Urinary Incontinence

INCONTINENCE A portion of the population (more than two million women) suffering from urinary incontinence (involuntary loss of urine) and may produce a person who suffers a series of psychological and social disorders, as well as organic. Affects their quality of life are people who decrease their social life and worry can be a hindrance in daily activities. There are several types of incontinence, urgency, and incontinence of neurogenic effort. This has not been a priority in health in Spain and change in society has a great impact. About incontinence, if we compare to other countries like England, France or the United States going with a delay of many years, so that health professionals who are dedicated to pelvic floor re-education, we must give a major boost to the population is aware that there are treatments and solutions for different types of incontinence, urinary or fecal either. Correcting this problem has a number of facets and is a multidisciplinary, with a single purpose: to benefit the person who suffers urinary incontinence. Socially this type of damage is hidden, because the person, either because of shame, embarrassment or lack of information said to suffer this loss of urine, and is limited to methods such as absorbent pads to hide the problem.

But today there are simple and effective treatments. Incontinence in this form of incontinence, urine leakage may occur with coughing, running or physical effort. This type of incontinence primarily due to a weak pelvic floor muscles, these muscles have the function to contain and protect the entire lower abdomen as they pass through the urethra, vagina and rectum. These muscles are weakened for various reasons: pregnancy, vaginal delivery, constipation, sports inadequate hormonal changes, aging. But the most important cause is pregnancy and childbirth. The deterioration of the pelvic muscles, too, can cause sexual dysfunction and that women do not receive enough stimulation and orgasms are less intense or not achieved. This lack of muscular support may cause discomfort or painful sensations during intercourse, even incontinence can occur during intercourse. All this can lead to the deterioration of security and self esteem. This weakness can not recover spontaneously and recovery is possible through Kegel exercises, mebstudio, proprioception, myofascial therapy, vaginal cones, biofeedback, electrical, ...

Our job as therapists when we get one person with this problem and does not carry prescription will be performed on a clinical history and examination indicate a visit to a specialist, either a urologist, gynecologist or coloproctólogo.

To effectively treat incontinence must be properly diagnosed, so they require a series of tests in each case and specific treatment and combined pharmacological and fisoterápico either. In addition to treating it is also important to prevent, so always insist on antepartum courses on these muscles. TYPES OF INCONTINENCE The various types of urinary incontinence can be grouped in the following entities as their clinical characteristics and the population group they belong to: Stress urinary incontinence (stress incontinence) Incontinence urinary urgency (unstable bladder) urinary incontinence Urge incontinence mixed psychogenic cause neurological cause urinary incontinence (neurogenic bladder) overflow incontinence in men bladder instability (unstable detrusor in BPH) enuresis Urinary incontinence in older people What is the pelvic floor? A set of muscles that holds and holds all the internal organs of the lower abdomen (bladder, urethra, the lower portion of the intestines and sexual organs in women). Through this floor ducts pass outside these organs (urethra, vagina and rectum), in addition, when emptying the bladder, is responsible for opening and closing the outlet of the urinary tract.

A weakened pelvic floor muscles can not perform this function fully, resulting in involuntary loss of urine, sexual dysfunction and vaginal prolapse. CAUSES WHICH MAY CAUSE SEXUAL DYSFUNCTION urinary incontinence or pregnancy and childbirth. By the weight of the uterus during pregnancy causes stretching of the pelvic floor muscles increases during childbirth. This stretch is compounded if an episiotomy or if there is excess weight. Postpartum. For women who are only limited to early abdominal exercises to regain your figure is an increase in abdominal pressure which may result in incontinence. Sports. Some sports that require jumping and impacts such as aerobics, running, jogging, ... lead to increased abdominal pressure. Failure to take appropriate measures weakened pelvic muscle tone, in fact, in some elite sports, with this type of activities and continuous training and competitions, six out of ten athletes are affected by incontinence. Menopause and aging. Due to the hormonal changes of menopause is a loss of flexibility of the pelvic floor muscles and the simple passage of time produces a physiological atrophy of these muscles.

Other factors. Obesity Constipation Chronic Cough Heritage incontinence can prevent, treat and cure the ideal of physiotherapy in this field is prevention, especially in pregnancy and postpartum, and when you know that there are predisposing factors for incontinence. It's better than before the first symptom is see a doctor to perform a correct diagnosis so we can begin a program of pelvic floor physiotherapy preventing the problem worse not only prevents physical therapy but sometimes can avoid surgery. In other countries like the United States, first you start with conservative treatment and then in the cases that have not been a good result considering the possible surgery. Treatment today is no longer the only alternative to surgery, the treatment proposed in the art centers in the pelvic floor physiotherapy. This branch of physiotherapy uses various tools. Performing pelvic floor exercises active contractions, regular and specific to each case and person. Manual therapy treatments that mobilize visceral and myofascial structures and viscera for Biofeedback physiological functioning.

Technical constant information on the role you want to submit to voluntary control), electrostimulation, specific exercises, ... All of them are techniques that allow a person to control physiological responses most appropriate education, food tips in daily life. Daily habits urge incontinence is the involuntary loss of urine associated with urinary strong desire to urinate accompanied by fear or fear of pain to retain the urine. The cause is the existence of involuntary contraction of the detrusor muscle, is considered therefore that there is an unstable bladder. Stress incontinence is the involuntary loss of urine insufficient closure of the urethra to increase abdominal pressure. The loss is associated with movements, jumping, bending, coughing, sneezing and during ,..., there is the feeling of needing to urinate. CONCLUSIONS Any person with incontinence, urinary or fecal either must find its solution. Breaking the myth that a woman is considered incontinent. For a society like ours is unacceptable incontinence assume without finding a solution. There are treatments, pharmacological, surgical and physical therapy. Depending on the type of incontinence will be a complete solution or in other cases, though not entirely eliminate the problem, you can reach a tolerable situation.

With a correct diagnosis and appropriate treatment results in a complete cure for many incontinent and in chronic patients is improved quality of life. Physiotherapist specializing in Mercedes Blanquet pelvic floor reeducation President ASCAT, women health association