Can you sit for a long time with postpartum urinary incontinence?

Written by Du Rui Xia
Obstetrics
Updated on January 08, 2025
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When postpartum urinary incontinence occurs, it is not advisable for the mother to sit for extended periods. This is because urinary incontinence in women is primarily due to pelvic floor muscle dysfunction. Sitting for long periods is detrimental to the recovery of pelvic floor muscle function. It is recommended that women pay attention to rest, avoid prolonged walking or standing, and also avoid sitting for long periods. Rest is important, as is ensuring adequate sleep and enhancing nutrition by consuming foods rich in protein and vitamins. It is advised to seek early pelvic floor rehabilitation training at a hospital and to adhere to the rehabilitation exercises. Generally, good recovery can be achieved within six months.

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How to care for incontinence-associated dermatitis

The care for incontinence-associated dermatitis primarily involves keeping the affected skin clean and dry. It is important to avoid skin contact with urine as much as possible. If the skin does come into contact with urine, it should be washed promptly and kept clean and dry. If there is itching or discomfort at the site of the dermatitis, topical corticosteroid ointments may be used to alleviate the itching. Some patients might also develop infections, typically bacterial, which can be managed with antibiotics. For patients with recurrent dermatitis, considering bladder fistulation or other treatment methods might be necessary to prevent skin contact with urine.

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Can fecal incontinence be cancer?

The most common causes of fecal incontinence are neurological dysfunction or relaxation of the local anal sphincter. In some cases of advanced rectal cancer, excessive tumor growth can enlarge the local intestinal contents, leading to involuntary expulsion of feces. Diagnosis involves further examination using electronic colonoscopy, digital anal examination, and assessment of neurological function. If the cause is related to a neurological disorder, treatment by a neurologist is required. If the cause is relaxation of the anal sphincter, then anal sphincter tightening surgery may be considered. In cases where fecal incontinence is caused by an intestinal tumor, surgery to remove the tumor is recommended, along with radiation or chemotherapy.

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Written by Zhou Yan
Geriatrics
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Can elderly people with prostate enlargement experience urinary incontinence?

In the advanced stages of lower urinary tract obstructive diseases caused by prostate enlargement, overflow urinary incontinence can occur. After chronic urinary retention caused by prostate enlargement, if the bladder is extremely full, the pressure inside the bladder can exceed the resistance of the normal urethral sphincter, allowing urine to overflow through the urethra. Additionally, pressure incontinence can also be caused by damage to the external urethral sphincter or to the perineal and urethral areas following prostate surgery due to prostate enlargement.

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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.

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Does spinal bifida cause urinary incontinence during the day?

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.