When you sneeze, do you urinate?
When you jump up, do you dribble urine?
When you hear the sound of running water gurgling, do you lose control and have to go to the toilet ……
Why does female stress urinary incontinence occur?
These dripping embarrassments occur mostly in women after childbirth and in those who have reached an advanced age. The medical term for this non-life-threatening leakage of urine that occurs only when coughing or laughing is stress urinary incontinence. Although urinary incontinence is not a fatal disease, it brings a lot of inconvenience to women’s lives, often causing great distress to patients and directly or indirectly affecting their quality of life, known as “social cancer”. According to statistics, about 40 percent of women in China suffer from it.
Stress urinary incontinence is due to factors such as childbirth injury and menopause, resulting in relaxation of the muscles at the bottom of the pelvis, which reduces the ability of the urethra to control urine. Clinically, 80% of women with stress incontinence have varying degrees of bladder bulge and 50% have varying degrees of bladder bulge with stress incontinence. In women with normal pelvic floor support structures, when abdominal pressure increases, pressure is transmitted to the bladder and urethra in equal amounts and incontinence does not occur. When abdominal pressure increases (e.g., when coughing, laughing, sneezing, or running), pressure is transmitted only to the bladder and not to the urethra, which has shifted downward, and the pressure difference between the bladder and urethra causes urine to flow out involuntarily.
There are three levels of stress urinary incontinence
Mild: Occurs when coughing and sneezing, with at least 2 episodes per week.
Moderate: Occurs during daily activities such as walking fast, bending over, and lifting heavy objects.
Severe: occurs when incontinence occurs in a standing position.
Should I go to the doctor?
I prefer to exercise, but since the birth of my child, I can’t jump rope anymore. Because when I jump, urine comes out, the doctor says it is incontinence. I didn’t want to believe it: “I think I just have a gynecological infection, I’ve always been healthy, and it only happens occasionally. Going to the doctor? That’s a big deal!” My thoughts are shared by many people.
Although urinary incontinence is a very troublesome condition, it doesn’t seem to be taken very seriously in everyday life. Many people think that the body or physiological changes occur, can not control urine, leak a little urine is considered normal, there is no need to see a doctor. According to a survey, 2/3 of women find incontinence difficult to talk about, embarrassed to tell the doctor, preferring to change their pants diligently rather than go to the doctor.
In fact, urinary incontinence is not a minor problem. Frequent urine loss and leakage in women may cause eczema, bed sores, skin infections and inflammation of the urinary system. And incontinence causes women anxiety, embarrassment and frustration and other negative emotions, which can also seriously affect their quality of life. Such as anxiety, anxiety and loss of confidence due to bad odor, it can also affect normal social activities with friends and family, and even affect sexual life. However, for most women, urinary incontinence becomes more severe and less controllable after menopause as women lose more estrogen.
Want to solve the problem once and for all?
Many women use tampons to solve the problem, and others think about going to the hospital for a solution only after a number of years. If you are already a severe incontinence patient, surgery is recommended. Under the guidance of a medical professional, this will help you to get rid of incontinence sooner and regain your “control” as soon as possible.
At present, the treatment of moderate to severe stress incontinence is based on surgical treatment, supplemented by medication and training. Surgical treatment can completely cure urinary incontinence, while non-surgical treatment can only improve the symptoms of incontinence, can not achieve a curative effect, non-surgical treatment is often used as an auxiliary means to consolidate the effectiveness of surgery. At present, the transsphenoidal tension-free midurethral sling (TOT) has become the standard procedure for the treatment of female stress urinary incontinence because of its small trauma, fast recovery, good results and few complications. The surgical cure rate for this procedure is 96% and the satisfaction rate is close to 100%.
Special tips.
Women in their 30’s: Women should prevent urinary incontinence after the age of 30. Doing Kegel exercises often can exercise the pelvic muscles and promote pelvic blood circulation, which is also beneficial to the sexual life of couples.
Maternity: 6 weeks after childbirth should pay attention to rest, do not move too much, do not bear weight and work on the ground too early, so as not to cause pelvic floor muscle relaxation. No obstetric protection caused by the birth canal injury, but also easy to lead to pelvic floor muscle relaxation and incontinence. In addition, pregnant women should go to the hospital for regular checkups during the perinatal period.
Women with urinary incontinence have many worries
1.The frequent leakage of urine makes the underwear have an unpleasant smell that cannot be washed;
2, do not dare to go out, for fear of wetting the pants very messy; must go to the toilet before going out, one of the things often done outside is to find the toilet, after the business is done, rush home, do not dare to stay outside;
3.Did not dare to laugh, more afraid of coughing and sneezing of cold and flu. Can’t do physical exercise such as jumping rope.