Treatment of urination

Many people with symptoms of urine escape naturally without control. But because of shame and thinking that this does not affect health, they accept to live with "wetness" without treatment.

Urology examination of a woman with urinary incontinence. (Photo: ML)

Doctor Nguyen Van Nhan, dynamic urologist at Ho Chi Minh City FV Hospital, said the symptoms of urine coming out naturally but not controlled are called "urination". This usually occurs when there is increased pressure in the abdomen such as laughing, sneezing, coughing, carrying heavy objects, or playing sports (tennis, jogging, volleyball, basketball .). Urinary incontinence does not affect health as well as no sequelae but can cause inflammation of the genital tract because it is always in a humid condition.

According to Dr. Nhan, up to 10-20% of women in the community experience "urination" symptoms. Women after birth or 55 years or older are most susceptible. Because the female perineum has a special structure, it is easy to be affected during pregnancy or hormonal effects during menopause. The effects that soften and moisten the tissues of the urogenital - genital area cause urination. Young women who work hard, often play heavy sports or have too little rest after maternity often have this symptom.

There are 2 types of urinary incontinence :

- One is urinary incontinence due to exercise. Usually occurs in women due to weakening of the perineal muscles and urination control muscles. Under the influence of increased abdominal pressure, urine automatically escapes.

- Two are incontinence due to bladder (bladder) unstable or overactive or due to urinary blockage, usually occurs in older men. Prostate enlargement (prostate tumor) is a disease that often leads to this phenomenon.

Currently, most cases of urination can be cured. There are cases where patients only need to exercise the urination control muscle's movements according to their doctor's advice. In severe cases, the doctor will conduct exams and complete tests with specialized diagnostic techniques (called urodynamics). Based on the results to indicate drug treatment or surgery.

With excruciating uncontrolled urination often occurs in women under the influence of increased abdominal pressure, just reducing the factors of trying to coordinate with muscle strengthening training in the acoustics area can be reduced or eliminated except this phenomenon. After performing the exercise according to the doctor's instructions, the disease will not be relieved, prolonging the new specialist for surgery. The most common currently is the urethral support surgery (TVT - TOT) where the urination control muscle. This surgery through the natural route is very fast (discharge after 24 hours) and without pain. 90% of women recover completely after surgery.

Particularly with urinary incontinence due to urinary obstruction by prostate cancer, it can be treated internally with drugs. In severe cases, surgery will be performed to remove the tumor causing a urinary obstruction. If the bladder is overactive, drug therapy fails, the doctor may inject the bladder through an endoscope (Toxine botulique A) for treatment. With this technique, patients will be given general anesthesia, the doctor performs about 30 minutes. Patients can leave the hospital on the same day.

Because most women are very prone to this type of urinary incontinence, when there is a sign of urination, record the time and circumstances of symptoms. And you should go to a urologist to get an examination and advice about appropriate treatment. Because urination symptoms can happen to anyone from men, women, the elderly to children.

"Although it does not affect much health but greatly affects the psychology, confidence and family life of many people," advised Nhan.

My Lan