Leaking Pee? We can help.
We know: you don’t want to talk about it.
It feels private–and maybe shameful.
Maybe you’re wearing a period pad liner all the time. Perhaps you have decreased your fluid intake. Maybe you stopped exercising or avoid certain activities so you don’t leak.
You go to the bathroom “just in case” and always know where all the washrooms are located. You cringe at the thought of going somewhere that doesn’t have quick and easy access to a bathroom. You’re scared you will leak during intimate activities.
You’re searching the internet for something–anything–to fix it.
You’ve arrived: we can help.
Types of Urinary Incontinence
Leaking pee–aka Urinary Incontinence (UI)–is a common healthcare problem worldwide. It is divided into several different types:
Stress Urinary Incontinence (SUI): the sudden, involuntary leakage of urine with activities that increase intra-abdominal pressure (cough, sneeze, laugh, exercise).
Urge Urinary Incontinence (UUI): the strong, sudden need to urinate that is difficult to delay
Mixed Urinary Incontinence: symptoms of both SUI and UUI
Neurogenic Bladder: bladder problems that arise when the nerves that coordinate bladder function are impaired
UI post prostate treatment: prostate treatments can impact the muscles and nerves involved in bladder control
Evidence-based Treatment of UI: What do the Clinical Practice Guidelines Recommend?
Treatment guidelines for urinary incontinence vary based on the type of UI (SUI, UUI, mixed, etc) and may include conservative care (non surgical) and surgical options. Pelvic Health Physiotherapy offers access to high quality evidence-based care that does not include pharmacology (medications).
The top 5 conservative care recommendations (not including medications) to overcome urine leakage include:
- Supervised Pelvic Floor Muscle Training: Learning to voluntarily contract the muscles of the pelvic floor in a coordinated manner and then relax them. This is recommended for a minimum of 3 months.
- Bladder Training: Strategies to retrain the bladder to hold urine for longer periods and reduce the frequency of urination.This is recommended for a minimum of 6 weeks.
- Lifestyle Interventions: The evidence supports regular physical activity, fluid intake modification, caffeine reduction, weight reduction, and smoking cessation.
- Pessary: a device that is inserted vaginally. There is evidence that using one of these devices can be helpful when pelvic organ prolapse (POP) is also present.
- Transcutaneous Tibial Nerve Stimulation (TTNS): a treatment for UUI that involves using a TENS machine on the inner ankle to stimulate the posterior tibial nerve to modulate bladder activity.
In some situations, a multimodal, multidisciplinary approach involving medical treatment from a prescriber (doctor, nurse practitioner, etc) or surgeon is necessary. Pelvic Health Physiotherapists work with your healthcare team to ensure you receive the best coordinated treatment plan possible.
Where do I start?
Urine leakage is common–and there is no shame in asking for help. Pelvic Health Physiotherapists are uniquely educated and trained to help you overcome urinary incontinence.
At Fit for Life Physiotherapy, we have two Pelvic Health Physiotherapists who are ready to help you.
If you’re ready to get started, book a Pelvic Health Physiotherapy Assessment with one of our Pelvic Health Physiotherapists.
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| Wendy Hancock Registered Physiotherapist |
Natalie Lehto Registered Physiotherapist |
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Still have some questions about how Pelvic Health Physiotherapy can help? Call us to book in a FREE 15 minute consultation with Wendy or Natalie.
Don’t suffer in silence. Help is here!
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Wendy Hancock is an Orthopaedic and Pelvic Health Physiotherapist. She incorporates manual therapy, individualized exercise, acupuncture, education and other modalities to help her clients achieve success! Ready to feel your best? |