Incontinence

incontinence

Urinary incontinence is the involuntary loss of urine and this can be temporary or permanent. Many patients think that it is a consequence of aging, which is a big reason for not seeking medical help.

To a person, urinary incontinence causes hygienic and social embarrassment. They avoid going away from home, avoid public transports, and don’t participate in social events, exercises and sports activities. 50% of the report says they avoid sexual activity through fear of incontinence.

Incontinence occurs when the pelvic floor muscles are weak. With the weakness of the pelvic floor and the loss of stability, the pressure on the lumbar spine increases and the risk of back problems also may be higher.

Solution to weak pelvic floor muscles is easy if you know how to manage it right and train it consistently everyday. This is the simplest and safest method to help to reduce the incontinence.

Please don’t forget:  Stress incontinence is treatable.

TYPES AND CAUSES OF INCONTINENCE
  • Stress urinary incontinence (SUI), also known as effort incontinence, is due essentially to insufficient strength of the pelvic floor muscles. It is the loss of small amounts of urine associated with coughing, laughing, sneezing, exercising or other movements.
    * In men, stress incontinence is common following a prostatectomy.
    * In women, physical changes resulting from pregnancy, childbirth, and menopause often contribute to stress incontinence.
  • Urge Incontinence is involuntary loss of urine occurring for no apparent reason while suddenly feeling the need or urge to urinate even with an empty bladder.
  • Fecal Incontinence is the loss of regular control of the bowels. Involuntary excretion and leaking are common occurrences for those affected.
The following methods are used to strengthen the muscles of your pelvic floor:
  • Kegel Exercises are to re-educate and strengthen the pelvic floor muscles. It involves tightening the muscles around your back passage, vagina and front passage, and to lift up inside as if trying to stop passing wind and urine at the same time.
  • Real Time Ultrasound Imaging is state of the art technology used for training the important core muscles. It lets the physiotherapist to assess the function of the deep pelvic floor muscles and allows you to see the muscle contractions on a screen whilst performing the exercise. This helps you to identify the right muscles to be activated.
  • EMG Biofeedback and Stimulation – Electrodes are placed in your pelvic area and around the back passage. These are then attached to a bio-feedback machine. The electrodes sense your muscle activity and the strength of contraction. This gives you an audio-visual feedback which helps you to locate the muscles. Once the right muscles are activated, you’ll get low-voltage electrical currents to stimulate the pelvic floor muscles in order to strengthen the contractions further.
  • Bladder Retaining involves urinating on a schedule, whether you feel a need to go or not. In between those times, you try to wait for the next scheduled time. At first, you may need to schedule 1 hour intervals but gradually, you can increase by 1/2 hour intervals until you are only urinating every 3-4 hours without leakage.
Who will benefit from the pelvic floor muscle training programme?

Women with mild and moderate stress incontinence

  • During pregnanry and post-partum
  • After pelvic surgery or repair
  • Due to organ prolapse
  • Due to menopause

Men after radical prostatectomy

Our incontinence program at Physioasia can help you to identify pelvic floor muslces correctly and help train it effectively.

We provide ongoing evaluation to help you adhere to the exercise regime and keep you motivated to do it RIGHT and CONSISTENTLY.