Frankie’s Story

Frankie Bates, Urology Nurses of Canada

As a nurse specialist working the area of urinary incontinence and a board representative of The Urology Nurses Of Canada, I have seen many women of all ages suffer from the stigmatizing problem of urinary incontinence. There are many different approaches we can suggest for this problem including lifestyle changes, behavioral approaches, dietary modifications and pelvic floor exercises.

When a women suffers from stress incontinence(the type of leaking that occurs when you cough, sneeze , laugh or lift ), it is often beneficial for them to use a self-fitting pessary such as uresta®.

I have seen women change their whole lives around with these devices. Often women will stop activities they enjoy, like dancing, going to the gym, walking and running, as they try to control their bladder symptoms. When they use  uresta®, they are able to return to these activities.

I have seen very young women use uresta® including a woman who was training for a marathonand only needed to use it during training, when she usually leaked.  Other women  use uresta®  at the gymbecause  they leak during exercise. I have seen women who havejobs that involve liftingand they can wear uresta® comfortably all day long.

It’s very user friendly, easy to self-fit andvery comfortable. Some women actually forget to take it out at night as they forget they have it in!

uresta® has made a 100% difference to many women that are now able to have a “normal “ social lifeand return to all their activities without the stress and embarrassment of leaking!

Frankie Bates
Urology Nurses Of Canada
Vice-president East

You don’t have to accept incontinence

A chat with Missy Lavender about uresta®

Missy Lavender
Missy Lavender, Pelvic Health Activist

We asked a well-known women’s pelvic health evangelist and national speaker on public health, Missy Lavender,  if she could talk to us about women’s pelvic health and uresta®, a relatively new product to help women manage stress urinary incontinence (SUI).

Missy, a passionate advocate for pelvic health education, fitness and programs for all women and girls, was happy to share her views.

Q:  What are your first impressions of uresta® ?

Missy:  The thing I most appreciate about uresta® is the ability for women to have control over their bodies with the sizing kit. When it comes to pessaries, the size is important and the sizing is not what you’d think!  Being able to find the size that works for you puts managing incontinence back in the hands of women. They can get the uresta® starter kit, try it – they don’t have to go to the doctor or go back to the doctor to achieve a proper fit.

Q:  How does uresta® stack up against other options for tackling SUI?

Missy:  I love that uresta® is reusable & comfortable – some pessaries can be really uncomfortable.  Being reusable, you save so much money over other products that are disposable.  This “green factor” keeps so much waste out of the landfill.

It’s very exciting to see companies creating truly innovative products for women who experience light bladder leakage (LBL) (aka SUI).  uresta® is both innovative and good – another great tool in your tool kit.

Q:  What are some of the misconceptions about SUI?

Missy:  Women seem to think that SUI is normal – because they’ve had a baby, they’re getting older, because they are woman. You don’t have to accept incontinence. SUI is common but not normal and there are options to minimize it. There is no magic pill. Understanding your body is important.

Women easily get defeated by incontinence and start shutting down their life. They need to understand what is happening and find out all the possible solutions to deal with the issue.

I’ve always felt that physiotherapy is a great first line option for maintaining pelvic health. Nobody loves kegels but they work when you do them! If you are unsure you are doing them correctly, or need a coach, this is where your physiotherapist or your doctor come in.

Q:  Tell us more about your most recent project, Below Your Belt.

Missy:  We recently published a book, Below Your Belt: A Girl’s Guide To Pelvic Health and our website (belowyourbelt.org) has just been launched. So now we’re fundraising to create an app aimed at young girls but with a message that everyone needs to know. You can read more about the project here.

We want to educate girls about their own body; including everything that happens below the belt; bladder, bowel, periods, hygiene – it’s pelvic health 101. This app is important – it will bring the  information to the small screens of our key target audience – 10-14 year-old girls. (And yes, some of the grown-ups don’t know this stuff either!)  Below Your Belt is changing the world one pelvic floor at a time!

