In life, public places are equipped with toilets, but there is a phenomenon that there are often queues in women's toilets, while this never happens in men's toilets. The main reason for this is the difference in the body structure of men and women. Women often find it difficult to hold back the urge to defecate, and they obviously defecate more frequently than men. So, in life, some women have urinary incontinence. What's going on? Urinary incontinence is the involuntary loss of urine. There are six main types: pressure, urgency, mixed, overflow, functional, and structural. Among them, stress urinary incontinence is the most common, accounting for about 40%. It is caused by increased abdominal pressure and often occurs when suddenly exerting force in a standing position, such as coughing, sneezing, crying, running, and holding heavy objects. Other conditions such as fecal incontinence, uterine prolapse, and vaginal wall bulging can also lead to urinary incontinence. In addition to typical urine leakage, patients with stress urinary incontinence may also have other discomforts, such as lower abdominal distension, frequent and urgent urination, vulvar discomfort or inflammation, etc. Guidance: There are many effective treatments that can improve urinary incontinence symptoms, including pelvic floor muscle training, drug therapy, and surgical treatment. The pelvic floor muscle training method is simple, but the effect depends on correct movements and long-term persistence. The method is: (1) Take a few deep breaths and relax your whole body; (2) Contract the anus, vagina, and urethra, but keep the abdominal and leg muscles other than the pelvic floor muscles relaxed. At this time, you will feel the pelvic floor muscles being lifted up. (3) Maintain the contraction for 5 seconds, then slowly relax for 10 seconds. (1)-(3) are basic actions. Do it 3 times a day, doing basic movements 15-30 times each time. Postures for pelvic floor muscle exercises: supine, standing, sitting. Both feet should be separated as wide as shoulders, and shoulders and abdomen should be relaxed. Alternate between 3 postures. It takes about a month of persistence to see the effects of pelvic floor muscle exercises. Drug treatment: including 3 types of drugs, alpha-adrenergic receptor agonists, anticholinesterase drugs and estrogen. If pelvic floor muscle exercises combined with medication have not been effective for 3 months, surgical treatment should be considered. |
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Author: Wang Huahong, Chief Physician, Peking Uni...
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