Treatment of urinary incontinence in middle-aged women

Many of us have heard about urinary incontinence in middle-aged women. This situation has become more and more common nowadays. With the accelerated pace of life, the incidence of incontinence is getting higher and higher. The problem of urinary incontinence has brought great troubles to many middle-aged women. Therefore, the urgent need to treat the problem of urinary incontinence has become a headache for many women. So is there any good way to treat the problem of urinary incontinence? Let us follow the article to learn more about it.

Treatment:

1. The main principle of treatment is to reduce unnecessary bed rest as much as possible to correct the cause, treat acute confusion, promote bowel movements, use estrogen to treat vaginitis or urethritis, use antibiotics for acute urinary tract infection, and discontinue or replace drugs that cause urinary incontinence, such as sleeping pills, tricyclic antidepressants, neuroleptics, strong diuretics, antihypertensive drugs, and anticholine drugs to correct metabolic disorders. General measures include limiting fluid intake (especially at night), urinating regularly during the day, limiting the intake of xanthines such as coffee or tea containing xanthines, paying attention to perineal hygiene and skin care, and avoiding bedsores and local skin infections. In addition to drug therapy, some patients are suitable for surgical treatment of urinary incontinence, such as prostatectomy, repair surgery for stress urinary incontinence, etc., which can achieve better results. Some patients may benefit from behavioral therapy, biofeedback therapy, or physical therapy alone. The role of drug therapy has not yet been fully clarified. Many drugs have low specificity and often have adverse reactions, which limits their application in the elderly. 1. For urge urinary incontinence, the most commonly used drug for uninhibited bladder (detrusor instability) is the anticholine propantheline bromide (Probenxin), which has a strong specificity for the detrusor muscle, fewer adverse reactions to the central nervous system, and a longer duration of action than atropine. It is contraindicated in patients with glaucoma, and should be used with caution in patients with coronary heart disease or prostate disease. It should also be contraindicated in patients with outflow tract obstruction. Oxybutynin (hydroxybutynin) has smooth muscle relaxant and anticholesterol effects, and the effect may be better. The main adverse reaction is dry mouth.

2. Outflow tract insufficiency For urinary incontinence caused by sphincter insufficiency,?Norephedrine). Caffeine (norephedrine) has less irritation to the central nervous system and is more effective than ephedrine. These drugs should be used with caution in patients with hypertension and coronary heart disease. Imipramine has a more complex effect on the lower urinary tract, but it is also an effective drug. In addition to its alpha synergistic effect, it also has mild anticholesterol properties, which helps to inhibit detrusor instability. For patients with severe stress urinary incontinence who cannot undergo surgery, some people advocate the combined use of caffeine (norephedrine) and propantheline bromide (propantheline).

3. Atonic bladder The most effective drug for atonic bladder is benzylcholine (benzene), which has high specificity, small effect on the central nervous system, and longer duration of action than acetylcholine. It is more effective for decompensated bladder than neurogenic atonic bladder. Mechanical obstruction should be excluded when using medication. The adverse reactions of benzylcholine (uracil) are mainly limited to the gastrointestinal tract, but it is contraindicated in patients with asthma and should be used with caution in patients with coronary heart disease and bradycardia.

4. Sphincter dyssynergia Sphincter dyssynergia caused by neurogenic, functional or drug-induced factors such as benzylcholine (chlorpheniramine) leads to increased outflow resistance. The most effective method for this situation is to use α-antagonists to reduce sphincter tension, and phenoxybenzamine (phenoxybenzamine) is commonly used. Its adverse reactions are mild when used in small doses, while high doses may cause orthostatic hypotension and reflex tachycardia, but the degree of reflex increase in heart rate in the elderly is also limited. Prazosin is also an effective drug with strong selectivity for the sphincter and is more suitable for patients with hypertension and congestive heart failure. In cases where various methods are ineffective, catheterization is still required. Characteristics of various types of urinary incontinence. Urinary incontinence is both a disease and a symptom. For patients with urinary incontinence, the cause should be further investigated and the diagnosis of urinary incontinence should not be sufficient. Appropriate treatment methods should be adopted according to the patient's specific conditions, such as medication, surgery and functional training, etc. At the same time, patient care should be strengthened to prevent complications.

The above content introduces how to treat urinary incontinence. We can learn the above methods to treat urinary incontinence, solve the unspeakable problems of more people, and make more people live healthier and more confident. We can also share this article with people in need around us to spread positive energy. I hope the above will be helpful to everyone.