More about Missy Lavender

Missy was the Founder and Executive Director of Women’s Health Foundation, passionate advocates for pelvic health education, fitness and programs to all women and girls before launching Below Your Belt. Missy is a national speaker on pelvic health and has been featured in numerous press outlets, print, radio, and television, recently featured as one of Chicago’s top 100 “Women of Inspiration,” in Today’s Chicago Woman Magazine.

She is the author of four books, You Go Girl…But Only When You Want To! and You Go Girl…But Only When You Want To! Senior Edition, Below Your Belt and Riding the Potty Train: Better Bathroom Behaviors for Little Girls. 

A mother of two, Ms. Lavender holds an MBA from the Kellogg School of Management at Northwestern University.

About uresta®
The uresta® bladder support gives you back your life – it helps significantly reduce or stop leaks so you can start living again. The uresta® bladder support is a safe, simple and easy-to-use reusable that significantly reduces or stops leaks. In clinical studies, 17 out of 20 saw a significant reduction in leaking while leaks were completely eliminated for 6 out of 10 women.

Resilia Medical Solutions strikes distribution deal for medical device

Resilia Medical Solutions CEO Stephen Goddard says a new distribution deal for the company's female incontinence device should lead to a company expansion for the Shediac-based firm.
Resilia Medical Solutions CEO Stephen Goddard says a new distribution deal for the company’s female incontinence device should lead to a company expansion for the Shediac-based firm. (Brian Chisholm)

Uresta inks co-distribution deal with pharmaceutical company Aspen Pharmacare Canada.

By Rachel Cave, CBC News Posted: Oct 06, 2016 6:30 AM

Shediac company hopes new deal will create jobs, expand reach of its female incontinence product.

A New Brunswick company that makes a medical device to reduce bladder leakage in women recently inked a co-distribution deal with pharmaceutical company Aspen Pharmacare Canada.

Stephen Goddard, the chief executive officer of Resilia Medical Solutions of Shediac, said the new deal should bring exponential sales growth and spur local hiring.

“This is an off-the-chart change for what it will do to our sales,” said Goddard.

Goddard said while business has been steady, it’s nothing like what it will be with the co-distribution deal.

“We’d been chugging along. In a given month, we might sell several dozen,” said Goddard.

“This will take us into the hundreds … if not 1,000 to 2,000 units per month.”

Compared to rubber tampon

The product, sold under the brand name Uresta, has been compared to a rubber tampon.

It’s a thumb-length plug that’s inserted into the vagina and pinches closed the urethra to stop urine from escaping when a woman is exercising or when she laughs or coughs.

nb-resilia-device
Resilia Medical Solutions’ device to help prevent female medical incontinence has been described as a rubber tampon. (CBC)

Resilia bought the design from urogynaecologist Dr. Scott Farrell, a professor at Dalhousie University’s faculty of medicine.

Currently, it’s manufactured in Barrie, Ont., by a company called Southmedic.

Goddard said there may come a day when production can move into New Brunswick but that’s probably in the distant future.

Meanwhile, he said he expects to hire closer to home to get more people in sales and marketing support.

“Right now, we’re a three-person company,” said Goddard.

“By the end of next year, I hope to be 10 to 15.”

Goddard said he’s hoping for a payroll as large as 50 people, possibly within three years.

Nation-wide access

Founded in 2014, Aspen Pharmacare Canada is expected to help Resilia get its product in front of doctors and pharmacies.

“It gives us nation-wide access to a group of individuals that we essentially had no way to get to,” said Goddard.

It’s a relatively new branch of a global pharmaceutical giant that got its start in South Africa, making generic antiviral medications to help stop the spread of HIV/AIDS.

Listed on the Johannesburg Stock Exchange, the parent company (APN) said it has 10,000 employees around the globe.

nb-resilia-device
It’s a thumb-length plug that’s inserted into the vagina and pinches closed the urethra to stop urine from escaping when a woman is exercising or when she laughs or coughs. (Resilia Medical Solutions)

Resilia’s main marketing strategy to date has been word of mouth, social media and direct sales online and the New Brunswick staff will continue with that.

The Uresta Bladder Support device is licensed by Health Canada.

