Coughing, laughing, sneezing, exercise, a little hard, urine but “leakage”, which makes many middle-aged and elderly women very embarrassed and distressed. This is incontinence. Experts pointed out that there is no need to endure urinary incontinence, just a small sling, a small surgery, ten minutes to solve this problem. Zhang Xuepei, Department of Urology, First Affiliated Hospital of Zhengzhou University Coughing, sneezing, laughing, urine but “leakage” A cough, a sneeze, a burst of laughter, urine leakage. Such a scenario is especially common among middle-aged and elderly women with a history of childbearing, which is very distressing to women and they are ashamed to talk about it. The medical term for this condition is “urinary incontinence”. Forbidden, i.e. control, idioms can not help it, can not help it is this meaning. Incontinence, is the loss of control, incontinence, is the involuntary flow of urine, naturally, women will be very embarrassed. Stress incontinence is the most common type of urinary incontinence, is due to coughing, sneezing, laughing or exercise, etc., resulting in a sudden rise in abdominal pressure, can not control the outflow of urine, mostly in women. Some surveys have shown that about 1/5 women have urinary incontinence after childbirth, and 60% of women over the age of 60 suffer from varying degrees of urinary incontinence. Why are so many women, embarrassed by incontinence? It is caused by damaged or weakened pelvic floor muscles. The pelvic floor muscles are a group of muscles at the bottom of the pelvis that support organs such as the bladder and uterus and control the sphincter muscles that open and close the urethra and rectum. A weakened and weak group of muscles, combined with a shorter urethra in women, makes them prone to urinary incontinence. “Childbirth, menopause, pelvic fractures, and certain surgeries can cause these muscles to weaken. Particularly in childbirth, a woman’s pelvic floor tissues have to bear the weight of the fetus for a long time during pregnancy, and she has to exert herself desperately in labor, during which time, if she then encounters accidents such as prolonged and difficult labor, the pelvic floor muscles can easily cause damage, resulting in postpartum urinary incontinence. Patients with urinary incontinence often wet their clothes and pants, and often have a bad smell, so they are reluctant to go out and limit their water intake, which seriously affects their quality of life and social activities, and they often suffer from psychological disorders such as depression and withdrawal, which is why urinary incontinence is also known as the “non-fatal social cancer”. A small sling that lifts the urethra to stop leakage Stress incontinence also has its own developmental process. Mild only in strenuous activities, coughing, sneezing, lifting heavy objects when the phenomenon of leakage, if walking fast, jumping aerobics, stairs or even haha a laugh will leak urine, it is already moderate. If you continue to let it develop, it will become severe incontinence, and you will leak urine as soon as you stand up. Before and in the early stages of urinary incontinence, you can exercise the pelvic floor muscles by lifting the anus: that is, naturally contracting the anus three times a day, each time 15-30 strokes, each stroke lasting 10 seconds. If the anal lifting exercise is not effective, it will be treated by surgery. Zhang Xuepei said, with the progress of medical technology, stress incontinence has a very good treatment, through a simple small surgery, you can get rid of the incontinence trouble. This surgery is called “tension-free urethral suspension”, is a special material made of sling into the body, when the intra-abdominal pressure increases, the sling instead of the function of the pelvic muscles, can be relatively elevated in the middle of the urethra, inhibit urine leakage. “In 2003, we, the First Affiliated Hospital of Zheng University, implemented the first sling surgery in our province, and have done nearly 500 cases so far, with an effective rate of 98 percent.” Zhang Xuepei said. Recently, a domestic latest type of “Aijia” sling used in clinical practice, the benefit of incontinence patients, “this new sling than the traditional sling has several advantages: First, only need to cut a 1.5 cm small incision, less trauma, the patient’s hospital stay is short Secondly, the operation only requires local anesthesia, the operation process Second, the operation only requires local anesthesia, the operation process, let the patient cough, to see if the sling is adjusted to the best, the doctor can adjust the sling according to the leakage of urine Third, the operation time is shortened to ten minutes, the effect is immediate Fourth, the sling is reasonably designed to alleviate the feeling of foreign bodies in the body, to avoid side effects such as leg pain Fifth, in the efficacy of the treatment, less trauma, fewer side effects under the premise of the treatment costs compared to the traditional sling surgery did not increase, both in the 15 thousand yuan or so. .” Zhang Xuepei proudly told reporters that the hospital implementation of the new sling surgery is the first in the country. Zhang Xuepei finally reminded, sling surgery is much less traumatic than the well-known appendicitis surgery, so incontinence patients really do not need to endure the pain of urine leakage.