Richmond Practice - Female urinary incontinence is still an under reported problem

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Female urinary incontinence is still an under reported problem

By Dr Katharina Schramm MD, Consultant Gynaecologist at +richmond practice

Urinary incontinence is an under reported problem with up to 25% of women affected. Parents with children and in particular mum’s who has had a vaginal delivery can unexpectedly experience a problem. You might have noticed a change after jumping trampoline or when sneezing, coughing or laughing. Sometimes, if the stress event is continuous, for example laughing, the bladder may contract and empty its entire volume making the amount of urine loss more significant (and embarrassing).

Incontinence can be treated with relative ease, but as an embarrassing problem, it is often under reported and can sadly therefore still lead to social isolation and depression.

Management option:
  • lifestyle changes, such as postural changes, diet modifications (less caffeine), and lifting restrictions if possible. Because it is associated with physical activity, the decline with age may reflect lower activity levels in older women.
  • pelvic floor muscle training including physiotherapy or by exercising your pelvic floor muscles by squeezing them)
  • bladder training, so you can wait longer between needing to urinate and passing urine.
  • medication
  • surgery, if required successful in 85% of cases
Consult your doctor if,
  • You have urinary incontinence that begins suddenly. This is called acute incontinence. It is often caused by urinary tract problems or medicines.
  • The involuntary release of urine is enough of a problem that you need to wear an absorbent pad, or if incontinence interferes with your life in any way.
If urinary incontinence affects you, do not hesitate or delay seeing your doctor. For most people, simple changes can ease discomfort or stop urinary incontinence. Our experienced private female GPs or a consultant gynaecologist will start by helping you write a bladder diary and can provide counselling for primary and/or recurrent urinary tract infections and can also help with the necessary investigations, treatment and care.

Call for a same-day appointment in a comfortable and confidential setting close to Richmond Station.

Tel: 020 8940 5009 or book an appointment online .
 

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