A starter kit of three sizes costs about $300.

The Canadian Continence Foundation estimated in 2014 that 14,000 women in New Brunswick experienced some form of female incontinence, sometimes aggravated by factors such as vaginal childbirth, ageing and obesity.

When the whole country is taken into account, the number rose to 714,000.

Women have surpassed men in obesity rates.

Why do some women struggle with weight loss?
By Allie Shah, Tribune News Service

GetContent
Women have surpassed men in obesity rates, according to a national report released this summer. Photo: Fotolia

MINNEAPOLIS • Frances Traphagan has been battling weight issues her whole life.

For years, the south Minneapolis mom struggled to balance work demands and motherhood. After every pregnancy, her weight problem grew.Her habit of eating on the run also tipped the scales in the wrong direction.

Finally, at 240 pounds, the five-foot-three Traphagan chose to have bariatric surgery at the Hennepin Bariatric Center and Obesity Program at Hennepin County Medical Center in downtown Minneapolis.

“It was my very last effort to try to lose weight,”she said. She’d tried everything before that – from Weight Watchers to the Atkins diet to the grapefruit diet. “I did have some success, but nothing was ever permanent,”she said.
After a national report this summer showed that women have surpassed men in obesity rates, doctors and obesity researchers are searching for answers to why women are struggling more.

For the first time,more than 40 per cent of U.S.women are obese,according to the latest numbers from the Centers for Disease Control and Prevention.

The nation as a whole continues to struggle with obesity, with 35 percent of men considered obese. But while men’s obesity rates appear to have stabilized, women’s are still rising, the CDC report shows.

Dr. Maria Collazo-Clavell, an endocrinologist at the Mayo Clinic who works with overweight and obese patients, has been working in the obesity research field for 20 years.She said the recent findings give her pause about whether public health officials are taking the right approach to tackling obesity. “All of that makes you question: Are you on the right track?” she said. “The data would say no.” That so many women are obese is cause for alarm not only because of the increased health risks for them but also for those around them, Collazo-Clavell said.

“That’s kind of the tip of the iceberg,” she said. Women are often the primary caregivers in a family, and their eating and activity habits can influence their children and others in their family.

An example of that ripple effect: Collazo-Clavell is starting to see some of her previous patients’children and is working with them to help manage their obesity.

It’s difficult to pinpoint what is causing women to struggle more with obesity than men,but doctors say there likely are many factors at play.

Women typically have two times in their lives when they are at risk of gaining significant amounts of weight: childbearing (during pregnancy and after giving birth) and menopause.

Collazo-Clavell hears from many new mothers that they find meal planning and preparation tough after giving birth. Also of concern,she notes that women as a group are going into pregnancy heavier than they were 20 years ago.

It makes it harder to manage a healthy pregnancy weight if they’re already overweight, she said.

One of the country’s leading health problems, obesity can lead to serious diseases, including diabetes and heart disease.
Body mass index (BMI) is calculated by dividing weight (in kilograms) by height squared (in centimeters). Anyone with a BMI of 25 or more is considered overweight, while those with a BMI of 30 or more are obese.

For example, a woman of average height in the U.S. (five-foot-four) would be classified as obese if she weighs at least 175 pounds.An average height American man (five-foot-nine) who weighs 203 pounds or more would be considered obese.
Dr. Guilford Hartley is medical director of the Hennepin Bariatric Center and Obesity Program,where 100 surgeries for weight management are performed each year.

He sees many more female patients than men. Part of the reason, he said, is that women are more likely to seek medical treatment for a weight issue than men.

“In our culture, when a man’s overweight,nobody pays too much attention,” he said.“But we have such an emphasis on being thin for women that we’re culturally forcing women to be more concerned about their weight than men.The social pressure if you’re overweight and a woman is higher.”

Heard it from a friend (with a bad cough)

By Carol Chapman

Carol Chapman
Carol Chapman, VP Sales and Marketing, Resilia

Yes, I heard this story from a friend.

