Urinary Incontinence

Urinary Incontinence

What is Urinary Incontinence?

According to The American College of Obstetricians and Gynecologists (ACOG), urinary incontinence simply means leaking urine. Incontinence can range from leaking just a few drops of urine to complete emptying of the bladder.

Symptoms

  • Urgency – Having a strong urge to urinate
  • Nocturia – Waking from sleep to urinate
  • Dysuria – Painful urination
  • Nocturnal enuresis – Leaking urine while sleeping
  • Frequency -Urinating (also called voiding) more often than what is normal for you

Causes

  • Urinary Tract Infections
  • Diuretic medications and caffeine
  • Alcohol
  • Pelvic floor disorders
  • Constipation
  • Neuromuscular problems

Diagnosis

  • Urinalysis. A sample of urine is checked for signs of an infection, blood or any other abnormalities.
  • Bladder diary. Recording how much you drink, a timeline of when you urinate, the amount of urine produced, whether there was an urge to urinate and the total number of incontinence occurrences.
  • Post-void residual measurement. When your doctor asks you to urinate into a container for measurement output. They then measure the amount of urine still remaining in the bladder using a catheter or ultrasound test. When a large amount of urine is left in your bladder, this typically means the presence of a bladder obstruction or an issue with the bladder nerves or muscles.
    (Source: Mayo Clinic)

Treatment

Treatment options vary depending on the type of incontinence, severity and underlying cause. A combination of treatments may be needed or if there is an underlying condition, that would be treated by your doctor before urinary incontinence treatment.

Treatment Techniques:

  • Bladder training
  • Double voiding
  • Scheduled bathroom breaks
  • Fluid and diet management
    (Source: Mayo Clinic)

Pelvic Floor Rehabilitation Exercises

Pelvic Floor Rehabilitation is not a new therapy – it has been used for a number of years in the United States and other countries.

75-80 percent of CWC patients will see significant improvement or cure with our Pelvic Floor Rehabilitation therapy program. As with any treatment, there will be some individuals who will not benefit from non-surgical therapy. Patients with the greatest success are those who are motivated.

Pelvic Floor Rehabilitation has no significant side effects and can be done within the comfort of your home after the initial training sessions.

Individualized Plan of Care

Based on your health history and the pelvic floor muscle measurements taken during your first visit, a urinary incontinence plan of care is developed specifically for you.

This may include:

Pelvic Floor Rehabilitation

Sophisticated instrumentation is used to determine that the correct muscle is being contracted, and when the muscle begins to fatigue. After isolating the appropriate muscles, an exercise plan is developed with specific muscle strengthening instruction much like a personal trainer in a gym.

Bladder Retraining

Once strength is improved, the bladder can be “retrained” to hold a larger volume of urine so bathroom stops are not so frequent.

Pelvic Floor Stimulation

This is also done with a vaginal sensor for women and a rectal sensor for men. A mild stimulus is used to stimulate pelvic muscles and cause a comfortable, timed contraction of the pelvic floor muscles. Stimulation aids in muscle re-education and strengthening, and decreases muscle spasm associated with bladder dysfunction and pelvic pain in both men and women.

Dietary Changes

Often simple dietary modifications can help alleviate bladder dysfunction.

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