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Urinary Incontinence: It doesn't have to be a part of aging.
In America today, more than 25 million women of middle age and older are suffering with urinary incontinence. Many do not address the problem with a close family member or their physician, and only 27% are receiving treatment.
Saint Vincent Health Center offers diagnosis and treatment for many continence related disorders at the Center for Pelvic Health. To view our brochure, click here.
One of the most common types of incontinence problems is overactive bladder.
Overactive bladder
Overactive Bladder is a condition that gives a person the sudden feeling of needing to urinate. It may include night time voiding, and frequency of emptying the bladder. Many complain that they can’t get to the bathroom in time or that they leak urine before they can get there or that they need to get up several times during the night.
OAB is diagnosed through use of a bladder diary and a complete history of symptoms. Occasionally other tests may be needed but the assistance of the bladder diary cannot be overrated. It is a simple, yet valuable tool for the clinician and patient. It gives much information on bladder emptying habits, diet, fluid intake and daily activities that may precipitate leaking urine.
Treatment of OAB includes:
- Modifying fluids by limiting fluids after 6 or 7 in the evening, avoiding fluids that irritate the bladder, such as caffeine or alcohol and maintaining six to eight ounces of fluids daily to avoid dehydration and further bladder irritation.
- Pelvic floor strengthening (Kegal exercises) are another invaluable tool. These can be easily taught. Using a computer, patients can actually see their muscle activity and receive visual as well as sensory feedback. This is most effective when done with a knowledgeable clinician who can coach, mentor and teach techniques to decrease bladder leakage.
- Medications are often used in conjunction with this therapy and can have a significant impact on the incontinence and in reducing urgency of urination.
As many as 60-70% of women can be improved or cured by these methods. Be sure to get counseling from an experienced professional so you learn the right way to train the pelvic floor and make use of specialized techniques is essential. There is no reason to sit at home and believe the myth that nothing can be done. You only need to ask and partner with your medical provider.
NO ONE needs to go through life being wet or living life held hostage by your bladder! For more information on incontinence treatment, contact the Saint Vincent Continence Hotline at 814-452-7738.
For information, questions or a brochure on the Saint Vincent Center for Pelvic Health, call 814-452-5500, or e-mail pelvichealth@svhs.org.