1. Behavioral therapy: pelvic floor muscle exercise can be used as a first-line treatment. Behavioral therapy has great potential benefits and little risk, and is effective for both stress and urge urinary incontinence. It may be of great value to elderly women who are at risk of surgical complications and/or drug side effects. In the late 1940s, the medical community used this method to treat this disease. The cure rate or obvious improvement rate of pelvic floor muscle exercise for five years is as high as 60%.
Pelvic floor muscle exercise: naturally contract pelvic floor levator ani, at least 15 ~ 30 times each time, and last for more than 10s each time; The pubic muscle movement is a repetitive movement that actively interrupts urination and then continues urination, which is helpful to the recovery of urethral sphincter function.
Functional exercise of bladder: the first choice for patients with overactive bladder. That is to say, urinate according to the specified time, and gradually extend the interval of urination, so as to gradually increase the bladder capacity, control the sensory stimulation of the bladder with consciousness, rebuild the control of the cerebral cortex on the bladder function, and finally restore the normal urination mode, and reduce the urination frequency to 3-4 hours.
Pelvic biofeedback therapy: put vaginal cones with different specifications into the vagina, let the patient shrink the vagina and hold it, and gradually increase the weight of the cone to enhance the contractility of the patient's vagina. Biofeedback therapy can be connected with a manometer to measure vaginal contractility, which is displayed to the patient through the screen of the manometer, intuitively guiding the patient to correctly master the contraction method and improving the pelvic floor exercise effect.
These methods are simple and effective, persist for 3 ~ 6 months without any side effects, and the effective rate can reach 70% ~ 100%. Vaginal support and urine pad can be used as adjuvant therapy for refractory patients to support vagina and collect urine.
2, physical therapy: acupuncture, electrical stimulation, magnetic therapy, etc.
Western medicine treatment: such as Tong Guan and Niaoling. It has certain contraindications and side effects and must be taken under the guidance of a doctor.
4, Chinese medicine treatment: the curative effect is positive, no obvious side effects. Such as Shuquan Pill, Ootheca Mantidis Powder, our experience in treating urinary incontinence, acupoint pressing combined with moxibustion and so on.
5. Surgical treatment: The purpose of urinary control operation is to raise the position of bladder neck, support the middle urethra or increase urethral resistance (artificial urethral dilator). Surgical treatment is usually used for severe stress urinary incontinence.