How To Fix Urinary Incontinence And Urgency In Females - Urogynecologist Explains

[@GrooveyBobby]

I wish more doctors would explain this instead of just brushing it off as post baby issues….thanks for sharing DOCS x

[@TalkingWithDocs]

Our pleasure!

[@BuffaloBeauty]

😊😊😊😊😊😊

[@believeinpeace]

I’ve never had a baby and have had this problem since I was in my 30’s.

[@valeriestorm1867]

I have mixed incontinence and had pelvic floor surgery, which helped a lot. Unfortunately I also struggle with constipation, which my doctor told me after surgery it was imperative to avoid. I did well for an extended period of time until I got ill and suffered an extremely bad episode of constipation. Since then, incontinence has gotten progressively worse again. I use pads daily, but have never been offered or discussed medication for the urge incontinence, which is the most bothersome. My concern would be if constipation is a side effect, it could end up causing more damage, couldn't it? I don't know if a second surgery is even an option.

[@ninaabernathy2493]

I wish more doctors would explain this instead of just brushing it off and being insensitive saying it's age related issues.

[@badkittymama6508]

At the age of 50, I was ‘lucky’ to be diagnosed with bladder cancer. Lucky because I had no symptoms, nor did I fit any of the demographics- male, older, smoker, overweight . While having an ultrasound to screen for ovarian abnormalities, my tech noticed a growth attached to the top of my bladder and recommended I see a urologist. Fortunately the growth, which was cancerous, was small, had not spread too far into the bladder wall and was easily removed surgically. I’m lucky because by the time you notice the symptoms of a bladder tumor it can be much more difficult and invasive to treat. Nearly 20 years have passed cancer free and it’s all a distant memory. Except one thing. My urologist told me to Stop holding my pee for so long. Whether I felt like I needed to or not, he suggested that I set a timer and urinate every two hours, gradually increasing to three hour intervals. Among many other pieces of advice, all of which you covered here, this is the one that had the most impact. Thank you for opening a conversation about incontinence. Sorry for rambling on for so long!

[@estherlwhittle7568]

Thank you for the timer idea. After a groin catheter to insert a Stent in my heart, I has a large blood cloth in the vein where the catheter was inserted. I had much better bladder control for about 5 months until the blood clod finally dissolved with the aid of arnica oil applied several times a day. 1.5+ years later, my bladder control is worse! Has your bladder control improved since you cancer surgery during the past 20 years?

[@yvonnesmith2578]

I agree, she can ramble anytime. What she expressed is important to know! 😊

[@janicejacome]

You didn't ramble...you were GREAT and lm sending you blessings and continued good health. I'm being told l need an operation for a cyctosele IDK ,have lil trust in docs,sadly!

[@EllenDuke-y3d]

Thank you for sharing your experience. This is beneficial.

[@punxxi]

The same thing happened to my husband.

[@dshe8637]

Live, Love, Laugh, Leak

[@dawn5227]

😂😂

[@martynsang5961]

​😊😊9

[@marciavernor1849]

Awesome❤❤😊😊

[@lieberlouis]

I like this ...a lot😄

[@Dbb27]

Sneeze.

[@wilhelminaulry4663]

Thank you so much. I have had bladder problem for over 10 years and received more knowledge in this video than ever. Thanks again

[@gloriamontoya4698]

I agree, thank you for the information. I had the sling and still have problems

[@madiantin]

I had stress incontinence from my 4 pregnancies. I'd pee when sneezing and sometimes when coughing. Went to a pelvic floor specialist for therapy; she taught me how to do kegels. Now I very rarely pee when sneezing or coughing. It improved my quality of live immeasurably!

[@marciavernor1849]

That’s awesome!❤

[@kiradumais1076]

Just dont go bowling,!

[@howellomaha]

Thank you for talking about this issue with care and compassion and not with a bunch of jokes.

[@TalkingWithDocs]

Absolutely our pleasure

[@user-jy7mc2gp2y]

Amen!

[@AishaZamora0305]

Another thing that they did not mention was that you can have incontinence if your muscles are too tight as well. I have scoliosis which leads to my piriformis muscles being too tight which causes my pelvic floor muscles to be extremely tight. I urinate about every half hour at night. It is extremely horrible and keeps me up at night. I went to therapy and it helped for about a year and a half. Now, I’m back in therapy to help with this issue. it is very frustrating and exhausting. And I was told that I will live with this for the rest of my life. 😫 it’s really interesting how the body works and how all muscles can affect other things in your body.

[@sheilasmith1109]

I'd like to mention that the video of the 2 healthcare professionals with the person on the exam table, were very weirdly smiling during an example of an exam. This was a VERY poor example and poor choice!

[@veronicanne1]

@@sheilasmith1109 the one on right always laughs 😮

[@sarahofer4368]

My grandmother and mother both had corrective surgery for feminine incontinence. So, when I felt it happening in my body, I thought I would also need surgery at some point. However, an older women who herself had suffered from urinary incontinence, gave me her personal "tip" for resolving this embarassing condition. It worked a charm! This is how it goes: each time you sit down to pee, do an exercise where you physically constrict you muscles until you can stop the flow of urine. Then relax, let yourself pee, and then repeat. Pee, constrict, relax and pee. Repeat. I did this for a week or two and the result was amazing. In a short time I no longer had any "leakage" at all. It's been more than 10 years and the problem has never recurred. Hallelujiah! So simple. I suppose it might be less effective for some women, but hey, it's worth a try.

[@stillkickin9957]

Kegal exersise

[@jane6989]

This is kegel exercises.

[@momsnoozy3]

I was told not to do that, they said it would "confuse " my bladder. I had the sling surgery which prevents cough and sneeze linkage. I have major urgency with bladder spasms. Trying to find a solution

[@cheryldahl9192]

Everyone knows that's known as the Kegal exercise. I started doing them in my 20's to prevent weak muscles, but it CAUSED leakage, until I stopped. I think it's a gimmick that makes the doctors a lot of money.

[@anndilts-rh2jw]

I pee when I stand , I pee when I walk , I pee when I sneeze , I pee when I cough , I'm pee g when I'm trying to sit down to pee

[@pamelaharris9318]

And I pee when I'm ill,as well

[@theaweavers8576]

See yr doc xxx

[@jayridge8804]

So true. I understand 😅

[@laurahaughton4523]

I’m up 2,3,4 times a night and heaven knows how many times during the day, if I don’t make it then oops accidents happen 🥹

[@ritafrahm4318]

I can definitely relate! I had bladder prolapse repair. Didn't opt to have a mesh insert to possibly help with urine control. So, I wear pads 24/7, and am careful not to drink too much water or coffee before leaving the house for shopping, etc...

