Nearly forty He Ye and colleagues chatting happily and laugh, suddenly a “can not stop” feeling came violently, urine flowed out inadvertently. He Ye also do not know what is wrong with their bodies, now she is not only afraid of laughing, but also worried about sneezing, because a force will appear incontinence, the most disturbing thing is that she wants to urinate all day long, even at night to go to the bathroom a few times. Sometimes urinary urgency, walk to the toilet has been unable to control the urine in the pants, and even worse is the sex life between husband and wife, is enjoying the climax, the bladder also involuntarily contraction and pee out. Doctors say, this is called urinary incontinence, is a common disease of middle-aged women. 1, women can not help “forbidden” the original cause of the female urethra short (about 3 to 5 cm), structural factors that lead to the urinary system is susceptible to infection, coupled with pregnancy, birth injuries and menopause vaginal atrophy, elasticity and other factors, can trigger bladder, urethral malfunction. The urethral sphincter is ring-shaped, usually contracted tightly and watertight. When it is time to urinate, it relaxes to allow the urine to pass, and then tightens again after urination. However, if the pelvic floor muscle control of the urethra decreases, the urethral sphincter becomes weak, it can not resist the bladder due to the accumulation of urine after the increase in pressure, so that the urine flow out of the unintentional knowledge of the domination, or in the laughter, crying, coughing, sneezing, lifting heavy objects due to the increase in abdominal pressure and leakage. In severe cases, no matter standing or lying down, urine will continue to flow out. 2, so that women can not “ban” the phenomenon of stress incontinence refers to when coughing, sneezing, laughing, standing up and other sudden increase in abdominal pressure, urine out of control and involuntarily outflow, women of all ages can be onset, especially with a history of obstructed labor, or suffering from prolapse of the uterus, bladder and urethra bulge. Urinary incontinence is more common in postmenopausal women due to the lack of estrogen, which causes the urethra to become thinner, reducing the resistance through the urethra. Urge incontinence is the sudden urge to urinate and the feeling is so strong that you can’t hold it in any longer. Often, this happens when you can’t get to the toilet in time and you’ve already wet your pants. The most common cause is a urinary tract infection. Stress and urge incontinence are often present at the same time and are often referred to as mixed incontinence. The main reason is that the female urethra is shorter; wide pelvis, weak muscle support; urethral sphincter relaxation; pregnancy and childbirth on the pelvic floor muscle damage; after middle age, women’s estrogen levels decline, urethral mucosa atrophy and so on. 3, close the trouble of the “valve” treatment of incontinence in many ways, including exercise rehabilitation training, drugs (estrogen replacement therapy and other drugs) and surgical treatment. Pelvic muscle training The method is relatively simple, but requires persistence. The first thing you need to do is to find out the correct muscle group on the toilet seat: sit on the toilet with your legs spread out, keep your legs still and try to make the urine stop flowing, if it stops, it means that you have found out the correct muscle. Once you have identified the correct muscle, then exercise, first tense the muscle, slowly count from 1 to 5, and then relax. The muscle exercise is done 10 times in each of three positions: standing, sitting, and half-sitting/half-lying, at least three times a day. This exercise does not require special equipment and is easy to do. Bladder training, also known as timed voiding, is mainly used to treat urge incontinence. The goal of the training is to increase bladder capacity and lengthen the time between trips to the toilet. Components include behavioral changes (e.g., learning to suppress the urge to urinate, delaying urination) and a voluntary urination schedule. For example, if you are currently urinating every hour, you can delay going to the toilet until 1 hour and 15 minutes later. After a few days you can extend the time to an hour and a half and eventually to 2 to 3 hours. Along with increasing the time between trips to the restroom, you can do pelvic muscle exercises to suppress bladder spasms and urinary urgency. After putting all these techniques to use, you will be able to control the feeling of urgency when you feel the need to urinate. Eventually, normal urination can be resumed. Surgery In recent years, there has been a rapid development in the surgical treatment of female urinary incontinence, especially with the development of biomaterials, which have made it easier and more certain. For example, transvaginal tension-free mid-urethral suspension (TVT) can solve the patient’s urinary leakage problem by simply placing a biomaterials-synthesized sling underneath the urethra to form a scaffold to support the mid-urethra. This type of surgery, most of the local anesthesia, few contraindications to surgery, the general elderly patients can tolerate, without opening the abdomen, minimally invasive, fewer complications and postoperative pain, fast recovery, one to two days after the operation can return to normal life. 4, the prevention of urinary incontinence “7 to” (1) to have optimism, open-minded mood. With a positive and calm state of mind, laugh at the success, failure, pressure and trouble in life and work, and learn to regulate their own state of mind and emotions. (2) to prevent urinary tract infections. Develop the habit of wiping the handkerchief from front to back after urination and defecation, before sex, couples first wash the vulva with warm boiled water, and immediately after sexual intercourse, the female party emptied the urine and cleaned the vulva. If urinary pain, frequent urination occurs after sexual intercourse, you can take anti-urinary tract infection drugs for 3 to 5 days, in the early stage of inflammation and rapid cure. (3) To maintain a regular sex life. Research has proved that menopausal post-menopausal women continue to maintain a regular sex life, can significantly delay the physiological degeneration of the ovarian synthesis of estrogen function, reduce the incidence of stress urinary incontinence, and at the same time can prevent other age-related diseases. (4) Strengthen physical exercise, and actively treat various chronic diseases. Emphysema, asthma, bronchitis, obesity, large tumors in the abdominal cavity, etc., can cause increased abdominal pressure and lead to urinary incontinence, and should actively treat these chronic diseases and improve the general nutritional status. (5)Pay attention to rest after delivery, don’t bear weight and labor too early, and should insist on contracting the anus for 5 to 10 minutes every day. Usually do not hold urine, but also pay attention to weight loss, if there is a birth injury should be repaired in time. (6) Eat a light diet, eat more foods rich in fiber to prevent increased abdominal pressure caused by constipation. (7) Early detection and treatment. If you find a feeling of blockage in the vagina, lumps protruding from the vulva when you urinate or defecate or exert yourself, odor or blood in vaginal secretions, difficulty in urinating, irregular urination, frequent urination or incontinence, lumbar pain, abdominal pain, etc., you have to consult a doctor in time. (Author: Li Yuanyuan)