How to Manage Stress-Related Urinary Incontinence After Hysterectomy

The relationship between hysterectomy and SUI is a complex one. Generally, hysterectomies are believed to interfere with the normal functioning of the pelvic floor muscles and nerves that control the bladder, hence leading to incontinence.

Understanding the different types of hysterectomies, and how they might contribute to SUI, can help clarify this complexity. A total hysterectomy removes the entire uterus and cervix, while a subtotal (or partial) hysterectomy only removes the upper part of the uterus, leaving the cervix in place. Both types can potentially lead to SUI, but it's the specific surgical technique used that can influence the risk.

Laparoscopic hysterectomy, a less invasive surgical technique, may reduce the risk of SUI compared to traditional open surgery. This is largely due to less trauma to surrounding tissues and nerves. However, the risk cannot be entirely eliminated, and some women may still experience SUI post-surgery.

Identifying Symptoms of SUI

Recognising the signs of SUI can be a crucial first step in managing the condition. The most prominent symptom is the unintentional loss of urine during physical activities, including exercise, lifting, sneezing, coughing, or even laughing.

You might also notice a sudden and strong urge to urinate, or a frequent need to pass urine. If you're experiencing any of these symptoms, it's crucial to speak with your GP, or consultant, who can help with treatment and management options.

How can I manage SUI?

Now that we’ve understood the 'what' and 'why' of SUI, let's explore the 'how' of managing it. The good news is that there are many strategies and treatments to help cope with and reduce the impact of SUI on your daily life.

Pelvic floor muscle training (PFMT)

PFMT, often referred to as Kegel exercises, can be an excellent starting point. Regularly strengthening these muscles can significantly improve SUI symptoms.

Bladder training

This technique involves gradually increasing the time between urination to improve bladder control. We recommend speaking with a women's health physiotherapist who can help with a 'urination management' programme and support you through the process of this (and other therapies like effective Kegels.)

Exploring Alternative Therapies

While traditional techniques hold an essential place in managing SUI, some less-known alternative therapies also show promise. These options offer another avenue for relief, especially for women who may not have found success with conventional treatments.

Biofeedback

Biofeedback uses special sensors and video to monitor the body and help improve control of the pelvic muscles. It can provide a visual guide for doing Kegel exercises correctly.

Acupuncture

A review of studies found that acupuncture can be effective in managing SUI, offering a less invasive, drug-free alternative.

Supplementation

Supplements that contain soy germ extract, or pumpkin seed extract show evidence of improving bladder health. Jude's Daily Support supplement uses the combined power of soy germ and pumpkin seed extract to soothe the bladder and improve the bladder muscle to reduce overactivity that is caused by hysterectomy. If you have any reason to not take estrogen, please speak with your GP before starting Jude supplements.

Magnetic therapy

A study has suggested that pulsed magnetic therapy can significantly improve symptoms of SUI, although more research is needed. Worth discussing this with your GP if you would like to explore the possibility of magnetic therapy.

Navigating Life Post-Hysterectomy

Managing SUI after a hysterectomy can be tough - it's an adjustment, a process of learning how your body now functions. But remember, it's okay to ask for help and explore different treatment options. Connect with your healthcare provider, and find peer support that is useful and empathetic to your experience.

Urinary incontinence can feel like a disruption, but with the right tools and support, it's one you can navigate successfully.