[@AbigailGerlach-zt1sh]

I'd say, "I'm so excited, I could pee my pants!" However, I get the same reaction from standing up, laughing, sneezing, coughing, answering the phone, taking out the garbage, getting out of the car etc, etc, etc. Getting old sucks!

[@WendyGraceArtist]

ROFL

[@karenroot450]

ROFL Peeing @same time🤣

[@annabelfossey9272]

I removed gluten from my diet and my bladder stopped leaking. Brought huge happiness.

[@CookingCanningAndBaking]

I belong to an all-women support group at work and plan to share this video and/or the topic with them in our next meeting because, as you say, it's time to start talking about this and end the suffering when there are medical and non-medical alternatives to help alleviate the symptoms. Thank you for posting. Love you guys!

[@bcyes409]

I tried Hypopressive exercises after having babies because I was experiencing those issues and they are amazing life changing. They help to lift the pelvic organs besides strengthening the PF muscles. Now I became a trainer.

[@TalkingWithDocs]

Excellent.

[@bludaizee24]

Do you make videos on KZbin? If you do I'll totally subscribe!

[@MeTreesndirt]

What is that? Not isolating the pelvic muscles?

[@bcyes409]

@@MeTreesndirt Hypopressives lower the intra abdominal pressure by performing a stomach vacuum. So you strengthen your core muscles and PF muscles without increasing the pressures on your pelvic organs. I don’t have a channel but you can look up my master trainer Trista Zinn.

[@bcyes409]

@@bludaizee24 Hypopressives lower the intra abdominal pressure by performing a stomach vacuum. So you strengthen your core muscles and PF muscles without increasing the pressures on your pelvic organs. I don’t have a channel but you can look up my master trainer Trista Zinn.

[@valeriehadfield7083]

Great video thank you. I had a brain tumour and my incontinence is really bad. My brain does not send a signal that I need to wee until a minute or so before I need to go. I wet myself almost every time. I'm fortunate to live in England and my pads are provided free via the NHS. It's made such a difference, I feel I can go out safely now without wetting my friends couch or the chair at church and so on. Thank you for the help you're giving to so many. Blessings

[@drleonesse]

At age 37, after two damaging vaginal deliveries of 9+ pound babies, I had surgery for stress incontinence (and vaginal repair). It worked exceptionally well. I am now almost 76 and have started having urgency incontinence. Thank you for the overview. I learned a lot and will check out urogynecologists in my area.

[@TalkingWithDocs]

So glad we could help.

[@shelleykienel2454]

I am 60 years old. And I have a neurotransmitter implanted. Commonly called Interstem therapy. It has helped so much with my mixed incontinence. I would recommend this to anyone suffering with incontinence.

[@chanaplotke6218]

unfortunately didn't work for me

[@jennas2068]

I have an interstim too! Love it. Totally worth it.

[@jaeshasway]

I have POTS so mine is due to an autonomic nervous system disorder. Essentially my brain doesn’t give me the signal soon enough. Setting an alarm and going every two hours regardless of whether I have to or not doesn’t always work, especially when I’m at work and get busy. How does a neurotransmitter work?

[@juliacooper9145]

I have 2 stims. One on the sacral nerve for bladder issues and pudendal nerve one for bowel. I got on a trial for the pudendal one in 2009. I have spinal damage following botched surgery which "tore" the nerves apart. I love my stims

[@jennas2068]

@@jaeshasway it is a small chip implanted just under your skin on your backside. There's a lead that connects to your sacral nerve. It gives a small electric charge to the nerve, which reminds your pelvic floor muscles to behave properly. At least, that's how I understand it. It involves a surgery for placement and a couple small incisions. I had it done as an outpatient. Then you have a controller that you use. Once it's set, you set it and forget it. Remember it's normal to go every 2-3 hours anyway. Your Urogynecologist would probably try something less invasive first. Good luck! ❤️

[@kathypeterson526]

THANK YOU so much. I am going to a urologist for the first time on Monday for incontinence.

[@JenB.188]

Pelvic floor physical therapy is an amazing experience. I have found that the specialists in that field are some of the best physical therapists because they listen in a way other therapists do not.

[@immasher2139]

Occupational Therapist also teach pelvic floor exercises. I was trained to teach, "Beyond Kegels." Works great!

[@marianneyag4106]

I underwent the surgery. it helped immensely my urgent incontinence, but not the stress incontinence. My Urologist also gave me a patch to put on your stomach, to help me relax the bladder. It really helps with long car and plane trips. Thank you for outstanding & informative presentation.

[@aminemaia921]

My problems disappeared when I started squating to pee ..huge difference.no more peeing every 10 minutes

[@creativequeen8371]

Thanks for this info.

[@esperanzatabunar]

May I asked the name of the patch please

[@mandylorbach]

11:03

[@bluesky7288]

Is the patch otc or rx? Whats it called

[@queenmermaid4935]

That’s for having this woman doctor on ur show, she was very thorough and easy to understand ❤

[@besame5504]

74 yr old woman, had to use panty liners beginning at about 62 for some leakage. Now, I use poise pads due to having to void every couple hrs and some leakage. Avoiding the bladder thing with Docs, I have 2x shoulders to have cuffs repaired. I in 3 weeks :). Very good info here as always and ty.

[@TalkingWithDocs]

Welcome. Maybe some of the non-operative treatments can be of assistance.

[@alexandradombrowski4915]

Could you do another video on this topic for women who've had hysterectomies? There are various scenarios with this as well. Also, a historical perspective about the difference between vaginal hysterectomy vs. Laparoscopic hysterectomy, oophorectomy, etc., and how this impacts a woman's ability to void or not. We need this knowledge! Ty.

[@bludaizee24]

Yes, I second this idea!

[@doreenduncan3411]

Yes this needs to be discussed

[@mkrezanski6606]

The change in anatomy from a hysterectomy is important to cover especially in regard to incontinence and leaking . They should be covering this in this video . Surprised they missed this .

[@patriciamelgarejo4059]

Yes!!

[@doreensherk287]

I agree

[@dominiquegianni-embrey2552]

I would like her to come back and talk a little more about the surgery for stress incontinence. What it looks like, what it entails, the real nitty gritty. 🙌🏻

[@AlbesiLent]

Everyone I've talked to that have had had these surgeries regret it on every level.

