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Проблема не является самостоятельным заболеванием, возникает как следствие других патологий [1](https://centr-hirurgii-spb.ru/diseases/nederzhanie-mochi/). \n\n**Симптомы**: внезапная, неконтролируемая потребность в мочеиспускании, учащение позывов, непроизвольное выделение мочи при любых обстоятельствах (во время ходьбы, при смехе, покашливании) [3](https://duetclinic.ru/diseases/nederzhanie-mochi/).\n\n\n\n## Виды\nНекоторые виды недержания мочи: \n* **Стрессовое** — возникает при повышении внутрибрюшного давления (кашель, чихание, подъём тяжестей) [1](https://centr-hirurgii-spb.ru/diseases/nederzhanie-mochi/)[6](https://clinicanativemc.ru/articles/voprosy-vrachu/nederzhanie-mochi/)[9](https://www.kp.ru/doctor/bolezni/prichiny-nederzhaniya-mochi/). \n* **Ургентное (императивное)** — сопровождается сильными резкими позывами, которые заканчиваются неконтролируемым подтеканием мочи [9](https://www.kp.ru/doctor/bolezni/prichiny-nederzhaniya-mochi/). \n* **Смешанное** — сочетает симптомы стрессового и ургентного видов [9](https://www.kp.ru/doctor/bolezni/prichiny-nederzhaniya-mochi/). \n* **Транзиторное (временное)** — проявляется периодически и может исчезать самостоятельно [6](https://clinicanativemc.ru/articles/voprosy-vrachu/nederzhanie-mochi/)[8](https://unclinic.ru/nederzhanie-mochi/). \n* **Энурез** — ночное недержание, при котором днём пациент способен контролировать мочеиспускание [6](https://clinicanativemc.ru/articles/voprosy-vrachu/nederzhanie-mochi/).\n\n## Причины\nНекоторые причины недержания мочи: \n* патологии мочевого пузыря, уретры, мочеточников и предстательной железы [6](https://clinicanativemc.ru/articles/voprosy-vrachu/nederzhanie-mochi/); \n* заболевания центральной нервной системы (рассеянный склероз, врождённые пороки, травмы) [6](https://clinicanativemc.ru/articles/voprosy-vrachu/nederzhanie-mochi/); \n* хирургические вмешательства на уретре, простате или мочевом пузыре [6](https://clinicanativemc.ru/articles/voprosy-vrachu/nederzhanie-mochi/); \n* гормональные изменения (например, снижение уровня эстрогенов в период климакса) [2](https://fnkc-fmba.ru/zabolevaniya/podtekanie-mochi/)[9](https://www.kp.ru/doctor/bolezni/prichiny-nederzhaniya-mochi/).\n\n## Диагностика\nДиагностика недержания мочи включает несколько этапов [15](https://www.fgu-obp.ru/diseases/nederzhanie-mochi/): \n* **Сбор анамнеза** — врач уточняет характер непроизвольного мочеиспускания, частоту позывов, объём утечек и сопутствующие факторы [15](https://www.fgu-obp.ru/diseases/nederzhanie-mochi/). \n* **Ведение дневника мочеиспусканий** — пациент фиксирует объёмы, время и эпизоды подтекания мочи в течение нескольких дней [15](https://www.fgu-obp.ru/diseases/nederzhanie-mochi/). \n* **Физикальный осмотр** — позволяет выявить анатомические нарушения, в том числе опущение органов таза [15](https://www.fgu-obp.ru/diseases/nederzhanie-mochi/). У женщин дополнительно проводится гинекологическая оценка [15](https://www.fgu-obp.ru/diseases/nederzhanie-mochi/). \n* **Кашлевый и прокладочный тесты** — применяются для диагностики стрессового недержания мочи [15](https://www.fgu-obp.ru/diseases/nederzhanie-mochi/). \n* **Уродинамическое исследование** — оценивает объём мочевого пузыря, скорость потока мочи, давление в уретре, остаточную мочу и состояние мышц тазового дна [15](https://www.fgu-obp.ru/diseases/nederzhanie-mochi/).