You Are Not Alone!

The loss of urinary control, called urinary incontinence, affects over 17 million women, men and children in the United States. Incontinence ranges from a few drops of leakage to larger "accidents". Even though a larger problem, incontinence often goes unreported because it is considered embarrassing.

Common Types and Causes

The three common types of incontinence are classified as Stress, Urge, and Mixed. Stress incontinence occurs during physical activities such as lifting or walking and can even be the result of a simple laugh, cough or sneeze. Leakage occurs because there is increased abdominal muscle activity, causing pressure on the bladder support muscles (called pelvic floor muscles). Urge incontinence is a strong and frequent need to urinate, making it difficult to reach the bathroom in time. This is often called "the key in the door effect". Mixed incontinence is a mixture of both Stress and Urge 

There are many causes for weak pelvic floor muscles including: child birth, strenuous exercise programs, obesity and estrogen loss due to menopause. Urinary tract infections, along with certain illnesses, medications and surgeries can also cause incontinence.

Incontinence is NOT, however, a normal part of the aging process. Conservative non- surgical treatments, such as the ones used in this clinic, can help restore pelvic floor muscle strength and urinary control. These treatments are commonly called exercises or pelvic floor muscle exercises.

The first step

Make an appointment with Dr. Vannucci (464-0788) for an examination to determine the type of incontinence and the appropriateness of these treatments. This examination will evaluate your pelvic floor muscle strength and your ability to voluntarily contract and relax the pelvic floor muscles.

Learning the Exercises

Dr. Vannucci will use computer technology to locate and isolate the pelvic floor muscles. A sensor called a perineometer will be placed in the vagina or rectum to monitor or provide specific contractions of the muscles. In this manner, you will be taught to correctly and sufficiently exercise the pelvic floor muscles while avoiding the common mistake of excessively using other muscles such as the abdominals, buttocks or even thighs.

Practice, Practice

More than likely, Dr. Vannucci will supplement your clinical exercises with a home exercise program and may prescribe a portable device. Conscientiously follow the treatment regimen. Depending on the type and severity of the incontinence, you may begin to experience a reduction in your symptoms within six to eight weeks.

Commitment & Results

Remember, just like other muscles, you must keep the strength of the pelvic floor muscles with a maintenance exercise program. Studies show that the end result of following these treatment methods is a significant improvement or cure with 70-80% of patients

Insurance coverage

In most cases, the treatment is covered by your insurance carrier (including Medicare).

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