Postpartum urinary non-exhaustion is quite different from normal in such aspects as bladder function, neuromodulation, pelvic floor muscle status, hormone levels, and psychological factors, etc.
1.Bladder function : Generally, the bladder is elastic and can contract as it is expected to store and urinate normally. And postpartum, the situation is such that the long-term compression of the bladder by the fetus has led to overstretched bladder muscles, decreased elasticity, reduced effective capacity of the bladder, and the urine cannot be completely removed, causing a sensation of non-exhaustion.
2. Neuromodulation : The nerves that supply the bladder with energy may be somewhat damaged or compressed during delivery, hence, the normal control of the bladder detrusor and urethral sphincter by the nerves is affected. Healthy nerves can perform the urination reflex with great precision, and postpartum neuromodulation disorders will make it impossible for the bladder to release urine thoroughly since it will not be able to contract effectively.
3. Pelvic floor muscle status : The pelvic floor muscles could be injured or relaxed to various extents as a result of pregnancy and delivery. Intact pelvic floor muscles are capable of keeping the urethra in its normal place and at the right tension, and thus help the bladder to empty. Sacral nerves are responsible for relaxation of the pelvic floor muscles making the bladder and urethra loosen, so that there appear residual urine and incomplete urethral closure.
4. Hormone levels : There is a considerable change in hormone levels of a woman during pregnancy, and these levels do not revert to normal immediately after the delivery. The variation of hormone levels like estrogen may affect the function of the bladder and the urethral mucosa, which, due to being less resistant, will get inflamed easily and hence the normal procession of urination will be disturbed leading to insufficiency of urine symptoms.
5. Psychological factors : Postpartum women are always exposed to both physical and psychological stresses which may bring about anxiety and tension to them. Such negative emotions notably interrupt the nerves’ control of urination, the bladder detrusor, and urethral sphincter becoming uncoordinated, and thus the feeling of non-exhaustion may be there even if the volume of urine in the bladder is not large.
Treatment methods to be used in the case of postpartum urinary non-exhaustion are numerous. Medicinally, Sanjin Tablets, Relinqing Granules, Xiguanshu Capsules, and the like may be applied under a doctor’s supervision. Moreover, pelvic floor muscle recovery training, for instance, Kegel exercise may be adopted to make the pelvic floor muscle stronger. The use of electricity, for example, the electrostimulation method, may also be a physical therapy method to encourage the bladder to regain its function. Immediate treatment should be sought if the symptoms are brutal or long-lasting.
Doctor Warm reminder: There are significant differences between postpartum urinary non-exhaustion and normality in several ways, and understanding these differences can contribute to a better understanding of the problem. Most patients can achieve remission of symptoms by analyzing the etiopathogenesis of bladder function, neuromodulation, pelvic floor muscle status, hormone levels, and psychological factors, and taking the corresponding treatment measures
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“Dr. Rana Patir is an eminent Neurosurgeon of India with more than 30 years of experience in the field of advanced neurosurgery. Besides being a teaching faculty at AIIMS and at Sir Ganga Ram Hospital, and professor of Neurosurgery at Guwahati Assam. He has also been the head of the department of Neurosurgery at Max hospitals, and Sir Ganga Ram hospital New Delhi. He is known as one of the best Neurosurgeons and spinal surgeons in India, having more than 10,000 neurosurgical procedures to his credit. He specializes in Minimal Invasive Brain and Spine Surgery, Skull Base Surgery, Neurovascular Surgery, Extra Cranial-Intracranial Bypass Surgery,”
