Just how common is this problem? Here are the facts on prevalence of urinary incontinence in Canada: 20-30% in young women, 30-40% in middle aged women and 30-50% in elderly women. In men, 1 in 9 will experience urinary leakage.
There are different types of incontinence. Pelvic floor rehab can help with:
Pelvic floor physiotherapy has been effective 80-90% as urinary incontinence treatment. It is now the first line of treatment recommended by the International Incontinence Society.
The pelvic floor functions as a hammock of muscles lining the pelvis girdle in order to support the organs. Patients affected will often describe an annoying bulge at or near the vaginal opening which may or may not be accompanied by pressure. This pressure is aggravated by standing or relieved by lying down.
Different Organs Prolapses :
There are 4 different grades of prolapse
Grade 1 & 2: Recommendation is pelvic floor physiotherapy; Prolapse can often be reversed
Grade 3 & 4: Recommendation is surgical intervention. Pelvic floor physiotherapy should be done pre-operation and post-operation to reduce the likelihood of future surgeries.
Financially, incontinence is a costly problem for patients, with up to $1000 a year spent on products alone. Research has shown that therapists qualified in pelvic floor muscle training promote continence in patients with stress and mixed incontinence, and reduce the severity of urgency incontinence. These results are often gained in as few as 5 sessions.
Note that the Society of Obstetricians and Gynecologists of Canada recommend that Kegel exercises should be confirmed by internal palpation. Simple written or verbal cueing is NOT sufficient for a Kegel exercise program.
Kegels are NOT always indicated for pelvic floor problems. Sometimes they do more harm than good and often they are NOT performed correctly.