Urinary incontinence treatment methods are many

  Urinary incontinence can occur at any age and in any gender, especially in women and the elderly. In addition to the physical discomfort, urinary incontinence is more importantly, it affects the quality of life of patients for a long time and seriously affects their psychological health, which is called the “non-fatal social cancer”. With the continuous improvement of technology, our department has gradually established a variety of treatment tools including medication, biofeedback therapy, pelvic floor muscle training, paraurethral filler injection, tension-free midurethral sling and artificial urethral sphincter implant, which are suitable for patients with different degrees of stress urinary incontinence of different genders. Based on providing patients with a variety of treatment options, we have formed a specialty with special features, and the efficiency of treatment has reached the same level internationally. The special treatment of urinary incontinence carried out in our department is introduced as follows: Biofeedback therapy + pelvic floor muscle training: Pure pelvic floor muscle training is often difficult to adhere to because patients cannot master the correct method, which affects the efficacy of the method. The MMS urodynamic checker purchased by our department in 2008 makes pelvic floor muscle training more intuitive and easy to grasp through biofeedback technology, which improves the effect of training and can maintain a relatively long effective duration.  Paraurethral filler injection: This method injects filler into the submucosa of the endourethral orifice under direct endoscopic vision to narrow and elongate the urethral cavity to improve urethral resistance, lengthen the length of the functional urethra, and increase the closure of the endourethral orifice for urinary control purposes. This method is suitable for stress urinary incontinence caused by various reasons, and has the advantages of low trauma and low complication rate, especially for those who cannot tolerate anesthesia and open surgery with serious comorbidities, and the short-term efficiency can reach 80%, but the long-term efficacy is slightly poor, and repeated injections are needed to strengthen the efficacy.  Tension-free midurethral sling: This procedure is the first choice for the treatment of moderate to severe stress urinary incontinence in women, and has the advantages of stable efficacy, minimal injury, few complications, and short hospital stay. Depending on the type and location of the sling, the procedure is divided into TVT, TVT-O and TVT-S. We select one of TVT, TVT-O, and TVT-S according to each patient’s specific situation, so that the treatment efficiency can reach more than 90%.  Artificial urethral sphincter implantation: This procedure has become the gold standard for the treatment of urinary incontinence due to urethral sphincter deficiency. A cuff of the artificial urethral sphincter is placed in the proximal urethra to create circumferential compression of the urethra. After surgery the patient can control urination manually and autonomously. It is indicated for post-prostatectomy incontinence, neurogenic bladder incontinence with hypotension, and sphincter damage due to trauma. It is less used in the treatment of female stress urinary incontinence and is mainly used in patients with type III stress urinary incontinence. The AMS 800 artificial urethral sphincter system applied in our department consists of a reservoir bladder, a cuff, a control pump and a tube connecting the three parts. The clever combination of a pressure-boosting system and a pressure-reducing system into a control pump simplifies the implantation procedure and improves stability. The procedure helped patients to get rid of the pain of wearing urinary pads for a long time and to be able to urinate on their own, allowing them to regain confidence and return to society.