And like so many women who suffer with stress incontinence issues, my friend is not ready to step up and tell this story herself. So I’m going to tell you, because some of you may relate to this and, in time, more women will decide to step up and tell their stories.

My  friend was travelling recently with her husband, staying at a nice hotel on the west coast. She uses her Uresta when she needs to (not every day, like some women),  mainly when she skips rope. Packing her Uresta for this trip didn’t seem necessary.

I’ve been fighting a cough lately, but nothing like the 5 week respiratory bug that hit my friend stress incontinence while out west.  That bug kept her in bed for three days and even when horizontal, uncontrollable coughing fits caused you know what.  (Yes, bladder leakage can be a problem with a really bad cough.)

With her Uresta more than 5,000 kilometers away, my friend knew she needed an interim solution.  Her husband happily offered to pick up a package of the top selling brand of adult diapers for her and headed out to search.

It was embarrassing enough to carry the package through the store to the checkout (even the small package was large). Things only got worse when the store didn’t have a bag big enough to hold the large package. Yes, my friend’s husband had to walk all the way back to the hotel, through the bustling lobby and up the crowed elevator to their room, trying to be nonchalant while carrying what seemed like a truckload of adult diapers.

When my friend saw the size of the package, she couldn’t help but think of the waste this would cause.  They are bulky to store, to pack, to wear and to dispose of – it’s a real diaper! She was totally distressed that this is all going into landfill.

She envisioned mountains of adult diapers in landfill with a half life of who knows how many years to “decompose”.  She couldn’t even imagine having to pack these for a trip. (There goes the baggage allowance!) And she is now totally sold on the convenience, efficacy and environmental benefits of Uresta.

She had to manage a situation she’d never managed before and here she was, wearing diapers. If she had tucked her Uresta into her suitcase, this whole scenario could have been avoided, along with the waste.

Yes, this story is true. And I’m sure there are so many more embarrassing  “oops, I just leaked ” stories out there. Of course, I would love to hear your story, if you’d like to share. Tell me your story here.

Find out more about Light bladder leakage (LBL), the causes and the impact it can have on your life. (and you take our Quiz to see if you have LBL).

Could the SOGC conference have gone any better?

Carol ChapmanBy Carol Chapman

I just returned from Vancouver where I was run off my feet at this year’s SOGC conference. (the Society of Obstetricians and Gynecologists of Canada). I’m not sure if the conference could have gone any better. (well, maybe it would have been a little better if didn’t have to hobble around on a sprained ankle, but that’s another story!)

There were over 600 attending physicians from across Canada, many of them taking a keen interest in Uresta and making their way to the Aspen exhibit to get a full explanation of our product. This kept Paul, France and Cheryl at Aspen on their toes.

My busiest evening was last Wednesday, when two meetings were setup at two restaurants next door to each other – one meeting for the national obstetrics educational council and the other, a meeting of key urogynecologists. I moved back and forth between these two venues as required, helping with the discussions around Uresta.

It’s clear that there is a lot of excitement among women’s health care professionals about Uresta – it’s accessible and safe.  I’m happy that we are creating a voice for the product so that women who suffer from bladder leakage can find our solution easily and, ultimately, improve their lives. Women need to know there is a solution, so they can ask their health care professionals about it – their physiotherapists, family doctors, gynecologists, etc  – or access Uresta online or at their local pharmacy.

And I also had the pleasure of meeting Maureen McGrath, an RN who is a leading women’s health expert and host of the CKNW Sunday Night Sex Show on talk radio. She educates patients on her blog and is the chair of the BC Chapter of Canadian Nurse Continence Advisers. We’re hoping Maureen can help us spread the word about Uresta to a much wider audience.

Dr. Denise Black, a gynecologist from Winnipeg, was at the conference too, being one our biggest Uresta cheerleaders!

The bottom line? Now even more women’s health care professionals not only know more about Uresta, but they are so excited that this solution exists and is accessible to women who suffer Bladder Leakage (LBL) caused by Stress Urinary Incontinence (SUI).

