{"id":12063,"date":"2018-11-23T16:39:18","date_gmt":"2018-11-23T16:39:18","guid":{"rendered":"https:\/\/premierclinic.hk\/?p=12063"},"modified":"2019-04-13T03:08:03","modified_gmt":"2019-04-13T03:08:03","slug":"%e6%bb%b2%e5%b0%bf%e5%a5%bd%e5%b0%b7%e5%b0%ac%e3%80%80%e8%b6%81%e6%97%a9%e6%b2%bb%e7%99%82%e5%85%8d%e5%be%8c%e9%81%ba%ef%bc%88easy-pama%ef%bc%89","status":"publish","type":"post","link":"https:\/\/www.premierclinic.hk\/en\/news\/%e6%bb%b2%e5%b0%bf%e5%a5%bd%e5%b0%b7%e5%b0%ac%e3%80%80%e8%b6%81%e6%97%a9%e6%b2%bb%e7%99%82%e5%85%8d%e5%be%8c%e9%81%ba%ef%bc%88easy-pama%ef%bc%89\/","title":{"rendered":"Urine leakage is embarrassing, treat it early to avoid sequelae (Easy PaMa)"},"content":{"rendered":"

(Available in Chinese version only) Miss Lee\u662f\u4e2d\u5e74\u5973\u6559\u5e2b\uff0c\u8eab\u578b\u80a5\u80d6\uff0c\u6709\u9f3b\u654f\u611f\u8207\u4fbf\u79d8\uff0c\u5979\u66f4\u6709\u4e00\u500b\u300c\u6697\u75c5\u300d\uff0c\u9019\u5c31\u662f\u5979\u6709\u5c3f\u5931\u7981\u6ef2\u5c3f\u554f\u984c\u3002\u5e73\u65e5\u6388\u8ab2\u95dc\u4fc2\uff0cMiss Lee\u7d93\u5e38\u56e0\u53e3\u4e7e\u800c\u54b3\u55fd\uff0c\u4ee4\u5176\u5931\u7981\u52a0\u5287\u3002\u4f46\u5979\u4e0d\u6562\u591a\u559d\u6c34\uff0c\u53ea\u80fd\u5168\u5929\u5019\u7a7f\u9ed1\u8272\u8932\uff0c\u6709\u6642\u751a\u81f3\u8981\u984d\u5916\u5e36\u8932\u5b50\u66f4\u63db\uff0c\u5c0d\u751f\u6d3b\u69cb\u6210\u83ab\u5927\u5f71\u97ff\u3002<\/p>\n

When women have urinary problems, such as uterine prolapse, urinary incontinence and cystitis, they may not know who to seek medical advice. With the improvement of knowledge in recent years, modern women's demand for urology and gynecology has increased significantly, and they will not mistakenly think that the symptoms are natural aging and ignore the disease like the previous generation. Urogynecologists will examine patients with diagnostic tools specifically for the above conditions, including urodynamic testing and cystoscopy.<\/p>\n

Need to take trousers out to change<\/strong>
\nMiss Lee suffers from urinary incontinence, which can be divided into stress, urgency, overflow and functional incontinence, with the former two being the most common. Stress incontinence often occurs in women who have given birth multiple times. It may also occur in obese, chronic cough, constipation, or the elderly. The main reason is that the pelvic muscles relax, resulting in decreased urethral control. Increased intra-abdominal pressure (such as coughing, laughing, lifting heavy objects) will increase the pressure in the bladder, and urine will flow out from the urethra. Patients with urgency incontinence often suffer from overactive bladder, and they must urinate as soon as they feel the urge to urinate.<\/p>\n

Check for urine leakage<\/strong>
\nIf a woman notices a small amount of urine leakage on weekdays and the condition persists, she should seek medical advice as soon as possible to prevent the condition from worsening. The doctor will perform a urodynamic test on the patient to determine the bladder storage, urination and urine leakage. To treat urinary incontinence, non-surgical pelvic muscle exercise therapy can be used as the first step. Patients need to repeatedly contract and relax the pelvic floor muscles (such as performing levator ani movements), but the effect on patients with severe urinary incontinence and bladder prolapse is limited. As for surgical treatment, it is suitable for people with stress incontinence, such as tension-free midurethral suspension (TVT and TVT-O).<\/p>\n

TVT-O surgery is suitable for most patients<\/strong>
\nThe treatment mechanism of TVT and TVT-O is the same, and the artificial sling is mainly placed in the middle suburethral tissue to support the pubourethral ligament. When there is no force on weekdays, it will only gently support the middle part of the urethra without affecting urination. Once coughing or straining, the sling comes into play, providing support for the patient's mid-urethra. TVT-O is an improved version of TVT, with a lower chance of bladder injury and less postoperative dysuria. Therefore, most patients are suitable for TVT-O surgery. In addition, due to the short operation time and less postoperative pain, patients can usually be discharged from the hospital the next day after the operation. For details, please consult your doctor.<\/p>\n

Obstetrics and Gynecology Specialist Dr. Chan Wing Yin<\/p>\n

Originally published:
\nhttp:\/\/www.easypama.com.hk\/health\/art\/20180416\/17770\/<\/a><\/p>","protected":false},"excerpt":{"rendered":"

Miss Lee is a middle-aged female teacher with an obese body, nasal allergies and constipation. She also has a "secret disease", which is her urinary incontinence and leakage of urine. Teaching on weekdays\u2026<\/p>","protected":false},"author":1,"featured_media":12065,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[107],"tags":[],"doctors":[],"media-members":[],"class_list":["post-12063","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"\n\u6ef2\u5c3f\u597d\u5c37\u5c2c \u8d81\u65e9\u6cbb\u7642\u514d\u5f8c\u907a\uff08Easy PaMa\uff09 - Premier Clinic<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.premierclinic.hk\/en\/news\/\u6ef2\u5c3f\u597d\u5c37\u5c2c\u3000\u8d81\u65e9\u6cbb\u7642\u514d\u5f8c\u907a\uff08easy-pama\uff09\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u6ef2\u5c3f\u597d\u5c37\u5c2c \u8d81\u65e9\u6cbb\u7642\u514d\u5f8c\u907a\uff08Easy PaMa\uff09 - 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