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Expert of this article: Zhu Hongjian, Beijing Jiangong Hospital, Chief Physician
Coughing, laughing, and sneezing are common behaviors in life, but in the eyes of some people, they are very scary.
Because once these actions occur, embarrassment will follow – they willinvoluntarily of urine.
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often Indicates a disorder, stress incontinence.
According to statistics, there are more female patients with stress urinary incontinence. The incidence of adult females is 18-20%, and the peak age is 50-59 years old. However, many people feel that the disease is difficult to talk about, and they have been reluctant to seek medical treatment, so that something worse occurs later.
What is stress incontinence? What are the causes? How to alleviate it? One article understands.
❖What is stress incontinence?
Stress urinary incontinence is the involuntary movement of urine when laughter, coughing, sneezing, exercise or other physical activity increases abdominal pressure urethral discharge. This is due to weakening of the muscles and other tissues that support the urethra (pelvic floor muscles) or the muscles that control the urethra (urethral sphincter). Unable to control urine, resulting in leakage.
The etiology of stress incontinence is complex, mainly There are factors such as age, fertility, pelvic organ prolapse, obesity, decreased estrogen, high-intensity exercise, family history, ethnicity, and smoking.
Patients with chronic cough:Increased abdominal pressure due to constant coughing damages the pelvic floor muscles and the mechanisms that control urine.
Obese patients: The internal organs are too heavy, which may cause stress urinary incontinence due to the compression of the pelvic floor muscles.
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Older women:As she ages, her weight and estrogen levels decrease;
Women who are pregnant, giving birth.
❖How to tell if you have stress incontinence ?
①mildis the increase in abdominal pressure after normal activities, such as coughing, Laughing, urine leakage will occur, but you do not need to bring a pad;
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②moderateis after physical activity When the negative pressure increases, there will be frequent urinary leakage symptoms, and the need to carry a urine pad for life;
③< strong>SevereUrinary incontinence is the aggravation of urinary leakage symptoms when the body position changes and after physical activity, which seriously affects the quality of life.
❖How to relieve and treat?
Perineal muscle exercises:For patients with mild urinary leakage, it can be done appropriately Perineal contraction exercises, such as raising the hips, contracting the anus, etc., can relieve symptoms of stress urinary incontinence;
behavior Treatment: also known as lifestyle interventions, including weight loss, smoking cessation, and reduction of caffeinated beverages in patients with a BMI greater than 30; Avoid and reduce activities that increase abdominal pressure; Treat primary diseases, such as constipation, cough and other chronic abdominal pressure diseases; Pelvic floor stimulation therapy, strong> Improves symptoms of stress incontinence by increasing the strength of the pelvic floor muscles and increasing the urethral closure pressure.
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Medication:Because each person’s own situation is different, medication does not There is absolutely effective, you should choose the right medicine under the doctor’s advice. Drug therapy can reduce the frequency of urine leakage and improve the quality of life of patients. The use of drug therapy is mainly aimed at mild and moderate patients. Its main effect is to increase the urethral resistance by enhancing the contractility of the smooth muscle of the urethra, so as to achieve the purpose of enhancing urinary continence.
Surgical Treatment:Non-surgical Patients with poor treatment effect, poor compliance, intolerance or surgical indications who do not want to continue observationsurgical treatment options, moderate-severe patients and patients with concurrent pelvic viscera For those who need pelvic floor surgery for organ prolapse, surgical treatment can be directly selected, such as midurethral sling, transabdominal retropubic bladder neck sling and other anti-stress urinary incontinence surgeries.
LastReminder< /p>
Once the above symptoms appear
promptly Go to the hospital for examination
timely treatment
Sickness is not shameful
Health is the most important
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