It
might happen the first time during an exercise class,
or perhaps in the middle of a really good laugh,
or even with a simple cough or sneeze. The sudden
leakage of a small amount of urine (urinary stress
incontinence) is exasperating and often embarrassing
for many women who suffer from the condition. Yet
studies suggest that women are often reluctant to
seek outside help or even mention the problem amongst
themselves. Social silence compounds the emotional
toll of incontinence by distancing women from women
when both might benefit from the friendly exchange
of support and information.
Stress
or mild incontinence typically occurs when the sphincter
muscles which restrict the flow of urine are weakened,
allowing urine to escape when a cough or other sudden
muscular pressure occurs. Other causes may include
a damaged sphincter muscle, weakened bladder muscle,
supports or medications.
Childbirth,
hormonal changes during menopause and the design
of the urinary tract may contribute to mild incontinence
but incontinence is not an inevitable sign of ageing.
One study suggests that as many as 50 percent of
young women and women who have never experienced
childbirth, suffer from a weakened bladder.
Treatment options range from a simple muscle exercise
to surgery to restore normal control. In the mildest
cases, simply emptying the bladder more often may
avert an accident, although that doesn't remedy
the underlying problem.
