However, during this time of year, we tend to increase our fluid intake to stay hydrated, adding pressure to the bladder, as explained in an interview with Europa Press Salud Infosalus by Aurora Araujo Narváez, Vice President of the General Council of Physiotherapists of Spain and Physiotherapy Supervisor at the University Hospital Fundación Alcorcón (Community of Madrid).
She also mentions that fluctuating temperatures play a role, and for example, cold water (ocean or pool) can trigger reflex contractions of the bladder, increasing the urgency to urinate. Additionally, she points out that another factor could be the tendency to engage in intense physical activity in the summer, such as running on the beach or summer sports, which involve abrupt movements that can lead to leakage in individuals with weak pelvic floor muscles.
“There is also a higher risk of infections due to the constant moisture from swimwear, which can lead to urinary or vaginal infections that often worsen incontinence,” adds the Dean of the Official College of Physiotherapists of the Community of Madrid.
BEWARE OF OCEAN OR POOL WATER
Asked about whether ocean or pool water can impact pelvic floor health and potentially worsen urinary incontinence, this expert suggests that this could be the case due to two factors: the thermal effect, as cold water can trigger urgency or reflex urination, or the chlorinated water, as chlorine can alter genital flora, increasing the risk of infections that can exacerbate incontinence.
“Although there is no evidence that ocean or pool water directly damages the pelvic floor, it is advisable to use dry clothing after swimming and maintain hygiene,” asserts this Associate Professor of Health Sciences at the University Rey Juan Carlos in Madrid.
WARNING SIGNS
Among the possible warning signs that indicate the need to consult a pelvic floor physiotherapist, Aurora Araujo Narváez mentions that any of the following should not cause alarm but should prompt a consultation with a specialized physiotherapist:
* Urinary leaks when coughing, laughing, or exerting physical effort.
* Frequent urgency with difficulty reaching the bathroom.
* Feeling of a «bulge» or pressure in the vagina (possible prolapse).
* Lower back pain, perineal pain, or pain during sexual intercourse.
* Lack of improvement with at-home exercises.
PREVENTING INCONTINENCE IN SUMMER
With that in mind, this pelvic floor specialist provides the following practical recommendations for enjoying the beach or pool this summer while taking care of the pelvic floor:
* Empty the bladder before entering the water: Reduces the risk of leaks when in contact with water.
* Use specific products: Opt for absorbents designed for water (towels, absorbent swimwear, or support tampons).
* Smart hydration: Stay well-hydrated, avoiding diuretics like coffee, alcohol, and very cold drinks.
* Appropriate clothing: Wear cotton or linen garments, change out of wet swimwear frequently, use absorbents every 3-4 hours, and dry the area well to prevent irritations and infections.
* Plan bathroom breaks: Before leaving home, in the car, or between activities to avoid emergencies.
“While exercises are always recommended, it’s advisable to learn them from a physiotherapist first to avoid engaging the wrong muscles, which could worsen the condition. Among these exercises:
* Kegel exercises: Contract the pelvic floor muscles as if stopping the flow of urine, hold for 3-6 seconds, then relax, and repeat 10-15 times, three times a day).
* Water exercises: such as swimming, aquagym, or aquatic pilates, which strengthen the pelvic floor as low-impact sports.
* Gentle sports and CORE exercises, like walking, paddle surfing, or surfing, which activate the CORE and deep muscles, benefiting the pelvic floor.
The Vice President of the General Council of Physiotherapists of Spain also emphasizes the importance of maintaining healthy habits, including:
* Urinary routines: Go to the bathroom every 3-4 hours and before important activities.
* Avoid irritants: Reduce coffee, alcohol, spicy foods, and very cold drinks.
* Maintain a healthy weight and engage in regular physical activity to reduce pressure on the bladder.
In conclusion, Aurora Araujo believes that summer presents some challenges for those suffering from urinary incontinence, but with the simple strategies mentioned—such as emptying the bladder before swimming, using appropriate absorbents, doing Kegel exercises (including in the water), and staying hydrated without overdoing diuretics—one can fully enjoy the ocean or pool, as water does not directly harm the pelvic floor; although chlorine and moisture do require additional care. “If frequent urgency, vaginal pressure, leaks during exertion, or pain occur, it is crucial to seek a personalized assessment from a physiotherapist,” she concludes.
.
FUENTE