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                  Blog 2010 February Vaginal Birth May Put You At Risk for Prolapse or Incontinence
                  Feb 14, 2010

                  Vaginal Birth May Put You At Risk for Prolapse or Incontinence

                  Pelvic floor disorders, including urinary and fecal incontinence as well as prolapse, affect 1 in 4 non‑pregnant women. Not surprisingly, the incidence increases with age from 10% in their 20’s to almost 50% in their 80’s, and also with bodyweight. Specifically, 1 in 6 women report concerns about bladder control. A recent study reported that incontinent women spend on average $900 per year on protective pads or laundry. Yet, most afflicted women remain silent because of embarrassment.

                  Kegel exercises are the foundation of most pelvic floor rehabilitation programs for incontinence, yet are challenging for women to perform long term. Over the past decade, synthetic urethral slings have become the gold standard for surgical correction of stress urinary incontinence (SUI), which is when a person loses urine with activities like coughing, sneezing, laughing, or lifting. Because these outpatient, minimally invasive procedures improve or resolve over 85% of cases and allow women to return to regular activities in just a few days, they have become very appealing solutions for women, whether busy mothers or elderly adults.

                  An abundance of overactive bladder (OAB) medications are now available to treat the most common cause of urinary incontinence. These women classically experience leakage after urgency or without exertion as is typical of SUI. Helping women understand reasonable goals, like improvement by an objective measure, such as discipline use of a one-week bladder diary (70% in one study), and empowering them about dose escalation during the first month of treatment; have been shown to improve compliance with continuing with these medications.

                  However little can be done to improve a women’s quality of life until a she voices her concerns about these embarrassing problems to her doctor.

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