What should I do if the skin is eroded due to urinary incontinence?

Written by Wang Shuai
Urology
Updated on June 05, 2025
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For patients suffering from urinary incontinence, it can greatly inconvenience normal work and daily life. Continuous leakage of urine can easily damage the skin around the genitals, causing the skin to ulcerate, itch, and even suppurate.

In such cases, one can consider using a catheter to drain the urine, and then treat the affected skin area for infections. Topical application of iodine for disinfection may be used, and if necessary, medications such as Lotion Calamine can be applied for treatment. Usually, once the skin is no longer exposed to urine, the ulcerated skin will gradually heal over one to two weeks. However, it is also crucial to actively determine the causes of urinary incontinence and treat the underlying condition based on those causes.

(Use of medications should be under the guidance of a physician.)

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What is the difference between genuine urinary incontinence and pseudo urinary incontinence?

Genuine urinary incontinence generally occurs due to incomplete closure of the urethral sphincter, or due to insufficient urethral closure pressure. As a result, patients will show continuous leakage of urine from the urethra or involuntary urine discharge from the urethra when there is an increase in intra-abdominal pressure, such as during sneezing, coughing, or performing strenuous physical activities. Genuine urinary incontinence includes both continuous and stress urinary incontinence. Pseudo urinary incontinence is generally due to urethral stricture, commonly seen with conditions such as prostatic hyperplasia or urethral stones. The urethral stricture prevents urine from being expelled from the bladder. When the bladder becomes overly full, urine overflows through the urethra, a condition also known as overflow incontinence.

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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.

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Is urinary incontinence related to anything?

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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What should be done about postpartum urinary incontinence in women?

Generally, women are prone to urinary incontinence after childbirth. Normally, due to the significant increase in uterine pressure during childbirth, which compresses the bladder, or damage to the anterior vaginal wall, postpartum urinary incontinence can occur. If urinary incontinence is confirmed, it is still necessary to observe temporarily. Postpartum urinary incontinence can generally last three to six months, and the bladder will recover to its pre-pregnancy state. During this period, it is best to wear thicker clothes and trousers, use a pad, and maintain cleanliness of the vulva. If the symptoms of urinary incontinence cannot be alleviated, it is still necessary to perform pelvic floor exercises or undergo symptomatic surgical treatment.

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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.