Does spinal bifida cause urinary incontinence during the day?

Written by Chen Yu Fei

Neurosurgery

Updated on September 08, 2024

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For patients with spina bifida, if it is occult spina bifida, they generally exhibit nocturnal enuresis, with rare instances of urinary incontinence during the day. For patients with manifest spina bifida, they may experience urinary incontinence during the day. Therefore, for patients with manifest spina bifida, it is usually recommended to perform surgical treatment at an early stage, with earlier surgery leading to better outcomes. It is generally advised for patients with manifest spina bifida to undergo surgery to effectively remove the locally protruding mass and to carefully clear the adherent nerve roots below, while monitoring changes in the patient's condition.

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Written by Zhang Lu

Obstetrics

1min 6sec

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How to recover from urinary incontinence after natural childbirth

Vaginal delivery refers to childbirth through the vagina, and while it has many benefits, it also has certain drawbacks. The biggest disadvantage is that it can cause damage to a woman's pelvic floor, leading to conditions such as uterine prolapse and bladder prolapse, which manifest as urinary leakage or incontinence. If urinary incontinence occurs after vaginal delivery, it can be addressed through the following methods: First, one can perform Kegel exercises at home. Kegel exercises are a set of movements that contract the muscles of the pelvic floor, which can help alleviate urinary incontinence, though the effect may be weak. Second, for patients with significant urinary leakage or incontinence, it is recommended to seek hospital treatment with machine-assisted therapy, primarily using electrical stimulation of the pelvic floor muscles to promote contraction and improve symptoms of incontinence. Third, if the above methods are ineffective, an evaluation of pelvic floor function should be conducted, and if necessary, pelvic floor repair surgery should be performed.

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Written by Liu Hong Mei

Neurology

54sec

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What causes sudden fainting and incontinence?

Sudden fainting accompanied by incontinence can be due to neurogenic syncope, cardiogenic syncope, or vasovagal syncope. Neurogenic syncope generally refers to sudden fainting caused by conditions such as cerebral arteriosclerosis, cerebral vascular narrowing, cerebral vascular occlusion, transient cerebral ischemia, insufficient blood supply from the vertebrobasilar arteries, cerebral embolism, cerebral hemorrhage, intracranial space-occupying lesions, or cerebral vascular malformations, which can lead to incontinence and, in severe cases, convulsions. Cardiogenic syncope is generally caused by myocardial ischemia, myocardial infarction, arrhythmia, or heart failure, leading to a decrease in cardiac output and resulting secondary cerebral ischemia and hypoxia, which cause loss of consciousness.

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Written by Wang Shuai

Urology

46sec

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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

47sec

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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.

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Written by Zhang Hui

Neurology

57sec

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Can spinal inflammation urinary incontinence be cured?

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.