What tests are needed for urinary incontinence?

Written by Sun Chun
Urology
Updated on June 27, 2025
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Urinary incontinence generally requires comprehensive examinations, including the following:

First, a routine urinary system examination to determine the presence of inflammation and whether it is a case of urgent urinary incontinence.

Other urinary system examinations such as ultrasound can clarify whether the urinary incontinence is genuine or pseudo. A residual urine test might be conducted. For example, if a significant amount of residual urine is found after urination during an ultrasound, it may be considered pseudo urinary incontinence.

Additional examinations can include urodynamics studies, which can reflect the function of the bladder detrusor muscle and the urethral sphincter. If stress urinary incontinence is confirmed, surgical treatment may be considered based on the severity of the symptoms.

Stress urinary incontinence generally refers to middle-aged and older women who have had multiple natural childbirths, leading to relaxation of the pelvic floor muscles after childbirth causing relaxation of the muscles around the urethra. This can lead to urine leakage during sudden laughter, coughing, vigorous activities, or even loud speaking. In such cases, stress urinary incontinence should be considered. It is recommended to seek further diagnosis and treatment from the urology department at a local hospital.

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Written by Sun Chun
Urology
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Urinary incontinence includes three types: stress incontinence, urge incontinence, and overflow incontinence.

Urinary incontinence, in clinical terms, is divided into the following categories: First, there is urge incontinence, where the main symptom is that as soon as one thinks of urinating, the urine comes out uncontrollably. This is commonly seen in urinary tract infections, among other conditions. Second, there is overflow incontinence, also known as pseudo-incontinence, which is actually due to an obstruction in the lower urinary tract, leading to an overfilled bladder that naturally overflows, causing involuntary urination. Third, there is true incontinence, which occurs because the mechanism controlling the urinary tract is damaged, resulting in leaks as soon as there is a small amount of urine in the bladder. If urinary incontinence occurs, it is recommended to visit a hospital. First, a routine urine test should be conducted; second, a color Doppler ultrasound of the urinary system should be performed, which can be done while holding urine or during routine times; lastly, a urodynamic test should be carried out to examine bladder function and determine the type of urinary incontinence.

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What should I do if spinal bifida causes fecal incontinence?

When patients with spina bifida experience fecal incontinence, it generally indicates that the condition is quite severe and often requires prompt treatment. Many of these patients have an overt form of spina bifida. In such cases, a localized bulging mass can be found at the lower back, possibly accompanied by protruding spinal cord, meninges, and nerve roots. For these patients, early surgical intervention is recommended. Clinically, surgery is usually advised to remove the bulging mass and effectively separate and release the adhered nerve roots. If possible, it is best to reposition them back into the spinal canal to achieve the surgical treatment goals. Such surgeries are generally recommended to be performed at well-known, top-tier hospitals locally.

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Written by Zhou Yan
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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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Can spinal inflammation urinary incontinence be cured?

Patients with myelitis often experience urinary incontinence because the condition affects the function of the autonomic nerves, which primarily govern the control of urination and defecation. Symptoms may include urinary incontinence, urinary frequency, or urinary retention. To treat urinary incontinence, it is first necessary to treat acute myelitis. Treatment must be timely, involving the administration of corticosteroids to suppress the inflammatory response and promote recovery from myelitis. Additionally, B vitamins should be administered to nourish the nerves and accelerate nerve repair. Moreover, adjunctive rehabilitation therapy is also crucial. For urinary incontinence, rehabilitation physicians may offer interventions such as acupuncture and training for the bladder sphincter muscle function. Most patients have a relatively good prognosis after treatment and can be cured.

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Which part to massage for urinary incontinence

In cases of urinary incontinence, massaging acupoints such as Zusanli (ST36) and Shenshu (BL23) can effectively alleviate the condition, but this does not cure it. It is recommended to visit a formal hospital and follow the doctor's guidance for symptomatic treatment to achieve a cure. It is crucial to seek timely treatment to prevent the condition from worsening, which can be difficult to cure and may affect daily life. It is advised to engage in more physical activities regularly, as this can help strengthen the body's resistance. Doing exercises such as squats, push-ups, and sit-ups can also effectively help relieve symptoms of urinary incontinence.