广州海珠区65岁的王阿婆，5年前患上尿裤子的毛病。平时不动的情况下一切还都正常，可一咳嗽、打喷嚏或干活，就会控制不住地漏尿。无奈之下，她像婴儿一样用上尿布，一用就是5年。而且由于隐私方面的原因，她迟迟没有去就诊。

Guangzhou hai Wang Apo, a 65 - year - old,Five years ago with urine trousers.Under the condition of motionless at ordinary times all is normal,Can a cough/Sneezing or work,Will control the floor drain urine.In desperation,She was like a baby with the diapers,Use is 5 years.And due to privacy reasons,She can not go to see a doctor.

　　中老年女性中患病率高达30% Prevalence of middle-aged and old women is as high as 30%

　　“这是困扰中老年妇女的一种常见病，有人称其为‘社交癌’，虽非致命疾病，但给人们的社会活动带来诸多不便和尴尬，严重影响人们生活质量，令患者无比烦恼和焦虑。”广东省第二人民医院泌尿外科主任杨国胜说，尿失禁是由于膀胱括约肌损伤或神经功能障碍而丧失排尿自控能力，咳嗽一下、打个喷嚏、大笑一声、上下楼梯等，尿液都会不自主地流出。

"This is a kind of common disease in middle-aged and old women,Have they called it‘Social cancer’,Though not fatal diseases,But to people's social activities bring so much inconvenience and embarrassment,Serious impact on people's life quality,For patients with worry and anxiety."The second people's hospital uropoiesis surgical department director Yang Guosheng said in guangdong province,Urinary incontinence is due to the loss of bladder sphincter damage or nerve dysfunction and micturition self-control,A cough/sneezes/laugh/Up and down the stairs, etc.,Urine will not flow out.

　　“女性患上压力性尿失禁主要与怀孕生产活动有关，同时跟与年龄存在密切的关系。”杨国胜说，经产妇、多产妇和老年女性是压力性尿失禁的高发人群。据数据显示，高达30%的中老年女性患有压力性尿失禁。

"Women suffer from stress urinary incontinence is mainly related to pregnancy production activities,At the same time there is a close relationship with age."Yang Guosheng said,The maternal/More women and older women are high-risk groups of stress urinary incontinence.According to the data shows,Up to 30% of the middle-aged and old women with stress urinary incontinence.

　　中老年女性患病的比例居高不下但就诊率低。杨国胜分析道，很多患者对疾病存在认知误区，部分患者认为尿失禁是随年龄增大后自然发生的现象，偶尔少量漏尿不值得上医院看病。

The proportion of middle-aged and old women get the disease remains high but JiuZhenLv is low.Yang Guosheng said.,A lot of misunderstanding between cognition of disease patients,Some patients think that urinary incontinence is a naturally occurring phenomenon after increases with age,Occasionally, a small amount of leakage is not worth to hospital see a doctor.

　　“还有些就是心理因素作祟，认为‘成年人尿裤子’，怕被人看笑话，难以启齿，不好意思就诊。”杨国胜说，还有些患者想治疗却不知道去哪个科室就诊，部分患者往往直接就跑去妇产科看病，“其实，治疗压力性尿失禁，泌尿科比较对口”。

"Is also some psychological factors,think‘Adult urine pants’,Afraid of embarrassment,Hard to say,Sorry to see a doctor."Yang Guosheng said,Also want to treat some patients do not know to which department,Some patients often just go to see a doctor of obstetrics and gynecology,"In fact,Treatment of stress urinary incontinence,Urology is counterpart".

　　轻重程度不以漏尿频率为标准 Weight degree not to leak urine frequency standard

　　杨国胜说，女性如果偶有溢尿现象，不能算作病态，如果尿失禁较频繁地发生或溢尿现象明显，就是病理现象。“值得注意的是，女性患上压力性尿失禁的程度不能以尿失禁出现的频率为标准，而是根据出现尿失禁的腹压而定。”

Yang Guosheng said,If there is a phenomenon of excessive urine occasionally women,Not sick,If incontinence occurred more frequently or excessive urine phenomenon is obvious,Is the pathological phenomena."It is worth noting,The degree of women suffer from stress urinary incontinence can't based on the frequencies of urinary incontinence,But according to appear abdominal pressure of urinary incontinence."

　　据介绍，压力性尿失禁按临床症状的严重程度，可以分为三级。轻度：一般活动及夜间无尿失禁，腹压增加时偶发尿失禁，不需佩戴尿垫；中度：腹压增加及起立活动时，有频繁的尿失禁，需要佩戴尿垫生活；重度：起立活动或卧位体位变化时即有尿失禁，严重影响了生活及社交活动。

According to introducing,The severity of stress urinary incontinence according to clinical symptoms,Can be divided into three.mild:General activity and no incontinence at night,Occasional incontinence abdominal pressure increase,Don't need to wear the urine pad;moderate:Increased abdominal pressure and stand up,There are frequent urinary incontinence,Need to wear the urine pad life;severe:Stand up activities or decubitus position changes have urinary incontinence,Seriously affected the life and social activities.

　　“由于症状的轻重不一，治疗方法也各异。”杨国胜说，女性压力性尿失禁确实不是威胁生命的重大疾病，但如果长期得不到治疗，轻者容易导致阴部皮肤溃烂；重则导致外阴、阴道及下尿路感染。

"Due to the range of symptoms,Treatment is also different."Yang Guosheng said,Female stress urinary incontinence is not life-threatening major diseases,But if go untreated for a long time,Light person can easily lead to vaginal skin ulcers;Or cause vulva/Of vaginal and urinary tract infections.

　　对于压力性尿失禁的治疗，包括非手术方法和手术两大类。杨国胜说，保守治疗适宜于轻度压力性尿失禁患者，例如较年轻的女性，或者活动后有轻微尿失禁者；对于中、重度的患者，单纯保守治疗很难达到理想效果，必须采取手术治疗，经阴道无张力尿道中段吊带术(TVT术)是目前治疗女性压力性尿失禁的最主流手术方法。夏杨、邓奕茂

For the treatment of stress urinary incontinence,Include two major categories of nonsurgical and surgical.Yang Guosheng said,Conservative treatment is suitable for mild patients with stress urinary incontinence,Such as younger women,Or activity after slight incontinence;For in the/Patients with severe,Conservative treatment alone is difficult to achieve the ideal effect,Must be taken to surgery,Via vagina urethra without tension in the middle the harness(TVT surgery)Is the treatment of female stress urinary incontinence is the most mainstream surgical method.Xia Yang/Deng Yimao