Dubai: For the 25 million U.S. adults with urinary incontinence, a little leakage can carry a lot of shame. But many people don’t do anything about it. “Urinary incontinence is a very insidious process,” said Dr. David Glazier, co-director of the pelvic floor center at Virginia Urology in Richmond, Va. “It occurs very slowly; (people) think it’s a normal part of aging.”
Women — 75 to 80 percent of sufferers, thanks largely to the wonders of childbirth — endure leakage for an average of eight years before seeking help, Glazier said, even though it’s highly treatable. Watch the following video to get rid of Urinary Incontinence naturally at home.
Urinary Incontinence Causes and Treatment
Increasingly, women are taking action. They are “more physically active, fit, and they’re not going to tolerate wearing pads all the time,” said Dr. Vivian Aguilar, a urogynecologist at Cleveland Clinic Florida who sees many incontinence patients in their 30s, 40s and 50s.
The most common types of incontinence among women are stress and urge incontinence. Pelvic organ prolapse can be a cause. Most women see improvement or cure through behavioral modification and Kegel exercises to strengthen the pelvic floor muscles, considered the frontline treatment for both types, said Dr. Margaret Roberts, attending physiatrist with the Rehabilitation Institute of Chicago. But a third of women don’t do Kegels correctly, she said, and those frontline treatments don’t work for everyone.
Urge incontinence: Having the sudden urge to urinate and not always making it to the toilet. While the causes aren’t well understood, it happens when abnormal nerve signals cause bladder contractions when you’re not ready and can be brought on by infection or nerve injuries, such as multiple sclerosis or stroke.
It is associated with overactive bladder, which also includes urinary frequency. Urge incontinence and overactive bladder affect one-fifth of adults older than 40 and are twice as frequent in women as in men.
A less invasive option is peripheral nerve stimulation, wherein a doctor places a small needle in one of the nerves in the foot, next to the ankle bone, and sends an electric signal to the bladder nerves to calm down. You must do half-hour sessions once a week for 12 weeks, and then once a month after that. Unlike Interstim, it’s not covered by most insurance.
Botox: The FDA in August approved Botox bladder injections to treat urinary incontinence in people with neurologic conditions such as spinal cord injury or multiple sclerosis. The effect lasts for up to 10 months, so you’ll need repeat visits. Some people have trouble emptying their bladder afterward and must use a catheter.
Augmentation cystoplasty: The end-of-the-road treatment for overactive bladder, this involves cutting into the bladder to increase the capacity and decrease contractility. Afterward, patients may have to catheterize themselves.