Do you leak urine when you cough or sneeze?
Do you leak urine when you bend over, squat, or lift something?
Do you leak urine when you walk briskly or jog or do other exercises?
If you've experienced any of the above to a greater or lesser extent, then you should beware of "stress incontinence"!
Why are female friends prone to stress urinary incontinence?
As women age, the pelvic floor muscles become relaxed, and pregnancy and childbirth can aggravate the damage to the pelvic floor muscles, and the increased abdominal pressure can cause urinary incontinence. In postmenopausal women, estrogen deficiency can cause urethral mucosal atrophy, and obesity and long-term constipation are also triggers for stress urinary incontinence.
Female friends remember these 5 tricks and refuse to "leak urine" to live freely!
1. First of all, it must be timely medical treatment. But which department to find is particular!
Generally, urology can be diagnosed and **, and some hospitals have pelvic floor disease departments.
The doctor will usually ask you to do some tests according to the needs of the condition, such as "urodynamic test", "urinalysis", "pelvic floor electromyography monitoring", etc. The purpose of the examination is to clarify the degree and type of urinary incontinence, so as to clarify the ** method (according to the different conditions, there may be different ** means such as surgery, drugs, physical rehabilitation, etc.).
Initial evaluation: stress test and acupressure test, urinalysis test;A midstream urine culture is performed in patients with a positive urinalysis or lower urinary tract symptoms, and a drug susceptibility test and antibiotics** are indicated in patients with a positive urine culture (to rule out abnormal voiding due to infection). The initial assessment also includes a 3-day voiding diary of work and rest status (which can accurately record the patient's urination, urinary incontinence status and frequency, and can be used as a means of evaluation of the first effect), and the content of the voiding diary includes the time of each urination, the amount of urination, the time and type of urine leakage.
2. For mild stress urinary incontinence, you can use conservative **, pelvic floor muscle training, electrical stimulation** and other methods. Pelvic floor muscle exercises, also known as Kegel exercises: they are by far the simplest, easyest, safest and most effective pelvic floor exercises. The right exercise method can strengthen the weak pelvic floor musculature and enhance pelvic floor support. You can also use a pelvic floor device, that is, a dumbbell to assist in the exercise of pelvic floor muscles, and patients can consolidate and maintain the effect of pelvic floor at home. The pelvic floor ** organ is mainly divided into 5 weight classes, gradually increasing, with the characteristics of simplicity, convenience, safety and effectiveness, and belongs to primary biofeedback. Its advantages are that the cost is relatively low, it is easy to use, it can be used for home workouts, and it can be used for a long time, which is simple and easy. However, it is necessary to pay attention to the rubber rope at the tail when operating, so as to facilitate the removal of the rubber rope at the end. When contracting pelvic floor muscles, avoid contracting muscles such as the abdominal muscles and glutes and focus on pelvic floor muscle contraction exercises. In addition, it should be noted that step by step, gradually increase the difficulty and intensity, and generally evaluate the ** effect again after 3 months of training.
It can also be exercised through electrical stimulation and biofeedback of pelvic floor muscles, and it is necessary to apply relevant equipment for training in medical institutions to strengthen the voluntary contraction of muscles and improve the tension and strength of pelvic floor muscles.
3. Control weight and lifestyle adjustment.
Reduced body weight - **Obesity is a clear association with stress urinary incontinence in women, especially those with a body mass index (BMI) of 30 kg. Losing weight can improve symptoms of urinary incontinence. Quit smoking, reduce consumption of caffeinated beverages and alcohol, and avoid or reduce activities that increase abdominal pressure. Although there is no clear evidence that smoking, caffeine, alcohol, and physical activity are associated with the development of stress urinary incontinence, lifestyle modifications may help reduce the severity of stress urinary incontinence.
4. Drugs**, which can generally be improved with solifenacin, midodrine hydrochloride, and estrogen ointment for external use**, can also effectively improve the symptoms of urinary incontinence.
5. For moderate to severe patients, surgery can be selected after evaluation by doctors**, and the most widely used in China is the tension-free sling of the middle urethra, which is minimally invasive and has good symptom improvement effect.