Annoying urinary incontinence often occurs in menopausal women. At present, operations such as "* * * artificial omentum exposure repair" and "* * * perineal urethral suspension" aimed at improving pelvic relaxation and urine leakage have been included in the scope of medical insurance. The Central Ministry of Health Insurance announced today 102 new measures for health insurance payment, including the implementation of "endoscopic mucosal resection (such as polyp patients)" on New Year's Day. "acid-fast concentrated smear staining examination" and "acid-fast bacteria culture" of pulmonary tuberculosis patients; The ratio of direct bilirubin to indirect bilirubin required by children with biliary atresia: and new surgical methods such as "artificial omentum exposure repair" and "perineal urethral suspension" to improve pelvic relaxation and urine leakage in female urinary incontinence patients.
In addition, after 10 months, there will be *** 10 medical expenses, such as hospitalization expenses for high-risk pregnancy, complex angioplasty, bronchoscopy, endoscopic cryotherapy, etc., with an annual investment of about 292.5 million yuan and more than 3 100 people benefiting.
Perineal urethral suspension can solve serious urinary incontinence.
Li Chunfu, a distinguished member of the Medical Management Team of the Ministry of Health and Insurance, said that the funds will be added and will not be reduced to the existing expenses. Among them, for patients with severe urinary incontinence, about 23.5 million yuan will be invested to pay for the material cost and technical cost of "* * * artificial omentum exposure repair" and "* * * perineal urethral suspension". In the past, patients had to pay about 20 thousand yuan at their own expense for hospitalization, but now they only need to bear part of 10.
Chen Xingyou, an obstetrician and gynecologist at Renai Hospital of Beilian Hospital, pointed out that urinary incontinence caused by sneezing, coughing, laughing and jumping, also known as "stress urinary incontinence", is mainly due to insufficient pelvic floor muscle strength, which makes urine flow involuntarily. Usually it is a high-risk group after multiple births, pelvic injury, surgery, aging and menopause.
Dr. Chen Xingyou mentioned that in traditional treatment, laparotomy is necessary, but now the improved minimally invasive suspension can be locally anesthetized and the operation can be completed within half an hour. Minimally invasive, the patient can pull out the catheter one day after catheterization, and artificial omentum exposure repair is used to improve pelvic relaxation.