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Do you Pee When you Sneeze?

Do you pee when you cough or sneeze? Avoid jumping at all costs? Do you tend to leak when you laugh just a little bit too hard?


These are all different examples of Stress Urinary Incontinence. There are a few different subtypes of incontinence, but the three that I see most commonly in the clinic are: Stress, Urge and Mixed Urinary Incontinence.


Stress Urinary Incontinence (SUI) is the involuntary loss of urine due to an increase in intra abdominal pressure (IAP). The increase in IAP is usually attributed to coughing, sneezing, laughing, jumping, heavy lifting and/or quick position changes (i.e.: the transition from sitting to standing).


Urge Urinary Incontinence (UUI) is the involuntary loss of urine coupled with a strong urge to urinate, typically there is a loss of urine on the way to the bathroom. UUI can be triggered by common things like pulling into the driveway, putting your key in the door, or hearing the water running.


Mixed Urinary Incontinence (MUI) is when a person experiences signs and symptoms of both stress and urge incontinence. 


Dumoulin, Cacciari, and Hay-Smith (2018) concluded that pelvic floor muscle training can cure or improve SUI, UUI and MUI when compared to no treatment or inactive treatment 🥳. Pelvic floor muscle training has the potential to reduce frequency of leaks, amount of leakage, as well as improve the quality of life of those experiencing urinary incontinence (1). Basically if you’re experiencing incontinence there’s something that can be done!


- CY



References


(1) Dumoulin  C, Cacciari  LP, Hay‐Smith  EJC. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database of Systematic Reviews 2018, Issue 10. Art. No.: CD005654. DOI: 10.1002/14651858.CD005654.pub4.

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