Publication

by Chana Albracht, PT
Arbor Health, Rehab Services

Do you leak urine when you cough, sneeze or laugh? Do you have strong urges to use the bathroom and sometimes can't make it in time? Maybe you plan your outings based on where you can find convenient bathrooms, or even worse, maybe you have stopped going out at all because of the fear or embarrassment of having an accident.

You are not alone. In fact, according to the Agency for Healthcare Research and Quality, more than 13 million Americans have urinary incontinence (UI), defined as the accidental leakage of urine. Women are twice as likely to have UI as men, and it has been estimated that 25% to 45% of women have some form of leakage. That's a lot of people who may feel like their lives revolve around their bladder. And it isn't just annoying—it can be depressing and embarrassing, even humiliating.

For too long, women have believed that urinary leakage is something they just have to live with. It is still commonly believed that UI is the result of pregnancy and childbirth, and the inevitable consequence of getting older. This is not the case. Though UI is very common, it is NOT normal and should never be considered an unavoidable part of the aging process.

So what should you do?

Speak about the leak. The many advertisements for incontinence medications and protective undergarments have contributed to increased dialog about incontinence, but many women are still hesitant to discuss their problem. Be proactive and talk to your provider about your symptoms. They can help determine what is causing your incontinence and start you on a treatment program.

As a physical therapist who specializes in these conditions, I want to reassure you that urinary incontinence is treatable. Don't give up. Physical therapy has an 80% success rate in the treatment of stress incontinence. There are many effective treatment options available in addition to physical therapy, including medications, behavioral and lifestyle changes, and surgical interventions. Your provider will work with you to find the best solution.

Categories: Colon Care