Patient's question:
Taking a nap, I felt like I was urinating, but when I woke up, I only managed to urinate two palm-sized pieces. This time, I didn't feel like I fully emptied my bladder. I wet a large area, and only then did I realize how important it is to get the right assistance: I want to know what might have caused this,...Doctor's answer:
It is recommended to undergo a detailed and thorough examination at a regular hospital, as it may be incontinence. It may also be due to cortical functional inhibition causing enuresis.1. A large amount of residual urine can lead to stress incontinence or overflow incontinence. The treatment principle for this type of incontinence is to perform surgery (such as bladder neck or external urethral sphincter incision) to reduce urethral resistance and increase residual urine.
2. Detrusor hyperreflexia or an unstable bladder can lead to urge incontinence or reflex incontinence, sometimes also causing cough-induced urge incontinence. The treatment principle is to use medications (such as verapamil), sacral neuromodulation, sacral nerve surgery, or bladder denervation surgery to suppress uninhibited bladder contractions.
3. Sphincter dysfunction: In these patients, residual urine is present. The treatment principle is to use medications (such as ephedrine, propranolol, etc.) or surgery to enhance urethral resistance. In cases of anejaculate incontinence, artificial urinary sphincter devices, urethral shortening surgery, urethral clamps (female), or penile clamps can be implanted.