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Urinary incontinence and enuresis is what causes it?

Updated: Wednesday, Dec 16,2009, 3:05:34 PM
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1, causes Classification

1. Urinary incontinence, bladder stones, tuberculosis, cancer and other diseases, so that excessive detrusor contraction, urethral sphincter relaxation, or paralysis, so that the bladder to lose urine storage function, there is urine or discharge, also known as self-bladder.

2. Urinary incontinence, lower urinary tract obstruction, chronic urinary retention in patients with overactive bladder inflated, the bladder pressure is increased, so that the urine was forced to overflow, said pseudo-incontinence, also known as enuresis. Found in recessive congenital spina bifida; urinary retention caused by various reasons. Also found in healthy children 5 years of age, physical development of children due to incomplete voiding neural reflex arc is not firmly established, at night when asleep, urine automatic discharge, saying that bed-wetting, with the growth and development, self-stop, does not mean sick.

3. Stress urinary incontinence due to urethral sphincter relaxation, when patients are coughing, laughing, sneezing, etc. so that a sudden increase in abdominal pressure, there may from time to own a small amount of urine excreted urinary sphincter degeneration seen in the elderly; young and adult women of functional urethral sphincter relaxation; also found in pregnant uterus bladder pressure; tumor compression bladder.

4. Congenital urinary incontinence seen in congenital malformations, ectopic urethra opening urachal ovale, epispadias, bladder both vaginal fistula.

2, Mechanism

Have a certain tension normal urethral sphincter, detrusor in a state of relaxation, so that the urine stored in the bladder, the voiding reflex by a series of activities to detrusor contraction, sphincter relaxation, urine. In case of persistent urinary muscle spasm, or excessive sphincter relaxation, may allow accumulation of urine within the bladder can not be automatically out, that is, urinary incontinence, urinary incontinence, said authenticity. If there is lower urinary tract obstruction, or detrusor weakness, urinary retention in the bladder, so that over-filling of the bladder stagnation pressure was gradually increased, urine may at any time overflow, resulting in "filling urinary incontinence," namely, pseudo-incontinence, but also called enuresis.

Tags: urinary incontinence Enuresis

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