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Stress incontinence is common in women with multiple deliveries, constipation, chronic coughing, obesity, or older women, and is mainly caused by loose pelvic floor muscles that impair control of the urethra when intra-abdominal pressure increases, such as laughing, lifting heavy objects, coughing When the urine leaks through the urethra. Patients with urgency incontinence often suffer from overactive bladder, and they must urinate at the slightest urge to urinate. Overflow incontinence is caused by a malfunction of the urinary nervous system, which weakens the contractility of the bladder muscle and causes excessive accumulation of urine, leading to incontinence. As for patients with functional incontinence, they cannot go to the toilet in time due to limited mobility or dementia (dementia).<\/p>\n
There was an OL who was in her 30s and had two children. She would urinate whenever she coughed or laughed. Encouraged by my best friend to seek medical treatment, I found out that I was suffering from stress incontinence. Ladies should pay more attention when they notice a small amount of daily leakage, and seek medical advice if the condition persists.<\/p>\n
During the examination, the doctor will evaluate the function of the patient's bladder and urethra through a urine flow test. A thin catheter will be placed in the patient's urethra to the bladder, filled with normal saline, and the changes in pressure and contraction will be recorded with an instrument. The patient must perform different actions according to the instructions to observe whether there is leakage of urine due to the increase in abdominal pressure.<\/p>\n
Non-surgical pelvic floor muscle exercise therapy can effectively improve the condition of more than 80% of patients. For patients with stress incontinence who have poor response, severe urinary incontinence, or bladder prolapse, surgery may be considered, such as tension-free midurethral suspension (TVT or TVT-O). The treatment mechanism of the two operations is the same, and the purpose is to help improve the patient's ability to control urine. TVT-O can be described as an improved version of TVT. It not only reduces the chance of bladder injury, but also causes less postoperative dysuria. It is suitable for most patients. As the operation time is not long and the postoperative pain is mild, patients can usually be discharged from the hospital the next day after the operation.<\/p>\n
Dr. Chan Wing Yin, Vivian<\/p>\n