Natural deliveries of multiple babies is the major cause of incontinence.
The pelvic floor muscle is overstretched thus it is unable to contract properly and prevent leakage.
Types of incontinence:
- Stress incontinence: leakage during coughing, sneezing, laughing, jumping, lifting
- Urge incontinence: leakage during a trigger such as the sound of running water, getting into the elevator, opening house’s door
- Runner’s incontinence: leakage during running
- Weight lifter’s incontinence: leakage during heavy weight lifting training
On the first session, our physiotherapist would treat and monitor incontinence by performing:
- Fluid intake diary/ Bladder output diary
- Manual testing of pelvic floor muscles: to check for strength and asymmetry
- Biofeedback machine: to determine the exact strength of pelvic floor muscles
- Electric stimulation: to strengthen the pelvic floor muscles
- Post electric stimulation Biofeedback machine: to reassess the pelvic floor muscles strength
- Abdominal separation assessment: to determine the severity of abdominal separation
On following sessions:
- List of bladder irritating food and fluid to avoid
- Biofeedback machine: to determine the exact strength of pelvic floor muscles
- Electric stimulation: to strengthen the pelvic floor muscles
- Post electric stimulation Biofeedback machine: to reassess the pelvic floor muscles strength
- Kegel exercise
- Incontinence incident diary
- Pelvic floor muscle educator
The parameter of the electric stimulation and the type of kegel exercise depends on the type incontinence.
