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AIM Healthcare is an operator in the aged care with the aim to provide the best available quality of life for the elderly population of Malaysia. We also provide acupuncture treatment, home care service and distribute wellness products.
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Tips to improve urinary incontinence

7/1/2016

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Types of urinary incontinence (symptom): Complaint of involuntary loss of urine
1. Stress urinary incontinence: Complaint of involuntary loss of urine on effort or physical exertion (e.g. sporting activities), or on sneezing or coughing.
2. Urgency urinary incontinence: Complaint of involuntary loss of urine associated with urgency.
3. Mixed urinary incontinence: Complaint of involuntary loss of urine associated with urgency and also effort or physical exertion or on sneezing or coughing.
4. Urgency: Complaint of a sudden, compelling desire to pass urine which is difficult to defer.

Management/treatment for urinary leakage:
1. The Knack maneuver
-The Knack maneuver essentially is a voluntary contraction performed in response to a specific situation.
- Teach a voluntary contraction of the pelvic floor muscles with appropriate timing.
- For example, hold/squeeze the muscle just prior to a cough or sneeze.
- It is a useful strategy in patients with stress urinary incontinence.

2. Pelvic Floor Muscle Training (Kegel Exercise)
- Patient specific training is necessary to ensure a proper contraction for muscle that support the bladder and urethra.
- It is also essential to train both the fast and slow-twitch muscle fibers.
-Also, training must include instruction in volitional contractions before and during an activity that may cause incontinence, such as coughing, sneezing, and lifting.
-Patients are typically recommended to perform the exercises four to five times daily.

3. Behavioural therapy/education
-The focus of behavioral therapy is on lifestyle changes such as fluid or diet management, weight control, and bowel regulation.
-Education about bladder irritants, like avoid caffeine, quit smoking, carry out physical activities, is an important consideration.
-Also, discussing bowel habits to determine if constipation is an issue as it is important to educate the patient about avoiding straining.

4. Bladder training
-The decision making for bladder re-training, including a voiding schedule if necessary to increase the capacity of the bladder for people with frequency issues.
-Bladder training attempts to break the cycle by teaching patients to void on a schedule, rather than in response to urgency.
-Urge suppression techniques are taught, such as distraction and relaxation.
-A voluntary contraction of the pelvic floor muscles helps increase pressure in the urethra, and control urinary leakage.

Reference:
International Continence Society (ICS)
Miller JM, Sampselle C, Ashton-Miller J, Son Hong G-R, De Lancey JOL. Clarification and confirmation of the Knack maneuver: the effect of volitional pelvic floor muscle contraction to preempt expected stress incontinence. Int Urogynecol J 2008;19:773-782.

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  • Home
  • About Founder
  • Integrative Clinic
    • Acupuncture Center
    • Poliklinik Perdana
  • Home Care Product & Services
  • Senior Home
  • Blog
  • Career
  • Contact