It's been two years since I gave birth, but I still have some urine leakage. What should I do?
Feb 07, 2023
Source: Cainiu Health
Dr. Li Mingchuan
Introduction
It has been two years since giving birth, and I've been experiencing some urinary leakage. This is mainly due to pelvic floor muscle tearing and relaxation during childbirth, which caused the bladder and urethra to shift downward, resulting in urinary incontinence. Treatment options include functional exercises, medication, and surgical intervention. For women with mild symptoms of urinary leakage, pelvic floor muscle exercises can help restore pelvic floor muscle function.
It has been two years since giving birth, and I'm experiencing some urinary leakage. This is mainly due to pelvic floor muscle tearing and relaxation during childbirth, which caused the bladder and urethra to shift downward, resulting in urinary incontinence. This condition can be treated through functional exercises, medication, or surgical intervention.
1. Functional Exercises
For women with mild urinary leakage, pelvic floor muscle exercises can help restore pelvic floor function. Consistently performing exercises such as vaginal tightening, Kegels, and anal contractions can strengthen the sphincter muscles. During treatment, it's important to monitor whether the urinary leakage improves.
2. Medication
If symptoms of urinary leakage do not improve, medications may be used under a doctor’s guidance. These medications help suppress involuntary detrusor muscle contractions, increase bladder capacity, and enhance local urethral tone. Examples include alpha-blockers, estrogen, and beta-3 agonists.
3. Surgical Treatment
For patients whose pelvic floor muscle laxity does not fully recover with conservative or medical treatments, surgical repair of the pelvic floor muscles may be considered. The surgery is usually performed transvaginally and is a minimally invasive procedure with relatively quick recovery.
