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Urinary Incontinence

Urinary incontinence is the leakage of urine at inappropriate times. With incontinence, you may have trouble starting the urine stream or holding urine when you feel a strong urge to go. Urinary incontinence involves the muscles of the pelvic floor. These muscles attach to the bottom of the pelvic bones and run front to back, forming a bowl-like structure that lifts to support the internal organs and controls the sphincter muscles. The pelvic-floor muscles also help support the low back, stabilize the pelvic bones, and help with sexual function. Women are more likely than men to have urinary incontinence, but men can have it, too.

Our physical therapist will perform an examination to identify the causes of your urinary incontinence. Based on the evaluation results, physical therapist will individualize treatments to strengthen your pelvic-floor muscles and improve their function. Physical therapy can help you gain control over your symptoms. Our physical therapist will show you how to “find” the right muscles and use them correctly. Using pelvic-floor exercises, the therapist will help you strength those muscles so that you can better control your bladder. The first step in pelvic muscle rehabilitation is to establish a better awareness of the levator muscle function. Pelvic floor exercises, sometimes called Kegel exercises, are a rehabilitation technique used to tighten and tone the pelvic floor muscles that have become weak over time. These exercises strengthen the sphincter muscle to prevent urine from leaking out due to stress incontinence. These exercises can also strengthen the pelvic floor muscles to prevent pelvic prolapse (improper movement of pelvic organs). Kegel exercises can also eliminate urge incontinence. Contracting the urinary sphincter muscle makes the bladder muscle relax. Pelvic floor muscle rehabilitation may be used to reprogram the urinary bladder to decrease the frequency of incontinence episodes.

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