What should I do if I peed myself with laughter?

Go to the hospital for examination and evaluation in time

1. Systemic examination for diseases related to urinary incontinence and that may affect lower urinary tract function.

(ii) Pelvic floor examination, bladder function test, and neurological examination

(iii) Imaging examination.

Pelvic floor examination mainly checks pelvic floor muscle strength, muscle tone, A3 reflex , etc.

Mild : Leakage occurs only with severe stress such as coughing, sneezing, or jogging.

Moderate : Leaking occurs during moderate stress, such as rapid movement or walking up and down stairs.

Severe : Leaking urine even with mild stress, such as when standing or changing position, but not when lying down.

Type I muscle fibers—pelvic floor support system .

Type II muscle fibers—pelvic and abdominal motor system.

The movement produced by the contraction of the pelvic floor muscles is to maintain a certain movement or tension, or to produce rapid pressure. Therefore, when the contraction capacity drops to a certain value, the type I and type II muscle fibers cannot produce the corresponding contraction within the necessary time period.

Level 0: The fingers do not feel the vaginal muscle contraction during the test

Grade 1: Muscle tremors only

Level 2: Incomplete muscle contraction, lasting 2 seconds, repeated 2 times

Level 3: Full muscle contraction, lasting 3 seconds, repeated 3 times, without resistance

Level 4: Full muscle contraction, lasting 4 seconds, repeated 4 times, with slight resistance

Level 5: Full muscle contraction, lasting 5 seconds, repeated 5 times, with continuous resistance

(1) The A3 reflex is a very important reflex. When the bladder detrusor contracts and bladder pressure increases, the body reflexively contracts the type 2 pelvic floor muscle fibers. During training, it is necessary to contract the type 2 pelvic floor muscle fibers while coughing, that is, to cough in front of the triangle and quickly contract and relax the pelvic floor muscles.

(2) Patients with stress urinary incontinence must strengthen the A3 reflex and train the pelvic floor muscles to contract reflexively when abdominal pressure increases, such as during coughing, so as to control urination.

Persistence is the key to victory .

Make accurate pelvic floor muscle training part of your life details and every time you laugh;

There is no requirement for body position and no time limit. You can exercise while watching TV, walking, doing housework or working.

After your muscle strength is restored, you still need to do regular and quantitative training so that your pelvic floor muscles can reach their optimal functional state.

【References】

[1] Ren Jinxia, ​​Liu Liming. Update on the concept of stress urinary incontinence and treatment options for middle-aged and elderly women[J]. Chinese Journal of Health Care Medicine, 2022, 24(06): 529-531.

[2] Wang Tao, Niu Xiaoyu. Risk factors for stress urinary incontinence in elderly women and construction of early warning model[J]. Journal of Practical Obstetrics and Gynecology, 2022, 38(06): 401-404.