Dr. Nathalie Leroux of Sensolia
MD, FRCSC Urogynecologist Reconstructive Pelvic Surgery Aesthetic Medicine

Urinary Incontinence

Urinary incontinence is the involuntary loss or leakage of urine. There are two main types of urinary incontinence.

The first type, stress incontinence, is the loss of urine that occurs when there is an increase in intra-abdominal pressure: when coughing, laughing, sneezing, or exercising like jumping. This loss of urine is caused by a weakening of the pelvic floor muscles. Vaginal deliveries are one of many contributing factors. Constipation and chronic coughing may also be responsible for these symptoms.

The second type of incontinence is overactive bladder. This is involuntary contractions of the bladder that result in frequent and pressing urges. Sometimes the urgency is such that one cannot get to the toilet in time. Urinary leakage can occasionally be significant in quantity.

Pelvic floor muscle retraining is a solution that can help both stress incontinence and overactive bladder. This can be accomplished with the help of a physiotherapist, by doing Kegel exercises at home, or with the muscle remodeling provided by the HIFEM Technology of the Emsella chair.

For stress incontinence, a pessary (vaginal prosthesis) may be suggested. More severe cases may require surgery.

The treatment of overactive bladder is medication to reduce involuntary bladder contractions.