Why is there a sudden gush of urine when you sneeze? Why does urine come out uncontrollably when you jump or exercise vigorously? When you hear the sound of gurgling water, why do you have the inexplicable feeling of going to the toilet …… Don’t interpret these “accidental peeing out” phenomena as a normal performance of old age! Specialists tell us that this is actually a typical symptom of urinary incontinence. In recent years, this serious impact on women’s quality of life, physical and mental health and social activities of the disease has been the society and medical practitioners more and more attention to the formation of a new discipline: attention to female stress urinary incontinence 1, what is stress urinary incontinence? What is stress incontinence? Stress urinary incontinence patients usually have no incontinence performance, but when the intra-abdominal pressure suddenly increased (such as coughing, sneezing, crying and laughing, on the stairs or lifting heavy objects, etc.), urine will involuntarily out of the urethra; the serious ones can occur when traveling, upright. According to the severity of the disease is divided into 3 degrees: mild: incontinence occurs when coughing and sneezing, more than 2 times a week; moderate: incontinence occurs in walking and position change and other daily activities; severe: any position change with incontinence. 2.What are the reasons for the occurrence? Current research has found that: female pregnancy, childbirth, fetal compression of the pelvic floor caused by pelvic floor support structure damage, postpartum did not recover; postmenopausal estrogen levels decline resulting in urethral mucosal atrophy; multiple births, obesity, resulting in pelvic muscle relaxation; long-term constipation, gynecological surgery history, long-term smoking and alcohol intake caused by the urinary sphincter function, etc., these factors make the patient can not control the normal urinary excretion, the occurrence of stress incontinence. Stress incontinence occurs. 3, then stress incontinence can be cured? With the emergence of new technologies, the efficacy of stress urinary incontinence has been greatly improved, about 80% of patients can be completely cured by treatment, 96% of patients with varying degrees of symptomatic relief. At present, there are mainly the following treatment methods: ① Pelvic floor muscle rehabilitation training is through the enhancement of the pelvic floor muscles and urethral muscle tone, improve muscle contraction in response to pressure, thereby improving the function of the urethral sphincter. This kind of training is easy to do, non-invasive, painless, effective and without side effects. Through the doctor’s guidance to carry out their own training, the method is as follows: contraction of the vagina and anus, lifting, maintaining 2 ~ 3 seconds after relaxation, and then repeat the action just now. During this process, you need to make sure that the patient is actually contracting the pelvic floor muscles, rather than the abdominal and anal canal muscle systems. This exercise should be done 300 to 500 times a day. So the movements can be done in several sessions, and it usually takes at least 1~2 months of adherence to begin to have an effect, and it needs to last for more than a year, and it will be useful for mild stress incontinence. With the development of technology, now can be treated by another painless and non-invasive method – pelvic floor electrical stimulation feedback therapy device, 2 times a week, 10 times for a course of treatment; 1-2 times of treatment will have an effect, the treatment of 1-2 courses, mild stress incontinence will be cured, moderate stress incontinence will be significantly relieved, even if the severe incontinence also have the Effective. Maintenance treatment can be carried out for 1-2 courses per year. Adrenergic receptor agonists, anticholinergics, estrogens and other drugs can increase bladder outlet resistance and are effective in mild stress incontinence. However, they also have their own side effects, and should not be used for a long time. At the same time, drugs can only relieve the symptoms, can not be cured, after stopping the drug will return to the same as before taking the drug. Therefore, medication is not a long-term solution. Surgery There are more than 100 kinds of surgical methods for treating stress incontinence, which on the one hand indicates the difficulty and complexity of the treatment, and on the other hand is because the success of the surgical treatment is related to the doctor’s experience and technology. There are three types of surgeries summarized: 1 retropubic vesicourethral suspension; 2 anterior vaginal wall repair; 3 sling surgery. Retropubic vesicourethral suspension and anterior vaginal wall repair are either highly invasive or have poor results, and both are unsatisfactory. In the 1980s, another type of minimally invasive and more effective surgical method, sling surgery, was introduced to the market, of which the transvaginal tension-free mid-urethral suspension (TVT or TVT-O surgery), which has been used in the clinic since 1995, is the best, and 1 million people around the world have already received this surgery, with a 5-year effectiveness rate of more than 80% and a satisfaction rate of up to 96%. In the 2007 China Urinary Incontinence Guidelines, this surgery is listed as a highly recommended surgical treatment. 4. What are the advantages of TVT (TVT-O)? The procedure involves placing a sling made of a special polypropylene into the body. When the abdominal pressure increases, the sling can be lifted relative to the urethra to compress it, thus inhibiting urine leakage. This sling does not cause inflammation in the body and can be effective for life. Because the procedure is minimally invasive, the damage is minimal and usually does not damage the bladder, urethra, bowel or uterine attachments. The puncture point is hidden, the recovery is fast, and it is suitable for all types of stress incontinence. 5.Urinary incontinence self-test question – Do I have urinary incontinence? If you are suffering from sudden leakage of urine, please set aside a few minutes to answer the following questions. Answers to these questions will help your doctor determine if you have incontinence and identify the type of incontinence you have. This will help your doctor determine if you have incontinence, and identify the type of incontinence you have, so that he or she can choose the best treatment plan for you. 1. Do you experience sudden, unconscious leakage of urine during the day or at night? Yes No 2. Do you leak urine when you laugh, sneeze, jump, or perform other activities that put pressure on your bladder? Yes No 3. Do you often have sudden, urgent urination? Yes No 4. Have you noticed a change in the number of times you urinate? Yes No 5. Do you go to the toilet more than 8 times in a 24-hour period? Yes No 6. Do you use the toilet more than 2 times per night? Yes No 7. Does the availability of restroom toilets affect your decisions when making plans for trips, outings, or other things? Yes No