Urinary Incontinence

Urinary incontinence is common, with one in three women suffering from it. Urinary leakage is often considered normal within the society, however, it should not be considered ‘normal’ after having a baby, or in the perimenopausal or postmenopausal stage.

There are several types of incontinence, including stress urinary incontinence being the most common whereby urinary leakage happens with coughing or sneezing, or with high impact activity. There are also other form of leakages, including urge urinary incontinence and post void leakage.

 

Why is it happening to me?

The most common cause is pelvic floor weakness with poor timing of the pelvic floor Muscles.

Pelvic floor weakness can occur due to:

– Vaginal birth including usage of forceps or vacuum, giving birth a baby>4kgs

– Hormonal changes at the perimenopause or postmenopause stage

– Increased high impact exercise

– Repeated heavy lifting

– Chronic constipation and straining

– Ageing of the body, leading to pelvic floor weakness

Signs and symptoms of urinary incontinence:

-leakage with sneezing, coughing, and with exercise

-urgent with urination, and leakage can occur

-increased frequency with going to the toilet

-incomplete emptying of the bladder

How do we help with urinary leakage?

Physiotherapist Aileen cares about you and your bladder, she completes a full and comprehensive assessment to determine the type of leakage that you currently have based on your description and your symptoms.

Physiotherapist Aileen understands that every woman and every body is different. Thus, no treatment method and exercise prescription is ever the same. Based on her assessment, she provides you with ample advice and suggestions to aid with improving your concerns and your symptoms.

This may include completing a bladder diary, and discussing your bladder habits and fluid intake habits. If required to, physiotherapist Aileen may ask for your permission to complete an internal vaginal examination to assess the strength, timing and endurance of your pelvic floor muscles. Individualised, supervised pelvic floor exercises that is constantly progressed is considered first line conservative treatment for urinary leakage. 

Thus, physiotherapist Aileen would then form a pelvic floor exercise program that is completely targeted and tailored to your pelvic floor muscles to improve its strength, thus aiding with your symptoms.

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