INCONTINENCE

Incontinence is the involuntary loss of urine at an inappropriate time or place – this can vary from just a few drops every now and then to full bladder leakage.

- Approximately 1 in 3 women have some degree of urinary incontinence.
- In women aged 45-60years old this number increased to 50%
- Approximately 13% of men have urinary incontinence
- Not all incontinence is the same! There is stress urinary incontinence and urge urinary incontinence.

STRESS INCONTINENCE

"involuntary loss of urine on effort or physical exertion, or on sneezing or coughing"

- This is the most common type of incontinence and the one most people are familiar with
- Can be varying amounts of leakage that occurs with effort ie, jump, bend, lift, run, cough
- Associated with an outlet closure problem ie, pelvic floor weakness or prolapse
- NOT associated with a 'weak bladder'

URGE INCONTINENCE

"involuntary loss of urine associated with urgency"

- There is often a strong urge to go but you don't not make it to toilet in time
- Also associated with frequency – needing to go more often or getting up in the night to go
- Common triggers include - seeing the toilet, getting the key in the door or running water
- Can be caused by a sensitive or 'overactive' bladder or by poor bladder and fluid habits

HOW PHYSIOTHERAPY CAN HELP!

A pelvic health physiotherapist can diagnose which type of incontinence you have and treat accordingly – 70% of women with incontinence will get significant improvements with appropriate treatment!

A full assessment of the pelvic floor can identify not only general muscle weakness, but also the co-ordination and timing ability of the muscles to contract when there is increased pressure (such as a laugh or cough). Research has shown that up to 50% of women perform a pelvic floor contraction incorrectly if they are only given verbal cues. An internal pelvic floor examination is used so the therapist can ensure a correct and effective pelvic floor contraction can be achieved. Following this asssessment an individualised pelvic floor retraining programme can be commenced.

WOMEN'S HEALTH PHYSIOTHERAPISTS

POST-GRAD QUALIFIED / SPECIALISED CLINICIANS

RENEE KNOWLES

Auckland Physiotherapy Renee Knowles

WOMENS HEALTH, PHYSIO & PILATES

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