What is the difference between genuine urinary incontinence and pseudo urinary incontinence?

Written by Chen Feng
Urology
Updated on February 02, 2025
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Genuine urinary incontinence generally occurs due to incomplete closure of the urethral sphincter, or due to insufficient urethral closure pressure. As a result, patients will show continuous leakage of urine from the urethra or involuntary urine discharge from the urethra when there is an increase in intra-abdominal pressure, such as during sneezing, coughing, or performing strenuous physical activities. Genuine urinary incontinence includes both continuous and stress urinary incontinence. Pseudo urinary incontinence is generally due to urethral stricture, commonly seen with conditions such as prostatic hyperplasia or urethral stones. The urethral stricture prevents urine from being expelled from the bladder. When the bladder becomes overly full, urine overflows through the urethra, a condition also known as overflow incontinence.

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Colorectal Surgery
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Can fecal incontinence be recovered?

If fecal incontinence occurs, the first step is to identify the main cause of the fecal incontinence. If it is caused by relaxation of the anal sphincter and anal canal, then surgery can be performed to tighten this area, specifically through an anal tightening procedure, which can restore control over fecal incontinence. If the patient has other underlying diseases or is elderly and frail, accompanied by changes in the nervous system, the symptoms of fecal incontinence may be alleviated through medication or physical therapy, but complete recovery is unlikely. This is because the recovery of the nervous system requires the integrated regulation of other bodily organs and functions. If there are multiple underlying diseases or if the patient is elderly and frail, especially in the later stages of coma, recovery is difficult.

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Written by Wang Shuai
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Causes of stress urinary incontinence

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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Written by Du Rui Xia
Obstetrics
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Can I eat mutton for postpartum urinary incontinence?

In cases of postpartum urinary incontinence, it is acceptable for new mothers to consume lamb in moderation. Lamb is highly nutritious, rich in protein, as well as vitamins and minerals. It can enhance the physical immunity of postpartum women and is also helpful in improving postpartum urinary incontinence. When urinary incontinence occurs, it is necessary to first visit a hospital for an examination to assess the severity of the condition and to choose an appropriate treatment method. Generally, mild urinary incontinence can be improved over time with proper care and can return to normal. However, severe urinary incontinence may require surgical treatment. It is important to rest, strengthen nutrition, and ensure adequate sleep.

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Written by Wang Shuai
Urology
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How to treat stress urinary incontinence?

Stress urinary incontinence is commonly seen in women who have given birth, with the likelihood of occurring increasing with the number of childbirths. It primarily manifests as urine leakage through the urethral opening when there is an increase in abdominal pressure from coughing, sneezing, laughing, or lifting heavy objects. For mild urinary incontinence, improvement can be achieved through pelvic floor and urinary sphincter muscle exercises. For moderate to severe stress urinary incontinence, it is recommended to seek surgical treatment early. This can involve mid-urethral sling procedures to control urination. Post-surgery, it is also necessary to minimize situations that suddenly increase intra-abdominal pressure.

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Colorectal Surgery
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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.