Syrian_Doctor_arrivesOne more thing. I have to tell you about a very moving conversation I had with a Syrian doctor, Dr. Vanig Garabedian,  when I ran into him in Vancouver- he just arrived in Canada with his family from Syria last December and was greeted personally by Prime Minister Trudeau. He told me that Trudeau said, “Welcome home” when they met.

Dr. Garabedian was a gynecologist in Aleppo for 16 years before escaping to Canada. He was treating women and girls, often navigating cultural barriers that can complicate the delicate subject of maternal health and reproductive care.  He was one of the speakers at the SOGC conference. You can read more about his experiences and his message to the obstetricians and gynecologists of Canada as they begin to treat the many thousands of Syrian women now in Canada.

 

42% of UAE women aged around 38 suffer from urinary incontinence

Carol Chapman
Carol Chapman, VP Sales & Marketing, Resilia

 

Women around the world suffer from urinary incontinence. Here’s a recent article we found in the Gulf News about the very high  number of women in the United Arab Emirates (UAE) who suffer with this condition. We can now add Uresta to the list of solutions – a safe, cost-effective, environmentally friendly, non-surgical solution.

 

 

Published: June 4, 2016 in Gulf News: Health

By Suchitra Bajpai Chaudhary, Senior Reporter

Expert urges women to seek help for this condition that can diminish their quality of life and impair their self-confidence

Dubai: Around 42 per cent women in the UAE at the mean age of 38 suffer from urinary incontinence, a study has found.

Urinary incontinence is a medical condition that is marked by accidental or involuntary release of urine triggered by a sudden pressure on the bladder such as laughter, coughing or sneezing.

The study stated that nearly 80 per cent complained of disrupted daily life and activities such as praying, social engagements, physical activities and intimacy. Urinary incontinence affects 400 million women worldwide, and the numbers in the UAE are of concern to gynaecologists and urologists here who are urging women to shed their inhibitions and seek medical help.

A significant aspect of this concern also owes itself to the fact that most urologists in the country are male and this inhibits women from seeking a medical opinion on a condition that is seen as socially embarrassing, and is also viewed as a social stigma and a cultural barrier.

Dr Ahlam Bu Saber, UAE’s only Emirati urologist and specialist urologist at Al Qasimi Hospital, Sharjah, told Gulf News: “With early intervention and advice on nutrition, lifestyle changes and exercises, most middle-aged women can control this problem. However, women hesitate to consult a doctor. Sometimes neglecting the problem for long causes deterioration in their condition until surgery becomes the imminent solution to resolve the issue.”

Common incontinence problems

Stress Incontinence (SI): Also known as light incontinence, this occurs when a woman sneezes, coughs, laughs, jogs, or does other things that put pressure on the bladder, resulting in a slight leakage of urine. This is the most common type of bladder control problem in women. These bladder problems are caused by weak muscles in the lower urinary tract. SI is a dominant type of condition prevalent among women worldwide.

  • Urge Incontinence (UI): This condition happens when a woman has a strong need to urinate but can’t reach the toilet in time. This can happen even when your bladder is holding only a small amount of urine. Some women may have no warning before that may result in an accidental leak. In others, a leak could be triggered by the sound or touch of running water.

Treatment

Dr Bu Saber says women usually develop this condition after multiple deliveries or difficult pregnancies. “When a woman experiences involuntary leakage, she must consult a urologist. The doctor can take her history, examine, evaluate and assess her situation. The first line of treatment is Kegel exercises (see box) which will help tone the lax bladder muscles. We have qualified physiotherapists who can teach a woman the correct technique of this exercise. Besides this, women who are obese and have poor nutrition are advised to make lifestyle changes to bring down their weight which, to some extent, resolves this issue.”

When the problem is severe, a surgery which involves taping the lax muscles, is carried out.

“The success rate of [the surgeries] is very high and after a few weeks, during which the patient is advised not to pick up heavy objects and seek proper rest, she can resume her normal life.”

While neglect of this condition is not life-threatening, the fact is urinary incontinence can destroy a woman’s self-esteem and interfere in her social and family life. “We advise women to seek medical consultation and see whether their problem can be first resolved with non-surgical options and then advise this surgery which can change their quality of life,” said Dr Bu Saber.

