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Archive for the ‘Stress Incontinence’ Category

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.

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New Procedure Treats Stress Incontinence

Wednesday, September 23rd, 2009

Dr. Julie Reil, physician and owner of the Advanced Laser Center in the United States, has applied for a patent for her treatment which she states can treat stress incontinence successfully. Stress incontinence occurs when pressure is placed on the bladder, as in when a woman coughs, sneezes, lifts a heavy object, or laughs, resulting in the leakage of urine. Dr. Reil states that this condition is often the result of pregnancy and childbirth.

The treatment involves the application of infrared light to the genital area, resulting in a tightening of the tissues surrounding the urethra. It uses the same technology as is used in cosmetic procedures which can tighten loose skin elsewhere on the body. Dr. Reil’s use of this technology is the first time this technology has been used to treat stress incontinence specifically. The treatment is called Genityte.

The treatment may be a breakthrough in the treatment of stress incontinence, as it is safe and non-invasive, and may prevent women from having to undergo more invasive procedures. The treatment can be used on women of all ages and with varying degrees of severity of stress incontinence.

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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.

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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.

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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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