【 Overactive bladder 】
1. Urinary urgency is the main manifestation, most of which are accompanied by frequent urinary , and have or do not have urgency urinary incontinence clinical syndromes.
2, and urinary tract infection or other obvious pathological changes were excluded.
[Symptoms]
1. Going to the toilet more than 8 times during the day is still impatient; urinate more than 2 times at night when you go to bed.
2. Typical symptoms include: urgency, frequent urination, nocturnal urination and urinary incontinence during urination, etc., among which the most common symptoms are urgency.
3. Bladder activity is often accompanied by urgency, or urgent urinary incontinence occurs immediately after urinary urgency.
[The reason]
1. Overactive bladder refers to a series of urinary abnormalities caused by involuntary contraction of the bladder detrusor muscle during urination.
2. Because the bladder is overactive, the bladder suddenly contracts abnormally when the urine is not stored to a sufficient volume of urination.
3. Because the incident happened suddenly, I couldn't bear it and I had to go to the toilet immediately, but I couldn't control it and leaked urine.
3. The patient's psychological pressure increases, his emotions are out of control, his ups and downs, and he is anxious.
【How is it right? 】
1. Drug treatment
Oral anticholinergic drugs can be taken to alleviate abnormal contraction of bladder muscles and improve bladder urination control function.
2. Surgical treatment
Only if conservative treatment is ineffective will surgical surgery be considered. The surgery can be roughly divided into two types:
One is the old-fashioned traditional surgery, which is to cut open the bladder, then cut out a section of the patient's small intestine, and suture the small intestine at the gap in the bladder, with the purpose of increasing the capacity of the bladder and increasing the capacity of the urine storage.
Second, minimally invasive surgery mainly includes transurinary type A botulinum toxin bladder wall injection, sacral nerve regulation, bladder enlargement surgery, etc.
3. Assisted treatment, pelvic floor muscle training, that is, bladder function training, find out the correct position of pelvic floor muscles, and physical therapy.
4. For severe patients, neuroregulatory techniques can be used for treatment, such as percutaneous tibial nerve stimulation or sacral nerve regulation.
1 is about sacral nerve regulation.
First, under fluoroscopic guidance, the electrode was inserted into the sacral 3 nerve foramen through the guide needle, and the stimulation of the pulse current can stimulate the nerve fibers and inhibit the contraction of the detrusor muscle.
The second tests and evaluates the patient's nerve stimulation response. If the stimulation effect is obvious, a pulse current generator is implanted at the subcutaneous fat of and connected to the electrode to long-term electrical stimulation to improve symptoms.
The third technique only requires local anesthesia and can successfully improve at least 50% of the symptoms.
Fourth, by stimulating the sacral nerve, regulates the nerve reflexes of the bladder, colorectal, sphincter and pelvic floor related to urination and defecation, so that the abnormal nerve reflexes can be rebalanced, thereby safely and effectively controlling the symptoms of urination and defecation dysfunction.
5. Accurately positioned under the guidance of muscle bone ultrasound, minimally invasive release and nerve block of the sacral foramen, especially the third sacral foramen, relieve nerve blockage, enhance the function of nerve regulation , and stay away from various pelvic floor diseases such as frequent urination, constipation, and sexual dysfunction.
Doctor Brother Xiaoqiang
