What are the symptoms of urinary incontinence?

Written by Wang Shuai
Urology
Updated on September 12, 2024
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Urinary incontinence mainly refers to the uncontrolled flow of urine from the urethral opening. There are several types of urinary incontinence, including stress incontinence, urge incontinence, overflow incontinence, tension incontinence, and neurogenic incontinence. Stress incontinence, commonly seen in women who have given birth, mainly refers to the leakage of urine from the urethral opening during actions that increase abdominal pressure, such as coughing, jumping rope, or sneezing. Urge incontinence is commonly seen in acute cases of bladder inflammation, where the inflammation stimulates the bladder, causing the patient to have a strong urge to urinate, thus losing control over urination, with urine flowing out from the urethral opening. Neurogenic incontinence is due to nerve damage, such as after spinal injury, leading to loss of bladder and urinary muscle function, causing urine to continuously flow out from the urethral opening.

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Written by Zou De Bo
Urology
37sec home-news-image

"What tests should be done for urinary incontinence?"

Urinary incontinence is due to damage to the bladder sphincter or nerve dysfunction, resulting in the loss of voluntary control over urination, causing involuntary leakage of urine. This condition is more common in females than males, especially in women over fifty years of age. Some routine examinations for this condition include: First, urinalysis. Second, measuring residual urine volume, cystourethrography, bladder pressure tests, and then standing cystography. Additionally, tests such as urodynamic studies are helpful.

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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 Yang Dong
Colorectal Surgery Department
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How to recover from fecal incontinence?

For fecal incontinence, we must first conduct an effective evaluation and complete relevant examinations. For instance, we need to perform anal canal pressure measurements and examine the anal sphincter muscle imaging. Through these examinations, we can determine the extent of fecal incontinence and then adopt corresponding treatment methods. For fecal incontinence, we can initially choose conservative treatments, such as treatment with biofeedback therapy.

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Written by Chen Xiao Jun
Emergency Department
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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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Written by Wang Shuai
Urology
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What are the characteristics of the various types of urinary incontinence?

There are several types of urinary incontinence, common ones include stress incontinence, urge incontinence, overflow incontinence, and true incontinence. Stress incontinence, which is common in clinical practice, primarily occurs in women, especially in those who have given birth, are obese, or are elderly. It is characterized by the involuntary leakage of urine through the urethra during coughing, laughing, or sneezing. Urge incontinence, often seen in acute bladder inflammation, usually presents with symptoms such as frequent urination, urgency, painful urination, and pain in the lower abdomen before the onset of incontinence. Overflow incontinence is more common in elderly men, caused by urinary obstructions, such as those resulting from prostatic hyperplasia compressing the urethra, leading to urinary retention. In this case, the patient's bladder area may exhibit significant distension and tenderness. True incontinence is often seen in cases of neurological damage, such as from spinal injury or intracranial disorders.