What should I do about urinary incontinence due to brain atrophy?

Written by Shi De Quan

Neurology

Updated on February 13, 2025

00:00

00:00

Urinary incontinence due to brain atrophy is mainly because the brain centers controlling urination and defecation have atrophied. This can be caused by vascular reasons leading to brain atrophy, such as cerebral infarction or hemorrhage affecting the adjacent centrolobular region, leading to urinary incontinence. Therefore, treatment should primarily target the underlying disease. Rehabilitation treatments are recommended, particularly traditional Chinese medicine methods like acupuncture and moxibustion. Modern rehabilitation, establishing regular urinary habits, and pelvic floor rehabilitation are also beneficial for treating urinary incontinence. Additionally, both traditional Chinese medicine and Western medicine can be used for treatment.

Other Voices

home-news-image

Written by Zhang Lu

Obstetrics

58sec

home-news-image

What is postpartum urinary incontinence?

Many women experience urinary incontinence after childbirth, and the severity varies from person to person. The causes of postpartum urinary incontinence include the following aspects. First, during pregnancy, the enlargement of the uterus can significantly press on the female pelvic floor, causing damage to pelvic floor function. Second, for women who have a vaginal delivery, the fetus needs to pass through the vagina. This process can further exacerbate damage to the female pelvic floor. These factors together can lead to pelvic floor dysfunction, resulting in conditions like uterine prolapse, bladder prolapse, and even urinary incontinence. For postpartum urinary incontinence, interventions such as Kegel exercises and electrical stimulation therapy should be used together to alleviate clinical symptoms and minimize impact on daily life. If conservative treatments are ineffective, pelvic floor repair surgery should be considered.

home-news-image

Written by Wei Zhen Xia

Geriatrics

47sec

home-news-image

What is urinary incontinence in the elderly?

For elderly people with urinary incontinence, such as elderly men, the main cause is benign prostatic hyperplasia. Due to the enlargement of the prostate, there is an obstruction at the bladder outlet, which increases the resistance during urination. Urine is not completely expelled and accumulates in large amounts within the bladder. When the pressure reaches a certain level, urinary incontinence occurs. For female patients, the main cause is usually an acute urinary system infection, resulting in localized infections that stimulate the bladder's detrusor muscle, causing it to contract involuntarily and, consequently, leading to urinary incontinence.

home-news-image

Written by Chen Tian Jing

Colorectal Surgery

58sec

home-news-image

Can fecal incontinence be recovered?

If fecal incontinence occurs, the first step is to identify the main cause of the fecal incontinence. If it is caused by relaxation of the anal sphincter and anal canal, then surgery can be performed to tighten this area, specifically through an anal tightening procedure, which can restore control over fecal incontinence. If the patient has other underlying diseases or is elderly and frail, accompanied by changes in the nervous system, the symptoms of fecal incontinence may be alleviated through medication or physical therapy, but complete recovery is unlikely. This is because the recovery of the nervous system requires the integrated regulation of other bodily organs and functions. If there are multiple underlying diseases or if the patient is elderly and frail, especially in the later stages of coma, recovery is difficult.

home-news-image

Written by Chen Feng

Urology

48sec

home-news-image

Is minimally invasive sling surgery for urinary incontinence permanent?

Minimally invasive sling surgery is generally suitable for patients with stress urinary incontinence. This surgery is usually not permanent, and its specific name is tension-free urethral suspension. It is used to increase the closure pressure of the urethra. Therefore, when the intra-abdominal pressure increases, the increased urethral closure pressure can prevent urine leakage. This surgery is one of the more common surgeries in clinical practice, but over time, various complications related to the surgery tend to increase. Common surgical complications include difficulty urinating, bladder perforation, and corrosion of the vaginal or urethral sling. Over time, the probability of corrosion gradually increases.

home-news-image

Written by Chen Xiao Jun

Emergency Department

48sec

home-news-image

Can shock cause incontinence?

Shock patients often experience incontinence, which is very common in clinical settings. Various reasons can lead to shock, causing a decrease in the body's blood pressure. This results in severely inadequate perfusion of the brain, heart, and blood vessels, leading to the loss of control over the body's urinary and fecal reflexes and resulting in incontinence. Therefore, when shock occurs, we should strengthen nursing care, actively rehydrate, and actively treat the shock. It is also important to promptly identify and treat the cause of the shock. Only comprehensive treatment can save the patient's life. Moreover, enhancing nursing care is very important for shock patients, as they are prone to suffocation and incontinence.