What is Urinary Incontinence

Urinary incontinence means leaking urine when you don’t want to. It’s a common condition where a person loses control over their bladder, leading to accidental leakage during activities like coughing, sneezing, laughing, or exercising.

Prevalence

Urinary incontinence affects millions of people worldwide. It becomes more common with age but can occur at any stage of life.

Occurrence

  • Commonly seen in women after childbirth, during pregnancy, or post-menopause.
  • Also affects men, especially after prostate surgery or due to aging.
  • Can affect young athletes due to weak pelvic floor muscles.

Affected Male-Female Ratio

Women are twice as likely as men to experience urinary incontinence. The male to female ratio is approximately 1:2.

Role of Physiotherapy

Physiotherapy, especially pelvic floor muscle training, plays a crucial role in managing urinary incontinence. A physiotherapist helps identify the type and cause of incontinence and creates a customized treatment plan.

How Physiotherapy Can Help

  • Strengthens weak pelvic floor muscles
  • Improves bladder control and reduces leakage
  • Teaches proper techniques for core and breathing control
  • Provides guidance on lifestyle and posture corrections
  • Uses tools like biofeedback and electrical stimulation, if needed

Take Away:

Urinary incontinence is common but not something you have to live with. With proper physiotherapy, symptoms can improve significantly or even resolve completely.

If Neglected, Then Complications

  • Social embarrassment and isolation
  • Skin infections or rashes due to constant wetness
  • Poor sleep and quality of life
  • Increased risk of falls in older adults rushing to the toilet

When to Seek Help

  • If you leak urine during activity, laughing, or sneezing
  • If you feel a strong, sudden urge to urinate but can’t make it in time
  • If you feel you’re visiting the bathroom too frequently
  • If incontinence is affecting your daily life or confidence

Authors: Dr Shalini M (PT) BPT Women’s Health Specialist

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