Urinary Incontinence Treatment Options
Do nothing
Manage symptoms with continence aids.
Non-surgical treatments
Lifestyle changes
Osteopathy, pelvic floor therapy and pelvic floor exercises - An internal examination can measure pelvic floor strength, and from that, we can prescribe an appropriate pelvic floor program.
Other pessary and cream options.
Talk to your doctor or other continence professional about your symptoms.
Surgical Options
Pubovaginal sling
Transobturator mid-urethral sling
Urethral bulking agent
Research
Education
A pelvic muscle precontraction (often called the knack) can reduce cough-related urine loss in selected women with mild Stress Urinary Incontinence (SUI) “Within 1 week, selected older women with mild to moderate Stress urinary incontinence (SUI) can acquire the skill of using a properly-timed pelvic floor muscle contraction to significantly reduce urine leakage during a cough.”
One week after learning how to contract their pelvic floor correctly and appropriately during a deep cough 73.3% of women were no longer incontinent and a medium cough 98.2% of women were no longer incontinent.
Miller JM, Ashton-Miller JA, DeLancey JO. A pelvic muscle precontraction can reduce cough-related urine loss in selected women with mild SUI. J Am Geriatr Soc. 1998 Jul;46(7):870-4. doi: 10.1111/j.1532-5415.1998.tb02721.x.
Hands-on Treatment
Trigger point therapy for Overactive Bladder (OAB)
77 patients with OAB who met inclusion criteria reported their experience with pelvic floor physical therapy (PFPT) with or without myofascial release as treatment for women with symptoms of urinary urgency or urge incontinence. Among patients who had myofascial release, 84.7% reported improvement when compared to only 27.8% of patients without myofascial release. At least three sessions of myofascial release are recommended for patient reported improvement.
Wolff et al., 2020. Consideration of pelvic floor myofascial release for overactive bladder. J Bodyw Mov Ther. 24(2):144-150. doi: 10.1016/j.jbmt.2019.10.018.
Empower Osteopathy welcomes patients from all nearby locations ranging from Robina, Burleigh, Mudgeeraba, Elanora, Palm Beach, Currumbin, Tugun, Coolangatta and the rest of the Gold Coast to Tweed, Murwillumbah, Casuarina, Cabarita, Pottsville, and the rest of the northern NSW rivers region.
