Stress Urinary Incontinence Management

Stress Urinary Incontinence Management


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Let’s Manage Stress Urinary Incontinence

Stress Incontinence is an annoying condition. It interrupts our routines. It is unpredictable. Management seems illusive. Treatments fickle. Yet, we must address this affliction, to persevere our dignity, to live a productive life. This is an ailment so pervasive; it has led to a multitude of ideas and forms for relief, control and management. Let us examine a few modalities to manage stress urinary incontinence in women.


What Can Be Done For Relief?

Stress urinary incontinence treatment options fall into three categories, treatments, management and devices both protective and mechanical. Treatments include: behavioral therapies, medications, devices and surgeries. The category of management involves direct application of selected modalities by those living with the condition. This post will address management for women experiencing stress urinary incontinence as it relates to behavioral therapies.


What Are Some Management Suggestions?

The management of stress urinary incontinence is dependent on behavioral applications. We, who are affected must act to improve our conditions. Management ideas include: Kegel exercises, bio-feedback, double voiding, bladder training, medications and revising activities affecting stress urinary incontinence.

How Does This Modality Work?

Kegel Exercises

Weakened pelvic floor muscles stand out as the cause for stress urinary incontinence. Kegel exercises has long been viewed a primer modality to strengthen pelvic muscles for an increase in bladder control.

There are two methods to identify muscles used in Kegel exercises. Let me explain each. 1. During urination, hold back urine. Note the muscles used to hold your urine in the bladder. 2. At your rectal area, notice muscles felt as you hold your gas in. You may feel your abdominal and buttock muscles tighten as well. This is okay. These are the muscles used in Kegel exercises.

Proceed gradually to assure benefit in the program.

  • First set: Tighten and relax these muscles as quickly as your can and count to 10. Perform this method 3-5 times before proceeding to set 2. This set identifies specific muscles to be strengthened. It is a beginning exercise for these muscle to reactivate.
  • Second set: Tighten and hold for 3 seconds, for a round of 10. Perform this set 4-6 times daily. Repeat these sets 2-3 days. Gradually increase the seconds you hold the muscles tightened until your can hold them contracted for 10 second on each round. This set trains targeted muscles not only to contract but also to hold that condition. Also, the brain is reconditioned in the new positions of the pelvic floor muscles.

Kegel exercises can be performed sitting, standing or lying on your back. The repetition of Kegel exercises, reinforces muscle learning in targeted muscles. Twice daily is recommended. Any place your are stationary, these exercises can be done. Benefits experienced from Kegel exercises is individual. Some may notice relief from their stress urinary incontinence symptoms within a month, others need a longer period. A key factor is perseverance.

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What is Bladder Training and Double Voiding?

Bladder training and double voiding are behavioral therapies within the category of management for stress urinary incontinence. These are methods individuals perform as a process or series of actions to ameliorate the annoying symptom of leaking urine.

Double Voiding

The double voiding process is used to assure the bladder is completely empty. After voiding, before completing your toileting procedures, wait a few seconds, consciously contract your bladder muscles trying to empty the bladder a second time. You may feel your abdominal muscles become engaged with this process. Often residue urine is eliminated. This method will influence an empty bladder and may delay the symptoms of stress urinary incontinence in women.

Bladder Training

This method is used to train the bladder to hold urine for longer periods of time. After the urge to urinate is felt, delay proceeding to the bathroom for 10-minutes. Perform this practice for a couple of days. After the second day, assess the process. If everything went well without discomfort or urgency, increase the delay time to 15 minutes. Perform this routine a few more days and reassess. Continue to increase time delays until the urge to void becomes urgent.

Communication between the bladder and the brain work in tandem. If we do not act on the brain’s first signal to urinate, the urge to void is forgotten when the feeling dissipates. As the bladder becomes fuller; it relays this message to the brain. Our brains respond with another signal to urinate. When the urge to urinate can not be ignored, you know it is the time for a trip to the bathroom.

The bladder is a muscle; it stretches and learns to perform based on how we train it. Results from this is not immediate. Individual bodies respond uniquely. Some may experience relief within a month, others require a longer period. Time and invested efforts to retrain the bladder may decrease the incidence of stress incontinence symptoms for renewed assurances when in public. In some situations, the ability to urinate is not readily available. A bladder able to hold more urine for a prolonged period is welcomed and valued.


Resolution for Health Ailments Is In Me 

A few options for management or control of stress urinary incontinence in women have been presented. These can be incorporated in daily routines. The more efforts exerted to strengthen lower urinary tract structures the better their Happy Womanperformance.

As a woman living with stress urinary incontinence, I’ve observed a decrease in my symptoms. After a back injury six years ago, I learned exercises to strengthen my back and core body muscles. Lying supine (on my back), I practiced these exercises and choose to incorporate Kegels at the same time. It has become a routine for me, performed 4-5 times weekly, minimum. I do not take them for granted. The maintenance of strong core body muscles require diligent and regular practice. Of the few times I experienced stress incontinence symptoms, I look for other reasons to explain this malady’s reoccurrence.

Stress urinary incontinence options for women are available. Let’s be protagonists in this drama within our lives with its specific manifestations and nuances. Suffering from stress urinary incontinence need not be one of them. Decide to take control of your situation and act for relief and freedom. Suitable options are within our purview; our actions are the key. These treatments are free for a life filled with joy, happiness and freedom to be obtained. We must choose it.


Please share your thoughts or comments below. I am happy to hear your concerns or questions and I’ll address them promptly.




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