Should I wear diapers for urinary incontinence?

Written by Wang Shuai
Urology
Updated on January 25, 2025
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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 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 Tian Jing
Colorectal Surgery
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What medicine to take for fecal incontinence?

There are many causes of fecal incontinence, and it is first necessary to further clarify the cause. Most cases of fecal incontinence are mainly due to excessive relaxation of the local anal sphincter or damage to the patient's nervous system, thus requiring oral medication to treat the nervous system. When there is relaxation of the local anal sphincter, simply taking oral medication does not have significant local therapeutic effects. The most effective method is to directly perform a sphincter tightening surgery. After the local sphincter is tightened surgically, it can control the excretion of feces, thereby further alleviating the situation of fecal incontinence. If the patient also has a neurological disorder, it is necessary to actively treat the underlying disease. (The use of medications should be done under the guidance of a doctor.)

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Written by Zhang Hui
Neurology
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Can spinal inflammation urinary incontinence be cured?

Patients with myelitis often experience urinary incontinence because the condition affects the function of the autonomic nerves, which primarily govern the control of urination and defecation. Symptoms may include urinary incontinence, urinary frequency, or urinary retention. To treat urinary incontinence, it is first necessary to treat acute myelitis. Treatment must be timely, involving the administration of corticosteroids to suppress the inflammatory response and promote recovery from myelitis. Additionally, B vitamins should be administered to nourish the nerves and accelerate nerve repair. Moreover, adjunctive rehabilitation therapy is also crucial. For urinary incontinence, rehabilitation physicians may offer interventions such as acupuncture and training for the bladder sphincter muscle function. Most patients have a relatively good prognosis after treatment and can be cured.

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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 causes sudden fainting and incontinence?

Sudden fainting accompanied by incontinence can be due to neurogenic syncope, cardiogenic syncope, or vasovagal syncope. Neurogenic syncope generally refers to sudden fainting caused by conditions such as cerebral arteriosclerosis, cerebral vascular narrowing, cerebral vascular occlusion, transient cerebral ischemia, insufficient blood supply from the vertebrobasilar arteries, cerebral embolism, cerebral hemorrhage, intracranial space-occupying lesions, or cerebral vascular malformations, which can lead to incontinence and, in severe cases, convulsions. Cardiogenic syncope is generally caused by myocardial ischemia, myocardial infarction, arrhythmia, or heart failure, leading to a decrease in cardiac output and resulting secondary cerebral ischemia and hypoxia, which cause loss of consciousness.