What to do about female stress incontinence

Coughing and sneezing are commonplace in life. However, 50% of women around the world can’t help but leak urine when they cough or sneeze, which is embarrassing, uncomfortable, and even has a serious impact on women’s physical and mental health. Timely and regular treatment, the vast majority of women can be completely with the “incontinence” goodbye. 50% of women suffering from urinary incontinence Urinary incontinence is a common disease among women, according to global statistics, the prevalence rate of nearly 50%, severe incontinence is about 7%, about half of which is stress urinary incontinence. Stress incontinence refers to the involuntary leakage of urine from the external urethra when abdominal pressure is increased by sneezing, coughing or exercise. Stress incontinence caused by many factors, with age, the prevalence of female urinary incontinence gradually increased, the high incidence of age of about 45-55 years old; birth of the birth and the occurrence of urinary incontinence was positively correlated with the age of the first birth of 20-34 years of age of women are more susceptible to suffer, vaginal delivery is more likely to be more likely to develop than the Caesarean section, and so on; the odds of stress urinary incontinence in women with obesity is significantly higher; combined with the pelvic organ prolapse (e.g., uterine prolapse), smoking, and excessive physical labor are all possible risk factors associated with stress incontinence. “Stress urinary incontinence is mainly manifested in laughing, coughing, sneezing or walking and other various degrees of abdominal pressure increases, urine leakage from the urethra, stop increasing abdominal pressure leakage can stop. In severe cases, it occurs when standing.” Patients have poor knowledge of stress urinary incontinence, either because they think it is an inevitable manifestation of old age or because they do not take the initiative to seek medical attention due to shyness or traditional attitudes, and the rate of consultation is very low. And many of the current clinicians and nurses do not understand and pay enough attention to urinary incontinence. For example, interstitial cystitis is often mistakenly treated as a common urinary tract infection, which not only brings economic burden to the patients, but also fails to cure their physical and mental pain. And clinically, systematic and regular treatment can be completely relieved. A variety of ways to treat urinary incontinence There are many ways to treat stress incontinence, and clinically conservative and surgical treatments are common. Conservative treatment includes medication and pelvic floor muscle training, i.e., continuous anal lifting exercise for 2-6 seconds, relaxation rest for 2-6 seconds, and so on for 10-15 times, 3-8 times a day, for more than 8 weeks. In addition, weight loss, smoking cessation, reduction of caffeine, alcohol and other food intake, pelvic floor rehabilitation therapy, etc., can help relieve the symptoms of stress urinary incontinence. For non-surgical treatment is not effective, moderate to severe stress urinary incontinence, with pelvic organ prolapse and other diseases need to be surgical treatment. Currently, the tension-free midurethral sling is the “gold standard” for the treatment of stress urinary incontinence. The main principle of the procedure is to “suspend” the midurethra through an incision in the anterior wall of the vagina with a sling made of synthetic material to achieve anti-incontinence results. In addition, Burch vaginal wall suspension, bladder neck suspension, etc. can also be used in the surgical treatment of stress urinary incontinence. At present, the Department of Urology of Lu Medical College has introduced tension-free mid-urethral sling surgery (TVT-E, TVT-A, etc.), which can surgically solve the problem of urinary incontinence for the majority of female stress incontinence patients, so that the majority of patients with stress incontinence to alleviate the symptoms, remove stress incontinence as a persistent social problem, regaining the confidence of socializing, and bring about the gospel. At the same time, the Department of Urology of Lu Medical College also carries out the diagnosis and treatment of female urological diseases, including overactive bladder (OAB), female pelvic organ prolapse (POP), female interstitial cystitis (IC), female voiding obstruction (FBOO), vesico-urethro-vaginal fistula (VVF), voiding anomalies, recto-vaginal fistula, female urethral disorders (urethral caruncle, urethral diverticulum, paraurethral adenocarpous cysts), and other female urinary diseases. The Department of Urology will provide effective help for women’s unspeakable problems.