Stress urinary incontinence in women is a common clinical disorder of urinary control, mostly in women between the ages of 45 and 55. It has an impact on the quality of life of women, especially their social skills.
Female stress incontinence is characterized by involuntary urine leakage when abdominal pressure increases, such as when sneezing, coughing, or exercising. For example, when you see a bus coming, you chase it hard and when you make an effort, urine leaks out. It is a very embarrassing phenomenon in public places. Although this disease is not a very serious disease, but the impact on a person’s life is really very big. In this section, we will discuss the treatment of female stress urinary incontinence. First of all, we will analyze the risk factors for female stress incontinence, which can be understood as its etiology. The first is age. The incidence of female stress urinary incontinence increases with age, with a high incidence at 45 to 55 years of age. Another is the number of births, multiple maternal stress incontinence is more common in women. The third is that women who give birth naturally are more likely to have stress urinary incontinence than those who give birth by cesarean section. Then pelvic organ prolapse can also affect urinary function. Another common and very important risk factor is obesity, where weight gain can increase abdominal pressure and increase the risk of urinary incontinence. Other risk factors, such as hysterectomy, smoking, and high intensity physical activity, are all risk factors for female stress urinary incontinence. So regarding the physiological mechanism of this disease, it is now thought that there are muscles associated with our pelvic floor that support uh the urethra and bladder, a group of muscles that we can understand as a hammock. It’s like a hammock that we hang between two trees in camping, a net-like structure that supports. For some reason, this hammock becomes flaccid and cannot support the bladder well, nor can it control the proximal urethra well, so when the abdominal pressure increases, the urine cannot be held, and stress urinary incontinence in women occurs. There are two types of western medical treatment for female stress urinary incontinence: surgical and non-surgical. For non-surgical treatment, functional training of the pelvic floor muscles can be done. Functional training of the pelvic floor muscles is easy to do and can be done at home. For example, we take a deep breath, the perianal muscles contraction, contraction after five seconds, relax, relax after five seconds and then contraction, so the cycle repeated, you can do a group of 3 to 5 minutes, each time you can do five to six groups, twice a day. The purpose of doing this is to exercise the various muscles in the hammock, after a long time, the hammock has been relaxed off the strength again, you can control the pelvic floor, the prevention and treatment of urinary incontinence should be very meaningful a method. Other methods such as weight control, smoking cessation, and avoiding overexertion are all non-surgical methods. Of course, for female stress urinary incontinence there are other drugs available, if the use of drugs can not have good control, in addition to take into account the patient’s choice, for example, I have a little leakage, I feel very embarrassed, I can not tolerate a day, then you can also choose surgery. Then the surgical treatment is to repair the hammock muscles of the pelvic floor and restore the control of the bladder and urethra by the hammock muscles. Of course surgery is risky and has certain complications, here we will not go into detail about its complications, you can search for them yourself if you are interested. Here we would like to introduce some methods about acupuncture for female stress urinary incontinence. Acupuncture is a traditional therapy in Chinese medicine, and in clinical practice we find that because stress urinary incontinence often occurs in middle-aged and elderly women, women at this stage tend to have more obvious manifestations of qi deficiency, qi deficiency and weakness, and are not able to support the urethra, so urinary incontinence occurs. At this time we take the method of tonifying the temperature and yang to strengthen the qi-chemical function of the bladder, which can effectively relieve the symptoms of urinary incontinence. The method used mainly introduces moxibustion. Here I will briefly introduce two moxibustion points, one is Guan Yuan, located three inches below the umbilicus, and the other is Qi Hai, located one and a half inches below the umbilicus. The use of ginger or salt in these points can effectively warm the kidney yang, nourish the kidney and strengthen the bladder qi and achieve the effect of relieving urinary incontinence, in addition to the kidney, Guan Yuan Yu, bladder Yu these back points moxibustion method, can also play a good therapeutic effect. So you may want to use this health care moxibustion method, if urinary incontinence occurs first self-treatment, and then with the improvement of lifestyle. On top of moxibustion, acupuncture is very effective for women with stress urinary incontinence. It can effectively reduce the number of urine leaks and improve the patient’s urinary control. Commonly used acupuncture points include the eight-shoe point and the kidney point. Of course, acupuncture treatment must be done at a regular Chinese medicine hospital by a professional doctor.