Stress incontinence: Since having my last child, I leak a small amount of urine when I run or lift something heavy. Why is this happening?
Urinary stress incontinence is an accidental leakage of urine which occurs during activities such as laughing, coughing, lifting, exercising or intercourse.
Although commonly thought of as an older woman's problem, it is something younger women can also suffer from. The problem occurs when the urethra, the tube through which urine is channelled from the bladder, is no longer able to maintain a complete seal and, as a result, urine leaks when pressure is put on it.
Childbirth is the most common cause, but being overweight, having a hysterectomy, smoking, the menopause and taking part in high impact activities can all contribute to the problem.
What can I do about it?
The best defence against stress incontinence is having well-toned pelvic muscles. Strengthening the ring of muscles that surround and support the vagina, urethra and anus will help. Known as Kegel exercises, they work well for some women but need to be practised on a regular basis.
A physiotherapist could advise you on exercises and other methods of improving bladder control.
Although I'd find it really embarrassing, I'd be prepared to get help.
You need to abandon your blushes and see your GP. The options available include medication, injection or surgery. Although traditionally a major surgical procedure, you may be offered a newer, minimally invasive technique which involves keyhole surgery and the insertion of tape to support the urethra and bladder. Your GP may refer you to a consultant urologist but also discuss a referral to a chartered physiotherapist for assessment and treatment.
You should also contact Tirim, a confidential patient support service for people with incontinence problems, at 1850 476 476 or PO Box 6235, Dublin 17.