Urinary incontinence in girls

When it comes to urinary incontinence, many people will definitely feel embarrassed. It can be said to be a shameful disease. But it should be made clear that this disease is actually very common among female friends. In particular, some people may suddenly experience urinary incontinence while working or playing, which can indeed cause embarrassment. The consequences of female urinary incontinence are so serious, so do you know what the causes of female urinary incontinence are?

Causes of urinary incontinence:

1. Central nervous system diseases

Such as neurogenic bladder caused by cerebrovascular accident, brain atrophy, brain and spinal cord tumors, lateral sclerosis, etc.

2. Surgery

Such as prostatectomy, bladder neck surgery, radical resection of rectal cancer, radical resection of cervical cancer, abdominal aortic aneurysm surgery, etc., which damage the motor or sensory nerves of the bladder and sphincter.

3. Urinary retention

Urinary retention caused by prostatic hyperplasia, bladder neck contracture, urethral stenosis, etc.

4. Unstable bladder

Unstable bladder is caused by bladder tumors, stones, inflammation, foreign bodies, etc.

5. Women after menopause

Estrogen deficiency causes loss of tone in the urethral wall and pelvic floor muscles.

6. Delivery Injury

Weakened sphincter function caused by uterine prolapse, cystocele, etc.

Clinical manifestations

1. Urge urinary incontinence

This type of incontinence includes bladder instability, detrusor hyperreflexia, bladder spasm, and neurogenic bladder (uninhibited bladder), where incontinence is related to uncontrolled detrusor contractions.

2. Stress urinary incontinence

Involuntary urine leakage occurs when the intra-abdominal pressure rises sharply during body movements such as coughing, sneezing, jolts or lifting heavy objects. Urinary incontinence occurs when the intra-bladder pressure rises above the urethral resistance without detrusor contraction. The defect in stress urinary incontinence is in the bladder outlet tract (sphincteric insufficiency), resulting in insufficient urethral resistance to prevent urine leakage.

3. Overflow incontinence

Overflow incontinence occurs when the pressure of a chronically filled bladder exceeds urethral resistance. The cause may be a tone-less (uncontractable) bladder or functional or mechanical obstruction of the bladder outlet tract. A tone-less bladder is often caused by spinal cord trauma or diabetes. Bladder outlet obstruction in elderly patients is often caused by fecal impaction. About 50% of patients with constipation have urinary incontinence. Other causes of outlet obstruction include prostate hyperplasia, prostate cancer, and bladder sphincter dysfunction. Some individual cases are caused by psychogenic urinary retention.

4. Functional urinary incontinence

The patient can feel that the bladder is full, but due to physical movement, mental state and environmental reasons, he cannot help but urinate or urinate intentionally.

Treatment of urinary incontinence in women

Pelvic floor muscle exercises

That is, naturally contract the pelvic floor levator ani muscles three times a day, at least 15 to 30 times each time, and each time lasts for more than 10 seconds; pubic muscle training is to actively interrupt urination during urination, and then continue urination repeatedly, which helps to restore the function of the urethral sphincter.

Behavioral therapy:

Pelvic floor muscle exercises can be used as a first-line treatment. Behavioral therapy has great potential benefits, few risks, and is effective for both stress and urge incontinence. It may be of great value for older women who may be at risk for surgical complications or adverse drug reactions. The medical community used this method to treat this disease in the late 1940s. The 5-year cure rate or significant improvement rate of pelvic floor muscle exercises is as high as 60%.

There are many ways to treat urinary incontinence in girls. As long as patients with urinary incontinence find a method that suits them as soon as possible, the chances of cure are still very high.