Some forms of urinary incontinence can be treated successfully using conservative,
non-surgical techniques, performed by a qualified physical therapist. Some of
the types of urinary incontinence that can be treated by qualified physical
therapists include, stress incontinence and incontinence after a surgery such
as prostate surgery.
Stress incontinence is the lack of bladder control when coughing, sneezing
or when exercising. This commonly happens following pregnancy, following surgery,
or in elderly women. If muscles of the pelvic floor and sphincter are strengthened,
people can learn how to control their bladder again. Following surgery, the
control will usually come back but it may take up to 2 years. Physical therapy
can sometimes help these people regain control within a few months.
Some treatments that physical therapists use include pelvic floor exercises
and/or biofeedback electro-stimulation. Biofeedback focuses attention on the
muscles involved in urination.
Physical therapists can also help people with incontinence caused by urgency.
If the incontinence is caused by not being able to move quick enough to get
to the bathroom in time, physical therapists can help with a variety of strengthening,
range of motion, balance and co-ordination improving techniques. If necessary,
they can help to advise people about mobility aids, and housing changes that
can help with bathroom access at night.