Does postpartum urinary incontinence require surgery?

Written by Du Rui Xia
Obstetrics
Updated on December 18, 2024
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In cases of postpartum urinary incontinence, treatment should be selectively based on the individual condition of the mother. For those with mild postpartum urinary incontinence symptoms, normal recovery can be achieved through effective physical exercise and a period of rest and recuperation. However, in severe cases of urinary incontinence, surgery is also a treatment option. Therefore, the treatment for postpartum urinary incontinence should be determined based on the specific cause and severity of the condition. It is not limited to surgical treatment alone, so it is necessary to conduct an examination first and then choose the method of treatment.

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Written by Chen Feng
Urology
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How much water should a patient with urinary incontinence drink each day?

Patients with urinary incontinence generally need a daily water intake of about 1000 to 2000 milliliters. Although those suffering from urinary incontinence may involuntarily excrete urine from the urethra, their water intake needs to be the same as that of normal individuals. Drinking more water is beneficial for the body, as it increases urine production, which can dilute the concentration of stone-forming substances in the urine, thus reducing the likelihood of developing urinary stones. Increased urine production due to higher water intake can promptly flush the urinary tract, especially washing away bacteria on the urethra, thereby reducing the chances of urinary tract infections. Furthermore, drinking more water increases urine production and promptly excretes metabolic waste products produced in the body through the urine, thus preventing the accumulation of metabolic products.

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Written by Zhou Yan
Geriatrics
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What should elderly people do if they have slight urinary incontinence?

Urinary incontinence is relatively common in the elderly. After excluding organic causes of urinary incontinence through examination, we should consider functional causes. This is mainly due to the relaxation of the urethral sphincter, pelvic floor, and the muscles around the urethra, which decreases the urethral pressure. When the abdominal pressure increases, it can cause urinary incontinence. We can improve the muscles of the pelvic floor gradually by undergoing pelvic floor rehabilitation therapy, which increases their strength and improves urinary incontinence. The key to pelvic floor rehabilitation is to provide patients with guidance and exercises for lifting the anus. By persisting in these exercises, the symptoms of urinary incontinence can be alleviated or eliminated.

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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 Wang Jian
Urology
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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.

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Written by Zhao Su Min
Obstetrics
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Is it normal to have urinary incontinence with morning sickness during pregnancy?

Morning sickness and urinary incontinence are considered normal phenomena. If severe nausea and vomiting occur after pregnancy, it could increase abdominal pressure, leading to stress urinary incontinence. This condition is thought to be caused by the relaxation of pelvic floor muscles. It is crucial to actively engage in pelvic floor rehabilitation after childbirth to aid the recovery of the pelvic floor, to prevent symptoms like urinary incontinence and leakage when coughing postpartum. The best period for pelvic floor recovery is between 42 days to six months after childbirth. Engaging in pelvic floor rehabilitation during this period is beneficial for recovery. The longer the delay, the slower and more challenging the recovery will be.