Causes of urinary incontinence after electroresection of the prostate
Transient urinary incontinence after electroresection of the prostate (TURP) is common. The key is to see if the external urethral sphincter is damaged during the operation, that is, the resection range should not cross the sperm mons, if the sperm mons is also cut, the possibility of damage to the external sphincter is very high, then the postoperative urinary incontinence may be persistent. In general, the reason why TURP has transient urinary incontinence is that the internal urethral sphincter has been removed during electroresection, and the closing function of the urethra can only be compensated by the external urethral sphincter and the surrounding muscular and supporting muscles, and when the strength of these structures is sufficient to the bladder pressure, the urinary incontinence stops.
So it will take a few months as well. So the key is whether the external urethral sphincter is damaged!
1. Pseudourinary incontinence is mostly due to the following reasons:
1. The prostate gland is too large, compressing the urethra, including the approximate muscle, which is impaired and takes time to recover. Levator ani training is feasible, and standard levator ani exercise should be 200~300 times per group, three to four groups a day, and persist for one to two weeks.
2. Urethral bladder inflammation and edema, resulting in urge urinary incontinence, anti-infection treatment and inhibition of bladder spasm treatment.
3. If there is OAB (overactive bladder) before surgery, and the bladder is not trained after surgery, the urination diary can be recorded after the operation, and the behavior exercise can be carried out to enhance the patient's self-confidence.
2. True urinary incontinence may be the external sphincter injury mentioned upstairs, which is rare in clinical practice, and may be due to intraoperative injury or postoperative stretching time for too long, resulting in impaired sphincter function.Once it happens, it is catastrophic and difficult to treat.
3. If the patient does not get better within a period of time, he can be indwelled for catheterization, bladder training, urination diary recording, behavioral exercise, and enhance the patient's self-confidence.