What are the methods for treating female urinary incontinence and incomplete bladder emptying?

Written by Wang Shuai
Urology
Updated on December 17, 2024
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There are several causes of urinary incontinence in women as well as types of urinary incontinence. The treatment method needs to be based on the specific type of urinary incontinence. For mild stress urinary incontinence, it can be improved through pelvic floor muscle exercises. For more severe cases of stress urinary incontinence, surgery may be required. If the incontinence is due to acute cystitis, it is necessary to use antibiotics in a timely manner for treatment. Once the inflammation is controlled, the symptoms will also alleviate. However, if the urinary incontinence is caused by damage to the nervous system, there are no effective treatment methods.

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Written by Wang Shuai
Urology
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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.)

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Written by Wang Shuai
Urology
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How many types of urinary incontinence are there?

Urinary incontinence refers to the uncontrolled release of urine through the urethra. There are several types of urinary incontinence, including urge incontinence, stress incontinence, overflow incontinence, and true incontinence, each requiring treatment tailored to the specific type. The most common type is stress incontinence, which is often seen in women who have given birth. It is mainly caused by relaxation of the bladder sphincter and typically occurs when sudden increases in abdominal pressure, such as during coughing, laughing, or lifting heavy objects, cause urine to flow from the urethra. If the symptoms are mild, improvement can be achieved through exercises for the pelvic floor and bladder sphincter muscles. If the symptoms are severe, surgical treatment is recommended.

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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 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 Du Rui Xia
Obstetrics
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Does postpartum urinary incontinence require surgery?

In cases of postpartum urinary incontinence, treatment should be selectively based on the individual condition of the mother. For those with mild postpartum urinary incontinence symptoms, normal recovery can be achieved through effective physical exercise and a period of rest and recuperation. However, in severe cases of urinary incontinence, surgery is also a treatment option. Therefore, the treatment for postpartum urinary incontinence should be determined based on the specific cause and severity of the condition. It is not limited to surgical treatment alone, so it is necessary to conduct an examination first and then choose the method of treatment.