What is the reason for urinary incontinence in women

If female patients have difficulty urinating, it is recommended that they go to the hospital for further examination to determine the possible cause. Urethral caruncle. Women, especially postmenopausal women, may experience prolapse of the urethral mucosa, resulting in caruncle-like changes. The caruncle is very large and can block the urethral opening, causing urinary difficulty. It is necessary to go to the hospital for a physical examination to see if there are caruncle-like changes at the external urethral opening.

Urethral stenosis is often seen after urethritis or urethral trauma, resulting in scar-like stenosis in the part. Due to the narrow urethral lumen, the friction resistance of urine increases, so there will be a history of urinary difficulty. Generally, there is also a history of urethral infection or trauma to the urethral opening.

The detrusor muscle of the bladder is weak and urinary difficulty may also occur. It is more common in various neurogenic factors, which cause dysfunction of the nerves controlling the bladder, resulting in weak contraction of the bladder muscles, and urinary difficulty and difficulty urinating, such as various cardiovascular and cerebrovascular diseases, cerebral infarction, cerebral hemorrhage, etc.; or abnormalities of the jugular nerves cause weak bladder contraction. The common cause is diabetes with dysfunction of the abducens nerves, resulting in weak urination, and further urodynamic examination and diagnosis are required.

The main reasons for women's difficulty urinating include urogenital infection, urogenital obstruction, or problems with urogenital nerve conduction. If you want to clarify the factors of genitourinary tract infection, you should conduct a routine urine test. Generally, you will find an increase in white blood cells. Difficult urination is mainly because the infection causes hematoma and edema of the genitourinary tract mucosa and causes discomfort. In this case, oral levofloxacin and cefixime can be used for treatment, and the general symptoms will be alleviated.

If there are symptoms of urogenital obstruction, such as previous urogenital stones or previous severe infection causing urogenital urethral stenosis, such conditions should be treated with urethral dilatation or gravel surgery to eliminate the obstruction. To clarify such symptoms, urogenital radiography should be performed to determine the length of the narrow segment and the degree of lesions. Problems with urogenital nerve conduction mainly include neurogenic bladder or symptoms of excessive bladder activity. These conditions require urodynamic testing to determine, and the specific treatment should be based on the severity of the symptoms.