How should female urinary incontinence be treated?

If you find that when you cough, exercise, laugh, involuntarily have urine leakage, you should be alerted to whether you suffer from urinary incontinence. Urinary incontinence patients, women account for more than 90%, which is caused by a variety of reasons such as short female urethra, sphincter muscle relaxation, and wide pelvic bones, weak muscle support, damage to the pelvic floor muscles caused by pregnancy and childbirth and the decline in estrogen levels in middle-aged women. Stress urinary incontinence accounts for the majority of urinary incontinence is divided into stress incontinence and urge incontinence. When coughing, sneezing, laughing, lifting heavy objects, etc. cause an increase in abdominal pressure, urine flows out of the urethra involuntarily, which is called stress urinary incontinence. The involuntary leakage of urine as soon as there is an urge to urinate, mostly accompanied by frequent, urgent and painful urination, is called urge incontinence and is mostly caused by urinary tract infections. In women with urinary incontinence, most of them are stressful, and some of them are both, called mixed incontinence. Stress incontinence is treated well in clinical practice. Urinary incontinence is classified as mild, moderate or severe according to the degree. The treatment varies greatly depending on the severity of incontinence. Functional exercise or oral medication is appropriate for mild and moderate stress incontinence, while surgery is appropriate for severe incontinence. Contraction training is guaranteed three times a day “The symptoms of urinary incontinence are mild, and I do not want to operate, is there an easy and effective way?” There is. The nerves that control the bowels and urine belong to the same one, and doing anal retraction training can help patients relieve the severity of incontinence. The specific method is to retract the anus for no less than 5 seconds each time, and do it for 15-30 minutes, 3 times a day. The method is a course of treatment for 6 weeks and 40% of patients will have varying degrees of improvement. For bladder training, patients first record their daily water intake and urination, fill out a bladder function training form, and consciously extend the interval between urination until it reaches about once every 3 hours. Urinary incontinence is relieved by suppressing the urge to urinate and delaying the duration of voiding. Patients with stress incontinence are reminded that if the desired results are not achieved through the above training, surgical solutions to incontinence are available. The procedure involves making three small 1 cm incisions below the urethra and on each side of the thigh, and placing a special sling under the bladder through a catheter. The sling acts as a stopper for the bladder to sag, and the tightness of the sling is used to make the incontinence disappear. This type of sling, called “TVT”, is suitable for women with stress incontinence, but there is no good treatment for women with urge incontinence or men with incontinence.