2024-05-16 00:04:16
[Article du Réseau chinois de santé/Directeur Xiao Shengmou du département d’obstétrique et de gynécologie de l’hôpital de Yadong]If urine flows involuntarily from the urethra when straining, operating, sneezing or coughing, that is stress urinary incontinence. Conservative therapies for stress urinary incontinence in girls embrace: life-style enchancment, Kegel workout routines, drug remedy, and surgical remedy. Nevertheless, Kegel workout routines have to be carried out repeatedly day by day, and it’s tough for atypical sufferers to persist, so the impact shouldn’t be efficient. Drug therapies, similar to imipramine or duloxetine, should be taken repeatedly day by day to be efficient.
How is stress urinary incontinence handled? New Advances in “Vaginal Laser Remedy” and “Single Incision Urinary Incontinence Surgical procedure”
For sufferers who don’t wish to take drugs, are ineffective, or have unwanted effects, the earlier remedy was direct surgical procedure. Though the surgical procedure has some therapeutic results, it at present requires hospitalization and a non-absorbable synthetic omentum is inserted by means of the anterior vaginal wall below normal or semi-general anesthesia. Though most surgical procedures don’t have an effect on intercourse life, some male companions will really feel the presence of this “synthetic omentum” and have an effect on their intercourse life because of ache. A small variety of sufferers may expertise surgical ache or poor vaginal wound therapeutic, resulting in publicity of the substitute omentum and requiring additional surgical procedure to restore it. Moreover, as soon as the substitute omentum is positioned, pure vaginal supply is not potential. These are the disadvantages of synthetic omentum sling surgical procedure.
Vaginal laser remedy
Not too long ago, vaginal laser irradiation has been used to deal with stress urinary incontinence in girls. Is it actually efficient? In reality, our hospital revealed the effectiveness of vaginal laser on sufferers with stress urinary incontinence in 2017. This text can also be the primary SCI journal article on this planet on vaginal laser remedy of stress urinary incontinence. stress urinary incontinence. Research have proven that laser remedy is certainly very efficient in sufferers with gentle feminine stress urinary incontinence. Subsequently, many analysis groups from different international locations world wide additionally got here to the identical conclusions and cited our article.
Subsequently, the obstetrics and gynecology division of our hospital specifically supplies this “vaginal laser remedy” service to stop sufferers from immediately present process synthetic omentum surgical procedure for urinary incontinence. This laser makes use of a carbon dioxide laser with a wavelength of 10,600 nm. It makes use of micro-dots of sunshine (roughly 200 μm) and matrix scanning output, and is mixed with 360-degree and 90-degree vaginal probes to use laser vitality to the perineum. or on vaginal tissue. Laser remedy makes use of thermal results to stably transmit deep connective tissue downward, promote the renewal and reorganization of collagen and elastic fibers, and strengthen the construction of the vaginal wall to deal with stress urinary incontinence .
Preliminary outcomes from our hospital confirmed that vaginal laser remedy is certainly efficient within the remedy of stress urinary incontinence. After six months of follow-up remedy, the remedy remains to be efficient. It has not too long ago been found that the consequences of urinary continence can last as long as a yr and a half.
The vaginal laser remedy is brief, solely 10 to fifteen minutes. It may be accomplished in an outpatient clinic. After remedy, you possibly can return to work instantly. No must take day trip to relaxation at house. It’s nearly painless and requires no anesthesia. There can be no bleeding following remedy and it’ll not have an effect on regular every day life.
It’s strongly advisable that sufferers with gentle urinary incontinence don’t bear synthetic omentum surgical procedure immediately, however bear vaginal laser remedy first. If outcomes are unsatisfactory, think regarding synthetic urinary incontinence surgical procedure.
It is usually price mentioning that this remedy can also be very efficient in treating perineal dryness and itching in postmenopausal girls. That is nice information for sufferers who’re afraid of utilizing hormone remedy or for these whose remedy is ineffective.
It’s strongly advisable that sufferers with gentle urinary incontinence don’t bear synthetic omentum surgical procedure immediately, however bear vaginal laser remedy first. If outcomes are unsatisfactory, think regarding synthetic urinary incontinence surgical procedure.
Single incision synthetic omental urinary incontinence surgical procedure
For sufferers with extra extreme stress urinary incontinence, our hospital additionally performs single-incision synthetic urinary incontinence surgical procedure, which is as efficient as conventional three-incision synthetic urinary incontinence surgical procedure. Conventional three-incision synthetic omental urinary incontinence surgical procedure has externally seen accidents. Single incision synthetic omental urinary incontinence surgical procedure, the wound is contained in the vagina and there’s no seen scar outdoors. There’s nearly no ache following the operation and a few sufferers are discharged from the hospital the identical day because the operation. It’s in reality the primary surgical selection in circumstances of extreme stress urinary incontinence in girls.
Conclusion
In many individuals’s minds, urinary incontinence is one thing they’re ashamed to speak regarding, so it’s a situation that goes untreated. These days, the typical life expectancy of Chinese language individuals is 80.7 years. We not solely wish to reside longer, but additionally reside properly. So as to enhance the standard of life, individuals ought to pay extra consideration to the issue of urinary incontinence. We name on individuals affected by this drawback to hunt assist from a health care provider as quickly as potential, cooperate with medical remedy and obtain enchancment as quickly as potential.
[Lecture prolongée]
Supply: China Well being Community
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