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

Written by Chen Feng
Urology
Updated on February 02, 2025
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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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Postpartum urinary incontinence symptoms

Postpartum urinary incontinence primarily manifests as uncontrollable urination in women. This occurs when there is increased abdominal pressure, such as during coughing or constipation or when jumping rope, causing urine to involuntarily leak. This condition typically develops during pregnancy as the growing uterus compresses the subcutaneous tissue in the pelvic area. Additionally, the biochemical damage to the pelvic tissues during childbirth reduces their elasticity, leading to a loss of control over the abdominal muscles of some pelvic organs. It is recommended to promptly start pelvic floor muscle rehabilitation training in such cases, and generally, symptoms should improve within six months of consistent rehabilitation exercises.

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What causes sudden fainting and incontinence?

Sudden fainting accompanied by incontinence can be due to neurogenic syncope, cardiogenic syncope, or vasovagal syncope. Neurogenic syncope generally refers to sudden fainting caused by conditions such as cerebral arteriosclerosis, cerebral vascular narrowing, cerebral vascular occlusion, transient cerebral ischemia, insufficient blood supply from the vertebrobasilar arteries, cerebral embolism, cerebral hemorrhage, intracranial space-occupying lesions, or cerebral vascular malformations, which can lead to incontinence and, in severe cases, convulsions. Cardiogenic syncope is generally caused by myocardial ischemia, myocardial infarction, arrhythmia, or heart failure, leading to a decrease in cardiac output and resulting secondary cerebral ischemia and hypoxia, which cause loss of consciousness.

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Written by Yang Fu Li
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Urinary Incontinence: Types and Causes

Urinary incontinence is divided into urge incontinence, stress incontinence, true incontinence, and overflow incontinence. During diagnosis, it is first necessary to determine whether there is incontinence, which should be differentiated from residual urine. Then, based on medical history, physical examination, and whether or not there are laboratory tests, the clinical type and cause should be clarified. The medical history should pay attention to whether there are bladder irritative symptoms, history of urinary stone expulsion, and history of pelvic surgery. Pregnant patients should have a comprehensive examination of the pelvic organs, urinary reproductive system, and nervous system. When necessary, urinary tract X-ray imaging, ultrasound examination of pelvic organs, cystoscopy, and bladder manometry should be conducted.

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Written by Chen Tian Jing
Colorectal Surgery
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What medicine to take for fecal incontinence?

There are many causes of fecal incontinence, and it is first necessary to further clarify the cause. Most cases of fecal incontinence are mainly due to excessive relaxation of the local anal sphincter or damage to the patient's nervous system, thus requiring oral medication to treat the nervous system. When there is relaxation of the local anal sphincter, simply taking oral medication does not have significant local therapeutic effects. The most effective method is to directly perform a sphincter tightening surgery. After the local sphincter is tightened surgically, it can control the excretion of feces, thereby further alleviating the situation of fecal incontinence. If the patient also has a neurological disorder, it is necessary to actively treat the underlying disease. (The use of medications should be done under the guidance of a doctor.)

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Should I wear diapers for urinary incontinence?

Whether patients with urinary incontinence need to use diapers should be determined based on the severity of the incontinence. If it is only mild incontinence that does not affect normal work and life, it is not necessary to wear diapers. Regular urination schedules, along with exercises like pelvic lift and pelvic floor muscle training, can alleviate the condition. However, if the incontinence is more pronounced, it is best to initially use diapers to prevent excessive urine leakage. If necessary, a urinary catheter can be used temporarily to drain the urine and prevent leakage. At the same time, it is important to actively undergo relevant examinations to determine the cause of the incontinence and carry out targeted treatment.