[@alexandradombrowski4915]

​@@AlbesiLentuh, oh. This needs to be explained.

[@jennas2068]

​@@AlbesiLentI don't regret it at all.

[@luzmarinamejia7611]

10:08 😅😅😅

[@natashabrown3]

My aunt had a mesh placed to hold up her bladder around 12 years ago and started having problems with it and it was falling with it hanging inside and her obgyn that performed the surgery was no where to be seen. She finds there is a lawsuit for the mesh I believe they were wire she files and about 8 years ago got a settlement. She suffered and nobody would fix it but after the settlement she got it taken out.

[@sandyseibelhager7131]

I have mixed incontinence and I don’t empty my bladder fully. I had bladder sling surgery and the surgery changed my life. It improved so much but as the doctor said, it did not cure or solve all the issues. Keeping my weight in check is the biggest help of all.

[@carriehollyland3596]

I temporarily lost bladder control due to a spinal injury. I had surgery for the spine. Since then I never regained full bladder control. I get the urgency incontinence as well as the dribbling incontinence. The urgency one, one minute I don't feel like I have to go at all, then suddenly the next minute I suddenly have to go bad, and I have zero control over it then.

[@marymiles9922]

Same here 😢 horrible. Was never told that this could be a side effect of spinal surgery. L-4&5, S-1. Watched a chiropractor video and found out. I regret having the surgery, still have severe back pain.

[@carriehollyland3596]

@@marymiles9922 oh mine was from the injury itself, not the surgery. I had the surgery because of the injury. The first surgery just fixed the immediate issue and bought me some time. I will eventually have to have a second surgery yet to fully fix the whole issue.

[@marymiles9922]

@@carriehollyland3596 I hope your next surgery works!

[@Mimi74957]

I had the exact same procedure and the same problem with incontinence 😢​@@marymiles9922

[@ukiewife]

I'm wondering, based on your comment, if you had / have Cauda Equina Syndrome?

[@janinejackson9477]

I was incontinent for many months wearing nappies. Finally after a visit to the doctor and a course of strong antibiotics then a course of medium strength antibiotics my inconvenience cleared up. I am now back to wearing nickers again. Yeay!!!!! Incontinence no more.

[@MeTreesndirt]

Makes no sense. It is not caused by an infection .

[@casey044]

Watch the video. The doctor said that could be one of the reasons.

[@jgraef919]

Dr. Carolyn Best sure did her scholarly studying. She is very articulate and never once needed to pause searching for an answer. This topic has been buried for so long and needs to be brought out in the open, as in this video. Thank you for sharing your knowledge with us.

[@TalkingWithDocs]

Well said! She is awesome

[@janA-0419-Texas]

I have urgency incontinence and am on my second sacral neurneuromodulator. I am happy to report that the sacral stimulator has helped me tremendously. I started with a Medtronic InterStim II and it and the patient support was sub par. I now have an Axiom stimulator and both the patient support and my incontinence have been greatly improved.

[@MeTreesndirt]

How does it work? Is it in the v jj?

[@sandi2638]

No it’s implanted in the muscles of your lower back in a minor outpatient surgery. You then have a small device that is attached to one of the nerves controlling your bladder. You will be given a remote control to the neural stimulator that you will be taught to use to control the strength of the electrical pulses to your bladder.

[@vickiepatterson1748]

A very informative video Docs! This is like the videos you've previously done for the male viewers who might be too embarrassed or insecure about talking to anyone about their issue. The sad part is when women are dismissed by their male doctors.🧐 Don't get me wrong, I've met some very good, patient and compassionate male gynecologists who are great at explaining things to patients without being condescending or dismissive. But reading through the comments, many women have faced this very problem. We're very fortunate to have doctors like you who want to educate patients and point them in the right direction! If only we all had doctors like you!👍 You spend a lot of time and effort making these videos for us! We can tell you love what you do! And we love it too! Thanks for your patience and all the work you do in helping so many!👍

[@honybeezzz58]

Been waiting for doctors to explain this issue Thank You 🙏🏼 all so much for this information ❤!

[@TalkingWithDocs]

You are so welcome!

[@Cricket2731]

I had several falls in the last few years, which pinched some critical nerves. I can no longer sleep thru the nite, due to "potty breaks". Incontenence/piddle pads are now part of my wardrobe.

[@barbaraebner5889]

My urologist explains everything. Shout out to Dr. Salva in USA.

[@maritzadomeneck8955]

I had incontinence issues for a long time am 61 yrs old. What I find to eliminate it completely , was doing squats really it eliminated my Incontinence problem just simple squats . I'm a naturalist and I always find natural approach to do everything all you have to do is spread your legs and do 50 squats only nothing else, that's what eliminated my Incontinence and strengthened my pelvis muscle and I don't have to take pills, I don't need to do any surgeries . Try it ladies you have nothing to lose. P.S. keegel exercise makes it worse so don't do them !!! 😮

[@joeannpenn8181]

Squats require you to bend your knees , I can’t do that anymore, replacement on right and left is bone on bone, I take a pill that don’t work very well. Dr.suggested Botox shots. Leary that it will freeze the bladder and I won’t be able to go

[@erinbell5838]

I’m going to try

[@MeTreesndirt]

U can't do that when you're old and creeky.... Back too worn out.

[@licka06]

What works for you don't work for everyone. So telling someone kegel doesn't work abd you are not a doctor is bad advice. Do what works for you

[@susanbright8735]

Thank you

[@taghiabiri3489]

I‘m 54 now, since I was in my end 30ies I‘ve got more and more problems with urinary infections. Later, in my end 40ies I started with lifting my legs every morning to strengthen my muscle in my belly, because I could‘nt hold it back very well 😮. With 52 I started with female hormone replacements because I forgot each and everything.. ..and a most welcomed side effect was that my problems with urinary infections and little incontinences went away!!! My God! I am so happy that I started with these Hormone Replacements!!!!! For many reasons! Greetings from Switzerland, Europe!

[@TalkingWithDocs]

Wow that's awesome. Thanks for sharing

[@kathleen9456]

Me too!

