The Right Treatment for Stress Incontinence

Stress incontinence is not always related to age and aging. They can occur in men and women, regardless of age and socioeconomic status. Loss of urine can cause psychosocial, hygienic and sexual problems. A large number of people suffering from urinary incontinence do not seek professional help out of shame or because they feel this problem is normal and are excluded from social life. You can have the proper Rejuvenation  with the right treatment.

The Options for Pelvic Physiotherapy

Pelvic physiotherapy is recognized as the first conservative treatment line for these dysfunctions. The pelvic floor muscles are responsible for supporting the organs (bladder, uterus and intestine), urinary and fecal continence.

“Successful long-term pelvic physical therapy results require patient discipline and commitment to the proposed exercises, whether or not associated with medications.”

Physical therapy treatment is simple, painless, inexpensive and noninvasive.

Being any of them:

  • Stress urinary incontinence
  • Urinary urge incontinence
  • Mixed urinary incontinence
  • Urinary incontinence after prostatectomy

The most commonly used techniques by pelvic physiotherapy for the treatment of urinary incontinence are:

Training the pelvic floor muscles: through specific exercises, the patient can identify the muscles and perform individualized training for the dysfunction presented.

Electromyographic biofeedback: through auditory or visual signals, a real-time reading and interpretation of the electrical activity of the pelvic floor muscle fibers is achieved, enabling the patient to identify the muscles to be worked on, increasing sensory perception, restoring coordination and voluntary motor control, resulting in functional improvement and consequently urinary symptoms.

Electrostimulation: used in strengthening pelvic floor muscles, improving urinary function, improving coordination and strength of these muscles and inhibiting contractions of detrusor muscles.

Vaginal cones: These weights vary from 20g to 100g for functional training of the pelvic floor muscles in daily activities. The aim is to insert the cone into the vagina for 15 to 20 minutes and walk. There is a sensation of loss of the cone, with a contraction of the pelvic floor muscles.

Behavioral Therapy: The patient is advised about day and night fluid intake, food and drink that irritate the bladder muscle and regular urination intervals.

Successful long-term pelvic physical therapy results require patient discipline and commitment to the proposed exercises, whether or not associated with medications. In cases of urinary incontinence with surgical procedure, pre- and postoperative physiotherapy is performed, improving the surgical outcome.

The earlier the patient is referred and undergoing pelvic physiotherapy, the better the treatment outcome. In the presence of symptoms of urinary incontinence, seek a urologist who, through the correct diagnosis, will be able to indicate a specialized physiotherapist and able to treat pelvic dysfunction.