How to treat urinary incontinence?

Written by Guan Hai Fang
Urology
Updated on April 18, 2025
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How to treat urinary incontinence: The most common cause of urinary incontinence is pelvic diaphragm dysfunction. The bladder is located above the pelvic diaphragm. In elderly people, especially elderly women, the pelvic diaphragm and tissues around the urethra are relaxed and weak. Increased abdominal pressure, such as from coughing or changes in body position, can lead to incontinence and stress urinary incontinence. Urinary incontinence is also seen in obstructions of the urethral opening and bladder outlet. Such diseases are more common in elderly women with vaginal inflammation, whereas in men, the main cause is benign prostatic hyperplasia. The third category involves bladder disorders itself, such as bladder tumors, bladder stones, and inflammations, all of which can cause urinary incontinence. Additionally, neurological disorders that control urination are also a significant cause of urinary incontinence in the elderly. Once the diagnosis of urinary incontinence is clear, symptomatic treatment should be adopted and most cases can be controlled. For inflammations, anti-inflammatory treatments can be used. For abnormalities in the bladder or urethra identified through cystourethrography, surgical treatment can be considered.

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Written by Guan Hai Fang
Urology
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How to treat urinary incontinence?

How to treat urinary incontinence: The most common cause of urinary incontinence is pelvic diaphragm dysfunction. The bladder is located above the pelvic diaphragm. In elderly people, especially elderly women, the pelvic diaphragm and tissues around the urethra are relaxed and weak. Increased abdominal pressure, such as from coughing or changes in body position, can lead to incontinence and stress urinary incontinence. Urinary incontinence is also seen in obstructions of the urethral opening and bladder outlet. Such diseases are more common in elderly women with vaginal inflammation, whereas in men, the main cause is benign prostatic hyperplasia. The third category involves bladder disorders itself, such as bladder tumors, bladder stones, and inflammations, all of which can cause urinary incontinence. Additionally, neurological disorders that control urination are also a significant cause of urinary incontinence in the elderly. Once the diagnosis of urinary incontinence is clear, symptomatic treatment should be adopted and most cases can be controlled. For inflammations, anti-inflammatory treatments can be used. For abnormalities in the bladder or urethra identified through cystourethrography, surgical treatment can be considered.

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Written by Chen Feng
Urology
53sec home-news-image

How much water should a patient with urinary incontinence drink each day?

Patients with urinary incontinence generally need a daily water intake of about 1000 to 2000 milliliters. Although those suffering from urinary incontinence may involuntarily excrete urine from the urethra, their water intake needs to be the same as that of normal individuals. Drinking more water is beneficial for the body, as it increases urine production, which can dilute the concentration of stone-forming substances in the urine, thus reducing the likelihood of developing urinary stones. Increased urine production due to higher water intake can promptly flush the urinary tract, especially washing away bacteria on the urethra, thereby reducing the chances of urinary tract infections. Furthermore, drinking more water increases urine production and promptly excretes metabolic waste products produced in the body through the urine, thus preventing the accumulation of metabolic products.

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Written by Wang Shuai
Urology
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Should I wear diapers for urinary incontinence?

Whether patients with urinary incontinence need to use diapers should be determined based on the severity of the incontinence. If it is only mild incontinence that does not affect normal work and life, it is not necessary to wear diapers. Regular urination schedules, along with exercises like pelvic lift and pelvic floor muscle training, can alleviate the condition. However, if the incontinence is more pronounced, it is best to initially use diapers to prevent excessive urine leakage. If necessary, a urinary catheter can be used temporarily to drain the urine and prevent leakage. At the same time, it is important to actively undergo relevant examinations to determine the cause of the incontinence and carry out targeted treatment.

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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 Chen Tian Jing
Colorectal Surgery
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What department should I go to for fecal incontinence?

If there is fecal incontinence, it is first necessary to determine the cause. If the incontinence is due to general neurological symptoms and neuropathy, then it is necessary to register for a neurology department consultation. If it is due to relaxation of the local anal sphincter, then registration with the proctology department is needed. Generally, for local sphincter relaxation causing fecal incontinence, an anal sphincter tightening procedure can be opted for, to provide local symptom relief. Additionally, it is important to also consider coordinating with traditional Chinese medicine enemas, which can enhance the mucosa within the rectum.