Can spinal inflammation urinary incontinence be cured?

Written by Zhang Hui
Neurology
Updated on September 20, 2024
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Patients with myelitis often experience urinary incontinence because the condition affects the function of the autonomic nerves, which primarily govern the control of urination and defecation. Symptoms may include urinary incontinence, urinary frequency, or urinary retention. To treat urinary incontinence, it is first necessary to treat acute myelitis. Treatment must be timely, involving the administration of corticosteroids to suppress the inflammatory response and promote recovery from myelitis. Additionally, B vitamins should be administered to nourish the nerves and accelerate nerve repair. Moreover, adjunctive rehabilitation therapy is also crucial. For urinary incontinence, rehabilitation physicians may offer interventions such as acupuncture and training for the bladder sphincter muscle function. Most patients have a relatively good prognosis after treatment and can be cured.

Other Voices

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Written by Liu Hong Mei
Neurology
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What should I do if I feel dizzy, nauseous, want to vomit, and have urinary incontinence?

Dizziness, nausea, vomiting, and urinary incontinence may be related to neurasthenia, autonomic dysfunction, smoking, alcohol abuse, staying up late, excessive tension, excessive fatigue, urinary system inflammation, urinary tract infections, and stones. It is important to pay attention to rest, ensure adequate sleep, eat a light diet, eat less greasy food, eat less spicy and stimulating food, quit smoking and drinking, prevent colds and infections, maintain a good mood and attitude, avoid emotional excitement and excessive stress, avoid strenuous activities, and regularly monitor blood pressure, blood lipids, and blood sugar.

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Written by Wang Shuai
Urology
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How to treat stress urinary incontinence?

Stress urinary incontinence is commonly seen in women who have given birth, with the likelihood of occurring increasing with the number of childbirths. It primarily manifests as urine leakage through the urethral opening when there is an increase in abdominal pressure from coughing, sneezing, laughing, or lifting heavy objects. For mild urinary incontinence, improvement can be achieved through pelvic floor and urinary sphincter muscle exercises. For moderate to severe stress urinary incontinence, it is recommended to seek surgical treatment early. This can involve mid-urethral sling procedures to control urination. Post-surgery, it is also necessary to minimize situations that suddenly increase intra-abdominal pressure.

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Written by Chen Yu Fei
Neurosurgery
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What should I do if spinal bifida causes fecal incontinence?

When patients with spina bifida experience fecal incontinence, it generally indicates that the condition is quite severe and often requires prompt treatment. Many of these patients have an overt form of spina bifida. In such cases, a localized bulging mass can be found at the lower back, possibly accompanied by protruding spinal cord, meninges, and nerve roots. For these patients, early surgical intervention is recommended. Clinically, surgery is usually advised to remove the bulging mass and effectively separate and release the adhered nerve roots. If possible, it is best to reposition them back into the spinal canal to achieve the surgical treatment goals. Such surgeries are generally recommended to be performed at well-known, top-tier hospitals locally.

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Written by Wang Shuai
Urology
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Causes of stress urinary incontinence

The onset of stress urinary incontinence primarily refers to the phenomenon where a sudden increase in abdominal pressure during activities such as laughing, sneezing, lifting heavy objects, or jumping rope causes a small amount of urine to leak from the urethra. The main cause of stress urinary incontinence is due to the relaxation of the detrusor muscle, commonly seen in women who have had multiple vaginal deliveries. Treatment for this condition should be based on the severity of the incontinence. For mild incontinence, it can be improved through functional exercises of the detrusor muscle and pelvic floor muscle training. For moderate to severe stress urinary incontinence, surgical treatment is recommended.

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Written by Du Rui Xia
Obstetrics
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Can you have intercourse with postpartum urinary incontinence?

Postpartum urinary incontinence should preclude sexual intercourse, as intercourse can exacerbate the condition. It is necessary to wait until recovery is achieved before resuming sexual activities. It is advised that patients promptly seek hospital treatment for pelvic floor muscle rehabilitation, which can generally bring effective relief within six months. If recovery begins after more than six months, the results can be poor. It is also important to develop good living habits, ensuring adequate sleep, avoiding fatigue, and refraining from heavy physical labor. Proper bowel movements should be maintained to prevent constipation, which can increase abdominal pressure and worsen urinary incontinence.