The occurrence of incontinence increases with age.
Mistakenly people think incontinence is inevitable and
that nothing can be done.
The cost of incontinence, not only in $$, but also
emotionally is high. People do not dare to go out or go
on an overnight trip. Pads are expensive and studies
show that women with stress incontinence use on average
34 pads a month, while patients with urge and other
incontinence use 59 pads per month on average. You may
add, “I am using more than that” and it eats away my
money. Not only does it cost money and limits the
enjoyment of life, it also increases the chance of
sustaining a fall. Not getting too far away from the
subject of urinary incontinence, breaking a hip is a
very significant problem leading to morbidity and
mortality. It has been proven that incontinence
increases the chance of falling.
A good rule of
thumb is: during the day, even if
there is no urge to urinate, go
to the bathroom at least every 3
Before you start counting the pads you use per month
and conclude you have either stress or urge
incontinence, realize there are many
reasons for incontinence. Simple measures can often make
big differences. Even though drinking water is healthier
than drinking soda, it does not mean the more the
better. Women come to my office with a 20 oz. bottle of
water in their hand , of which they try to drink 4 a
day, in addition to their coffee and other drinks and
wonder why they have to go to the bathroom all the time
or start leaking urine. A normal bladder holds about
10-12 oz. and a lot of women comfortably go for 6-8 oz.;
usually 20 oz. will cause some discomfort or leakage.
Prevention of an excessive input is important for
maintaining or achieving continence.
Your friend can play 4 hours of cards, drink 2
glasses of water and a cup of coffee and not go to the
bathroom once. Doing the math, she has too much volume
to comfortably hold. Even though there are numerous
reasons for this to happen, one of them is lack of
sensation of fullness. Lack of sensation can be caused
by age, a history of bladder overstretching or nerve
damage. A good rule of thumb is: during the day, even if
there is no urge to urinate, go to the bathroom at
least every 3 hours.
For some people the sensation to go to the bathroom
is when the bladder starts leaking; if this is the case,
you will always be too late and will be dribbling or emptying
on your way.
Kegels or pelvic floor muscle training does not work,
or does it? There are several studies supporting the use
of pelvic floor muscle training for the treatment and
prevention of incontinence as well as pelvic organ
prolapse. The key is to contract the muscles correctly
and with the right intensity and to keep up with the
exercises. A short session at our office could change
your life and opinion about the usefulness of strong
muscles. Also some women while thinking they pull up the
muscles are actually pushing and worsening their
Not everybody can come out of diapers with assuring a
normal fluid intake, with regular (at least every 3 hours
during the day) bladder emptying and keeping the pelvic
floor muscles active and strong. However it is a step in
the right direction and does not involve any surgery and
could prevent a fall trying to get to the bathroom
quickly, while leaking through your pad.
Simple measures can make a big difference; make sure
to get your incontinence evaluated at Central Florida
UroGynecology in Rockledge.
I have heard multiple times that I should not believe
getting older brings the golden years. I do know however
they do not have to come with pads and incontinence.
I’ll be happy to help you with your incontinence issues.
Remember simple measures can sometimes make a big
Marja Sprock, MD has more than 15 years of
experience, is board certified in OB/GYN as well as
Female Pelvic Medicine and Reconstructive Surgery
(Urogynecology). She the only female Board Certified
Urogynecologist in Brevard and one of a few nationwide.
Call Central Florida
UroGynecology in Rockledge 321-806-3929 or visit
www.CFUroGyn.com for more information.
Florida UroGynecology where high tech and common sense