Kegel the most effective exercise for SI

  • Squeeze the same muscles you would use to stop your urine. Your belly and thighs should not move.
  • Hold the squeeze for three seconds, then relax for three seconds.
  • Start with three seconds, then add one second each week until you are able to squeeze for 10 seconds.
  • Repeat the exercise 10 to 15 times a session. Do three or more sessions a day.
  • For best results, more than three sets of Kegel exercises should be done every day.
  • Diet advice to avoid SI
  • Cut back on caffeine and fizzy drinks
  • Eat foods high in fibre to help avoid constipation
  • Don’t smoke
  • Maintain a healthy weight
  • Exercise moderately to keep your muscles toned

Causes of SI

  • Pregnancies’ frequency and post-pregnancy changes
  • Type of childbirth delivery and pelvic surgeries
  • Menopause and other hormonal diseases
  • Obesity and diabetes
  • Illnesses that cause chronic coughing or sneezing
  • Excess consumption of caffeine and smoking
  • High-impact activities over many years

Symptoms:

  • You might experience SI when you:
  • Stand up
  • Get out of a car
  • Exercise and lift heavy weights
  • Have intercourse
  • Laugh, cough or sneeze

Read this story in Gulf News.

 

Uresta is a Game Changer

Carol Chapman
Carol Chapman, VP Sales and Marketing, Resilia

“Over the moon” excitement at recent Uresta info sessions

By Carol Chapman

I’m still reeling from the overwhelming response to two Uresta information sessions we held this week in Winnipeg, Manitoba.  Dr. Denise Black, a highly respected gynecologist and active educator on women’s health invited women’s health professionals from across Winnipeg to attend information sessions about Uresta.

Dr. Denise Black
Dr. Denise Black, Gynecologist

Dr. Black has organized many of these types of sessions in the past and was surprised to see the enthusiastic uptake on the invitations. Running at full capacity, the attendees of the sessions, sponsored by an International Pharma Company,  were given prep work in advance – to read some of Dr. Farrell’s  research – so the attendees would be well prepared after the session to have good Q&As and a meaningful dialogue about Uresta.

The attendees, mostly women, were  nurse practitioners, pharmacists, general practitioners and pelvic floor physiotherapists – a real cross section. They were amazed at the Uresta solution for women with bladder leakage caused by stress urinary incontinence. There seemed to be a lot of interest around Uresta because there just isn’t a real solution to this problem – until now.

The second night, the attendees were mostly gynecologists – and mostly women!  Attendance had to be cut off as the venue was filled to capacity. I have never seen such an engaged audience for a Uresta presentation – and many were there for over three hours! The main topic of discussion among these women’s health professionals was clear;  this issue is so under served and the Uresta product is such an important solution because of how it affects women.

What I’m hearing from these professionals over and over again…Uresta is a game changer – it will change women’s lives. They want to be a part of this. And they are very excited about this Canadian solution – invented by a Canadian, manufactured in Canada and owned by Resilia, an Atlantic Canadian Company.

Right now these professionals don’t have anything to offer their patients/clients for bladder leakage caused by stress urinary incontinence. And many of the women in the room straddle being someone suffering with incontinence themselves and being physicians that help other women with incontinence. They totally “get” this product and the incredible solution that it is for women, including themselves!

The attendees left these sessions wanting more information, ready to make this available to women.

Dr. Black said, “I don’t often get to be excited about something.” She’s a surgeon and knows the surgery to correct stress urinary incontinence can have horrific outcomes. She feels it’s insanity that, up until now, we didn’t have a better solution for women.

In a nutshell, these professionals in Winnipeg who have an interest and passion for women’s health are over the moon excited about our product. Not only is there serious interest in Uresta, there is a pent up demand for a product like this.

I actually had two attendees show interest in investing in the company and the samples of Uresta were being grabbed up NOT only for their patients, but for THEMSELVES!! They most definitely want Uresta to be available to women in Manitoba!