[@doloresreynolds8145]

I suggest consulting with an experienced and knowledgeable chiropractor. They deal with neural pathways and understand how spinal injury in one area can affect another area. You can get a consultation, which should include x-rays, before you commit to treatment. Courses of treatment will take place over a number of visits. The manipulations are essentially retraining your musculoskeletal system to hold you in the correct position, the way it used to do pre-injury, and it takes visits over time. Depending on the long term weakness left by the injury, it may take quite a long time, but the intervals between visits may well lengthen once the area completely heals. I no longer have to visit mine, haven’t been in years, but I’d go if I experienced another injury. Oh, btw, your medical doctors will never recommend or approve of seeing a chiropractor. It is like a lot of ancient medicine - something our modern Western medical networks refuse to acknowledge the value of.

[@paddleduck5328]

😮

[@RG-hf4et]

This lady doctor should start her own KZbin channel. It would be a BIG hit. This is a topic that is an epidemic & women are suffering silently.

[@TalkingWithDocs]

We agree she is awesome

[@SnartNik]

She is so articulate!

[@BeverlyMurphy-j5m]

aRG-hf4et. I agree I have been TRYING TO DEAL with this for yrs & just recently has become worse. After listening to their Podcast I now know what it possible has become worse -- do to a few things I have been doing with lifestyle & food & drink. Thank You So Much For Info That I Will TRY Using, with HOPE To Feel Improvement 🤞🙏👍. Many Thanks For Info 🙋

[@CJDane-rf1je]

I don't think that there's enough personality for her own show but with these 2 others People it's OK I'm not saying she doesn't have personality I'm not saying either any of them don't have personality but they're not ones that I would watch individually But all together all together I like that cover a lot of material

[@CJDane-rf1je]

And lady doctor ? Jesus are we still there?

[@wandahaayen83]

A very clear summary of the condition(s). Could you do a 'part two', discussing related surgical procedures, (such as bladder lift) and also prolapse?

[@Messymy]

Sling after cancer total hysterectomy made incontinence worse. Need help.

[@jane.closeyoureyesandthink6064]

Yes, more talk of prolapse

[@susiew6851]

Im glad you talked about overactive bladder some as that's what I have. Eliminating soda and certain foods has helped. I had to cut back on the amount of water i was drinking and stop at 500pm. I was stopping eating at 700pm but I have found that I have to stop at 600pm. I have also found that processed foods irritate my bladder. The urogynecologist that I went to says my OAB is due to menopause. The doctor has had me use a tens unit placing the electrodes on my ankle. I think it has helped. It's all been trial and error and a number of not so good night's sleep over the past year. I still hate and its frustrating at times.

[@rainbowzebraunicornpegasus2962]

Have you tried Gemtesa yet? I was on it for a couple of years until my insurance decided it no longer covered it. The only med that didn't make me swell or screw with my blood pressure.

[@MyCleverHandle]

@@rainbowzebraunicornpegasus2962 I'm on Gemtesa; been on it for 2+ years. I've had limited success, and only with frequency, NOT urgency or ability to stop flow. It's better than Oxybutynin (anticholinergic), which I was on for 2+ years; that gave me horrible dry mouth and eyes, and led to dental problems. Myrbetriq (2nd drug of choice) is contra-indicated due to hypertension treated with beta blocker and an ARB. Had to do Gemtesa; insurance be damned. Special authorization was needed; retail value of 30 day of Gemtesa is $500. Insurance pays 100%. I have a great Uro-gynecologist; presence and position of a small rectocele means P.T exercises don't work. Uro gyn. is now awaiting general & cardio clearance from my primary care to schedule installation of nerve stimulation implant. Also tried 10 weekly in-office sessions with stimulation of pelvic nerve via electrode at ankle; negligible results before a minor brain bleed caused by a bad bonk on the head forced the end of this therapy. It took 9+ months and severe Rx adjustments to get Neurology ok after the brain bleed. I'm hoping the implanted device, with a constant stimulation pattern, will finally fix this. Good luck to you!

[@judithnolan1683]

I love you Doctors. You give us straight forward medical explanations. You have a cute sense of humor which is refreshing. You are both so knowledgeable and sensitive to lay people understanding medical terminology. I was a nurse for 47 years! Now retired and listen to you both always. Glad to have gu MD’s give us information on other medical problems. Never stop giving of yourselves and Cristal medical information. Thank you always.😊💕💕🙏

[@judithnolan1683]

Guest!!!

[@judithnolan1683]

Darn autocorrect!😆

[@aq9714]

I just found you guys! This is awesome, I suffered from incontinence and did not tell anyone. I went through menopause at 41. I am now 70. I don't suffer from incontinence anymore, I quit alcohol a few years back, just a glass of wine once a month with friends. But I realized when I saw this video and knew I had watch it, that I was not having an issue with incontinence about 2 months ago. Why? I quit drinking coffee a year ago! No more alcohol or coffee was a positive change in my life. I was just looking a some fabulous coffee beans in a specialty store recently, the smell was wonderful and I walked away!

[@suewarfle1001]

I have had Botox injections which helped for 3 years. I have an appointment in March to get it done again. During the process, the doctor let me watch it on the screen. I found it very interesting.

[@gatorade123ification]

Thank you for sharing. I am having the same procedure next month

[@DeeDee4always]

Botox didn’t work well for me. I couldn’t go so I ended up with a lot of UTI’s.

[@loralieisa]

@@DeeDee4always Baking soda in water-hold your nose, and unsweetened cranberry help. The acidity causes pain. I found baking soda helps right away.

[@yusbelivaldelamar4809]

Hi is this covered by insurance?

[@lauries3477]

The Botox didn't work at all for me 😢

[@stitchann]

This is a wonderful topic to discuss. I have never got such great information. Thanks to all of you.

[@TalkingWithDocs]

Our pleasure! Hope it helps lots of people !

[@veronicanne1]

From the female

[@elsafischer3247]

I had this problem and started to do Pilate and with this exercise I have solve my problem

[@beckyhenning448]

I went through the pelvic floor exercises and therapy. Learned to do the kegels properly and finally had to do the surgical procedure bladder lift. That was the best decision I’ve ever made. With a chronic cough it was so helpful!! Talk to your provider, don’t be embarrassed.

[@susieqbrown]

Like others here, I was interested to see this topic come up for female incontinence and especially with Dr. Best (my Dr.) I'm using a pessary due to a bladder prolapse but experiencing leakage/dribbling. Switching to a pessary designed to help curb the leaking. Looking forward to Wednesday aka Pessary Day which makes me laugh and tinkle. I have found Dr. Best works with you when something doesn't work out, no shaming or being annoyed. She's very kind and wants to make you comfortable. I would like to see a video on surgical options.

