How is female stress urinary incontinence treated?

  Female urinary incontinence is a common disease among women, with a prevalence rate of nearly 50% and severe incontinence of about 7%, half of which is stress incontinence, according to global statistics. Such a large population of sufferers poses a serious impact on the quality of life and health status of women. Due to socioeconomic and cultural and educational factors, as well as women’s shyness about urinary abnormalities, female stress incontinence has long been underappreciated by both doctors and patients.  Stress incontinence is the involuntary leakage of urine from the external urethra when abdominal pressure is increased, such as sneezing, coughing or exercise. Its onset is associated with age, childbirth, pelvic organ prolapse, obesity, race and genetic factors.  Treatment of stress urinary incontinence: It is divided into conservative treatment and surgical treatment.  A conservative treatment 1, pelvic floor muscle training There is no uniform training method, the consensus is that the pelvic floor muscles must reach a considerable amount of training to be effective. The following method can be implemented: continuous contraction of the pelvic floor muscles (lifting movement) for 2 to 6 seconds, relaxation rest for 2 to 6 seconds, and so on for 10 to 15 times. Training 3 to 8 times a day for more than 8 weeks or longer.  2, weight loss Obesity is a clear correlate of stress urinary incontinence in women. Obese women with stress urinary incontinence should lose 5% to 10% of their body weight, and the number of incontinence will be reduced by more than 50%.  3, Midodrine hydrochloride tablets Midodrine hydrochloride can activate urethral smooth muscle alpha 1 receptors and somatic motor neurons, increasing urethral resistance. It is especially effective when combined with estrogen or pelvic floor muscle training.  The main indications for surgical treatment are: (1) Patients with poor results of non-surgical treatment or those who cannot adhere to it, cannot tolerate it, and have poor expected results.  (2) Patients with moderate to severe stress urinary incontinence, which seriously affects the quality of life.  (3) Patients with high quality of life requirements.  (4) Patients with pelvic floor functional lesions such as pelvic organ prolapse that require pelvic floor reconstruction should undergo simultaneous anti-stress incontinence surgery.