Urinary Incontinence

What is Urinary Incontinence (UI)?

The inability to maintain control urine leakage as a result of a stress event i.e. laughing (Stress Incontinence), or a sudden need to immediately urinate (Urge Incontinence). 50% of women will at some point in their life experience some form of UI. This can severely impede an individual’s social and physical activities.

Common Misconceptions:

  • It is normal to have urinary leakage after childbirth
  • It is normal to have urinary leakage as you age
  • There is nothing you can do about urinary leakage
  • Kegels will solve all incontinence issues

Risk Factors:

  • Female
  • Obesity
  • Post menopause (hormone changes)
  • Over 40 (1 in 3)
  • Pregnancy and Childbirth
  • Multiparous: having had more than one child
  • Obstetric trauma (forceps, suction, tearing)
  • Gynaecological or Urinary surgery
  • Chronic Illness
  • Medication
  • Smoking
  • Chronic straining
  • Radical Prostatectomy for men
  • Prostate enlargement

The muscles that comprise the pelvic floor are vital in maintaining urinary continence. They act as a sphincter, provide support, and stability. While a weak pelvic floor could be a cause for UI, it is not always the answer. Individuals at the other end of the spectrum with a hypertonic pelvic floor can also experience UI. Therefore, a thorough assessment by a pelvic floor physical therapist is needed to determine the root cause of your UI and create a personalized treatment plan.

Book your appointment with a pelvic health physiotherapist today.

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