[@ellenmcmann3576]

I am 62 and I never really had any incontinence issues. Then one day a few years ago, I had an awful accident where I fell down my stairs at home and managed to slam down hard on my tail bone for about 8 steps. Besides breaking my tibia and fibula on my rt ankle and the fear of losing my foot, I found out after I got home from the hospital I was now incontinent. I went to a urologist who said the nerves between my bladder and brain had been damaged. He ran some tests and we discussed a neurotransmitter which I decided to go for. I had the procedure done with the implant on my left back hip. It was wonderful for about the first 8 mos., then things started to go back to the way they were before. The power is adjustable but I find it too uncomfortable to increase it much, so now I’m back in adult underwear. Before I go for my yearly check up with my urologist 4:50 , do you have any advice or suggestions?

[@MeTreesndirt]

How aWful for u

[@barbarak8158]

Very informative! I need to be more consistent in my exercises! This video helps. Thankyou ... all 3 docs!

[@TheKeltris]

Omg!! I love how funny you doctors are and the way in which you explain things!! It's making my life easier for sure!! Thanks.

[@rtt3166]

This channel

[@nowistime8070]

this female dr is awesome

[@cheriewilson8191]

I have plastic mesh in my abdomen and a bladder sling (which had to be cut because it was too tight) so there is a bunch of plastic in my abdomen and I have a prolapsed bladder (after a hysterectomy) and now I do not go out because of incontinence. A surgeon injured my pancreas while trying to take out my gall bladder with a laparoscope and now I am diabetic as well. A surgeon also accidentally deflated both my lungs with CO2 he pumped into my abdomen while attempting to repair a hernia in my diaphragm. While I was being anesthetized for childbirth related surgery, I heard one doctor complaining about how inconvenient it was because he had a golf game scheduled. I have heard of doctors suffering from burnout, but what about their patients?.....I honestly believe I would be healthier, richer, and better off if I never went to any doctor at all.

[@TalkingWithDocs]

We are so sorry to hear of the litany of difficulty you have had. All doctors are not like that and we hope you find the help you need and deserve

[@loralieisa]

Could it be the state you sought medical attention? I live near NY and made my medical appointments there because I worked in NY and it was convenient. Nowadays it's become a dangerous place making medical appointments unwise.

[@melindahall5062]

I think it would be great for you to quit going doctors at all………..one less pain in the butt to deal with………what is wrong with you people?

[@paulawilliams8880]

So sorry for your problems a cautionary tale for sure. Bless you

[@V.Hansen.]

I’m with you. They make it worse or are no help but take your money.

[@janicevillandre9577]

You boys are wonderful, thank you for bringing this subject up, thank you to Dr. Best for sharing her expertise

[@kodiakbearcountry]

Crazy timing. Going through incontinence post urethral diverticulectomy and not sure what the journey to resolve the issues is going to look like except I am taking the Mirabegron, about to start PFPT, and have an MRI coming up to rule out fistula. Your videos are so helpful!

[@lenoraberendt750]

Thank you so much for addressing this important issue. You are the greatest!

[@angelamai2372]

i hope she would come back to talk about the bladder sling and bladder mesh surgery for stress incontinence. thx.

[@charlene5678]

I have had 2 both failed in 6 months. So sad. Was great well it lasted

[@lenitaa7938]

Mesh did not work for me!

[@MeTreesndirt]

Mesh is scary. It gets into the tissue ,cuts it. I thought they stopped using it.

[@elliep6236]

Dr Best is excellent, great explanation & information! Thanks for bringing her on!

[@KarenRandall54]

I have a vesico-urethral sling that was done 28 years ago after serious damage after one of my children. It is still working great all this time later.

[@MeTreesndirt]

What is that?

[@carolw32]

Had the same thing 10 years ago. So far so good.

[@ridinreiners]

This was a very relevant topic doctors. Thank you! I have severe urgency incontinence and a prolapsed bladder that I currently use a pessary for. Using a pessary has created other problems due to post menopausal vaginal wall atrophy. There is nothing fun about this.😢

[@MeTreesndirt]

Another reason to take hrt.

[@arizonasierra]

HRT!! At use least the vaginal creme which is safe even if you had cancer.

[@libbyannstew8775]

Great video. Dr. Best did a very thorough job explaining and Dr. Z and Dr. P asked really helpful questions to draw out the information. Really informative video - thanks docs!

[@martika-Taty24]

Awesome conversation… I am glad to have found it on KZbin. Even though I don’t need any of the solutions yet! I am glad to have the knowledge. Thank you to the professionals here!

[@grettaspier2756]

EMDR can help with physical stimuli with urgency incontinence. I couldn't go to the basement to check laundry or hear the garage door go down without needing to go urgently. But if I got distracted, wow, no problem. EMDR definitely helps. This is done by psychologists and therapists trained in it.

[@TalkingWithDocs]

It would help with the psychological component but not the mechanical portion

[@teresaspensley5640]

EMDR is brilliant for PTSD. I know veterans that have been helped with it.

[@susanpetropoulos1039]

Putting my key in the front door always triggers my urgency.😂

[@marialuisacampos7567]

Extremely grateful for sharing doctors. You are communicators par excellence to whom even a bunch of jokes fits like a glove ❤

[@TalkingWithDocs]

Thank you Maria

[@lisagraham3571]

GREAT TOPIC TALK MORE ABOUT THIS ISSUE

[@joycewickman3249]

great video! so much important information! Thanks so much! At 74, I am experiencing this issue!

[@glendastanton2443]

Very informative! Thanks for covering this problem!!

[@ginnycleary-zq2pu]

Thank you DOCTORS, I appreciate your information, which will help me explain to my doctor on my next visit. I am a new fan of your podcast. 🤗

[@janellison5011]

I noticed that you used a shot of a woman engaging in an exercise that is a yoga pose - she's doing the bridge. There are studies on performing various yoga poses for incontinence. I sometimes experience urge incontinence. Since I already practice yoga regularly, I'm going to incorporate more of these poses to see if I can benefit.

[@BlazeLeber]

I am so very happy you put yourselves on youtube and explained things so clearly! A million thank yous!!

[@LindaBrodie-s5y]

Thank you for this great video about a topic that is so common. I was wondering if you could do a talk about Lichen Sclerosis with Dr. Best. It is a condition that is more common than you think. Even as a nurse myself, I had never heard of it until I was diagnosed, as well as a friend who is also a nurse. By joining a support group on Facebook, I see how common it is and how underdiagnosed it is and how few doctors know much about it. It is another topic that we are embarrassed to talk about. Love all your videos. So informative!

