Emergency incontinence refers to a sudden urge to urinate, and the feeling is particularly strong, as if you can't hold it in any longer, and often this happens when you can't get to the bathroom in time to wet your pants. The most common cause is a urinary tract infection.
Stress and urge incontinence usually co-exist in women, which is often called mixed incontinence. The main causes include a shorter urethra in women than in men, averaging only 3-5 cm; a wider pelvis with weaker muscular support; relaxation of the urethral sphincter; damage to the pelvic floor muscles caused by pregnancy and childbirth; atrophy of the urethral mucosa due to a decrease in the level of estrogen in women after middle age; and anatomical changes in the pelvis caused by surgery.
Urinary incontinence brings women untold pain
Urinary incontinence is a disease that seriously affects the quality of life of women patients, due to social prejudice, many women patients have been living in stress, some have to bring a pad before they dare to go out, and some are afraid of wetting their pants and frequent visits to the toilet, which delays a lot of important things. Some have to spend a lot of time and energy cleaning their wet pants, while others are afraid to participate in social activities or even give up their beloved jobs for fear of unpleasant odors on their bodies. It seriously affects the work and life of the patients and brings them bad emotions such as anxiety, embarrassment and frustration, making them prone to loneliness and even depression.
In addition, due to frequent leakage of urine, prolonged urine erosion and stimulation will lead to vulvar skin redness, itching and pain, and even infection and ulceration, resulting in inflammation of the urinary system, stones, and in severe cases, kidney function. Women with the disease are also afraid of sex, affecting the relationship between husband and wife.
Seeking treatment as soon as possible is the best policy
Often patients with urinary incontinence will not go to the doctor, but rather to carry their own, the reason may be because the patient is too afraid or embarrassed to discuss this problem with the doctor. There is also the misconception that this is a normal reaction to aging, so it makes many conditions that can be cured or controlled delayed. In fact, urinary incontinence is both preventable and completely manageable or curable, especially with early treatment. Therefore, once urinary incontinence occurs, should promptly go to the regular hospital obstetrics and gynecology or urology department.
For mild to moderate patients, the first thing is to carry out rehabilitation training of the pelvic floor muscles, that is, to consciously and rhythmically do the contraction and relaxation of the pelvic floor muscles, so as to strengthen the pelvic floor muscles, and to improve the woman's ability to consciously control these muscles. Most patients with stress incontinence have good results with proper pelvic floor training.
For some middle-aged and elderly women with urinary incontinence, estrogen-based drugs also have some effect and can be used as an adjunct to biofeedback therapy. However, the drugs have some side effects, so they must be used under the guidance of a doctor and should not be used for a long time. Severe incontinence patients in the pelvic floor training, drugs and other methods of treatment is ineffective, the doctor will only recommend surgery.