Qianjiang Evening News·Hour News Correspondent Zhang Chi Han Channa Reporter He Lina
Smile while urinating, sneezing, coughing and urinating... Many women are suffering from unspeakable "pain".
48-year-old Ms. Liu (pseudonym) was deeply hurt: once when she came home from get off work, she sneezed in the elevator, and her pants were instantly wet. "In the small space, they are all from the same community, and I want to find a hole to drill down."
Ms. Liu mustered up the courage to come to Professor Lin Kaiqing, deputy director of Hangzhou Red Society Hospital. She told Professor Lin that because of urine leakage, she did not dare to participate in collective sports meetings organized by the unit, nor did she dare to participate in various vigorous activities. She even wore dark pants when going shopping. First of all, she had to find a good location in the bathroom to prevent being caught off guard - this hidden disease gradually became a "knot" of her inferiority complex.
Image source: Visual China
After learning the medical history in detail, Professor Lin quickly made a judgment through gynecological examinations and pelvic floor function testing: it is a typical stress urinary incontinence. Professor Lin told Ms. Liu: "First of all, we must face this disease, let her get rid of the pain through minimally invasive treatment plans, and greatly improve her quality of life." After
, Professor Lin performed laparoscopic bladder and urethral suspension surgery (Burch surgery) on Ms. Liu. This surgery is one of the recognized "gold standard" procedures. The operation went very smoothly. Ms. Liu recovered and was discharged from the hospital four days later.
A month after the operation, Ms. Liu came to the clinic wearing a beautiful dress and her whole body was completely renewed. "Director Lin, it would be fine if I came to see you early!"
The so-called stressurinary incontinence refers to the involuntary urine leaking from the outer urethra when abdominal pressure increases, such as sneezing, coughing or exercise. Among the female population, 23% to 45% have varying degrees of urinary incontinence, and about 7% have obvious symptoms of urinary incontinence, of which about 50% are stress incontinence.
As we grow older, the chance of urinary incontinence will gradually increase. The high incidence of stress urinary incontinence is 45 to 55 years old, and the number of fertility is proportional to the incidence of urinary incontinence. If older women give birth, the chance of stress urinary incontinence will also increase.
Image source: Visual China
Diagnosed stress urinary incontinence, related examinations include detailed inquiry of medical history, comprehensive physical examination , routine urine test, acupressure test, residual urine measurement, detection of pelvic floor function, urodynamic detection, etc.
stress urinary incontinence treatment is divided into non-surgical treatment and surgical treatment.
Non-surgical treatment includes lifestyle interventions, such as weight loss, quitting smoking, reducing drinking beverages containing caffeine , avoiding or reducing activities with increased abdominal pressure; treating chronic abdominal pressure diseases such as constipation; pelvic floor muscle training, also known as Kegel exercise , insisting on doing 150 to 200 anal contraction exercises a day for 3 months or more; pelvic floor electrical stimulation treatment is used to enhance the strength of pelvic floor muscle to improve urine control ability; currently commonly used drugs include selective α1-adrenaline receptor agonist, vaginal local estrogen therapy, etc.
Image source: Visual China
The surgery is effective for most patients with stress incontinence, including mid-urethral suspension, posterior pubic bladder and urethral suspension (including Marshall-Marchetti-Krantz surgery and Burch surgery), bladder neck suspension (Sling surgery), etc. Among them, urethral suspension is more used, and the cure rate is 85-90% in one year after the operation.
Vice President Lin Kaiqing reminds: Stressful urinary incontinence is a high incidence of women, which greatly affects women's quality of life, causing them to develop physical and mental disorders such as inferiority complex and emotional depression, resulting in patients being unwilling to participate in normal social and daily activities. In the long run, social disorders will be caused. "It should be discovered early and dealt with early, and the impact will be minimized."
This article is an original work of Qianjiang Evening News. Without permission, reprinting, copying, excerpting, rewriting, and online dissemination are prohibited. Otherwise, this newspaper will pursue the legal responsibility of the infringer through judicial channels.
