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Stress Incontinence Of Urine

Stress Incontinence Of Urine

Medically Reviewed By Dr. Jessica Lubahn, Urologist and Founder of ONDRwearStress incontinence of urine is the uncontrolled leakage of urine. Stress incontinence can happen after childbirth, and it is much more common as a person ages. After age 65, 1 in every 2 women may find themselves with unwanted bladder leakage periodically. Besides the physical toll, this condition can also impact women emotionally. Women find themselves afraid to participate in normal activities or on a constant hunt for the toilet. Bladder leakage itself is not a disease, but rather a symptom of other underlying conditions. There are several forms of incontinence. One of the most common is stress incontinence. Stress incontinence of urine is caused by weak or damaged pelvic floor or sphincter muscles. The chronic conditions listed below can lead to damaged pelvic floor muscles.The pelvic floor refers to a grouping of muscles that are attached to your pelvis and form the base of your core. These muscles have a variety of roles, one of which includes bladder control. Your pelvic muscles surround your bladder and urethra (the tube that is responsible for carrying urine out of your body) and help to maintain the control of urine as you pee.If your pelvic muscles have been weakened or stretched, you may find yourself leaking pee when exercising or any other physical activity that puts pressure on the bladder. Common triggers include sneezing, coughing, laughing, lifting, bending. The leakage may be as mild as a few drops to as severe as several tablespoons (1). Just because you have this issue, does not mean there is nothing that can be done. Here are some immediate changes that can improve your situation.Getting help from a pelvic floor physical therapist can be of great benefit. Pelvic floor muscle exercises can help many people. Kegel exercises are a great place to start when you’re trying to put an end to leaking pee!Kegel exercises can be done pretty much anywhere and help strengthen the muscles of your: A visit to a pelvic floor physical therapist may be even more effective. Specially trained in pelvic floor dysfunction, pelvic floor physical therapists can give you a professional assessment to determine the exact cause of your pelvic issues (2).They can then create an individualized plan for you that may include things such as:A 2010 study found that losing weight can help to reduce the incidence of stress urinary incontinence episodes. Since losing extra body weight removes some pressure on the bladder and pelvic floor, it can help decrease urinary incontinence (3).It may be counterintuitive to exercise more when you are leaking pee with exercise, but maintaining a regular exercise routine can help strengthen your pelvic muscles.You will want the focus of your exercise to be on strengthening your pelvic floor, so instead of high-impact workouts like aerobics, CrossFit, or jogging, try exercises that strengthen your core, such as Pilates. Core exercises can help to put an end to leaking pee when exercising (3).A vaginal pessary is a pliable, removable device that is placed into the vagina to help support areas of pelvic organ prolapse (POP). POP results when the bladder, uterus, or rectum drops or bulges down towards a woman’s vagina (4).Typically made of silicone, pessaries come in a variety of types, including:Over the counter, disposable vaginal suppository options are also available. Your doctor will be able to help determine the type of pessary that will be the best option for you to prevent peeing when exercising.Bladder training is a common way to manage urinary incontinence and put an end to peeing when exercising.A pelvic floor physical therapist or pelvic pain doctor can help with this option and may recommend methods such as:In case of severe stress incontinence, surgery may be required. Most surgeries for bladder incontinence fall into the following categories:As with any surgery, incontinence surgery comes with a list of risks, including:Due to its invasive nature, surgery is usually done as a last resort.Sources:
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