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Pathophysiology
-Weakening of pelvic floor muscle and reduced urethral closure pressure.
-More common in females with multiparity, obesity, chronic cough, constipation and elderly.
-Increased intra-abominal pressure.
Signs and Symptoms
-The complaint of involuntary urinary leakage on effort or exertion, or on sneezing or coughing.
Treatment
Non-surgical treatment
-Pelvic floor exercise
Surgical treatment e.g.
-Colposuspension
-Tension-free vaginal tape
Other points to note
-Avoid constipation and prevent straining during your bowel movement.
-In case you have chronic bronchitis or asthma, seek medical advice to reduce sneezing and coughing
-Keep your weight within the right range for your height and age. Don't get overweight |