This condition is called stress urine. Urine may be released involuntarily, in small portions, during a sudden surge (an act of sneezing, severe coughing, sudden physical exertion). Quite common in females. The peculiarity of the occurrence of such condition is related to the structure of the female body.
A condition that reduces the quality of life and violates the usual way. What to do if when sneezing urine is allocated?
There are a number of reasons why this happens:
- the weakening of the muscles of the pelvic organs (childbirth, surgery, inadequate load);
- violation of the nervous regulation of the sphincter of the bladder and urethra;
- the weakening of the muscles of the bladder wall.
All the migrated situations: abnormal childbirth, surgery on the pelvic organs, etc. – may entail a weakening of the pelvic floor muscles that support the organs as well as weakening of the muscles of the bladder wall. Menopausal women are also often complicated by urinary incontinence and is associated with the weakening of the muscular wall of the bladder, with the violation of elasticity of the sphincter with hormonal deficiency.
Urinary incontinence during menopause is common in women
Conduction signal in the cerebral cortex often lead to as stress incontinence, it occurs most commonly in individuals deeply elderly after strokes, severe injuries of the skull, tumors of the brain and spinal cord, often bedridden patients, after the weakening of the General muscular tone.
A special place in this disease is assigned to the occurrence of incontinence in pregnant women. This condition is often occurs in the second half of pregnancy due to increasing weight of the fetus.
The growing baby presses on the bladder. In the result of the distension of its walls and the muscles surrounding it, as well as the muscles of the uterus, there is a constant discharge of urine in small portions at the time of the surge. This state is quite reversible, and after birth all the phenomena of stress incontinence disappear.
Complaints of patients expressed that involuntary discharge of urine occurs at the time of coughing, sneezing or exertion.
Solution to this problem involved urologists. To detect this symptom, with patients carried out some tests, to verify the reality of their complaints.
Sample coughing. It lies in the fact that the patient is placed in a gynaecological chair and introducing a speculum into the vagina, I beg to make the cough a push. If at this point of the urethral channel is allocated urine, the sample is considered positive.
The sample is coughing in the doctor’s office
The sample voltage. The woman asked before the test to replace the gasket on a clean, dry. She then runs a few physical exercises, mainly on the voltage of the abdominals. Some time after exercise visiting the strip, the sample is considered positive if the strip is partially separated wet from urine, and the woman in a moment of stress complained of involuntary leakage of urine.
After carrying out such tests which proved positive, the doctor will prescribe a series of examinations: ultrasound of the bladder for the presence of polyps and tumors, a CT scan and MRI. In some cases you need to resort to radioisotope study.
Principles of treatment
The patient will have to take a large number of blood and urine for full examination before the doctor made the final diagnosis. The correct diagnosis is very important to determine further treatment.
Methods and ways of treatment of this disease there are several:
- with the help of physical exercises.
Medicamentous method of treatment includes use of drugs that strengthen the bladder wall, which improves the conductivity of nerve impulses, and hormone replacement therapy in the climacteric syndrome. In addition, assign different kinds of sedatives that can act a calming effect on the excited mind of the patient.
Physiotherapeutic method involves the application of microcurrents, amplipuls, various types myostimulation, electromagnetic pulses. All methods of physiotherapy effects not only help to strengthen the walls of the bladder, but also the surrounding muscle tissues. With the same purpose used to conduct a gynecological massage, strengthens pelvic floor muscles. Passive muscle stimulation will help to reduce the sphincter before voiding.
Conservative treatment of stress urinary incontinence resort to classes with vumbilding. This technique helps to strengthen and exercise the pelvic floor muscles, the vagina, the walls of the bladder and sphincters. Training of intimate muscles will not only help to strengthen the muscles using special devices, but will also improve blood flow to the pelvic organs, due to the physical exercises.
Using the device for vumbilding you can train muscles
Kegel Exercises. This is a special kind of exercises aimed at training and maintaining the muscle tone of the pelvic floor. There are sets of these exercises on different groups of intimate muscles, muscles surrounding the sphincter of the rectum and urethral channel.
There are entire methodologies for such exercises, but they are based on the principle of compression and ejection. In everyday life women rarely use often these muscle groups, so with age they relax and cease to perform its main function to support the organs and muscles of the sphincters become non-elastic, urine because it does not hold. Kegel exercise is able to restore elasticity and tone those muscles to prevent prolapsed organs and incontinence.
Surgical method is rarely used in stress urinary incontinence, but also to exclude from the Arsenal of treatment can not. As a rule, resort to surgical methods, having all of the proposed methods of correcting the situation. By surgery performed suturing and strengthening the muscles.
Anyone who dealt with stress urinary incontinence should not despair. This condition is not uncommon, and correct the situation is necessary and possible, using all of these methods and using the advice of a doctor.