{"id":1114,"date":"2014-04-05T07:28:58","date_gmt":"2014-04-05T07:28:58","guid":{"rendered":"http:\/\/petersphotogallery.com\/vanea\/?page_id=1114"},"modified":"2018-01-26T03:59:51","modified_gmt":"2018-01-26T03:59:51","slug":"stress-urinary-incontinence-sui","status":"publish","type":"page","link":"http:\/\/petersphotogallery.com\/vanea\/stress-urinary-incontinence-sui\/","title":{"rendered":"stress urinary incontinence"},"content":{"rendered":"

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Stress Urinary Incontinence\u00a0<\/strong>SUI<\/a><\/p>\n

1:3 women who ever have a baby will experience some SUI during their life!!
\nSUI\u00a0occurs when your pelvic floor muscles are weakened from an outside influence, like a cough, laugh or sneeze, which causes a small amount of urine to leak from the bladder.
\nStress incontinence is often treated by pelvic floor exercises.
\nUrgency UI occurs when you have a sudden urge to empty your bladder and leak urine on the way to the toilet. SUI is most prevalent in women during and after they have had children. During pregnancy the position and weight of the growing baby on top of the bladder can cause frequency (needing to go often) and sometimes urgency (sudden and overwhelming desire to go to the toilet).
\nSome pregnant women may experience small leaks with a full bladder when they cough, sneeze, laugh, run, jump, etc. and this may continue after the birth of their baby. This is not normal and should be addressed with correct pelvic floor muscle awareness and activation during pregnancy. it’s NOT OK to accept this as ‘normal’ after the birth of your baby\u00a0as it may lead to long term problems.
\n” Although commonly seen in middle aged and elderly women when a group of female student nurses who had not had children where questioned, 40% admitted some form of incontinence<\/em>. Many women avoid seeking medical help due to the misconception that the condition is a normal part of ageing or due to embarrassment.”<\/p>\n

Types of SUI<\/strong><\/p>\n\n\n\n\n\n\n\n\n\n
Stress<\/td>\nInvoluntary leakage on effort or exertion, or on sneezing or coughing<\/td>\n<\/tr>\n
Urge<\/td>\nInvoluntary leakage accompanied by or immediately preceded by urgency<\/td>\n<\/tr>\n
Mixed<\/td>\nInvoluntary leakage associated with urgency and also with exertion, effort, sneezing, or coughing<\/td>\n<\/tr>\n
Functional<\/td>\nUntimely urination because of physical disability, external obstacles, or problems in thinking or communicating that prevent a person from reaching a toilet<\/td>\n<\/tr>\n
Overflow<\/td>\nUnexpected leakage of small amounts of urine because of an overfilled bladder<\/td>\n<\/tr>\n
Transient<\/td>\nLeakage that occurs temporarily because of a condition or situation that will pass (eg, infection, medication)<\/td>\n<\/tr>\n
Deformity<\/td>\nFistula or developmental abnormality<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

On the pelvic floor page I directed you to several websites to explain where and how the pelvic floor muscles work.
\nLet’s just have a quick anatomy review.
\nThe pelvic floor muscles are on the inside of your pelvis. They sling between the pubic bone at the front and the tailbone at the back. They also run across the back of the pelvis inside between the two bones that you sit on. They are there to keep the bladder, bowel, and uterus up in the pelvis and control the emptying of bladder and bowel. The pelvic floor muscles also play a role in sexual satisfaction\u00a0and orgasm.<\/p>\n

\"pelvic<\/a><\/p>\n

This picture on the right shows a view down into the bowl of the pelvis. You can see the Pubococcygeus, Puborectalis, and Coccygeus muscles. These form the ‘Levator Ani’ \u00a0muscles. This ‘plate’ of muscles, fascia and ligaments keep the bladder, uterus and bowel up inside the pelvis and controls the emptying of bladder and bowel.
\nThese techniques can assist women find their pelvic floor muscles:<\/p>\n

\u2022When emptying the bladder try to stop or slow the stream. Do this only to help identify the pelvic floor<\/em> and not as a regular exercise.\u00a0 Do not perform this technique if you suffer from\u00a0 bladder emptying problems.<\/p>\n

\u2022Imagine you are trying to avoid passing wind in doing so attempt to lift and squeeze the muscles in and around the anus. Your buttocks should stay relaxed and your breathing should remain regular.<\/p>\n

\u2022Use a mirror to view the entrance to your vagina. Try to lift and squeeze in and around the entrance of your vagina. You should see a squeeze and inwards lift of the vaginal entrance.
\nThere are also good videos on you tube <\/a>explaining the anatomy of this area.<\/p>\n

Symptoms of stress urinary incontinence SUI<\/strong>
\n\u2022accidentally leaking urine when you exercise, laugh, cough or sneeze
\n\u2022needing to get to the toilet in a hurry or not making it there in time
\n\u2022constantly needing to go to the toilet
\n\u2022accidentally losing control of your bladder or bowel
\n\u2022accidentally passing wind
\nThese symptoms are the result of the muscles around the bladder neck or sphincter not being able to contract enough to withstand the pressures from the pelvic and abdominal cavity above.
\nWomen’s health physiotherapists describe this as the ‘intra- abdominal pressure’ IAP exceeding the ‘intra vaginal pressure’ and therefore causing ‘stress’ leaks.
\nSome women only experience this with a full bladder and think that it’s OK …it’s still stress urinary incontinence…and we must NOT be soothed by our various incontinence product manufacturers to believe that ‘light bladder leakage’ is the norm.
\nI feel so much better now I have got that off my chest!
\nSo what to do now….<\/p>\n

If you are not confident that you can identify and contract the pelvic floor muscles<\/p>\n