
Prevention is the best remedy against urinary incontinence
“The main thing to understand is that losing “pee” is not normal. Many women still consider it normal to leak urine at some point in their lives. The truth is that this condition can bring many physical, behavioral and emotional disorders. A minority of these patients report this problem to healthcare professionals,” explains Dr. