Urinary incontinence又称膀胱失控，是指意外失尿. This common condition affects nearly 25 million adults, most commonly, women over the age of 50.

如果你患有尿失禁, 请将您的护理委托给约翰霍普金斯妇女盆腔健康中心.

尿失禁治疗:为什么选择约翰霍普金斯大学

• Our expert team works closely with our patients to identify the unique causes of their incontinence and tailor treatments to their individual circumstances. We have received advanced training in treating pelvic floor disorders and are equipped to help women who have experienced unsuccessful prior treatments.
• We explore a broad spectrum of treatment options, first considering the least invasive, 对患者最有效的治疗方法, including behavior and lifestyle changes.
• If surgery is needed, our urogynecologists specialize in the most advanced surgical treatment options for urinary incontinence, 包括微创外科手术.
• We work across many disciplines within Johns Hopkins to offer holistic care for the resolution of urinary conditions, including physical therapy, nonsurgical and surgical treatment options.

Pelvic organ prolapse, including uterine and vaginal prolapse, occurs when a woman’s pelvic floor muscles, ligaments and vaginal wall weaken and stretch, often due to aging, childbirth or a prior hysterectomy. Without adequate support of the pelvic floor, 盆腔器官滑出位置(脱垂)并凸出进入阴道, 在某些情况下，从阴道口伸出来.

We treat all types of pelvic organ prolapse, including prolapse of the anterior vagina (cystocele), posterior vagina (rectocele)子宫脱垂及阴道顶部(子宫切除术后阴道穹窿).

If you are suffering from vaginal prolapse, 请将您的护理委托给约翰霍普金斯妇女盆腔健康中心 and Reconstructive Surgery. If you are experiencing rectal prolapse (prolapse of the rectum through the anal opening), 你可能会从我们的结肠外科医生那里受益.

Prolapse Treatment: Why Choose Johns Hopkins

• 我们密切倾听推荐十大正规网赌平台的意见，并与其他专业合作, including physical therapy, gastroenterology, colorectal surgery and urology, when appropriate, to develop individualized plans to address each patient’s concerns and specific condition.
• 我们使用循证治疗来解决盆腔器官脱垂, including pelvic floor physical therapy, medical devices, such as pessary, 用微创技术进行重建手术, such as laparoscopic, robotic and vaginal surgery.
• Our researchers are at the forefront of exploring the link between pregnancy and delivery and pelvic floor disorders later in life. 了解这种联系将使我们能够开发新的, 治疗和预防盆底疾病的先进疗法.

Urinary tract infections (UTIs) are infections of any part of the urinary tract, including the urethra, bladder, ureters or kidneys.

最常见的尿路感染是膀胱感染，也被称为膀胱炎. Among women, 60%的人在一生中的某个时候会经历膀胱感染, and for most of these women, 抗生素治疗可以消除症状. Some, however, 患有复发性尿路感染——定义为两次或两次以上感染, confirmed by a doctor, 在六个月内-可能需要进一步的评估和治疗.

If you have frequent UTIs, trust the Johns Hopkins Women’s Center for Pelvic Health and Reconstructive Surgery to find a lasting solution.

复发性尿路感染治疗:为什么选择约翰霍普金斯大学

• 我们的专家团队擅长uti的诊断和治疗, and uses comprehensive diagnostic tools to help identify any cause of chronic UTIs to create an effective treatment plan.
• After treatment for active UTI, we counsel our patients on their risk factors for UTIs and how to protect their urinary health in the long term. We will work with you to develop personalized treatment plans that include a combination of therapies and lifestyles changes that reduce the risk of UTI recurrence.

A vaginal fistula is an abnormal opening between the vagina and other nearby organs, including the bladder or rectum. 瘘管可能是由分娩、手术、癌症或其他骨盆损伤引起的. Fistulas can cause many complications, such as urinary and fecal leakage, tissue damage, 肾脏感染和其他腹部不适.

阴道瘘治疗:为什么选择约翰霍普金斯大学

• 我们密切倾听推荐十大正规网赌平台的意见，并与其他专业合作, including physical therapy, gastroenterology, colorectal surgery and urology, when appropriate, to develop individualized plans to address each patient’s concerns and specific condition.
• 具有广泛的循证治疗和外科技术经验, including minimally invasive surgery, 我们的专家团队对瘘管修复有很高的成功率.

Fecal incontinence也被称为肠失禁，是无法控制排便. 大便失禁影响了多达1200万成年人, and more often affects women and older adults. 症状可能包括肠急症和意外失便.

If you are suffering with fecal incontinence, 请将您的护理委托给约翰霍普金斯妇女盆腔健康中心 and Reconstructive Surgery.

大便失禁治疗:为什么选择约翰霍普金斯大学

• 我们的专家团队了解不受控制的肠漏的敏感性, and we strive to provide compassionate care that alleviates your pain and discomfort and restores your quality of life.
• We work closely with our patients to identify the unique causes of their incontinence and create tailored treatment plans. Our experts have advanced training in the treatment of pelvic floor disorders and offer a broad spectrum of treatment options, including muscle training, nerve stimulation, minimally invasive surgeries and reconstruction.

A complete evaluation will allow your doctor to offer you the right solution for your care. 您可以期望诊断过程包括:

• A complete medical history and physical, 其中可能包括一个简短的神经学检查来评估是否有神经损伤. If you have had treatment or surgery in the past, your doctor may also review your medical records.
• 尿样，用于检测感染或其他可能导致尿失禁的病理.
• Urodynamic tests or a urinary stress test, 你的医生会在哪里评估尿量与压力, such as exercise, sneezing, coughing or laughing, may be recommended.

Following your evaluation, we will review treatment options with you to develop a care plan that best meets your needs. Nonsurgical treatment, 比如给膀胱过度活跃的女性注射肉毒杆菌, can be performed at any of our medical offices.

If you choose surgery, our team will recommend procedures that best treat your symptoms. 一个常见的选择是插入膀胱吊带, a minimally invasive procedure in which a small strip of mesh is implanted to support the bladder opening to prevent leakage.

Read more about urinary incontinence in women.

A complete evaluation will allow your doctor to offer you the right solution for your specific condition.

At your initial appointment, 你的医生会回顾你的病史和手术史，并完成体格检查. If you’ve had treatment or surgery in the past, your doctor may also review your medical records. Additional testing may include:

• 影像学研究，如超声、CT扫描或核磁共振
• 诊断程序，如尿动力学，以评估膀胱功能

After your initial consultation, 我们会和你一起检查结果，共同制定治疗方案. Treatment will depend on the severity of the condition and can range from pelvic floor exercises for mild cases to vaginal pessaries (vaginal support devices) or minimally invasive surgery for moderate to severe cases.

Read more about pelvic/uterine prolapse.

在初次会诊期间，临床医生将讨论您的病史. Please bring any relevant medical records, 比如化验结果和你接受治疗的记录, so your provider can review those with you.

约翰霍普金斯大学的诊断测试可能包括:

• 尿液培养(确定引起感染的细菌)
• 用膀胱镜(特殊的照相机)检查膀胱内部
• 超声或CT扫描来评估你的肾脏解剖

After completing diagnostic tests, we will review the results with you and create a long-term management plan that protects you from future UTIs. 这将包括治疗和生活方式的改变. 我们将定期与您会面，评估您的进度，并根据需要调整计划.

Read more about urinary tract infections.

您的治疗路径将根据瘘管的位置和类型而有所不同.

At your initial appointment, your doctor will review your medical and surgical history and will perform a complete physical exam. 如果你能带来相关的医疗记录，那将会很有帮助, 包括过去的手术记录和检查结果. 在某些情况下，可能会建议进行额外的咨询或检查.

Additional testing may include:

• 影像学研究，如超声、CT扫描或MRI
• Colonoscopy (using a camera to look into the colon) to screen for other potential causes, including inflammatory bowel disease
• Cystourethroscopy (using a camera to look into the bladder or urethra) to identify the location of your fistula

你的医生会和你一起检查这些结果来制定你的护理计划.

Read more about vaginal fistulas.

A complete evaluation will allow your doctor to offer you the right solution for your care. Diagnostic procedures may include:

• A complete medical history and physical, including a review of medications and prior surgeries. If you have had treatment for this condition in the past, review of your records will be helpful.
• 放射学检查或测量以评估潜在的神经损伤, 阻塞和肌肉功能可能会被推荐.
• Diagnostic procedures, 比如结肠镜或乙状结肠镜来观察结肠, may be recommended.

Following your evaluation, we will review treatment options with you to develop a care plan that best meets your needs. Noninvasive techniques, such as muscle rehabilitation, nerve stimulation, injections and other therapies, 能否成功解决许多肠失禁的病例. 在更严重的情况下，可能建议进行手术修复和重建.

阅读更多关于理解大便失禁.