Enuresis, also known as urine leakage, refers to the involuntary outflow of urine. This situation often occurs in women, especially pregnant women or women with gynecological diseases. The main reason for enuresis is problems with the connection between the urinary system and other body organs and systems. Enuresis in women requires timely treatment. The following is a detailed introduction to what causes enuresis in women. Urinary leakage is an abnormal passage between the urinary system and other systems and organs. This disease is more common in women of childbearing age. In developed countries, the incidence of urinary leakage due to dystocia is very low, but it is still an important gynecological disease in developing countries. Based on its clinical manifestations and medical history, combined with gynecological examination, it is not difficult to diagnose the urine leaking from the vagina. Common causes include gynecological surgery injury, childbirth injury, pelvic fracture, rough sexual intercourse, etc. Common symptoms include urinary incontinence, urine eczema, menstrual disorders, mental depression, etc. Causes There are many common causes of female urinary incontinence, the main factors are as follows: 1. Gynecological surgical injuries such as cervical cancer, retroperitoneal tumors, etc., may cause damage to the bladder and ureter and cause urinary incontinence. 2. Delivery injuries such as the fetal presenting part being incarcerated in the mid-pelvis may cause vesicovaginal fistula or vesicourethral vaginal fistula. If the presenting part of the fetus remains in the pelvic outlet for too long, urethrovaginal fistula and vaginal annular scar stenosis may occur. 3. Trauma such as pelvic fracture, rough sexual intercourse, etc. 4. Urinary system malformations such as congenital ectopic ureter. 5. Other advanced bladder tuberculosis, pelvic tumors, etc.Clinical manifestations 1. Urinary incontinence refers to the continuous outflow of urine from the vagina. In unilateral ureterovaginal fistula, there is still spontaneous urination, while in vesicovaginal fistula with a larger fistula, there is no spontaneous urination. In a urethrovaginal fistula, urine leaks out of the vagina only during urination. 2. Urine eczema: Due to long-term stimulation from urine, the perineum and perianal skin becomes red, swollen and thickened, sometimes with papules or superficial ulcers, vulvar itching and burning pain. 3. Menstrual disorders: 10% to 15% of patients experience long-term amenorrhea or reduced menstruation. 4. Mental depression is caused by long-term urine dripping, clothing contamination, urine odor, and difficulty in getting along with others. The mattress is damp at night and sexual life is impaired, so people become depressed and even pessimistic. 5. Others generally include a history of delayed labor, difficult labor surgery or gynecological surgery. |
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