Incontinence treatment

Incontinence is a very common health problem.  Unwanted leakage of urine or faeces affects over two million Australians of all ages and from all walks of life.

The pelvic floor is a “sling” of muscles from the coccyx or back passage area, connecting through to the pubic bone at the front of the body. If the muscle tone is poor, bladder and/or bowel control problems can result. Unexpected leakage is embarrassing and control problems can vary from slight to severe.

As well as leakage, associated problems include frequency (wanting to go to the toilet often - including getting up more than twice at night, called nocturia) and urgency (a sudden urge to go to the toilet). There are different types of incontinence: Stress Incontinence, Urge Incontinence, Overflow Incontinence, Functional Incontinence, Reflex Incontinence.

Any concern about poor bladder or bowel control should never be dismissed as “just a small problem …”. Incontinence should never be ignored – it is not “normal”. Incontinence deserves careful assessment by a GP, continence nurse, physiotherapist, or specialist.

Prevention is as important as treatment.  Early intervention may prevent or delay problems recurring or getting worse later in life.

Incontinence can occur around pregnancy and childbirth, following surgery, with neurological and many other disorders, can be related to menopause or prostate problems, or being overweight, or can be a side-effect of some medicines (prescription or over-the-counter). Diet or type and amount of fluid intake can be factors.  Incontinence is even common among athletes.

Incontinence is a complex condition, often with several factors interacting. It is therefore important to talk to a health professional skilled in this area of health. A continence assessment will assist in working out the best individual treatment program for you.

Incontinence is widespread in our community, but it can be treated, more effectively managed and often cured.

Continence Screening Questions

1. Do you usually get a strong urge to urinate?
2. Do you always make it to the bathroom on time?
3. Can you overcome the urge to void?
4. Are you aware when you leak urine?
5. Can you stop the flow of urine on your own?
6. Do you leak urine when you sneeze or cough?
7. Do you leak urine during physical activity?
8. Do you leak urine in small amounts?
9. Do you leak urine at night?
10. Do you leak urine when you change position?
11. Do you feel that you empty your bladder?
12. Do you have to strain to empty your bladder?
13. Do you have trouble starting your stream?
14. Do you start and stop your stream when voiding?
15. Is your stream as strong as it has always been?
16. Is your stream weak or slow?
17. Do you dribble or leak urine after voiding?