What is incontinence?

First, the alarming prevalence According to the authoritative academic journal of urology, the prevalence of urinary incontinence increases with age, in adult women can reach 25~45%! In the middle-aged and elderly women is even more 30 to 60%! In other words, one-third to one-half of the middle-aged and elderly women around you suffer from different degrees of urinary incontinence. In every clinic, there are many female patients who come to the clinic with the main complaint of urinary incontinence. Urinary incontinence includes stress, urgency, filling, mixed, etc., of which stress incontinence is the most common, accounting for 40% to 50%. This article will focus on female stress incontinence. Second, annoying symptoms Coughing, sneezing, laughing, lifting heavy objects, running and other activities when there is urine overflow from the urethral orifice, and in severe cases, there is also urine overflow when resting. Shopping malls to leakage, holding grandchildren to leakage, sanitary napkins can not be less, square dance can not dance, seriously affecting the quality of life. Outpatient clinic, often encountered female patients complained about this, and even some patients do not want to socialize, unwilling to go out because of urinary incontinence. Stress incontinence according to the severity of the symptoms are divided into: mild: coughing, sneezing, laughing occasionally incontinence. Moderate: Frequent incontinence when abdominal pressure increases and standing up activities, need to wear a pad to live. Severe: standing up or lying position change that incontinence, seriously affecting the life and social. Third, the annoying causes of aging, childbirth, obesity is the three major problems plaguing women, but also the three major causes of urinary incontinence. Aging: After menopause, women’s estrogen level decreases so that the mucous membrane of the urethra becomes thin and the tension decreases. Production damage: multiple childbirth, urethral bulge, uterine prolapse, etc. so that the pelvic muscles are subject to varying degrees of damage, urinary control ability to decline. Obesity: old age, accumulation of abdominal fat, increased abdominal pressure on the bladder to produce greater pressure. It should be noted that trauma, deformity and other causes, can also cause urinary incontinence manifestation, outpatient need to be carefully examined, reasonably identified, targeted treatment! Fourth, the pleasing effect of the treatment of stress urinary incontinence not combined with urinary frequency and urgency, simple drug treatment is often ineffective! Behavioral and surgical treatments are the mainstay. Behavioral treatment includes weight reduction, avoiding postpartum weight bearing, pelvic floor muscle training, and maintaining a regular sex life. Pelvic floor muscle training has a short-term effectiveness rate of 85%, but many patients report difficulty in adhering to it. After diagnosis, the urologist should instruct the patient to perform pelvic floor muscle training.