Stress Urinary Incontinence (SUI) refers to involuntary urine leakage from the external urethra when venting or coughing increases. http://nmcat.org/female-beauty-starting-from-health/
Symptoms include coughing, sneezing, laughing, and another involuntary urine overflow when abdominal pressure increases.
Signs are an increase in abdominal pressure, which can be observed involuntarily flowing out of the urethra.
When the urodynamic examination is characterized by filling cystometry, involuntary leakage of urine occurs when abdominal pressure increases without detrusor contraction. http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072016000100702
The main symptoms:
When coughing, sneezing, laughing, going up the stairs or lifting heavy objects, the urine will involuntarily flow out of the urethra. This type of urinary incontinence is not accompanied by frequent urination and urgency, and there is not much urine incontinence; urinary incontinence is aggravated when standing, and symptoms are relieved after lying down.
The cause can be:
(1) Childbirth and childbirth injuries, especially in difficult labor and forceps operations;
(2) changes in the tissues around the urethra and urethra, such as atrophy of pelvic floor tissue caused by decreased sex hormones after menopause;
(3) surgery has been performed in the vagina and urethra;
(4) Perineal and urethral injuries;
(5) The pelvic mass caused by increased abdominal pressure and the bladder neck position decreased.
Female urinary incontinence is a common and frequently-occurring disease in women. According to global statistics, the prevalence rate is close to 50%. 35%-45% of women have different degrees of urinary incontinence symptoms, and severe urinary incontinence is about 7%, about half of which is stress. Urinary incontinence. And as the age increases, the incidence increases. It has a serious impact on women’s quality of life and health status.
The danger of stress urinary incontinence
Many women feel that urinary incontinence makes it difficult for them to talk about it. I am embarrassed to tell the doctor that I would rather change my pants and use the pad instead of seeing a doctor.
In fact, the impact of urinary incontinence on women is enormous, mainly reflected in the following two aspects:
1. Physiologically affected
Some women are afraid of getting wet and trousers are very embarrassed, just put a piece of lining cloth or pad, sanitary napkins in the lower body to absorb urine, so that the vulva often has urine accumulation and cause infectious diseases such as eczema and dermatitis. , or concurrent urinary tract infections will eventually affect kidney function. In particular, older people should pay more attention to their ability to resist various bacteria.
2. Psychological aspects are affected
Urinary incontinence not only causes physical pain and inconvenience to the patient but also causes psychological stress to the patient. Frequent leaking urine makes the underwear have an unpleasant smell that cannot be washed away; it is inconvenient to participate in some sports activities or engage in manual labor, which will greatly affect their life rules, and even become uneasy, anxious, depressed, inferior, and lose confidence. Because of the odor, it also affects the normal social activities with friends and family. I usually don’t dare to go out. I must go to the toilet before going out. The first thing to go outside is to find the location of the toilet, and then go to work. I will go home in a hurry and don’t dare to stay outside. I dare not haha. Laughing, even watching burlesque are scared, and more afraid of coughing and sneezing when you have a cold.
[Evaluation of SUI severity]
1. Subjective indexing of clinical symptoms (Ingelman-Sundberg indexing method)
Mild: urinary incontinence occurs when coughing or sneezing, no need to use a pad
Moderate: Urinary incontinence occurs when daily activities such as running, walking and walking require the use of a pad;
Severe: Incontinence occurs when there is slight activity and changes in posture when lying down.
2. Objective examination – urine pad test: 1-hour urine pad test is recommended.
Mild: 1-hour leaking urine 2g;
Moderate: 2g <1-hour leakage urine 10g;
Severe: 10g <1-hour leaking urine <50g;
Extremely severe: 1 hour of leakage of urine 50g.
3. Questionnaire on the impact of urinary incontinence on quality of life.
Internationally, a patient-led questionnaire is used to objectively assess the impact of urinary incontinence on quality of life. The impact of urinary incontinence on quality of life recommends the use of Chinese-recognized urinary incontinence on the quality of life of the questionnaire (Incontinence Impact Questionnaire-7, IIQ-7) This table is the International Committee on Incontinence Experts (The International Consultation on Incontinence, ICI)
Treatment of urinary incontinence
In fact, female stress urinary incontinence is a curable disease. Under the guidance of a professional doctor, help you get rid of the troubles of urinary incontinence earlier and restore your “control” as soon as possible.
With the advent of new technologies, the efficacy of stress urinary incontinence has been greatly improved. The vast majority (about 80%) of patients can be completely cured after treatment, and 96% of patients have different degrees of symptoms. At present, there are mainly the following treatment methods.
(1) Rehabilitation training of pelvic floor muscles (Kegel operation) improves urethral sphincter function by enhancing the tension of pelvic floor muscles and urethral muscles and increasing the reactive contractile force of muscles against pressure.
(2) Weight loss, smoking cessation, and other lifestyle habits adjustment treatment.
(3) Vaginal weight training, electrical stimulation therapy, magnetic stimulation therapy.
(4) drug treatment: adrenergic receptor agonists, anticholinergic drugs, estrogen, and other drugs can increase bladder outlet resistance, effective for mild stress urinary incontinence. However, they also have their side effects, so they must be used under the guidance of a doctor and should not be used for a long time.
(5) Surgical treatment: surgical methods include: 1 vaginal anterior wall repair; 2 retropubic bladder urethral suspension; 3 fascia bladder neck and urethral sling; 4 tension-free urethral suspensions (TVT); Transurethral urethral suspension (TOT\TVT-O); 6 intraurethral injections.
In short, stress urinary incontinence is a benign disease that seriously affects the quality of life of the elderly and requires active visits and treatment.
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