[@lynnebucher6537]

My sister has that. My gyno said it's important to treat it to slow or stop it from worsening. Sorry you're dealing with this.

[@bendamichael8894]

I'd be interested in learning more about Lichen Sclerosis also. I was diagnosed a few years ago.

[@marciavernor1849]

Thank you for your explanations about urinary incontinence! This is a fascinating discussion with options to help reduce incontinence.

[@TalkingWithDocs]

Hope it helps a lot of women

[@Elizabeth-lj2vv]

I have never had children but noticed stress incontinence since I was an older teenager. At first it happened occasionally with jumping. Not long after I started leaking during orgasm. Now it happens when I sneeze, cough, lift heavy things. I didn’t really drink a lot of caffeine until my late 20s and I rarely drink alcohol. When I turned 24 I started to have trouble emptying my bladder when I wanted to. I was able to get the stream started, but had to bear down to empty my bladder. I went to several doctors and when I explained my symptoms they all looked at me like I had three heads. I also get UTIs every time I have sex regardless of following all the rules you are supposed to follow (wiping front to back after using the toilet, voiding immediately after sex, not taking baths, wearing cotton underwear, etc.) and every time I went to the doctor for a UTI they gave me this same list of “don’ts” and acted like if I was getting UTIs I obviously wasn’t maintaining proper hygiene, which I found not only frustrating but very insulting. They did an ultrasound and they did find that I was not emptying my bladder fully. They prescribed Flomax for that which as far as I could tell did nothing. It didn’t seem like medical professionals had any answers for me and I pretty much gave up. I’m 41 now. I got so frustrated with all of this that I pretty much don’t even go to the doctor anymore because it seems like all they do is gaslight me and accuse me of being gross or stupid or both. I wish there were more doctors like you guys.

[@TalkingWithDocs]

So sorry to hear this. Hope some of this content can be of use. You are not alone!

[@loralieisa]

Try a detachable shower head to clean up after sex with soap and water. Wiping front to back does nothing for after sex UTIs. I am not sure baths are harmful unless the water is contaminated.

[@mandygray764]

When I started taking doxycycline on a daily basis I got far fewer UTIs after sex.

[@carolemartin6892]

Thank you docs! And Dr Carolyn Best really knows her stuff! For me, I had some prolapse after 2 pregnancies. Many years later, when gravity won & kegels failed, I had a pessary inserted. Best thing ever!!

[@TalkingWithDocs]

She sure does

[@lindavasil7065]

Having experienced mixed incontinence related to pelvic organ prolapse I had a mid urethral sling placed at the time I had surgery for the prolapse and it has worked perfectly. I tried a pessary first and it actually made the stress incontinence much worse. The urge incontinence continued and since I couldn’t tolerate the medications I have just had bladder Botox which seems already to be having a positive effect. Your presentation was very interesting though I was hoping you would get to these two options to treat mixed incontinence. I am so grateful for being referred to a urogynecologist who has helped me so much with these issues.

[@1packatak]

I just went through the same thing. The pessary was a nightmare. And the bladder prolapse 1:51 just kept increasing. Found an amazing uro- gynecologist near me. Went through the whole eval process. Had a repair and bladder sling. And it has been amazing.

[@ceciliayoakum5599]

Great explanations. I have the stress problem. After twins and another birth I had no real problems but after a hysterectomy at 50 the stress incontinence has been issue. I noticed it with every kind of coughs/sneeze and exercise. I appreciate all the expert advice! I am going to buy a pessary and do kegle exercises correctly

[@vasavaela992]

I have read many books, I listened to many KZbin videos by many of the world's leading gurus and health experts but nothing came close to the hidden herbs by anette ray. I recommend everyone giving it a read.

[@sureshusetiya8568]

great book for everyone searching just found it on her website just search for the hidden herbs

[@NasemaBegam-b7w]

read it a few days ago, truly a great book

[@SameerShaikh-f4h]

she talking about some things that nobody thought me

[@schoolsgirl]

This is what I am most interested in, natural path

[@lindagrainger8765]

How fabulous to have lovely 🌹 Doctors to explain how to talk and ask for help with Incontinence please come too England you are needed, but we do have wonderful 👍 Doctors of our own Thank you so very much very Informative.

[@dhtisme7034]

I am 72 yo. I've given birth to 3 children, 1 by C-section. I drink a cup of coffee each morning & I drink soda w/dinner. I occasionally have a beer or 2 on weekends. Otherwise, I drink water & juice. Never smoked & am about 30 lbs overweight. I never had this problem till I started having surgeries almost 3 yrs ago. Started out as 1 back surgery. Then another, then another & finally my last (4th, about 1 yr ago). Instead of being better I am considerably worse. Back pain constantly. Now after last surgery, I have a dropped foot & numbness & tingling in my legs (have to use a walker now). During these surgeries is when my bladder problem started. After last surgery I started to have bowel problemd as well. Slowly my bowel problem went away, but not my bladder problem. My physical therapist told me this can happen w/surgeries. My medical doctor says no, it's from old age. Who is right? And is there anything I can do for it besides laying on floor & doing kegal exercises? I'm afraid once I get down I won't be able to get back up. Thank you.

[@TalkingWithDocs]

Sorry to hear this. They are all likely partial contributors. It’s tricky for sure. Sometimes there are modified exercises rather than on the floor. Worth seeing a specialist like our guest. Best of luck

[@CJDane-rf1je]

For some people low dose vaginal cream For bladder issues Works talk to your Gynecologist about it

[@anyasviews8415]

Kegal exercises can be done standing or sitting.

[@BarbaraBraue]

Thanks Docs. I have had urgency for years and have taken Mybectric which really helps me.

[@virginiaswartz6292]

After being treated for a kidney stone, I addressed my overactive bladder issue with my urologist. I participated in bladder training which helped significantly. I let up on the daily exercises and overactive happened more often... I'm back on the training program and will just have to be judicious.

[@marie-joseemichaud5072]

Thank you so much for all your videos, they are so helpful!

[@TalkingWithDocs]

Glad you like them!

[@ashleybergstrom8934]

My specialist dr. put ten injections of Botox in my bladder in her office. It helped eliminate the urge and constant leaking within three days and was great for seven months. It was super painful for me so I am being scheduled on my 8th month since having the procedure in the office, another round of botox under general anesthesia in the hospital. It has been a life saver. NO more depends.... and the irritation they cause being wet down there.I am 70 years old. I did try first, acupuncture on my ankle to send electrical up my leg to the bladder. It hurt with zero help after four months of that.