And I arrived home to New Brunswick to see that CBC just published a story about Resilia – A Shediac company that markets a rubber stopper-like device to prevent involuntary bladder leakage in women is setting its sights on the global market. Read the full story here.  It’s been a fabulous week for Resilia, Uresta, and women’s health!

Don’t Let Incontinence Run Your Life

Nelly Faghani

 

by Nelly Faghani, Registered Physiotherapist
Pelvic Health Solutions

It has been proven that exercise—running especially—has health benefits well beyond any pill a doctor could prescribe. Sadly, women often stop exercising as a result of bladder leakage, also called incontinence. They feel embarrassed and suffer in silence, thinking the condition can’t be treated or that it is a “normal” part of aging.

 

Starting the Conversation

Ladies, let’s break the silence. Incontinence is common, but it is not normal. There are simple, low-cost, real-time, non-surgical solutions that women need to know about. For starters, many don’t understand the meaning of the word “incontinence”. Let’s demystify the medical jargon. Stress incontinence is a small “spurt” of urine that occurs when you cough, laugh, sneeze or do physical activity (such as running). Urge incontinence (also known as overactive bladder syndrome) is the sudden loss of bladder control just after an overwhelming urge to go pee. Mixed incontinence is when women suffer from both.

 

The Pelvic Floor

American gynecologist Dr. Arnold Kegel brought the world’s attention to the group of muscles called the pelvic floor that are like a hammock or sling, supporting the bladder, uterus, prostate and rectum. Dr. Kegel noted that a woman’s pelvic floor muscles were weakened by childbirth and prescribed his famous “Kegel exercises” to women as a non-surgical treatment. Frustration with doing Kegels, uncertainty of how to do them properly, or not seeing results has left many of us feeling hopeless, so we just keep wearing pads or stop exercising altogether.

quote2

 

 

Guidelines for Kegels

When the pelvic floor muscles are weak, they need to be strengthened through a structured strengthening program. This doesn’t mean doing a few Kegels at the kitchen sink or at a stoplight and, contrary to what many women are told, you should never do these exercises by stopping your urine mid-stream. An extreme approach that suggests doing 1000 reps a day has no basis in exercise science either. Start by following the same rules you do when doing weight training at the gym: 3 sets of 10 repetitions daily for about 12 weeks. You can do them daily because, unlike weight training at the gym, you don’t add weights to increase the effort. So, daily exercise is safe until those annoying leaks stop.

How do you know that you’re doing them correctly? The best way to know for sure is to see a professional, like a physiotherapist, who has the appropriate training to confirm you are doing the exercises properly. They’ll do an internal exam to assess the state of the muscles and let you know how well you’re doing your Kegels. Research shows that strengthening pelvic floor muscles with the guidance of a pelvic health physiotherapist has an effectiveness rate of 80%.

 

Other Options

Pessaries are another great tool for managing incontinence. Until now, all pessaries had to be fitted and inserted by a medical professional. A self-fitting pessary, specifically for stress incontinence, was recently launched. The uresta® pessary is designed for comfort, safety and ease of use. It can be used all day or only for the activities that cause leaks, and can be a safe, low-cost solution for women who don’t respond to exercise or who can’t access a pelvic health physiotherapist.

Surgery is for the 20% of women who can’t improve their symptoms with strength training or the use of a pessary alone. Surgery should be approached cautiously based on the latest available evidence.

Female runners may also have the opposite problem of tight pelvic floor muscles. By nature of their sport, runners develop tight hip, low back and pelvic floor muscles. In these cases, doing Kegels may worsen the problem. These women should consult a pelvic floor physiotherapist to assess if they have tension in these muscles before starting Kegels or inserting a self-fitting pessary. Symptoms of this type of tension would be mixed incontinence, overactive bladder, pain with intercourse, or generalized pain in the pelvic region or hips.

 

Start the conversation with your girlfriends, your doctor, your pelvic health physiotherapist or your nurse practitioner.  You are not alone! Don’t let embarrassment stop you from doing the sport you love.

from: www.therunning room.com