How to Treat Stress Urinary Incontinence in Women

Urinary incontinence is a common disorder that affects women’s quality of life, with a global prevalence rate of nearly 50% according to statistics. Today is 3.8 Women’s Day. In order to improve the quality of life of women with urinary incontinence and increase medical knowledge, we are spreading the knowledge of stress urinary incontinence to our female friends. Definition Female stress urinary incontinence, refers to the involuntary leakage of urine from the external urethra when the abdominal pressure increases such as sneezing or coughing. Clinical symptoms 1, mild: general activities and night without incontinence, abdominal pressure increased occasional incontinence, do not need to wear a diaper. 2.Moderate: frequent incontinence when abdominal pressure increases and standing activities, need to wear a pad to live. 3.Severe: incontinence occurs when standing up or when the abdominal position changes, seriously affecting the patient’s life and social activities. Clear risk factors 1, age: with age, the prevalence of female urinary incontinence gradually increased, the high incidence of age 45-55 years. 2, childbearing: the number of births, the age of the first birth, the mode of delivery, the size of the fetus and the incidence of urinary incontinence during pregnancy have a significant correlation with the occurrence of postpartum urinary incontinence. 3, pelvic organ prolapse: stress urinary incontinence and pelvic organ prolapse are closely related, and both are often accompanied by the existence of. 4.Obesity: the incidence of obese women is significantly higher. Auxiliary examination methods (commonly used) 1, pressure-induced test patients lying on their backs with legs flexed and adducted, observation of the urethral orifice, coughing or force to increase the abdominal pressure to see urine leakage, abdominal pressure disappears at the same time after the disappearance of leakage of urine is positive. If the leakage disappears after the abdominal pressure disappears, it is positive. If the leakage is negative, the patient should be examined again in standing position. During the examination, the patient should be asked whether there is urgency or urinary sensation when or before the leakage of urine, if there is, it may be urgency incontinence or combined with urgency incontinence. 2.Bladder neck lifting test The patient is in the lithotomy position, the first evoked test, if positive, then the middle finger and index finger inserted into the patient’s vagina, respectively, placed on the vaginal wall on both sides of the urethra at the level of the bladder neck, the patient is instructed to cough or deep inhalation and then hold the breath to increase the abdominal pressure, when there is a leakage of urine with the fingers to the head of the abdominal side of the lifting of the bladder neck, such as leakage stops for the positive. Treatment 1, the first choice of surgical treatment transforaminal urethral mid-sling operation (TVT-O) because of small trauma, short hospitalization time, few complications and other obvious advantages as the first choice. Conservative treatment has a very low efficiency. 3.Drug treatment The side effects of this disease are large. Daily preventive methods and postoperative precautions 1, to have optimism, open-minded mood; with a positive and calm mind, laugh at the success, failure, pressure and trouble in life and work, learn to regulate their own state of mind and emotions. 2, maintain a regular sex life (postoperative patients are prohibited from having sex within 2 months); 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 the urinary tract from infecting other diseases, and improve the level of health. 4, strengthen physical exercise; active treatment of various chronic diseases. Emphysema, asthma, bronchitis, obesity, huge tumors in the abdominal cavity, etc., can cause increased abdominal pressure and lead to urinary incontinence, and these chronic diseases should be actively treated to improve the nutritional status of the whole body. At the same time, appropriate physical exercise and pelvic floor muscle group exercise should be carried out. The easiest way is to wake up every morning before getting out of bed and sleep at night after lying down, each doing 45 to 100 times tightening the anus and lifting the anus activities, can significantly improve the symptoms of urinary incontinence. 5, women should pay attention to rest after giving birth to a child; do not bear weight and labor too early, every day should adhere to the contraction of the anus for 5 to 10 minutes. Usually do not hold urine, but also pay attention to weight loss, if there is a birth injury should be repaired in time. 6, the diet should be light; eat more fiber-rich food, to prevent increased abdominal pressure caused by constipation. 7, early detection, early treatment; if you find that there is a feeling of vaginal blockage, a lump protruding from the vulva when you urinate or defecate or exert yourself, vaginal secretions with a bad smell or blood, difficulty in urination, not smooth, frequent urination or incontinence, lumbar soreness, abdominal pain, etc., you need to consult a doctor in time to prevent pelvic organ prolapse.