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There are several misconceptions about urinary incontinence in women, including that it鈥檚 a condition without effective treatment options. The facts are more hopeful. Here鈥檚 what you should know.

You may have heard these myths about urinary incontinence: It鈥檚 caused by the size of your bladder, or, it鈥檚 just a part of aging. The facts about urinary incontinence, however, offer solutions and hope to women with the condition. If you鈥檙e experiencing urinary leakage and need help separating fact from fiction, our guide offers key answers, including treatment options that can improve your quality of life.

Myth 1: Urinary incontinence is just a part of aging.

While age can play a role in the development of urinary incontinence, getting older does not mean that urinary leaks are an inevitable nuisance and, therefore, not a real health concern.

鈥淎s we get older, our bodies and tissue get weaker, but urinary incontinence should never be considered normal,鈥� explains Tanaz Ferzandi, MD, director of urogynecology and reconstructive pelvic surgery with 喵咪社区.

Myth 2: Treatment options for urinary incontinence are limited or nonexistent.

Even though urinary incontinence is common among women 鈥� will experience issues in their lifetime 鈥� this doesn鈥檛 mean that there鈥檚 nothing that can be done about it.

鈥淲omen are so used to taking care of everybody else around them that they may not prioritize their own need for treatment,鈥� Dr. Ferzandi says. 鈥淯rinary incontinence is not just a nuisance 鈥� it affects a woman鈥檚 quality of life 鈥� and it鈥檚 important for them to get the care they need.鈥�

In reality, there are many treatment options for urinary incontinence, but the treatment plan that鈥檚 right for you depends on the type of incontinence you have.

鈥淎 patient may say, 鈥楳y bladder is acting up and I鈥檓 leaking.鈥� As physicians, we have to tease out exactly what the bladder condition is,鈥� Dr. Ferzandi explains.

Types of urinary incontinence include:

• : Urinary leaks that occur during activities, like coughing or laughing, are a telltale sign. This type of incontinence is caused by weakened pelvic floor muscles and is more common in women.
• Urge incontinence: Leakage occurs because the need to urinate is very sudden, offering little warning or time to get to the restroom. This type of incontinence may be caused by an or a urinary tract infection and is prevalent in older adults.
• Overflow incontinence: Small, uncontrollable leaks of urine occur due to an overfilled bladder. This type of incontinence may be caused by a neurologic condition, diabetes and certain medications.
• Functional incontinence: Leakage that occurs because of mobility issues, rather than urine control issues, that prevent a person from getting to the restroom in time.
• Mixed incontinence: Urine leakage occurs due to a combination of stress incontinence and overactive bladder.

Regardless of the type of incontinence you have, Dr. Ferzandi says that your doctor will likely start with a conservative approach that includes examining and changing some of your behaviors, including your bathroom habits.

鈥淏ased on your diagnosis, you may also be an excellent candidate for physical therapy that will help you tighten up 鈥� or relax 鈥� your pelvic floor muscles,鈥� she adds. 鈥淢edications are available to treat some types of urinary incontinence, but they may not work for everyone. Some types of incontinence actually do not respond to medications, so it鈥檚 important for us to get a clear diagnosis of the problem.鈥�

Myth 3: Surgery is the only real treatment for urinary incontinence.

Once you鈥檙e properly diagnosed, you and your doctor can decide if, and when, surgery is right for you.

鈥淎 lot of people hesitate to come forward about their incontinence because they鈥檙e worried that they鈥檒l have to undergo surgery. But there are a lot of different treatment options that we can offer our patients before exploring surgery,鈥� Dr. Ferzandi explains.

鈥淲e want to make sure we understand what the patient鈥檚 needs are. If we try a couple of nonsurgical treatment options but the patient isn鈥檛 getting better 鈥� and if they feel that surgery is a good option for them 鈥� then we can offer surgery as a next step.鈥� Many of these surgical procedures do not require hospitalization and have positive outcomes.

Myth 4: If you have urinary incontinence, absorbent products are a must.

For many women, once they鈥檙e being treated for their specific type of incontinence, using absorbent products won鈥檛 be necessary. Although some patients feel more comfortable using an absorbent product during certain activities, Dr. Ferzandi explains that 鈥渁bsorbing products can be quite expensive, and they don鈥檛 always work very well.鈥� And for some patients, she adds, these products may cause skin irritation and redness.

鈥淚 think there鈥檚 definitely a role for absorbent products, but it concerns me that some patients believe there are no other options for them,鈥� Dr. Ferzandi says. 鈥淲e want to make sure they understand that there are other solutions available.鈥�

Myth 5: Restricting your fluid intake will improve urinary incontinence.

Although it may seem like cutting down on liquids will reduce your need to urinate, restricting can actually make your bladder problems worse.

鈥淯rinary incontinence can have such a negative impact on a person鈥檚 quality of life that some people try to stop drinking fluids in order to reduce the urge to use the restroom,鈥� Dr. Ferzandi says. That approach, however, is counterproductive 鈥渂ecause when they do drink liquids, their bladder can鈥檛 tolerate it.鈥�

鈥淧eople are always surprised, but we actually tell them not to restrict their fluids,鈥� she adds.

According to Dr. Ferzandi, people with urinary incontinence should drink a steady amount of liquid throughout the day. 鈥淲e want to make sure that they鈥檙e getting enough to hydrate their bodies and their bladder but not so much that their bladder can鈥檛 tolerate it.鈥�

It also matters what you drink. In general, Dr. Ferzandi recommends avoiding too much caffeine and alcohol, since these can be bladder irritants and worsen symptoms.

Myth 6: Urinary incontinence is caused by a small bladder.

Urinary incontinence isn鈥檛 caused by the size of your bladder, even though that misconception may seem real.

鈥淧atients will say, 鈥業 have a small bladder,鈥� but what they鈥檙e really describing is an overactive bladder,鈥� Dr. Ferzandi explains.

鈥淲hether you鈥檙e experiencing a really strong urge to urinate or you鈥檙e going to the bathroom but very little urine comes out, your bladder size is not the root cause of your symptoms,鈥� she says.

鈥淚t鈥檚 not the size of the bladder but, rather, how the muscles and the nerves in the bladder manage and release urine over the course of time.鈥�

A urogynecologist, or a urologist who鈥檚 trained in pelvic floor disorders and women鈥檚 health, can help women find the root cause of their urinary incontinence, so they can get the proper treatment and restore a better quality of life.

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