[@daffodilunderhill7066]

Thanks for sharing your story. I avoided going to a specialist for years because I figured I wouldn't want to do any of the serious interventions they had in mind. Finally I went and she wanted to do the Botox injections. I was going to try it once then decide if I wanted to continue since it took going every six months first for a urine test then 3 days later for the procedure. Covid popped up about then so appointments were cancelled and I haven't tried to go back. For you, even with the pain and now needing to have the procedure under general anesthesia, you seem to feel Botox treatment is worth it.

[@MeTreesndirt]

Electrical. Ha!

[@lindapope1583]

The doctor didn’t mention a neurotransmitter or Botox in the bladder. I have been having Botox injections in my bladder for four years every six months. From the first set of injections I have not worn a pad once. My incontinence started in the 3rd grade and I am now 78 and couldn’t be happier with this decision.

[@TalkingWithDocs]

Very nice

[@nadinejasso5384]

How often do you have to get injections? Why not mesh sling?

[@neyral.castillo1696]

I always have a good laugh with you guys 😂😂 . Always very good info , we need more Drs like you . God 🙏

[@TalkingWithDocs]

Doing our best to be informative, but also lighthearted. We never intend to make fun of anything, but rather just show the lighter side.

[@teresaspensley5640]

⁠@@TalkingWithDocs- you Docs are doing a great job. Thank you so much for all your info🇬🇧👏🙏🙋🏻‍♀️👍🏻

[@cathylaycock5598]

I had the bladder mesh done in 2008, wasn’t successful. 😢. I’m now 70 years young. My urologist explained that I have mixed control issues. I drink water, go to bathroom at least 3 times just from 1 glass of water. Can be exhausting. Don’t drink anything an hour or so before going to bed,up at least twice per night going pee. I participated in a study, tried meds, but they were short lived. I give up. Also was explained to me with having Ulcerative Colitis, can sometimes create pain in trying to empty out. I’ve found most GPs don’t understand nor take time to explore symptoms or send to a specialist.

[@TalkingWithDocs]

Sorry to hear that. Hopefully this was helpful

[@cathylaycock5598]

@@TalkingWithDocs yes this has, thank you. I think in these years since I had the mesh done, a lot more information has been brought forward from various studies and the experience of Urologists. I’m going to see about pelvic floor physiotherapy to see if I can help improve things myself with proper training. Thank that nice Dr for spending time explaining things. Please have her back to explain even more and tell Paul to quit getting so excited that he pees his pants! 🤣🤣🤣. Can you also ask her about frequent UTIs? I go through stages where I get many infections and some are harder to clear up, especially the K-pneumonia bacteria. That one does me in.

[@MyCleverHandle]

I've had UTIs from your friend Klebsiella (2 different species in that genus), as well as E. coli. Several times. Can't tolerate the Dr's. favorite fluoroquinolone antibiotics which cause crippling and severe tendinitis in my lower legs, and I'm allergic to penicillin, so I've had to take extended runs of sulfa drugs, mostly a horse-sized monster called Bactrim. Also Macrobid. So I know about waiting. I was prescribed Methenamine in hopes of acidifying the lining of my bladder so no bad guy bacteria want to take up residence there, but the very first dose made my urine smell like formaldehyde and I had a purely coincidental brain bleed after the second dose, so no more of that vile substance. I also know about C. diff; contracted TWICE because of too many antibiotics. I'd say I empathize with you. My plumbing - both systems - is a sad joke.

[@Lori-zh2hv]

I don't know where to begin but have a history of urgency. I went years ago to a urinalysis. He had a pessery put in me. It was horrible! I ran a high temperature & got gloves( I worked in medical field) & took it out but did go see my OBGYN very next day to see if I was alright. I've also seen my neurologist & I learned I wasn't to have it in. I've got spinal issues which it's better for me to drink fluids & stop at a certain time of day. If I don't drink pain goes in my kidney. So painful! I recently gone to my primary having my urine checked. I would listen to this video closely as it's very educational ladies. Another thumbs 👍 up video!

[@kathleenlehmann797]

Diagnosed with „Mixed Incontinence“ Uro-GYN able to administer Botox injections to bladder under anesthesia)once general, once local) ~ both of which helped immensely for nearly a year. This was covered by health insurance. Risk of loss of ability to urinate & need to self-catheterize. Pandemic disrupted my treatment schedule. Really want to resume. Currently having private Pilates lessons for this symptom. Thank you for wonderful & informative video clip

[@DeeDee4always]

I had the Botox. Never again. I had UTI so much because I couldn’t go.

[@naomideleon8363]

​@DeeDee4always omg 😲 so how did you get help goung to bathroom if you couldn't? Did you get rid of the UTI?

[@MeTreesndirt]

Gen.knock out for a pee leak procedure? Yikes! Too dangerous for us olders.

[@kathleenlehmann797]

@@MeTreesndirt if you read the full comment I also had it under Local. Best bet is still behavioral timing & exercises (kegels. Squats). Good luck

[@debrandw246]

I live in a country when Dr,s and medical is free I brought this to my GP,s attention about 3 yrs ago. She was dismissive and did not want to address it. I feel my bladder floor is non existent. It's serious now. I wear two heavy pads. I pee mostly constant. Like a slow faucet that never turns off. I rarely drink water, anything. I am a type 2 diabetic. I am afraid I will be dismissed if I ask again. I am 65 and had 3 vaginally pregnancies of large babies. I am not overweight. Thank you so much for doing this video. It's the only help I have ever had. I have tried the exercises. They did not work for me.

[@eileenmcdonald1599]

Get a new doctor. And you have to keep up the exercises. . your blood sugars need to be kept in check.

[@barbhelle5481]

Thank you. I am 68 and have urgency incontinence. I have bladder spasms which are worse if I drink a carbonated drink.

[@TalkingWithDocs]

Sorry to hear that but now you know to avoid that!

[@musicmarlene]

Pelvic Floor Physical Therapy worked for me. There are Awesome practitioners in North Idaho. I have a pessary for vaginsl prolapse. It’s very comfortable. Before I had the pessary, I had terrible urgency incontinence.

