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Southern California Urology Institute
Gary Bellman, M.D., F.R.C.S.
Board Certified Urologist
Fellowship Trained, Certified in Robotic Surgery

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New Guidelines For Women With Urinary Incontinence

By: Dr. Gary Bellman on September 17, 2014, 2:43 pm

Women with urinary incontinence have trouble controlling their flow of urine.  This is more of an inconvenience because a simple laugh or a sneeze can cause a urine leakage incident which, of course, can make social situations uncomfortable and awkward.  So, women who deal with this problem enthusiastically seek professional help to fix it.
 
Medical experts insist that the treatment of urinary incontinence, a loss of bladder control, does not have to involve medication or complex surgery.  At least that is how the American College of Physicians describes the condition in the draft of their latest guidelines.   In this draft, they discuss how many women who have differing degrees of urinary incontinence that can usually try nonsurgical treatments primarily; things like adding more exercise which specifically strengthen the muscles of the pelvic floor, or guided therapy that can help to train the bladder, or even simple weight loss.
 
The new ACP guidelines specifically mention trying Kegel exercises to help strengthen those specific muscles are they are connected with the uterus, vagina, bladder, and rectum.
 
The guideline draft recommends bladder training, however, for women have a more urgent concern.  If the body feels on the verge of urination all the time, bladder training can help to teach the body how to slowly increase the amount of time between bathroom visits.
 
Women who may obese and suffering from this condition might simply try an effective weight loss technique, as described in the ACP guideline draft.
 
Incontinence has been known to affect up to 57% of women between the ages of 40-60.  The rate can be higher for women over 75 years of age.



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