2023-09-29 08:42:00
This is a problem that many women encounter: urinary leakage. Weakened in particular by pregnancy and menopause, women have a greater risk of developing incontinence problems. 20 to 30% of women are affected after childbirth. This figure increases from 30 to 40% after menopause. 25% of women aged 60 to 69 suffer from this problem, but it can occur at any age. 12% of women in their twenties also experience it.
In the majority of cases, leaks are linked to stress incontinence, which is linked to a weakening of the pelvic floor muscles, which notably support the bladder. Which causes leaks when you laugh, sneeze, cough or play sports. Around 10% of men may also be affected by incontinence, but this is due to a prostate problem.
Bad reflexes
If the reflex is to wear panty liners, there are simple ways to prevent and cure this health problem. The professor of urology at the University of Antwerp, Stefan De Wachter, gave some advice to our colleagues at HLN.
The latter advises strengthening the pelvic floor with a small, simple exercise. “Whenever there is pressure there, this muscle absorbs all the blows. This is why it is important to exhale when lifting something heavy, so that the pressure of the weight shifts from the bottom to the top”.
The urologist also gives a method for urinating correctly. According to him, “many women urinate badly” by exerting pressure on the abdomen so that the stream of urine flows faster. However, the pelvic floor should be relaxed during this affair. How to overcome this effect? Whistling while urinating. This will put pressure on the abdomen, without compressing the pelvic floor.
A smart implant in development
In recent years, several methods have been developed to try to stem this problem: medications, botox injections, bladder pacemakers, bladder surgery… Too expensive, not effective enough or too many side effects, success is not the appointment. But recently, UAntwerpen and Antwerp University Hospital, in collaboration with the University of Oxford, created a smart implant to prevent leaks.
Amber-UI is the first “smart” neurostimulator that stimulates the pudendal nerve, which closes the urinary sphincter and thus helps retain the flow of urine. “Stimulation helps relax the bladder when an unpleasant feeling of urgency arises and closes the sphincter to prevent leaks related to exercise.”, explains the professor, who indicates that the first results of the test are positive.
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