Leakage of urine when sneezing suggests stress urinary incontinence, which requires systematic examination, lifestyle intervention, treatment of the primary disease, drug therapy and surgical treatment.
1. Systematic examination: For patients who leak urine whenever they sneeze, systematic examination is conducted first. Physical examination is conducted to check whether there is pelvic organ prolapse and to test the contractility of pelvic floor muscles. The doctor takes a pressure-induced test to check the maximum functional bladder capacity and residual urine, and performs a urodynamic examination.
2. Intervene in lifestyle: mainly for obese people to reduce body mass index, quit drinking and smoking, avoid or reduce activities that increase abdominal pressure.
3. Treatment of primary disease: constipation, lung disease, etc. need to be treated in a timely manner to avoid causing further increase in abdominal pressure.
4. Drug therapy: the use of alpha agonists and estrogen in mild to moderate patients can reduce the number of urine leakage and improve life therapy.
5. Surgical treatment: non-surgical methods of treatment is not effective or leakage of urine is serious patients need to be considered for surgical treatment, the use of mid-urethral sling surgery, transabdominal retropubic bladder neck suspension surgery and other surgical procedures.
A sneeze leakage of urine, you can go to the hospital in time, follow the doctor’s instructions reasonable treatment.