Many women have stress and urge mixed incontinence. Risk factors are multifunctional; childbirth, menopause, aging, high impact exercise, poor bowel patterns, and respiratory conditions just to name a few. You may want to consider a program of pelvic floor muscle training as a first step in treatment before surgical consideration. This program should be a minimal trail and should compose of at least 8 repetitions, 3 times per day and be maintained if results are successful. Make sure you are taught and supervised by a Physiotherapist knowledgeable in this area. Lastly, there are no significant adverse effects.

Marita Dowsett, B.P.T., www.physio4u.net