Symptoms and treatment of urinary incontinence

  Urinary incontinence is a relatively common disorder in older women. Due to the lack of health knowledge, including a significant portion of medical personnel do not know enough about this disease, only 10-20% of patients actually go to the hospital to receive clinical treatment. It is the duty of every health care worker to strengthen the dissemination of relevant knowledge and to free many patients with urinary incontinence from their suffering.  There are three main types of clinical incontinence: urge incontinence, stress incontinence and overflow incontinence. Urgent urinary incontinence is manifested as a sense of urine when there is no time to go to the toilet urine will leak out, and sometimes hear the sound of running water will also be reflex urine flow out; stress urinary incontinence is manifested as coughing, jumping, down the stairs, lifting heavy objects and any other abdominal force action, there will be urine leakage, and even laugh, sneeze urine will flow out. Overflow incontinence, on the other hand, is mainly due to weak bladder contraction, and after the urine rises, it slowly leaks out along the urethra, generally occurring mostly in patients with diabetes and after stroke. Most of the common clinical incontinence in elderly women is stress incontinence.  Urinary incontinence can not be fatal, but it seriously affects the quality of life of patients such as daily life and social activities, many patients are afraid to participate in social activities, and even afraid to go to relatives, afraid to visit the door. Urinary incontinence brings great physical pain and psychological stress to many middle-aged and elderly women. But people do not know enough about this disease, some think that people may be old, not a disease to see; some are afraid of jokes, it is difficult to say; some want to see the hospital also do not know which department to see, coupled with the previous surgical treatment is not effective, so many patients live in the torture of long-term pain.  Stress urinary incontinence with the advancement of technology, recently there are many kinds of surgical methods, the most exciting is the emergence of the sling suspension, by burying a synthetic mesh under the urethra, change the angle of the urethra, to achieve the purpose of treatment of urinary incontinence, such methods include TVT, TVT-O and TVT Secur. 2 years of sling surgery cure rate of up to 80-90%, significantly improving the patient’s condition. This has significantly improved the patient’s condition and quality of life. However, the cost of sling surgery is still relatively high, with sling prices ranging from 5,000 to 12,000. Of course, as the surgery itself, there are also some complications and the possibility of failure, the incidence of postoperative sling erosion 1.6-12%, there are about 20% of patients may have a recurrence, the current recurrence of patients for clinicians is still a problem.