How to treat stress urinary incontinence?

Written by Wang Shuai
Urology
Updated on December 27, 2024
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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.

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What causes sudden fainting and loss of bladder/bowel control?

Sudden fainting and incontinence may be due to a sharp decrease in blood pressure, a sudden reduction in cardiac output, and widespread insufficiency in brain artery supply. It is related to cardiogenic syncope, cerebrogenic syncope, and vasovagal inhibitory syncope. This is caused by a temporary sudden decrease in cerebral blood flow, resulting in insufficient blood and oxygen supply to the brain, which leads to suppression of the reticular activating system and loss of consciousness and incontinence. Further actions should include ambulatory electrocardiograms, dynamic blood pressure monitoring, dynamic electroencephalograms, cranial magnetic resonance imaging, and vascular imaging to clarify the cause of the syncope. Further tests should include complete blood count, liver function tests, kidney function tests, and electrocardiograms.

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What medicine to take for fecal incontinence?

There are many causes of fecal incontinence, and it is first necessary to further clarify the cause. Most cases of fecal incontinence are mainly due to excessive relaxation of the local anal sphincter or damage to the patient's nervous system, thus requiring oral medication to treat the nervous system. When there is relaxation of the local anal sphincter, simply taking oral medication does not have significant local therapeutic effects. The most effective method is to directly perform a sphincter tightening surgery. After the local sphincter is tightened surgically, it can control the excretion of feces, thereby further alleviating the situation of fecal incontinence. If the patient also has a neurological disorder, it is necessary to actively treat the underlying disease. (The use of medications should be done under the guidance of a doctor.)

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How to express fecal incontinence

Fecal incontinence, also known as anal incontinence, means that when the function of the anus is impaired, feces or intestinal fluid involuntarily leaks out of the anus. Therefore, it can be divided into two aspects: the first aspect is that some people only have incontinence of liquid stool, not solid feces; the other is that both solid and liquid stools are incontinent, both can involuntarily leak out, with the latter scenario being more severe. The causes are generally due to damage to the anus, congenital anomalies of the anus, damage to the anal sphincter, or diseases of the anus, among other reasons.

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Urinary Incontinence: Types and Causes

Urinary incontinence is divided into urge incontinence, stress incontinence, true incontinence, and overflow incontinence. During diagnosis, it is first necessary to determine whether there is incontinence, which should be differentiated from residual urine. Then, based on medical history, physical examination, and whether or not there are laboratory tests, the clinical type and cause should be clarified. The medical history should pay attention to whether there are bladder irritative symptoms, history of urinary stone expulsion, and history of pelvic surgery. Pregnant patients should have a comprehensive examination of the pelvic organs, urinary reproductive system, and nervous system. When necessary, urinary tract X-ray imaging, ultrasound examination of pelvic organs, cystoscopy, and bladder manometry should be conducted.

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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.