Stress Incontinence- You Go Girl- But Only When You Want To ( A Hot Flash-Back Episode) with Dr. Rachel Rubin

The market for adult diapers in the US is almost as large as the market for baby diapers. Part of this trend is because birth rates have slowed and longevity continues to lengthen. Still, the other reason why almost 50% of adults experience some form of urinary incontinence is due to an increase in risk factors. Today, with my guest, urologist Dr. Rachel Rubin, I am taking on the taboo topic of urinary incontinence- why it happens and how to make it go away.
This episode originally aired during Season 1

We discuss:

• The difference between urge, stress, and mixed incontinence
• Risk factors for developing stress incontinence
• Ways to manage incontinence.
  • Diapers and pads 
  • Urine absorbent underwear 
  • Pessaries and other vaginal support devices
• The impact of local vaginal estrogen on incontinence
• The impact of systemic estrogen on stress incontinence
• Why it is important to have an exam when treated for incontinence
• Strategies to treat a dysfunctional pelvic floor
  • Pelvic floor physical therapy 
  • Kegel exercises- and why they rarely work
  • Over-the-counter devices
• Why medications for overactive bladder do not work to treat stress incontinence
• Urethral bulking agents as an option
• When surgery is appropriate
• If a hysterectomy increases the risk of incontinence
• If Botox in the bladder will help
• How to find an expert in incontinence

RachelrubinMD.com
Twitter: @DrRachelRubin
Insta: @DrRachelRubin

Other Episodes of Interest
Episode 5: Vaginal Estrogen- Rings, Creams, and Other Things 
Episode 6: Your Post Menopause Urethra and Why You Should  Care- with Dr. Kelly   Casperson
Episode 15 Need to Know Info About the Penis in Your Bed with Dr. Rachel Rubin
Episode 38 Pelvic Organs Dropping? How to STOP the POP!
Episode 39 A Personal Trainer for Your Pelvic Floor with Dr. Janelle Howell 

To find a pelvic floor physical therapist
https://pelvicrehab.com/
https://specialization.apta.org/find-a-specialist

To find a specialist in urogynecology
American Urogynecologic Society (AUGS.org)
Society of Urodynamics, female pelvic surgery