[@smallfootprint2961]

Years ago my dr tried all the meds, but I didn't do well with them, and they didn't help. I had a historectomy and at that time they did surgery to support the bladder, and the rectum. It helped some, as I had had a couple babies, and the 2nd one was quite large. She is now 61. Now many years later, I'm plagued with the urge incontinence, and fecal incontinence is becoming a problem. I am a normal weight, but am old, and work on strength, balance, and yes, I do the keagels when I think of them. This was a very informative video. I learned a lot.

[@winnepeterson6570]

I had a bladder sling surgically implanted about 20 years ago. It was 100% effective for about 10 years, then gradually became less so. Now it has no effect.

[@sandybrown4764]

Great discussion that I hope will bring this topic to many. Perhaps you'll branch off into POPs and the other 'life-saving' uses of the pessary. Paul, I almost developed some stress incontinence of my own, when your comment about passing long-lasting pessaries down through generations caused me to burst out laughing. Always a good time to be had with you guys, as you dispense valuable information. Good job, Dr. Best!

[@margaretmathis4775]

Excellent video! I have urge incontinence. Hubby and I recently started Pilates and I found out that our instructor does “pelvic floor strengthening” therapy (Kegals). When I first learned that, I kinda joked about “Oh, I need that!” but think I will talk to her about this option.

[@ashleykennedy2824]

Just fyi: if you have too much tension in your pelvic floor muscles and/or weak glutes kegels may make the problem worse. An actual pelvic floor specialist will tell you this and assess where you're at, but a pilates instructor that hasn't gone through pelvic floor training probably doesn't know that kegels aren't appropriate for everyone.

[@MeTreesndirt]

Some women those muscles are so damaged they only contract a little when they sqeeze. So nothing. No help at all

[@eileenmcdonald1599]

Not true

[@juliaramos5509]

I am under treatment and having a procedure done soon for a prolapsed bladder something about picking the bladder up. At first you feel like something is coming out. It took me a few doctors to get the right urogynecology for help and peace of mind. It is very stressful.

[@TalkingWithDocs]

Best of luck!

[@skstrang1]

Excellent KZbin podcast ! There is something else to point out. Having a disease like Lyme disease for any length of time before it’s diagnosed can also cause neurological manifestations including muscle spasms which also can lead to incontinence . I was totally unaware. I finally got a proper diagnosis and treated the Lyme. It can and often does, affect the heart muscle. ❤

[@sallydunbar1683]

I have talked to my Dr. only to be shrugged off, and he wrote an Rx, which i didn't take because side effects were memory issues. Granted, that was 10 years ago or so. I've succumbed to wearing mattress pads 24/7! Ugh!

[@TalkingWithDocs]

Well, now you know the options Sally

[@MeTreesndirt]

Heds wear mattress pads. U mean sanitary napkin monsters? Those irritate me. Even tiny ones give me blisters.

[@eileenmcdonald1599]

Your choice

[@theeyesehaveit]

I wear a pessary. I started having trouble holding my urine on my way to the bathroom. My bladder would give out and urine would run down my legs. It came on quite suddenly when I reached the age of 78. It was fitted by a uro-gynecologist. I see him every 3 months for removal and cleaning. It is made of silicone. I am so happy to wear it. It has helped me a lot. Barbara.

[@MeTreesndirt]

Tyose 🎉hings pinch. I am not going to get it removed ev 3 mo.s. Get hubbs to do it . I am not sure wether those cause uti's or just bladder dropsy ;Probly both but I sure hate those . They are dangerous,can travel up to the kidneys!

[@Jean-zz5lk]

This was awesome. Why don't docs ask you as part of every health exam if you have this issue? Thank you!!!

[@Dawna-gp1zk]

You need to speak up re: any issues.

[@MeTreesndirt]

It's on rhe list they have u ck.

[@eileenmcdonald1599]

You need to be a better reporter of any issues you may have. Many lie when being questioned. No matter what the questions asked. Many patients are the problem. Doctors are not mind readers.

[@cherylvl1036]

I was disappointed she didn’t talk more about the neurological conditions that cause incontinence. I have multiple sclerosis and I suffered four years with both urgency and frequency. My urologist suggested bladder Botox and it has been life changing! If you have MS and suffer from urgency and excessive frequency ask a urologist about bladder Botox.

[@eileenmcdonald1599]

Only so much time. Speak to your own doctors

[@cherylvl1036]

@ did you read any further than the first line of my comment? I did speak to my own doctor and a urologist and received bladder Botox. It was life changing. My point was that if she had taken a couple minutes of the video to address neurological issues it could have helped more people.

[@anyasviews8415]

@@cherylvl1036 I agree. I have CMT, had a complete hysterectomy at 67, ever since I’ve been incontinent. Meds are minimally useful, too many side effects. Considering Botox but that is also temporary. 🤷🏻‍♀️

[@cherylvl1036]

I get my bladder Botox repeated every 6 months so yes it’s temporary but I couldn’t be happier with my results. I can do activities like I used to before MS wreaked havoc on my bladder. I couldn’t be away from a bathroom for more than an hour. Now I can go for a four hour drive and not worry I’ll have an accident. Not sure where you’re from but my procedure and the Botox is covered under my BC medical services plan (MSP). I’d suggest trying it once. I’ll never go back.

[@ruthdarrylwensley9756]

Had my hips replaced 12 months ago and since then don’t have complete control of my bladder have to wear pads 24/7 as don’t know when will have accident. Great talk will go to Doc and have a chat haven’t spoken to anyone about this as embarrassed I’m 64 and haven’t had children so was horrified when this started happening.

[@banditosjp7135]

Hi, same for me - I had no problems until I broke my hip at age 58 and had a hip replacement. Now have mixed incontinence, wear pads when I go certain places or somewhere new. Not what I envisaged for my 60s going forwards. It seems to be one of the few remaining taboos so it's good that it's talked about openly. I'm going to be a bit braver and more open myself. Good Luck.

[@cristineconnell7803]

Don't be embarrassed dear heart! Just talk with your doctor! Or if needed get a 2nd opinion!🌹

[@cathygould]

Thank you! I had great bladder control most of my life. When I was young, I worked for an auction company and had to sit and write up to 20+ hours straight. Never had a child. But now I'm 73, in a nursinghome, mostly bedbound. For the first time I'm having trouble getting to the bathroom in time. I use pantyliners, but I just don't recognize the Urge in time to get to the bathroom. I hope there are some suggestions later in this video that will help 🤞🏽🙏🏽🤞🏽

[@lynfawcett221]

Another great info session, Docs.