Doctor insights on:
Kegel Exercises For Urinary Incontinence
Incontinence denotes involuntary leaks of body wastes from urethra or anus; that from urethra is urinary incontinence, which may be classified as stress, urge, mixed (stress + urge), total, & overflow urinary incontinence, signifying its timing & specifics; that from anus is fecal incontinence, which may be urge, stress, total, etc. reflecting the ...Read more
Effective for many: Performed by urologists ; uro-gynecologists after suitable urodynamic studies have been performed. Presume you developed after childbirth ; sling has been advised. This is s a very satisfactory treatment option, however might be good to delay until after a future pregnancy if you intend to have any more children. ...Read more
Pelvic Floor Rehab: A specialized physical therapy rehab program usually performed by female physical therapists for female patients. The therapists have specialized training to identify insufficient muscle strength or muscle coordination. The use of deep heat modalities may help if increased tone of muscles that are not coordinated. Biofeedback allow you to understand which exercises fire which muscles. ...Read moreSee 2 more doctor answers
Toilet training myself for incontinence with scheduled voiding, kegels, etc. Isnt there a surgical fix?
No: But u can have that surgery done at the same time, if gyn is doing the incontinence surg then the gyn can do the other but the incon. Will be covered by insurance the other one may not be, so u would have to check that out before surgery, if a urologist is doing the incon. Surgery, then u would need a gyn also. ...Read moreSee 1 more doctor answer
Probably not ...: Kegel exercise, of no doubt, will strengthen the muscle power around the anus and pelvic floor of men or women. But its preventive effect has not been studied for teenagers, as I have known. Remember everything happening to us always results from multiple factors although some factors may be identified as precipitating ones. Meanwhile, practice healthy lifestyle and avoid overindulgence... ...Read more
Maybe: Some medical research suggests that pelvic floor exercises can improve erectile dysfunction and premature ejaculation, via improved muscular control of the pelvis. Given that there is virtually no risk, kegel exercises are a logical first approach to treating premature ejaculation, before considering topical and pharmacological options. ...Read more
Absolutely!: Kegels can help. But many women w/ leakage or urinary incontinence do not have healthy pelvic muscles and cannot "kegel" (aka pelvic muscle exercise) properly. If you injured your shoulder muscles & had trouble with shoulder - you wouldn't think twice about seeing a physical therapist(pt). Do pme squeeze for 10, relax for 10, for up to 50 reps a day. Ideally seek script for pelvic floor pt. ...Read moreSee 2 more doctor answers
Can doing squat exercises help strengthen the pelvic floor muscles and help treat stress incontinence?
Yes: Male slings have been shown to be of great assistance in helping men with certain types of incontinence after prostate surgery. I suggest you talk to the urologist who performed the prostatectomy or find one of the younger robotic trained urologists who might be more aware of new technology to help with incontinence after prostatectomy. ...Read moreSee 1 more doctor answer
Is pelvic floor rehabilitation therapy effective for interstitial cystitis (aka: painful bladder syndrome)?
Here are some ...: Pelvic floor muscle exercise for men with stress u-incontinence after radical prostatectomy is same as that for women, i.e., Kegel exercise. But, how to do it correctly may be an issue, and it should be done by learning how to isolate the perineal / pelvic floor muscles around the urethra. If doing it correctly, one should not see much movement in the abdominal muscles. ...Read more
Squeeze before Sneez: Some women find it difficult to locate their kegel muscles. Think about what you do when in an elevator and you don't want to pass gas? That's right you keep your tummy muscles soft and tighten your bottom. Those muscles close your urethra so urine doesn't leak (and also your vaginal opening for improved sex). Practice a few times a day. So remember when you feel a cough or a sneeze... Squeeze. ...Read moreSee 4 more doctor answers
Stress incontinence: While many procedures and devices have come along for stress incontinence (i have tried them all as a urologist) the gold standard remains the mid-urethral sling. Peri-urethral bulking agents may help some temporarily. Renessa and other gimmicks done in the office have failed miserably for most women. This is a years old device being re-introduced to a new generation of doctors. ...Read moreSee 2 more doctor answers
No: There are of course different type of prostate surgery. Postate removal for cancer has a severe incontinence rate of 3-5% and a mild to moderate incontinence rate of 10-15%. Both are very treatable in hands of surgeons who treat this often. Prostate scraping and laser treatments for benign disease rarely lead to incontinenece buts is also very treatable. Bottom line:it happens and is treatable. ...Read moreSee 1 more doctor answer
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