The Urinary Incontinence Program incorporates pelvic floor strengthening, bladder re-training, behavioral modification and biofeedback/electrical stimulation to reduce or eliminate involuntary loss of bladder control.

Several types of urinary incontinence exist including urge, stress, overflow or a combination of types (mixed). Urgency is defined as the leakage of urine, which occurs as soon as the urge to urinate is felt, and is often related to poor bladder habits, diet or infection. Stress incontinence occurs as a result of weak pelvic floor muscles and is often associated with activity, coughing, sneezing or laughing. Overflow incontinence occurs when the bladder becomes too full because it cannot be emptied, and is usually a result of a bladder injury or obstruction (enlarged prostate).
 

The overall cost of incontinence per year is $27.9 billion. Medical costs associated with incontinence average $13.5 billion, with 92% of this cost stemming from the sequelae such as falls, UTI, skin breakdown, prolonged acute stays and nursing home placement.

Urinary incontinence (UI) affects an estimated 13 million Americans every day. Both men and women, young and old, can experience some form of UI. Incontinence is not necessarily a natural part of aging. Of 144 female exercisers between the ages of 18-21, 43.6% experienced some form of UI. While bladder conditions affect women more often than men, men are more likely to seek medical attention. Fewer than half of individuals suffering from UI discuss the problem with a healthcare professional Common causes of UI are pregnancy, childbirth, menopause, prostate surgery, lumbosacral injury, spinal cord damage, CVA, multiple sclerosis, chronic constipation and bladder irritants (caffeine, cold medication or diet pills).

Physical Therapy has been shown to improve 8 of 10 UI cases. The initial physical therapy evaluation will involve a thorough musculoskeletal examination and may include internal palpation with patient consent. Therapists employ a variety of treatment techniques combined with behavioral modification and patient education to reduce or alleviate urinary incontinence. These techniques include, but are not limited to, pelvic floor strengthening, correction of muscle imbalances, trigger point release, biofeedback and electrical stimulation. Patients are encouraged to keep a bladder diary which tracks diet, fluid intake and voiding schedule to help identify trends in their behavior that may contribute to incontinence. Physical therapists also work closely with the physician to track the benefits of pharmacologic therapies. Patients must demonstrate intact cognition in order to benefit from this program as much of the activities are carried out via home program.

Please contact the Rehabilitation Department at Fayette County Hospital with any questions related to the aforementioned services at (618)283-1232 ext 225.