence involves issues with the urethra or bladder, which can lead to incontinence. Therefore, it is advisable for patients to visit a reputable public hospital and consult the urology department.

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Will postpartum urinary incontinence heal itself?

Symptoms of urinary incontinence after childbirth are curable for most women. Postpartum urinary incontinence results from the relaxation and strain of the pelvic floor muscles during pregnancy and childbirth, thus it is necessary to exercise these muscles after giving birth. Additionally, pelvic physiotherapy can also be performed. Generally, normal function can be restored within six months, and for those in better health, recovery can occur as soon as one month postpartum. It is critical to adhere to treatment under medical guidance when experiencing urinary incontinence; otherwise, the impact on a woman's health can be significant, affecting normal social interactions and work.

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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.

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Should I wear diapers for urinary incontinence?

Whether patients with urinary incontinence need to use diapers should be determined based on the severity of the incontinence. If it is only mild incontinence that does not affect normal work and life, it is not necessary to wear diapers. Regular urination schedules, along with exercises like pelvic lift and pelvic floor muscle training, can alleviate the condition. However, if the incontinence is more pronounced, it is best to initially use diapers to prevent excessive urine leakage. If necessary, a urinary catheter can be used temporarily to drain the urine and prevent leakage. At the same time, it is important to actively undergo relevant examinations to determine the cause of the incontinence and carry out targeted treatment.

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Will urinary incontinence heal itself after a vaginal delivery?

During natural childbirth, because it can damage pelvic floor function, causing issues such as bladder prolapse, uterine prolapse, and a series of other pelvic floor dysfunctions, some women may experience urinary incontinence after giving birth. If urinary incontinence occurs after natural childbirth, it suggests that the damage to the pelvic floor functions is quite severe, and these conditions generally cannot heal on their own. First, a pelvic floor function test should be conducted to assess the condition of the pelvic floor. If the damage to the pelvic floor is minor, it can be improved through machine-assisted treatment and performing Kegel exercises, which also help enhance pelvic floor functions. If the evaluation reveals severe prolapse, pelvic floor reconstructive surgery is required to suture the prolapsed bladder or uterus back into place, which can improve urinary incontinence. Therefore, urinary incontinence after natural childbirth generally does not heal on its own.

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How many types of urinary incontinence are there?

Urinary incontinence refers to the uncontrolled release of urine through the urethra. There are several types of urinary incontinence, including urge incontinence, stress incontinence, overflow incontinence, and true incontinence, each requiring treatment tailored to the specific type. The most common type is stress incontinence, which is often seen in women who have given birth. It is mainly caused by relaxation of the bladder sphincter and typically occurs when sudden increases in abdominal pressure, such as during coughing, laughing, or lifting heavy objects, cause urine to flow from the urethra. If the symptoms are mild, improvement can be achieved through exercises for the pelvic floor and bladder sphincter muscles. If the symptoms are severe, surgical treatment is recommended.