Urinary Incontinence Treatment in Montreal / Verdun
Montreal's Active Solution Physiotherapy, near Verdun metro, currently offers physiotherapy to treat urinary incontinence. Call now to book your appointment: (514) 767-6858.

What is a urinary incontinence?

Perineal and pelvic rehabilitation is a physiotherapy approach that is focused on treating problems with urinary and reproductive system functions in men and women. The pelvic floor muscles play a crucial role in urine, stool and flatulence continence. They help support the pelvic organs and, moreover, contribute to sexual function and lumbar stability. When these muscles are weak, too tight or lack coordination, several urinary symptoms and/or pains in the pelvic region may occur. Perineal and pelvic rehabilitation therefore aims to normalise bladder and bowel function, improve the pelvic floor muscles’ ability to contract and relax, and decrease pain and discomfort. These problems are treated through an exercise-based approach, in order to allow you to return to your everyday activities.

Different Types of Urinary Incontinence

There are different types of urinary incontinence, depending on the circumstances of urine loss: stress, urge, mixed, functional, and overflow urinary incontinence.

Stress urinary incontinence

Stress urinary incontinence is an involuntary loss of urine with activities that cause a pressure on the bladder. These include physical exertion or effort (e.g. lifting a heavy object, running, jumping), sneezing, coughing or laughing. The amount of urine leakage tends to be small, and it is generally related to the level and duration of physical effort. It is more common in women than men, and can affect girls and adolescents participating in high-level physical activity. In men, it is usually related to prostate surgery. Stress incontinence can be due to problems with the support (hypermobility), the composition or innervation of the urethra, which affect the urethral sphincter’s ability to close properly. Pelvic floor muscle (including the urethral sphincter) weakness and decreased function are important factors in stress incontinence. Pelvic floor muscle training is often combined with lifestyle modifications in order to reduce or eliminate behavioural factors contributing to the problem.

Urge urinary incontinence

Urge urinary incontinence is an involuntary loss of urine following a sudden and intense urge to urinate that cannot be controlled. It occurs when the contractions of the bladder (pushing the urine out) override the contractions of the urethral sphincter (closing the urethra to prevent the passage of urine). With urge incontinence, the amount of urine leakage tends to be larger. Urinary urgency (the sudden urge to urinate) and pollakiuria (frequent micturition) are common symptoms of urge incontinence These can be due to urinary tract infections, a neurologic disorder or other medical conditions such as diabetes or an overactive bladder. Bladder training is part of the treatment of urge incontinence.

Mixed urinary incontinence

Mixed urinary incontinence is the coexistence of stress and urge urinary incontinence.  This type is more common in older women.

Functional urinary incontinence

Functional urinary incontinence is a loss of urine occurring when a physical or cognitive impairment (e.g. severe arthritis, mobility issue, dementia), unwillingness (e.g. depression), or an environmental barrier (e.g. facility not adapted for people with disabilities) prevents the person from going to and using the toilet on time. Improving the medical conditions and environmental factors contributing to this type of incontinence will help treat and prevent it.

Overflow urinary incontinence

Overflow urinary incontinence is the frequent or constant loss of small volumes of urine caused by incomplete emptying of the bladder during micturition. This can be due to blockage of the urethra (e.g. a tumour, urinary stones, swelling, an enlarged prostate), weak bladder muscles, nerve damage from certain medical conditions (e.g. multiple sclerosis or Parkinson’s), or medications (e.g. antidepressants). Removing the obstruction and restoring normal pelvic floor muscle function can help improve overflow incontinence.

Read about Pelvic Floor Physiotherapy in Montreal.

Physiotherapists

If you have urinary incontinence, we can help you. Make an appointment now for our urinary incontinence treatment at our Montreal clinic near the Verdun metro station: (514) 767-6858.