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.

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


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