What should I do about urinary incontinence due to brain atrophy?

Written by Shi De Quan

Neurology

Updated on February 13, 2025

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Urinary incontinence due to brain atrophy is mainly because the brain centers controlling urination and defecation have atrophied. This can be caused by vascular reasons leading to brain atrophy, such as cerebral infarction or hemorrhage affecting the adjacent centrolobular region, leading to urinary incontinence. Therefore, treatment should primarily target the underlying disease. Rehabilitation treatments are recommended, particularly traditional Chinese medicine methods like acupuncture and moxibustion. Modern rehabilitation, establishing regular urinary habits, and pelvic floor rehabilitation are also beneficial for treating urinary incontinence. Additionally, both traditional Chinese medicine and Western medicine can be used for treatment.

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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 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.

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Written by Zhang Hui

Neurology

1min 23sec

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What to do about urinary incontinence in dementia in the elderly?

Dementia in the elderly is a degenerative neurological disease, and there are currently no particularly effective treatments. In the later stages, it is very common for the elderly to experience urinary incontinence. This is mainly because in the later stages, the autonomic nervous system is affected. Damage to the autonomic nerves leads to dysfunction of the sphincter muscles, resulting in urinary incontinence. Currently, there are no particularly good treatments for urinary incontinence caused by dementia, but some common methods are as follows. First, it is important to kindly remind and encourage the elderly to go to the bathroom frequently, asking every one to two hours whether they feel the need to urinate, which can help avoid urinary incontinence. Second, bathrooms must have conspicuous signs that are prominently placed to help the elderly locate the restrooms easily. Third, when necessary, the elderly can be given diapers to wear to avoid embarrassment from wetting their pants. Also, it's crucial to provide psychological comfort to the elderly and avoid causing them excessive psychological burden. Additionally, other causes must be ruled out. If there is a urinary tract infection or some other urinary system disease causing the incontinence, treatment of the primary disease should be undertaken.

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Written by Chen Bao Chun

Urology

53sec

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How do I deal with painful urination followed by urinary incontinence?

Painful urination followed by urinary incontinence is considered to be due to a urinary tract infection causing urge incontinence. When this occurs, the patient needs to undergo a routine urine test to confirm that it is caused by a urinary tract infection. Initial treatment can involve oral antibiotics to address the infection. After controlling the urinary tract infection, the incontinence will be alleviated or cured. There are also other causes of painful urination and urge incontinence, such as interstitial cystitis or glandular cystitis, which are special bladder diseases. These conditions require further investigation with urinary system ultrasound or cystoscopy for a definitive diagnosis. Treatment then follows based on the specific cause, and after treating conditions like interstitial cystitis, the incontinence will be relieved or cured.

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Written by Zhou Yan

Geriatrics

1min 2sec

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What causes urinary incontinence in the elderly?

Urinary incontinence in the elderly varies due to different mechanisms and types, with the two most common categories being genuine urinary incontinence, which is due to neurogenic bladder dysfunction or overactive detrusor muscles, damage to the urethral sphincter, or loss of bladder storage function. These are commonly seen in conditions like chronic stroke, dementia, Parkinson's disease, and psychiatric diseases. The other major category is caused by relaxation of the urethral sphincter or pelvic floor muscles surrounding the urethra, leading to reduced urethral pressure. Incontinence in this category may occur when negative pressure increases, such as during coughing, sneezing, straining during bowel movements, or changing body position. This type of urinary incontinence is more common in elderly women and in elderly men who have had prostate removal, leading to damage to the external urethral sphincter.