Pelvic Rehabilitation Program for Women with Urinary Incontinence

Pelvic Rehabilitation Program for Women with Urinary Incontinence

Introduction

Urinary incontinence is the existence of spillage or accidental release of urine through the urethra to an extent, which causes problems for the sufferer. There are many forms of incontinence, the most important are: the effort (SUI), urge incontinence (UUI) and mixed urinary incontinence (MUI). This is a very common problem that primarily affects women. It is estimated that about 40% of women will have some degree of UI. Urinary incontinence in women is the involuntary leakage of urine, which is not amenable to willpower. This is a fairly common condition that is accompanied by psycho-emotional disorders. Due to the constant wear pads, odor disrupted social adaptation of patients and significantly worse quality of life. Sometimes, it makes it impossible to leave the house. There are more than 200 million women suffering from urinary incontinence.

Discussion

Types

There are many types of urinary incontinence, each of which has a different form of assessment and treatment. The most important are as below:

Stress incontinence (also called stress) is one form of incontinence that occurs when something sharp abdominal strain, increasing abdominal pressure (e.g. coughing, laughing, sneezing, running, jumping, lifting, etc.) It is one of the most common forms of incontinence. Stress incontinence is a common problem that affects overall to 40% of women over 25 years (4 of 10). The number of women affected and the intensity and importance of urine loss increases rapidly with age and number of pregnancies (Hu, 2004).

Urge incontinence is the one that appears associated with an uncontrollable craving to urinate. It is caused by involuntary contraction of bladder muscle (detrusor muscle). The causes of this phenomenon are manifold: neurological disease, chronic bladder inflammation, chronic irritation of the bladder stones or other foreign objects, obstruction of urine output, bladder tumors, etc. However, in most cases there is any alteration.

Finally, mixed urinary incontinence is one form of incontinence in which there are two components, effort and urgency.

The Pelvic Floor

The pelvic floor is simply the set of muscles, ligaments and support structures that enclose the abdominal cavity at its bottom. These structures must maintain anchored and subject to the pelvic viscera (bladder, rectum, uterus or womb, vagina, etc.). Therefore when decay occurs, there may be prolapse or falling of such structures. There are many problems related to pelvic floor weakness: chronic voiding dysfunction (i.e., pictures of pain, difficulty urinating, frequent urination), vaginal prolapse (dropping of the pelvic viscera can get to peek through the vagina) , bowel dysfunction (constipation, gas or stool incontinence, etc..), pain during sex and especially urinary incontinence (Holst, 1988). There are many known factors that contribute to the deterioration of the muscles and ligaments, conditioning problems in the functioning of any organs of the pelvis. The effect is cumulative, so that the more risk factors you have, the greater the chance of getting a UTI. The most important are:

Obesity

Heredity

Constipation

The use of habitual abdominal efforts: athletes, use of wind instruments, ...