Foreword

Urinary incontinence may occurs as women aged or after giving birth to a baby; if inner abdominal pressure increases like coughing, sneezing, and jumping, these women often suffer from urinary leaks.

Etiology

The cause of urinary incontinence is mainly attributed to hormones deficiency and perineum muscle injuries caused during laboring. Such injury could later trigger genital muscle relaxation, so some women do suffer from urinary incontinence when abdominal increases.

Clinical symptoms

1. When a women, in her standing posture, senses her vagina clogged with something; she might suffer from frequent micturition and urinary leaks.
2. If the condition is severe, patients could suffer from lower abdominal discomfort, back pain, and difficulty in emptying urine in the bladder. It might later cause bladder inflammation.

Treatment

1. Conservative treatment involves Kegel’s movement, Urodynamic studies and reconstruction of pelvic floor.
2. Surgical treatment is includes antieror and posteriorcolporrhaphy, and bladder suspension.

Plans after discharged from the hospital

• Work-out daily for at least 200 times of Kegel style, as explained below:

1. Method one

• Practice urinating little by little in order to sense which parts of muscle participate these movements. Then contract and relax rapidly to achieve fast urinating or stop urinating.
• Frequency: 10 counts each time and gradually increased to 60 counts each time.

2. Method two

• You have to count one to ten and at the same time, tighten up the bottom of your pelvic muscle and contract it; count one to ten again and gradually relax it completely.
• Tighten up these muscles when you stand up, cough, stand still, walk around or sneeze.