What department should I go to for urinary incontinence?

Written by Wang Jian
Urology
Updated on February 13, 2025
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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.

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Written by Zou De Bo
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"What tests should be done for urinary incontinence?"

Urinary incontinence is due to damage to the bladder sphincter or nerve dysfunction, resulting in the loss of voluntary control over urination, causing involuntary leakage of urine. This condition is more common in females than males, especially in women over fifty years of age. Some routine examinations for this condition include: First, urinalysis. Second, measuring residual urine volume, cystourethrography, bladder pressure tests, and then standing cystography. Additionally, tests such as urodynamic studies are helpful.

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Written by Chen Feng
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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.

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Written by Zhang Shu Kun
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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.

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Written by Guan Hai Fang
Urology
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How to treat urinary incontinence?

How to treat urinary incontinence: The most common cause of urinary incontinence is pelvic diaphragm dysfunction. The bladder is located above the pelvic diaphragm. In elderly people, especially elderly women, the pelvic diaphragm and tissues around the urethra are relaxed and weak. Increased abdominal pressure, such as from coughing or changes in body position, can lead to incontinence and stress urinary incontinence. Urinary incontinence is also seen in obstructions of the urethral opening and bladder outlet. Such diseases are more common in elderly women with vaginal inflammation, whereas in men, the main cause is benign prostatic hyperplasia. The third category involves bladder disorders itself, such as bladder tumors, bladder stones, and inflammations, all of which can cause urinary incontinence. Additionally, neurological disorders that control urination are also a significant cause of urinary incontinence in the elderly. Once the diagnosis of urinary incontinence is clear, symptomatic treatment should be adopted and most cases can be controlled. For inflammations, anti-inflammatory treatments can be used. For abnormalities in the bladder or urethra identified through cystourethrography, surgical treatment can be considered.

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Written by Guan Hai Fang
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Where is there a specialty for urinary incontinence?

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.