Stress Urinary Incontinence in Young Female Athletes

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Hello, I’m Charles Runels. I’m an internist down in the Gulf Coast. I’ve been taking care of women’s health problems for the past 30 years. And one of the problems that really is serious and can limit women at a time when they’re developing is stress and continence.

Now, the definition of stress incontinence is leaking enough urine that it affects your hygiene (you have to wear a pad) or it’s interfering with your social activities, like sports.

So imagine you’re a young teenager and you’re trying to practice sports, but you can’t do your cheerleading or your volleyball because you’re leaking urine in front of your friends. It can have a profound effect (especially in a developing social young, fragile 13 year old, she’s not as tough as her mother is emotionally, perhaps).

And so that sort of embarrassment can be traumatic enough to limit the things that she should do. And so, instead of doing sports, she’s playing more video games. It’s not something trivial. Okay, it’s not cancer. But it’s not trivial.

Well, there’s been this wrong concept that urinary incontinence to the point that you have to do something to keep from soiling your clothing is a problem that happens after you deliver children. But the truth is that there have been multiple studies showing that, especially young women that have impact sports, like running, volleyball, cheerleading, gymnastics, will develop incontinence to a great degree. One study showed that in Olympic trampoline athletes, all have incontinence.

Well, this was just published this past month where some physicians looked at all the research out there, the significant research involving incontinence in young women who have not had children to see, well, how prevalent is it? And they found that depending on the sport, anywhere from 30 to near a hundred percent of the women participating, had incontinence.

Well, they go through some of the things that people try to make that go away. In reality, what often happens is the young girl just quits doing the sport. But it’s everything from surgeries to medications wearing pads. And it often has to do with the levator muscle, but there are also muscles. The pelvic floor only accounts for about 20% of the common mechanism and there are sphincter muscles around the urethra that are not even technically part of the pelvic floor. So even if you teach the girl to do Kegels, perhaps this is going to help. Doctors aren’t a great help.

And by the way, I’ll put a link to this research below the video so you can see here are the different options. Conservative have to do with voiding before the workout. Well yeah, really? And wearing dark-shaded garments so if you pee on yourself, nobody notices. It doesn’t sound like a very good answer, does it? And you got pelvic floor training, you got Kegels exercises. But again, the pelvic floor is what’s supporting the organs, but it’s not actually technically part of the sphincter mechanism. Biofeedback. Really, you’re going to sign your 13-year-old for biofeedback? And then you have surgery, so there’s not a lot of great options.

And I’m really disappointed that, but not surprised that, because we have something new called the O-Shot® procedure, it wasn’t included in this article. If you go to our website, you’ll see, there’s a research page, and I’ll just go ahead and take you there so you can see, there’s a research page because we do have some research showing that using platelet-rich plasma, as it’s done in athletes, will cause the tissue to become more, the muscles to become stronger and restored and the new nerve to grow. I mean, just think about it for a second.

Why should an NFL athlete get better treatment for his knee than your teenage daughter for her incontinence? It’s the same tissue. It’s the blood in her body. You just get the platelets out of it, just like they would for an NFL athlete instead of squirting it in. Here’s some of the research, instead of squirting it into a joint though, it’s placed around the urethra. And if she’s a virgin, it could be done very, very easily without a lot of trauma and emotional upset. It’s pain-free for most people and helps restore that.

Now, of course, it works for mamas too. And the research we’ve done has been in mostly grown women, but just realize there’s another option. I’ll put a link to the research below the video, and also a link to where you can find providers. We’re in 50 something countries and a number of providers. And hopefully, this will be a help to you or someone that you love.

Lasers + O-Shot® Equals Dry in Australia

I was looking through the most recent research about stress incontinence, and saw this really important paper that came out of Adelaide, Australia from some of our colleagues down that way. Stress incontinence is really a severe problem that people don’t think about. They think about it more of as a hygiene problem. But when you have stress incontinence, it interferes with your life. You have trouble sleeping. It can make it difficult to exercise, so you have weight gain. You’re up in the night, trying to urinate, so you’re not as rested the next day. It interferes with your focus at work. So it can be a problem that really changes your life.

That’s the definition of stress incontinence, if it’s a hygiene problem or it interferes with your life. It’s pretty common. Close to half of the women that are 50 and up, and it’s 1 in 20 of women in their twenties, so it’s a really common problem. It’s worth looking at because all the things that have been tried are useful. Some women are able to help this with Kegels. The surgeries are still an important tool that should be used when necessary. The mid-urethral sling, 90% of people get good results with that, only 10% have problems or have it fail. But the problem is that, with the surgery, there is some risk to the nerves that are involved with sexual response. And of course diapers are a last resort.

So there’s this new thing called the O-Shot®, where you use plasma, PRP, to inject it in the right place. These authors, they combine the use of our O-Shot® with a laser. So the lasers usually go about the thickness of a business card, not much thicker than that. So it’s not a really deep laser, but it’s enough to cause some changes and improvement in the structure and the health of the tissue, especially when you combine it with our O-Shot®.

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So let’s look at what happened. I think this summarizes it the best. If you look at this picture, in the beginning, at baseline, the people who participated, 62% percent of them were frequently bothered by their incontinence, and 37% were bothered daily. But by the time they finished the study, it was more that shifted quite dramatically, so that you can see that many of them were not bothered at all or occasionally, and only 10% were daily, where it was more like 100% were either daily or frequently in the beginning.

The fun thing about this procedure is that, the procedure being both the laser and combination with the O-Shot®, is that the downside is minimal so that if it doesn’t work, you can still go to surgery. But if it does work, and we’re seeing over 90% effectiveness with either the O-Shot® alone or combined with the laser, and when it works, you see great results, with the side effect of sex getting better.

So I think it’s worth discussing this research with your physician. If you want to find someone who’s expert at the O-Shot®, check out our list of providers on our directory, those who are actually licensed to perform the procedure under the standards that we’ve come up with. So check out the research, read it, and share it with your doctor.

Here’s where to read the research<—

Here’s where to find the nearest O-Shot® provider<–

British Journal of Medicine Mentions O-Shot® for Stress Urinary Incontinence


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