Original post by Dr. Mary H. Palmer for LiveConfidently.com
Many adults who struggle with urinary incontinence or light bladder leakage live with it in silence. They believe that it is due to age, is just part of being a woman, or that there is nothing that can be done about it. These misconceptions and myths about urinary incontinence may prevent people from seeking help from healthcare providers or receiving effective treatment. Here we outline some of the most common myths about urinary incontinence and explain the real facts.
Myth: Incontinence is just a part of growing old.
A recent patient who we’ll call Mrs. C is a perfect example. She is 63 years old, works full-time, and enjoys playing with her grandchildren. Recently, she picked up her youngest grandchild and as she leaned over, a small amount of urine leaked. It wasn’t enough to soak through her pants or for others to know, but she felt it happen and was embarrassed. When she told me this story, Mrs. C said, “Well, I am getting old!” She gave an embarrassed laugh and said she would soon need “diapers.”
Although it is a fact that the prevalence of urinary incontinence becomes more common with age, it is also true that aging is not necessarily the cause of incontinence. As we age, it becomes more likely for other conditions to develop that can cause urinary incontinence. For example, many people develop diabetes as they grow older, and diabetes is a significant risk factor for incontinence because it causes damage to the nerves that control the bladder and pelvic floor muscles. Arthritis, obesity, and many other conditions that affect our musculoskeletal system can all lead to problems with bladder leakage. Women who have weak pelvic floor muscles may experience stress incontinence when they cough, laugh, or sneeze. However, by practicing some simple exercises designed to strengthen the pelvic floor muscles, women of any age can regain urine control.
Myth: Only women develop urinary incontinence.
Incontinence isn’t always a woman’s problem. Men can also develop a number of conditions that lead to bladder leakage. Common causes include prostate surgery and medications with urologic side effects.
In fact, both genders can develop a number of diseases that cause problems in the lower urinary tract. Conditions that decrease mobility can make it difficult to get to the bathroom in time. Damaged nerves can make it difficult for the body to communicate the need to go, and neurologic problems can sometimes make it difficult to remember the need to use the restroom.
Myth: Older adults with dementia don’t mind being incontinent.
Another troubling myth about urinary incontinence is that older adults with dementia don’t mind being wet. In my experience – and research has borne this out – men and women, regardless of having dementia, often have feelings of deep shame and embarrassment about being incontinent. The importance of having bladder control is ingrained in all of us as children, and it remains in our long-term memory. Helping older adults prevent incontinent episodes and maintain dignity is of paramount importance to the quality of their lives. The good news is that there are effective medical treatment options for urinary incontinence, regardless of age and health conditions.
Myth: Nothing can be done to help urinary incontinence.
There are steps we can take on our own to maintain healthy bladders. Staying physically active, remaining hydrated, maintaining normal weight, and being aware of bathroom locations can all help avoid incontinence episodes. Bladder control pads for women and male guards for men are good options for extra peace of mind.
Myths about urinary incontinence keep many people from seeking help. Myths are only dispelled with accurate facts about urinary incontinence and normal body functions. Talk to your healthcare provider – there are safe and effective treatments for urinary incontinence, as well as many over-the-counter products to help keep you dry. It’s never too late treat urinary incontinence.
Have any tips or questions for the community? Join the conversation about myths about urinary incontinence on our living with incontinence forum.