14 answers

Urology Question

Hi Moms,
Has anyone dealt with stress incontinence after childbirth? I have two year old twins and have been having intermittent problems since about six months post partum. I need to get myself to a urologist, but in the meanwhile I am wondering if anyone has had any effective treatment. I have the most trouble during running and other exercise. Thanks in advance for any info.
---K.

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Kegels and ab work, but you have to be really dedicated. Kegels also have some excellent side benefits in the bedroom...

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Hi K.,
I also have b/g twins. They are now seven years old. They were both wonderful healthy babies when they were born. My son weighed 7lbs 6ozs and my daughter was 6lbs 1oz. Yes, I had a lot of weight on my bladder! I too have had the same issues since they were born. I have had repeated discussions with my doctor and she recommended that I incorporate Kegel exercises in my daily routine. It has helped somewhat. It's supposed to be the best way to help rebuild the muscles in the pelvic floor. She also suggested maybe trying Detrol La but I wasn't crazy about the idea of taking a prescription medicine for my urinary incontinence.
Best of luck to you and Kegel away!
J.

JUMP ROPE! Or jump on a trampoline. Do this daily for a number of weeks (6-8) or longer to maintain the conditioning your body needs. (Just remember to wear a liner or pad when you begin!) This is a perfectly normal experience for almost all mothers who birthed naturally. And if you do not excercise your body to re-gain the strength, it may continue for years.... so start jumping!

Three words...Do your kegals. This exercise will help prevent that. Want to know how to do a kegal. When your going pee, stop the stream by tightening those muscles. You can do them anywhere. Sitting in your car at a traffic light, while you shower in the morning, you name it. They say to rebuild the muscles you should do them for 10 reps a couple times a day. Just tighten and hold for a count of 10.

I have five year old b/g twins and I have the same problem. I guess I need to ask my doctor about it. I have no advice, but know you aren't alone.

The best cure for stress incontinence is Keigle exercises. You're having problems because your pelvic floor muscles are so weak. You should be doing 20 to 30 Keigles every day. (The right muscle is the one that allows you to stop peeing in mid-stream.) After you've located that muscle, you can do the exercises anytime, anywhere and noone will know you're doing them. Just clench the muscle and release. When you get a little stronger, try clenching and holding for a count of ten. Ideally you want to get to the point where you can hold and then release in little controlled steps. I did this after the birth of my daughter and it really took care of the incontinence.

If you're having difficulties finding the correct muscle or the exercises don't seem to be having much effect after a couple of months, you should talk to your gynocologist. She can recommend physical therapy where they use biofeedback to help you learn to control those muscles.

My husband works in the medical field and I asked him about this.
This is a common issue among women with children yet seldom talked about. The medical term is SUI or stress urinary incontinence.
The best thing to do is to see either a urologist who specializes in female urology or a urogynecologist. Go to your local hospital website and search on these specialities. If you want a referral and you live in the northeast I might be able to help.
Some commom treatment options are Kegels, injection or a minimally invasive procedure called a sling.
The good news is these options work and you probably don't have to live with this.
Let me know if you have anymore questions and good luck.

I had the same issue after giving birth to my youngest 7 years ago. I thought it would get better and it never did. It was so bad that I had to wear a pad everyday. I finally went to see a DR and had a sling placed over my bladder to hold it up. In my case, by 10 pounder of a son did a number on my muscles and they never returned to normal. The good news for me was the surgery (in and out in one day) was covered by my insurance so I only ended paying a little. It might be worth it for you to start exploring options.

Kegels and ab work, but you have to be really dedicated. Kegels also have some excellent side benefits in the bedroom...

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