My pelvic floor

Urinary incontinence, pelvic floor and re-education

26 July 2019

Whatever our age, professional situation, we all can be brought to suffer from urinary incontinence at a time in our life. Contrarily to a false idea, it doesn’t occur only to older people.

Different factors influence the appearance of bladder weakness

Pregnancy

It is often then that the first leaks appear

Delivery

An event that modifies and affects the pelvic floor.

grossesse et incontinence

Menopause

A step during which it is important to take care of your pelvic floor.

Doing sport

Some sports favor the appearance of urinary leaks.

What is the link between incontinence and pelvic floor?

Whether it is anal or urinary, incontinence is a very frequent pathology. It concerns ­6 million people in France, and mostly women.

Urinary incontinence is described as the existence of involuntary urine leaks from the urethra (the evacuating canal of the bladder) due in some cases, to a pelvic floor loosening. A tired pelvic floor can be the source of anal incontinence. This leads to an inability to hold it before going to the toilet or passing gas.

Schema de la vessie et du périnée

The statistics of urinary incontinence in France

1 woman out of 10 suffer from urinary incontinence and has leaking problems.

2/3 of these women suffer silently without consulting a health professional.

2/3 of these women have a reduced life quality: family, social, sexual, and professional.

We distinguish 3 principle types of incontinence

Effort incontinence

When the expression “peeing myself laughing” becomes true, it is really not pleasant. When it happens, it is a sign of a tired pelvic floor. Other symptoms: a physical effort like carrying a heavy weight, sneezing of simply coughing can provoke more or less abundant urinary leaks. If at the end of a sport session you smell an unusual smell and feel wet, it is time to do something!

These efforts lead to an increasing of the abdominal pressure on the bladder. When the pelvic floor is weakened, this pressure surpasses the intensity of the sphincter’s closure and leads to involuntary urine leaks.

This pelvic muscle failure is often the consequence of giving birth. However, it can be linked to overweight or hormonal deficiency during menopause. It is the most common type of incontinence for women (51,3%)

La danse contre l'incontinence urinaire

Urge incontinence

Urge incontinence, is defined by an involuntary loss of urine preceded by an urgent and unmanageable need to urinate, without having the time to reach the toilet. It can be triggered by cold, contact or sound of water, or the way back home (key in lock syndrome). It is the less common type of incontinence (16,8% of cases)

incontinence urinaire

Mixt incontinence

There are also mixt forms of incontinence that associate effort and urge incontinence. About 1 incontinent woman out of 3 (31,9% of cases) has mixt incontinence.

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