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Don't take it lightly because of a small amount of urine leakage. In fact, as long as a small amount of urine leakage persists, you should seek medical treatment as soon as possible, because the problem may worsen. Leakage of urine is called "urinary incontinence" in medicine, and the most common types are responsive incontinence and urge incontinence. The former is more common in women with multiple births, obese women, long-term cough, constipation or older women. The reason is that the pelvic muscle relaxation reduces the ability to control the urethra. Once you perform actions that increase abdominal pressure, such as coughing, laughing and lifting heavy objects, it will lead to incontinence. People with overactive bladder will have urge incontinence and cannot hold back urine.<\/p>\n
If the doctor thinks that the patient has urinary incontinence, he will recommend a urodynamic test to understand the status of bladder storage, urination and urine leakage before deciding on a treatment plan. The first is non-invasive pelvic muscle exercise therapy. The patient is instructed to practice contraction and relaxation of the pelvic floor muscles such as levator ani. For those with severe urinary incontinence, bladder prolapse or stress incontinence, a tension-free midurethral suspension (TVT and TVT-O) may be considered.<\/p>\n
In TVT and TVT-O, the artificial sling is placed in the middle suburethral tissue to support the pubourethral ligament. Under normal circumstances, the sling will only support the middle urethra, but when you exert force, such as coughing or laughing, the sling will support the middle urethra. Ladies, don't refuse to seek medical treatment for fear of embarrassment, it is better to solve the problem as soon as possible and get your life back on track.<\/p>\n
Dr. Chan Wing Yin, Specialist in Obstetrics and Gynecology<\/p>\n