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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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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What department should I go to for fecal incontinence?

"Fecal incontinence requires registration at a colorectal surgery department for consultation. The causes of fecal incontinence mainly include neurogenic and local organic lesions of the anus. If it is due to neurogenic reasons, then it is necessary to coordinate with a neurology department to examine whether the local contraction function of the anus has deteriorated, leading to relaxation of the anal sphincter or incontinence during defecation. If there is an organic lesion in the anal sphincter, especially when the tightness of the sphincter increases leading to excessive relaxation of the anal sphincter, this can also cause fecal incontinence. To treat fecal incontinence, one can opt for local surgery to tighten the relaxed anal sphincter, thereby preventing feces from involuntarily leaking out of the anus."

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Can elderly people with prostate enlargement experience urinary incontinence?

In the advanced stages of lower urinary tract obstructive diseases caused by prostate enlargement, overflow urinary incontinence can occur. After chronic urinary retention caused by prostate enlargement, if the bladder is extremely full, the pressure inside the bladder can exceed the resistance of the normal urethral sphincter, allowing urine to overflow through the urethra. Additionally, pressure incontinence can also be caused by damage to the external urethral sphincter or to the perineal and urethral areas following prostate surgery due to prostate enlargement.

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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 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.