Thursday, June 5

Urinary Incontinence; meaning, cure and prevention. hOW TO PREVENT / STOP Urinary Incontinence

Urinary Incontinence; meaning, cure and prevention. 


Urinary incontinence the involuntary leakage of urine from the pussy and how to solve it  because it is a common  issue for many women. 

Incontinence can affect a woman’s physical activity, self-esteem,  sexual function and can limit participation in normal day-to-day  activities. 

Although incontinence can affect many aspects of a woman’s life,  many women do not tell their physicians. Why? For many women,  incontinence is embarrassing. They do not feel comfortable  speaking with their physicians about their incontinence. For other  women, they feel that incontinence is a normal part of the aging process and that they just have to “live with it.” 

I would encourage women to talk to their physician about their  incontinence because it is not something to be embarrassed about,  and it is not something that they have to live with. Depending on the type of incontinence, there are a variety of treatments available that 
can dramatically improve leakage episodes. 

There are several different types of urinary incontinence, and a woman may have more than one type of incontinence. A thorough history, physical examination and urodynamic testing can give a great amount of information about the type of incontinence. 


This evaluation process will identify easily treatable and reversible causes of incontinence such as urinary tract infections, medication side effects and certain medical conditions. It will also differentiate the disorders of the bladder that cause long-term incontinence problems: stress incontinence, urge incontinence, mixed incontinence and overflow incontinence. 


TYPES OF URINARY INCONTINENCE


1. Stress incontinence is the most common cause of urinary incontinence in younger women. Stress incontinence refers to the leakage of urine with laughing, coughing, sneezing or with exercise such as running. Stress incontinence is caused by a weakening of the pelvic floor muscles that support the bladder and urethra. Pregnancy, childbirth, aging, chronic constipation and a chronic cough can weaken the pelvic floor muscles. 

Initial treatments are aimed at increasing pelvic floor strength and minimizing stressors. Kegel exercises and pelvic floor physical therapy can increase pelvic floor strength. Lifestyle changes such as weight loss, avoidance of caffeine, smoking cessation, and treatment of chronic constipation or cough can also significantly improve stress urinary incontinence symptoms. 
If incontinence symptoms are not sufficiently treated with pelvic floor exercise and lifestyle modification, surgical therapy, often in the form of a sling procedure, can be used with excellent results.

2. Urge incontinence or overactive bladder is characterized by leakage of urine associated with a feeling of urgency. This form of incontinence results from spasms of the bladder muscles. The lifestyle modifications and pelvic floor exercises mentioned above can also help urge incontinence symptoms. When additional therapy is necessary, medications and a nerve stimulator procedure, called the Interstim procedure, are available that help control the bladder spasms and decrease leakage episodes. 


3. Mixed incontinence is the most common form of urinary incontinence. As the name implies, women with mixed incontinence have both stress and urge symptoms. 

Therefore, they often require a combination of the treatments that were described for stress and urge incontinence. I often recommend treating the most bothersome symptoms first and then evaluating whether additional treatment is necessary.  

A smaller subset of patients experience overflow incontinence  when the bladder does not contract effectively or if there is a physical blockade to the outflow of urine. Women with this form of leakage experience dribbling or continuous leakage. The treatment of this form of incontinence depends upon the underlying cause. 

Regardless of the type of incontinence, leakage of urine is something that can affect a woman’s quality of life. Although many women feel uncomfortable discussing incontinence, it is an extremely common condition with many treatment options available.
 
    Summarily, it may be necessary to see your doctor or physiotherapist. 

1. Yoga: Many plants and yoga exercises help in the setting loose vagina. Increases blood flow to the vagina which leads to a better feeling and the pleasure of making love. Do yoga regularly for the benefit and tighten the vagina.    



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