The rumor is that: in the case of special force or stress urinary incontinence will be, but the principle is the way men and women are not the same urinary incontinence.
Reply:
There are many causes of incontinence, rumors mentioned in the "excessive force" is a kind of stress urinary incontinence, but there is no evidence that stress can lead to urinary incontinence.
Demonstration:
Urinary incontinence is troubled by many women's issues, although a direct impact on health is not serious, but the "old wet" this thing is enough to suck, which will directly affect the quality of daily life, emotional state, and body image Sex life. According to the US medical quality and medical research centers, more than 13 million Americans suffer from incontinence problems, of which 85% are women.
Incontinence uncommon
The body stores urine in the bladder where urine excreted through the urethra. Voiding the bladder wall muscle contraction, urine "squeeze" out of the bladder into the urethra, and urethral sphincter to relax and let the urine excreted smooth, so when urination control nerves desertion, a sudden contraction of the bladder muscle or the urethral sphincter when the "door" not to force, the situation incontinence occurs. When you feel you are unable to control the discharge of urine, it may mean incontinence has her door. In most cases, only very small amounts of one or two drops, of course, occasionally there are situations less fortunate heavy traffic.
But do not think that incontinence is only unfortunate happen to them and shameful thing, this thing much more common than you think. In the United States, about 25% -45% of women subjected to torture incontinence problems. Do not think that is the exclusive problem of incontinence in older women, in fact, affected by sports injury or muscle damage genetic factors, female patients, 20% -30% of the patients were young.
Incontinence differentiated
There are several types of urinary incontinence [. It is seen from the figure below, so that power is excreted in the urine within the bladder pressure, wherein a portion of the indirect effects from the abdominal the urine resistance from contraction of the urethral sphincter and pelvic floor tissue affected.
Incontinence: urinary sphincter is directly restricts urethral valves. If the urethral sphincter defects or serious injury, urethral resistance almost completely lost, then the urine will continue to unchecked outflow, almost no normal urination.
Stress urinary incontinence: pelvic organ like a "hanging net", urethra, bladder, vagina, uterus, rectum and other organs is this "net" tightly Diaozhu, this "network" also affects the urethra constraints power. If the pelvic floor supportive tissues at or urethral drop has some defects, urethral resistance decreased urethral resistance can still fight a normal bladder pressure, but an increase in abdominal pressure (such as coughing, laughing, lifting heavy objects), the lack of urethral resistance against bladder pressure, resulting in incontinence. Pelvic floor tissue growth, weight gain, inappropriate strenuous exercise and so may cause damage.
Urge incontinence: When the neurological disorder of the brain spinal cord micturition center suppression weakened make involuntary detrusor or subject to strong bladder stimulation, urination hyperreflexia. Significantly increase the internal pressure of the bladder, sudden strong party to urinate, urinary incontinence that is no time on the toilet. This case is different from holding back urine too long, excessive urination urine. Even small amount of urine, incontinence can also occur.
Filling urinary incontinence: the above mentioned "holding back urine too long, too much urine," overactive bladder filling, urethral pressure greater than the resistance to make urine. In addition to intentional holding back outside, this situation can be found in benign prostatic hyperplasia, neurogenic bladder. In addition, in the case of tuberculosis, urinary tract, bladder spasm, reduce capacity, there will be a relative of overactive bladder filling.
In real life, the situation is more incontinence is not completely separate. The idea that most patients will experience stress incontinence and urge incontinence, the difference between real life may not be as big as we thought. Incontinence causes have to be analyzed in various types of presentation, but at present there is no firm evidence of tensions related to urinary incontinence.
Men and women are different?
As described above, the basic principles of incontinence is greater than the pressure within the bladder urethral resistance. For four urinary incontinence, both men and women occur. From the principle that incontinence is no gender difference. For some men and women, such as urinary incontinence cause developmental abnormalities, rectal surgery, central nervous system disorders, bladder tuberculosis, etc., it is also the same. However, for some men and women do have different clinical features:
1, more opportunities for female pelvic floor is weak. Women in the reproductive process, especially vaginal deliveries, pelvic organ damage, this damage in postpartum recovery even at daily life functions, but still can be a future risk. Then daily increase, heir, physical decline, the pelvic floor is weak, it can occur stress urinary incontinence.
2 men with age, and the proportion gradually increased the degree of benign prostatic hyperplasia, can lead to chronic urinary retention, which occurred in filling incontinence. Underwent prostate surgery, stress urinary incontinence can also occur.
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