MOVE
Don't let stress incontinence keep you from working out
BJ (Brenda Jo) Harris, MD
Millions of
women experience urinary stress incontinence, which is the involuntary leaking
of urine with coughing, laughing, sneezing and exercising. Women experiencing
stress incontinence may voluntarily, or without even realizing it, decrease the
intensity of their workouts or stop working out altogether. Having incontinence
does not mean that you have to live a less active lifestyle. There are
several options to effectively treat incontinence that can get you back in the
gym or out on the pavement.
Before we
discuss treatment options, let's discuss what causes incontinence. The most commonly discussed cause for incontinence is having
children, but that's not the only factor that increases the chance of developing
incontinence. Additional factors include, but are not limited to, family
history, smoking and obesity. While you can't change your genetics, you can
quit smoking and make sure that you maintain a healthy weight. Making these
lifestyle changes, along with regularly doing kegel exercises (pelvic floor
exercises) can help prevent or improve incontinence.
If you think you might have stress incontinence, the first
step is to make an appointment with your gynecologist, internal medicine or
family practice doctor to discuss your options. In the initial appointment, a diagnosis can often be made by
discussing medical history, performing a physical exam and doing a urinalysis
to rule out an infection.
Treatment for urinary incontinence
- A non-surgical option is physical therapy, which
is like having a personal trainer for your pelvic floor. Many women see
improvements by doing physical therapy alone.
- In certain cases, a woman can be fitted in the
clinic for a FemSoft device to be used when working out. This is not a
long-term solution for most women, but for those who are not done childbearing,
it is a great option.
- If you and your doctor determined that surgery
is the best option for you, a simple same-day surgery can be performed to
insert a mid-urethral sling. This is a common surgery that has been used since
1995 with excellent results worldwide.
I tell my patients that incontinence is not normal, but it's
very common, so there's nothing to be embarrassed about. If stress incontinence
is severe enough that it's affecting your lifestyle, get evaluated and your
doctor will get you back to your favorite activities.
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