\n\n## Лечение\nЛечение недержания мочи зависит от причины, формы, степени тяжести и состояния пациента [15](https://www.fgu-obp.ru/diseases/nederzhanie-mochi/). Некоторые методы: \n* **Консервативные методы** — тренировка мочевого пузыря, режим мочеиспускания, снижение массы тела, исключение провоцирующих факторов (физическая нагрузка, кофеин, алкоголь) [15](https://www.fgu-obp.ru/diseases/nederzhanie-mochi/). \n* **Медикаментозные методы** — при ургентном недержании мочи назначают антихолинергические препараты, спазмолитики и средства для снижения активности детрузора [15](https://www.fgu-obp.ru/diseases/nederzhanie-mochi/). \n* **Хирургические методы** — когда терапия без оперативного вмешательства оказывается неэффективной [15](https://www.fgu-obp.ru/diseases/nederzhanie-mochi/).","linksData":[{"sourceId":1,"url":"https://centr-hirurgii-spb.ru/diseases/nederzhanie-mochi/","shownUrl":"https://centr-hirurgii-spb.ru/diseases/nederzhanie-mochi/","title":"Недержание мочи (инконтиненция): лечение, причины, симптомы заболевания","shortUrl":"centr-hirurgii-spb.ru","isTranslated":false,"description":"","greenUrl":"centr-hirurgii-spb.ru"},{"sourceId":2,"url":"https://fnkc-fmba.ru/zabolevaniya/podtekanie-mochi/","shownUrl":"https://fnkc-fmba.ru/zabolevaniya/podtekanie-mochi/","title":"Подтекание, недержание мочи (инконтиненция) у мужчин и женщин: причины и лечение","shortUrl":"fnkc-fmba.ru","isTranslated":false,"description":"","greenUrl":"fnkc-fmba.ru"},{"sourceId":3,"url":"https://duetclinic.ru/diseases/nederzhanie-mochi/","shownUrl":"https://duetclinic.ru/diseases/nederzhanie-mochi/","title":"Недержание мочи: симптомы, причины и лечение | «Дуэт Клиник»","shortUrl":"duetclinic.ru","isTranslated":false,"description":"","greenUrl":"duetclinic.ru"},{"sourceId":4,"url":"https://www.ckbran.ru/cure/urologia-bolezni-simptomy/nederzganie-mochi","shownUrl":"https://www.ckbran.ru/cure/urologia-bolezni-simptomy/nederzganie-mochi","title":"Недержание мочи у женщин / у мужчин: симптомы, диагностика и обследование, лечение недержания (инконтиненции) – Урология в Москве – Клиника НКЦ №2","shortUrl":"ckbran.ru","isTranslated":false,"description":"","greenUrl":"ckbran.ru"},{"sourceId":5,"url":"https://ozerki.ru/articles/nederzhanie-mochi-u-zhenschin-simptomy-prichiny-i-sovremennye-metody-lecheniya/","shownUrl":"https://ozerki.ru/articles/nederzhanie-mochi-u-zhenschin-simptomy-prichiny-i-sovremennye-metody-lecheniya/","title":"Недержание мочи у женщин: причины и лечение | Аптека «Озерки»","shortUrl":"ozerki.ru","isTranslated":false,"description":"","greenUrl":"ozerki.ru"},{"sourceId":6,"url":"https://clinicanativemc.ru/articles/voprosy-vrachu/nederzhanie-mochi/","shownUrl":"https://clinicanativemc.ru/articles/voprosy-vrachu/nederzhanie-mochi/","title":"Недержание мочи у взрослых и детей – причины, диагностика, лечение | Клиника Native","shortUrl":"clinicanativemc.ru","isTranslated":false,"description":"","greenUrl":"clinicanativemc.ru"},{"sourceId":7,"url":"https://urologiya.center/simptomy/nederzhanie-mochi/","shownUrl":"https://urologiya.center/simptomy/nederzhanie-mochi/","title":"Недержание мочи: причины, диагностика, лечение | Клиника урологии им. 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