"My mother has recently aggravated the phenomenon of urine leakage, I used to cough and exercise, and there would be involuntary urine outflow when I used to take traditional Chinese medicine, needles, and medicine, but there was no effect, and there was no further **, and I didn't pay attention to it. What should I do if I move in the last few months, and it will leak urine and affect my normal life?Ms. Wang** asked.
Should the elderly still have urine leakage?
After urinary incontinence, some middle-aged and elderly people may be embarrassed, or not very serious, or use elderly diapers and not go, which is not right. Urinary incontinence, although not a malignant tumor, can have a significant impact on quality of life. When urine leakage occurs in the elderly, the first thing to check is the cause of urine leakage.
Depending on the cause, there will be different ways to incontinence. In the case of the most common stress urinary incontinence, most of them can be solved, so don't be ashamed to talk about it and seek a regular, professional doctor to solve the problem. Ms. Wang's mother has stress urinary incontinence, and increased abdominal pressure will cause urine leakage. In principle, you should start with lifestyle changes and combine medicationsSurgery is generally the last option. However, if the early ** effect is not good, or the patient is already severe urinary incontinence, then surgery is required as soon as possible, Ms. Wang's mother's condition is relatively serious, and urine will leak when she moves, so we recommend surgery**.
Before urinary incontinence**, first**and**.
If it is because of the increase in abdominal pressure, laughter, coughing, and strenuous exercise, urine will be involuntarily leaked, we call it stress urinary incontinence, like many elderly people dance square dances, and urine leakage will occur when the movement is a little bigger, which is also a typical manifestation of stress urinary incontinence.
It may also be a problem with the urethral or pelvic floor muscles, a problem with the outlet, always incomplete or easy to open, or a bladder that does not control the flow of urine when the pressure increases.
But in fact, many patients now have a mixture of urge incontinence and stress incontinence, which is called mixed urinary incontinence.
Due to the weak pelvic floor muscles, married childbirth, multiple pregnancies, obesity and other reasons for female friends, the bladder and urethra caused by urinary incontinence just mentioned may occur. A lot of people don't take it seriously and don't go **, it's not right. If you have frequent urination, urgency, urine leakage, or some underlying diseases, you should pay more attention. For example, in diabetes mellitus, there is full urinary incontinence, the bladder is completely infunctional, and milliliters of urine are stored in it, and the urine pressure is too great, so the bladder has no feeling, and this situation is worse. Some people have severe conditions that can affect self-confidence, socialize and improve quality of life.
Severe urinary frequency, urgency, and leakage should be evaluated in detail at the hospital. Look at whether it is a problem with the urethra, bladder, nervous system, and endocrine system.
What should I do if I have stress urinary incontinence?
Ms. Wang's mother was able to undergo surgery** and underwent a systematic evaluation before the surgery. Especially for the mixed urinary incontinence mentioned earlier, it is necessary to solve the urge incontinence first, so that the best effect is good. Because some patients have urinary urgency symptoms under control, the symptoms of urinary incontinence will also be reduced, and at the same time, it is found that there are no comorbidities, whether there is pelvic floor organ prolapse, etc., if there is, it is necessary to perform simultaneous or staged surgery. The principle of surgery is to do a tunnel under the bladder neck to insert the sling, form a small tension, compress the urethral sling at the middle urethra, the effective rate is 98%, and the tension-free midurethral sling is mainly divided into transpubic postpubic tension-free midurethral sling, transobturator tension-free midurethral suspension, and the appropriate surgical path should be selected according to the specific situation of the patient. For young patients, it is recommended to undergo retropubic suspension surgery, so that the mesh of the sling in the ** will be very small, and it will not affect the sexual life after surgery. You can also choose some biomesh, which will be smaller.