Where is there a specialty for urinary incontinence?

Written by Guan Hai Fang
Urology
Updated on September 16, 2024
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Generally speaking, urinary incontinence falls under the category of urology, though some aspects could also be seen by specialists in men's health, who can effectively treat symptoms of urinary incontinence. Generally, it is recommended that patients seek examination and treatment in public hospitals, as the treatment provided in private hospitals is often not as reliable. For patients with urinary incontinence, it is advisable to consult the urology department if visiting a hospital. The urology department primarily deals with diseases of the kidneys, ureters, bladder, and urethra. Typically, urinary incontinence involves issues with the urethra or bladder, which can lead to incontinence. Therefore, it is advisable for patients to visit a reputable public hospital and consult the urology department.

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Is it normal to have urinary incontinence with morning sickness during pregnancy?

Morning sickness and urinary incontinence are considered normal phenomena. If severe nausea and vomiting occur after pregnancy, it could increase abdominal pressure, leading to stress urinary incontinence. This condition is thought to be caused by the relaxation of pelvic floor muscles. It is crucial to actively engage in pelvic floor rehabilitation after childbirth to aid the recovery of the pelvic floor, to prevent symptoms like urinary incontinence and leakage when coughing postpartum. The best period for pelvic floor recovery is between 42 days to six months after childbirth. Engaging in pelvic floor rehabilitation during this period is beneficial for recovery. The longer the delay, the slower and more challenging the recovery will be.

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What are the clinical manifestations of urinary incontinence?

The clinical manifestation of urinary incontinence is primarily the involuntary leakage of urine, where the patient lacks the ability to control urination. Diagnosis mainly involves reviewing the patient's medical history and a physical examination, which in most cases is sufficient to understand the type and cause of the incontinence. A urodynamic test is crucial for a definitive diagnosis. The contents of the urodynamic examination include the assessment of bladder and urethral function. If a patient exhibits the aforementioned symptoms, they should visit the urology department of a hospital for formal evaluation and treatment.

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Can shock cause incontinence?

Shock patients often experience incontinence, which is very common in clinical settings. Various reasons can lead to shock, causing a decrease in the body's blood pressure. This results in severely inadequate perfusion of the brain, heart, and blood vessels, leading to the loss of control over the body's urinary and fecal reflexes and resulting in incontinence. Therefore, when shock occurs, we should strengthen nursing care, actively rehydrate, and actively treat the shock. It is also important to promptly identify and treat the cause of the shock. Only comprehensive treatment can save the patient's life. Moreover, enhancing nursing care is very important for shock patients, as they are prone to suffocation and incontinence.

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Will urinary incontinence heal itself after a vaginal delivery?

During natural childbirth, because it can damage pelvic floor function, causing issues such as bladder prolapse, uterine prolapse, and a series of other pelvic floor dysfunctions, some women may experience urinary incontinence after giving birth. If urinary incontinence occurs after natural childbirth, it suggests that the damage to the pelvic floor functions is quite severe, and these conditions generally cannot heal on their own. First, a pelvic floor function test should be conducted to assess the condition of the pelvic floor. If the damage to the pelvic floor is minor, it can be improved through machine-assisted treatment and performing Kegel exercises, which also help enhance pelvic floor functions. If the evaluation reveals severe prolapse, pelvic floor reconstructive surgery is required to suture the prolapsed bladder or uterus back into place, which can improve urinary incontinence. Therefore, urinary incontinence after natural childbirth generally does not heal on its own.

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Stress urinary incontinence clinical manifestations

The primary clinical manifestation of stress urinary incontinence is the leakage of urine from the urethra when sudden increases in intra-abdominal pressure occur, such as laughing, sneezing, or coughing. This condition is commonly seen in women who have given birth. It is mainly caused by the relaxation of the urethral sphincter and pelvic floor muscles after childbirth. The more childbirths a woman has, the higher the frequency of stress urinary incontinence. For mild symptoms, improvement can be achieved through pelvic floor muscle exercises. If necessary, medications such as Midodrine Hydrochloride tablets can be taken orally. For severe symptoms, surgery is recommended. (Medication should be used under the guidance of a doctor based on specific circumstances.)