Pelvic Floor Article
Exercise and
Incontinence
Stress incontinence is when
you leak urine because there is extra pressure on your
bladder, for example when you cough, sneeze, do exercise
or lift something heavy. It develops when the mechanism
for keeping the bladder outlet closed is weakened. Stress
incontinence is a common condition experienced by one in
three women. It is brought about by an overall weakness in
the pelvic floor muscles; the most obvious cause is
pregnancy and childbirth, but there are other factors to
be taken into account.
Pelvic floor exercises have been a recognized form of
conservative therapy for stress incontinence, urge incontinence
, and to improve sexual stimulation . Exercising your pelvic
floor with a pelvic floor exercise device offers biofeedback
and adjustable resistance (depending on the device you chose).
Pelvic floor exercises may be done with other activities, such
as watching television, ironing, or relaxing. Because it may
take several weeks to notice an improvement, it is important
that you continue doing these exercises. Pelvic floor exercises
will strengthen the muscles of pelvic floor, and may enhance
the ability to retain the pessary in the vagina.
Pelvic floor exercises should be practised by all men from
puberty onwards to prevent problems developing in later life.
If your pelvic floor muscles are weak you will have a greater
tendency to leak urine or have problems gaining or maintaining
your erection.
Pull in and tense your pelvic floor muscles, as if stopping the
flow of urine. Hold for five seconds, then relax. Pull in the
muscle tight and up as if to stop passing urine and at the same
time pull in the muscle tight and up the back passage. You
should be able to feel the perineum. Pull your belly button
towards your spine, so that your back flattens against the
wall. Hold for four seconds and release.
Squeeze as if trying to stop the flow of urine or hold back
gas. Don't hold your breath. Squeeze and count to three then
relax and count to three. Squeeze the pelvic floor as though
you are trying to tighten around your finger and pull it up
into the vagina. By sensing the tightness around your finger,
you can measure how strong the muscles are and how well you can
hold the squeeze.
For more information please refer to the
following pages. Pelvic
Floor Exercises,
Incontinence, Incontinence
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by Gail Burton -
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