Urinary incontinence
“Nearly 57 per cent of women between the ages of 45-64 and 14 per
cent in the general population are affected by urinary incontinence
(UI),” says a senior consultant, gynaecology and
uro-gynaecology (robotics & laparoscopy), HoD, Department of
Uro-gynaecology, Gleneagles Global Health City.
Among topics that are ignored and not discussed, urinary incontinence takes the front seat, says a Dr. Along with her team, she will be launching a programme – CECURA (Centre of Excellence for Continence & Uro-Gynaecology Rehabilitation and Assessment) that will approach incontinence with a team of doctors equipped to handle all kinds of uro-gynaecology problems.
Talking about the condition, the gynaec says, “Incontinence is an involuntary leakage of urine or the urge to pass urine, especially in the late night hours and also repeated urinary tract infection. Many women do not come forward to share about the prevalence of incontinence,” says the Dr.
“Incontinence easily puts back one’s self-confidence and isolates one from social and personal relationships. This can be rightly called as the ‘silent epidemic,’ as even discussing leakage issues with a partner can be difficult and often leaves one feeling too embarrassed to share their feelings, fears and frustrations.”
She adds, “UI is often the source of shame, embarrassment, depression, worry, feeling old, and of self-imposed social exclusion. It interferes with simple daily activities which can lead to shunning of sporting activities. Even coughing, sneezing, laughing or a little physical effort can be a cause for worry as they can provoke a leak or dribbling. Looking for toilets becomes a constant pre-occupation.”
She also informs, “This is caused as the result of prolonged labour, giving too much pressure to pelvic region by manually lifting heavy weights and lack of hormones during menopause or it may also be hereditary. Though this is not a life-threatening issue, this has serious effects on lifestyle.'”
“However, serious conditions like stroke and Parkinson’s are majorly associated with incontinence in the bladder,” she states.
The gynaecologist says, “Many think that the condition is caused due to ageing and is common. So, we need to address the issue and create awareness among women.”
Asked about the treatment methods, she says, “As it is always better to prevent before occurrence – avoid lifting heavy weights, do exercise regularly, especially pelvic floor exercises, proper control of diabetes and asthma, avoiding excess intake of tea/coffee. In serious cases, surgery is suggested. But, it is minimally invasive where the patients need not stay for more than 36 hours and the patient can even leave home without a catheter.”
EXERCISE TO RESCUE
Pelvic floor exercises strengthen the muscles around the bladder and it can help stop incontinence effectively.
To strengthen pelvic floor muscles, women should sit comfortably and squeeze the muscles 10-15 times in a row by not holding breath or tightening stomach.
After getting used to the exercise, every week, they can add more squeezes, but should be careful not to overdo it and always have a rest between sets of squeezes.
If women are pregnant or planning to get pregnant, they should start doing pelvic floor exercises which will lower the risk of experiencing incontinence after delivery.
THIS IS ONLY FOR INFORMATION, ALWAYS CONSULT YOU PHYSICIAN BEFORE HAVING ANY PARTICULAR FOOD/ MEDICATION/EXERCISE/OTHER REMEDIES.
Among topics that are ignored and not discussed, urinary incontinence takes the front seat, says a Dr. Along with her team, she will be launching a programme – CECURA (Centre of Excellence for Continence & Uro-Gynaecology Rehabilitation and Assessment) that will approach incontinence with a team of doctors equipped to handle all kinds of uro-gynaecology problems.
Talking about the condition, the gynaec says, “Incontinence is an involuntary leakage of urine or the urge to pass urine, especially in the late night hours and also repeated urinary tract infection. Many women do not come forward to share about the prevalence of incontinence,” says the Dr.
“Incontinence easily puts back one’s self-confidence and isolates one from social and personal relationships. This can be rightly called as the ‘silent epidemic,’ as even discussing leakage issues with a partner can be difficult and often leaves one feeling too embarrassed to share their feelings, fears and frustrations.”
She adds, “UI is often the source of shame, embarrassment, depression, worry, feeling old, and of self-imposed social exclusion. It interferes with simple daily activities which can lead to shunning of sporting activities. Even coughing, sneezing, laughing or a little physical effort can be a cause for worry as they can provoke a leak or dribbling. Looking for toilets becomes a constant pre-occupation.”
She also informs, “This is caused as the result of prolonged labour, giving too much pressure to pelvic region by manually lifting heavy weights and lack of hormones during menopause or it may also be hereditary. Though this is not a life-threatening issue, this has serious effects on lifestyle.'”
“However, serious conditions like stroke and Parkinson’s are majorly associated with incontinence in the bladder,” she states.
The gynaecologist says, “Many think that the condition is caused due to ageing and is common. So, we need to address the issue and create awareness among women.”
Asked about the treatment methods, she says, “As it is always better to prevent before occurrence – avoid lifting heavy weights, do exercise regularly, especially pelvic floor exercises, proper control of diabetes and asthma, avoiding excess intake of tea/coffee. In serious cases, surgery is suggested. But, it is minimally invasive where the patients need not stay for more than 36 hours and the patient can even leave home without a catheter.”
EXERCISE TO RESCUE
Pelvic floor exercises strengthen the muscles around the bladder and it can help stop incontinence effectively.
To strengthen pelvic floor muscles, women should sit comfortably and squeeze the muscles 10-15 times in a row by not holding breath or tightening stomach.
After getting used to the exercise, every week, they can add more squeezes, but should be careful not to overdo it and always have a rest between sets of squeezes.
If women are pregnant or planning to get pregnant, they should start doing pelvic floor exercises which will lower the risk of experiencing incontinence after delivery.
THIS IS ONLY FOR INFORMATION, ALWAYS CONSULT YOU PHYSICIAN BEFORE HAVING ANY PARTICULAR FOOD/ MEDICATION/EXERCISE/OTHER REMEDIES.
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Labels: asthma, avoid caffeine, control of diabetes, pelvic floor exercises, pregnancy, urinary incontinence
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