Is urinary incontinence related to anything?

Written by Wang Shuai
Urology
Updated on January 24, 2025
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There are many causes of urinary incontinence. For example, the most common type, stress urinary incontinence, is related to the relaxation of the pelvic floor muscles and the bladder's detrusor muscle. Conditions like pelvic organ prolapse, as well as factors like being a mature mother or excessive obesity, can lead to stress urinary incontinence. Urgency urinary incontinence is often caused by severe bladder inflammation or associated with certain chronic diseases, such as diabetes or bladder neck sclerosis. Overflow incontinence, most commonly seen in elderly males, typically results from prostate enlargement that blocks the urethra, leading to urinary retention and consequently overflow incontinence. Therefore, to understand the specific causes of urinary incontinence, it is crucial first to differentiate the types of incontinence and combine this with the patient’s specific situation and related examinations for a clear diagnosis.

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Written by Wang Shuai
Urology
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Stress urinary incontinence clinical manifestations

The primary clinical manifestation of stress urinary incontinence is the leakage of urine from the urethra when sudden increases in intra-abdominal pressure occur, such as laughing, sneezing, or coughing. This condition is commonly seen in women who have given birth. It is mainly caused by the relaxation of the urethral sphincter and pelvic floor muscles after childbirth. The more childbirths a woman has, the higher the frequency of stress urinary incontinence. For mild symptoms, improvement can be achieved through pelvic floor muscle exercises. If necessary, medications such as Midodrine Hydrochloride tablets can be taken orally. For severe symptoms, surgery is recommended. (Medication should be used under the guidance of a doctor based on specific circumstances.)

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Written by Wang Shuai
Urology
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What are the characteristics of the various types of urinary incontinence?

There are several types of urinary incontinence, common ones include stress incontinence, urge incontinence, overflow incontinence, and true incontinence. Stress incontinence, which is common in clinical practice, primarily occurs in women, especially in those who have given birth, are obese, or are elderly. It is characterized by the involuntary leakage of urine through the urethra during coughing, laughing, or sneezing. Urge incontinence, often seen in acute bladder inflammation, usually presents with symptoms such as frequent urination, urgency, painful urination, and pain in the lower abdomen before the onset of incontinence. Overflow incontinence is more common in elderly men, caused by urinary obstructions, such as those resulting from prostatic hyperplasia compressing the urethra, leading to urinary retention. In this case, the patient's bladder area may exhibit significant distension and tenderness. True incontinence is often seen in cases of neurological damage, such as from spinal injury or intracranial disorders.

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Written by Zhou Yan
Geriatrics
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What causes urinary incontinence in the elderly?

Urinary incontinence in the elderly varies due to different mechanisms and types, with the two most common categories being genuine urinary incontinence, which is due to neurogenic bladder dysfunction or overactive detrusor muscles, damage to the urethral sphincter, or loss of bladder storage function. These are commonly seen in conditions like chronic stroke, dementia, Parkinson's disease, and psychiatric diseases. The other major category is caused by relaxation of the urethral sphincter or pelvic floor muscles surrounding the urethra, leading to reduced urethral pressure. Incontinence in this category may occur when negative pressure increases, such as during coughing, sneezing, straining during bowel movements, or changing body position. This type of urinary incontinence is more common in elderly women and in elderly men who have had prostate removal, leading to damage to the external urethral sphincter.

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Written by Chen Bao Chun
Urology
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How do I deal with painful urination followed by urinary incontinence?

Painful urination followed by urinary incontinence is considered to be due to a urinary tract infection causing urge incontinence. When this occurs, the patient needs to undergo a routine urine test to confirm that it is caused by a urinary tract infection. Initial treatment can involve oral antibiotics to address the infection. After controlling the urinary tract infection, the incontinence will be alleviated or cured. There are also other causes of painful urination and urge incontinence, such as interstitial cystitis or glandular cystitis, which are special bladder diseases. These conditions require further investigation with urinary system ultrasound or cystoscopy for a definitive diagnosis. Treatment then follows based on the specific cause, and after treating conditions like interstitial cystitis, the incontinence will be relieved or cured.

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Written by Guan Hai Fang
Urology
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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.