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Posts Tagged ‘stress urinary incontinence’

Can Exercise Cause Stress Incontinence?

Tuesday, October 13th, 2009

How annoying to get yourself motivated, out of the house and off to the gym only to find out that your “step class” is very likely contributing to your stress incontinence.  Studies have shown that about 28% of women who work out suffer from stress incontinence, and that percentage rises as high as 66% if only evaluating elite athletes.  Stress incontinence is a result of straining the pelvic floor muscles while training or working out.  This muscle strain can occur either as a result of a rigorous workout or improper form. 

When working out it is incredibly important to use good form to properly align and support muscles.  More and more young women are putting themselves at risk of damaging the muscles of their pelvic floor permanently through high-impact aerobics or weight training.  When lifting weights proper body form is paramount and proper breathing techniques are important to help engage the stomach muscles to protect the muscles of the pelvic floor.  If the stomach muscles are not properly engaged they will likely strain the muscles of the pelvic floor causing it to sustain some slight damage and become weaker.  If this process continues, then eventually stress incontinence will occur.  

The pelvic floor muscles can also be compromised by any activity that has a high impact component to it such as running or aerobics.  Genetics plays a big part in this predisposition to weakening pelvic floor muscles, so while some women can be runners their entire lives and suffer no ill effects, other women are not so lucky.

Something as simple as a sit up, if done improperly, can contribute to the demise of the pelvic floor muscles; therefore, it is important to cross train with a carefully constructed workout to reduce any risk of accidentally developing stress incontinence.

Other exercises, like pilates and yoga, can do wonders to build and strengthen core muscles as well as the muscles of the pelvic floor.  However, it is important to have a trained instructor demonstrate the proper techniques, because just like weight training, improper form can actually cause permanent damage to the pelvic floor muscles by straining them instead of making them stronger. 

While the threat of stress incontinence may make a woman think twice about her workout routine, it should not stop her from getting the exercise that she needs to be healthy.  She simply needs to take the time to build a quality workout routine.  By including low impact alternatives like cycling or swimming, and having a trained professional guide her through proper techniques, any woman can stay healthy and active for many years to come.

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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