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Myths and truths about urinary incontinence

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Urinary incontinence is the involuntary loss of urine that can affect men and women, and although it can reach any age group, it is more often in pregnancy and menopause.

The main symptom of incontinence is loss of urine. What usually happens is that the individual can no longer hold the pee, wetting his panties or underwear, even though he has a small amount of urine in his bladder.

Below we answer the most common questions about incontinence.

1. Incontinence happens only in women.

Myth. Men and even children can be affected. Men are most affected when they have changes in the prostate or after its removal, while children are more affected by emotional problems, stress or serious changes in the nerves that control the bladder.

2. Anyone who has incontinence will always have to exercise.

Truth. Most of the time, whenever the person has had difficulty holding urine, requiring physiotherapy, using medication or having surgery, as a way to maintain the results, it will be necessary to maintain the strengthening of the pelvic floor muscles by doing kegel exercises. at least once a week. Find out how to do the best exercises in the following video:

3. Incontinence has no cure.

Myth. Physiotherapy has exercises and devices such as biofeedback and electrostimulation that are capable of curing, or at least improving, urine loss by more than 70%, in men, women or children. But in addition, there are remedies and surgery can be indicated as a form of treatment, but in any case physical therapy is necessary. Check out all the treatment options to control the pee.

In addition, during treatment, you can wear special incontinence underwear that can absorb small to moderate amounts of urine, neutralizing the odor. These underwear are an excellent option in place of pads.

4. Incontinence always happens in pregnancy.

Myth. Young women who have never become pregnant may also have difficulty controlling urine, but it is true that the most common is the appearance of this disorder in late pregnancy, postpartum or menopause.

5. Stress worsens incontinence.

Truth. Stressful situations can make it difficult to control urine, so whoever has incontinence should remember to always urinate 20 minutes after drinking fluids, and every 3 hours, not just waiting for the urge to pee.

6. Surgery is the only solution for incontinence.

Myth. In more than 50% of the cases the symptoms of urinary incontinence return 5 years after the surgery, this indicates the need to perform physical therapy, before and after the surgery, and it is also important to maintain the exercises, at least once a week. forever. Find out when and how incontinence surgery is performed.

7. The man with incontinence may urinate during sex.

Truth. During sexual contact the man may not be able to control the urine and end up urinating, causing discomfort to the couple. To reduce the risk of this happening it is recommended to urinate before intimate contact.

8. Incontinence is only when it is not possible to always hold the pee.

Myth. Incontinence has different degrees of intensity, but not being able to hold the pee, just when it is too tight to go to the bathroom already indicates a difficulty in contracting the pelvic floor muscles. Therefore, even if there are small drops of urine in your panties or underwear 1 or 2 times a day, this already indicates the need to perform kegel exercises.

9. Medicines can cause incontinence.

Truth. Diuretics such as Furosemide, Hydrochlorothiazide and Spironolactone can aggravate incontinence because they increase urine production. To prevent this from happening it is important to go to the bathroom to pee every 2 hours. Check the names of some remedies that can cause incontinence.

10. Only normal birth causes incontinence.

Myth. Both normal delivery and cesarean delivery can cause urinary incontinence, however uterine prolapse is more common in women who have had more than 1 normal delivery. Postpartum urinary incontinence can also occur in cases where delivery has to be induced, when the baby takes too long to be born or is over 4 kg, as the muscles that control urine stretch and become more flaccid, with involuntary loss urine.

11. Anyone who has incontinence should avoid drinking fluids.

Truth. It is not necessary to stop drinking fluids, but the amount needed must be controlled and in addition, it is important to go to the bathroom to pee every 3 hours or, at least, about 20 minutes after drinking 1 glass of water, for example. See more tips on food in this video by nutritionist Tatiana Zanin:

12. Low bladder and incontinence is the same.

Truth. Popularly the term known for urinary incontinence is 'low bladder' because the muscles that hold the bladder are weaker, which makes the bladder lower than normal. However, a low bladder is not the same as uterine prolapse, which is when you can see the uterus very close to, or even outside, the vagina. In any case, there is incontinence, and it takes longer to control with physiotherapy, medication and surgery.

Myths and truths about urinary incontinence