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Posts Tagged ‘Stress Incontinence’

Birth Control Pill May Decrease Risk of Bladder Weakness

Monday, September 14th, 2009

As reported by Reuter’s Health, researchers from Sweden studied twins of childbearing age between the ages of 20 and 46 years to determine whether the birth control pill or an IUD (intrauterine device) which released hormones had any impact on bladder weakness, compared to women who did not use birth control.

It was found that, after controlling for possible confounding factors such as weight, age and pregnancy, women who took birth control pills had a 43% less chance of suffering from stress incontinence and a 64% less risk of suffering from urge incontinence. Stress incontinence occurs when stress is placed on the bladder, such as when a woman coughs, sneezes, or laughs. Urge incontinence occurs when women experience leakage of urine from the inability to hold their urine once the urge is felt to urinate.

No difference in bladder weakness symptoms was found in women who had an IUD in place. Researchers state that further research is needed to determine the relationship between taking the pill and bladder weakness.

Bulking Agents as a Treatment for Stress Incontinence

Wednesday, September 9th, 2009

Injectable bulking agents to treat stress incontinence have been used safely for several years. Bulking agents are usually composed of collagen (bovine), synthetic materials, or material obtained from the patient (autologous).

Stress incontinence is often the result of a weakened sphincter muscle (intrinsic sphincter deficiency), allowing the sphicter to remain partially open at rest. When abdominal pressure exceeds urethral pressure, the patient will experience loss of urine involuntarily.

Candidates for treatment with bulking agents include women who suffer from stress incontinence as a result of sphincter deficiency and men who become incontinent after prostate surgery. The procedure does not improve urge or overflow incontinence. The intervention itself is simple and can be performed in the office or in a hospital. It takes approximately 30 minutes to complete the procedure, and a local or general anaesthetic may be used.

For some, the injection of a bulking agent around the urethra may result in a cure (25%), while others experience an improvement in symptoms (50%). The procedure works less well in men. In addition, the procedure may need to be repeated every few years, as collagen is broken down by the body, resulting in a return or worsening of symptoms.

Exercise and Stress Incontinence

Friday, September 4th, 2009

You are determined to go to the gym to get back into shape and lose those few extra pounds that have been plaguing you since you recently gave birth. You sign up for an aerobics class and all goes well until, mid-bounce, you feel your bladder give way, resulting in the leakage of a small amount of urine. Mortified, you wonder why this is happening to you. After all, you are young and healthy and have never experienced this before.

Sound familiar? If this has happened to you, don’t despair. Stress incontinence occurs as the result of some stressor being placed on the bladder, such as exercise. It may also occur with activities such as coughing, sneezing or even laughing. It is usually the result of  pelvic floor muscles that may become damaged as a result of pregnancy, childbirth or hormonal changes. Excess weight can also contribute to the problem.

The cure for the problem is exercise targeted specifically towards strengthening these muscles, known as Kegel exercises. Kegel exercises, when performed properly and regularly, can help tone your bladder and the muscles that support it. Losing excess weight can also go a long way to heping to cure the problem as well. Using an incontinence pad designed specifically for this problem will add to your level of confidence and help you feel secure while exercising.

Study Shows Incontinence Improves With Weight Loss

Monday, August 31st, 2009

Being overweight is known to be a risk factor for the development of incontinence. A study in the New England Journal of Medicine, published in January 2009, supports this idea. Research has shown that there is a relationship between excess weight and incontinence, and that losing weight can lessen episodes of incontinence.

The study included 338  American women who were over the age of 30, had a BMI (body mass index) between 25 and 50, and suffered from incontinence episodes at least 10 times per week. At the end of the study, women in the intervention group who were attempting to lose weight through diet and exercise lost approximately 17 pounds each, or an average of 8% of their body weight.

As a result of the weight loss, women in the intervention group decreased their episodes of incontinence by 47%. They experienced fewer episodes of stress incontinence, which was a direct result of extra weight applying pressure on the bladder. The women, however, did not experience a decrease in urge incontinence symptoms. To see the NEJM article, click here.

What is a pessary, and how can it help with incontinence?

Sunday, August 30th, 2009

Pessaries are devices that are inserted into the vagina to support the uterus and bladder which may become weakened and sag downwards, thus leading to incontinence. Pessaries will only help stress incontinence, or inontinence that results from a stress placed on the bladder, which often occurs when a person coughs, sneezes, lifts a heavy object, exercises, or laughs. They do not help in cases of urge or overflow incontinence bacause these types of incontinence result from different physiological processes.

Pessaries come in a variety of shapes and sizes, and must be fitted by a physician in order to work effectively. At one time, pessaries were one of the only options open to women who suffered from incontinence. Although they are used less frequently than they used to be, they are still useful for women who do not wish to take medications or are unable to, or for those women who want to avoid surgery.

Pessaries are not permanent devices, a fact which makes them popular with some women. They need to be removed periodically to be cleaned. Some women take them out and clean them themselves, while others prefer that their doctor or a nurse performs this procedure for them. You may need to be checked more frequently in the beginning to make sure the pessary is fitting properly. A small percentage of women will find that their incontinence is worsened following insertion of a pessary, smply because their organs are brought back into proper alignment. If you suffer from stress urinary incontinence, a pessary may be an option for you.

Autologous Muscle Cell Injections- Effects on Stress Incontinence

Saturday, August 29th, 2009

There is exciting news for those who suffer from stress incontinence. Stress incontinence occurs as the result of some form of “stress” on the bladder, such as coughing, sneezing, lifting heavy objects, exercising, or even laughter. Stress incontinence is the result of weakened pelvic muscles or bladder musculature.

Autologous muscle cell injections are being used to treat stress urinary incontinence. Muscle cells are taken from a person’s own muscle, generally in the thigh, and are transplanted into the urethral sphincter at key spots. Because the muscle cells come from the person’s own body, there is no risk of rejection. There may be some discomfort at the injection site.

Best of all, results of a study of 29 women in the US showed that quality of life was vastly improved following the injections, with 68% of the study participants experiencing an improved quality of life 3 months after the injection. Researchers intend to expand the study to include a wider range of patients. Autologous muscle cell injections can be done on an outpatient basis with no restriction on activity following the injection. A report of this research was made at the American Urological Association (AUA) 104th Annual Scientific Meeting (Abstract 1526. Presented April 28, 2009).

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