Causes of stress urinary incontinence

Written by Wang Shuai
Urology
Updated on November 15, 2024
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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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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.)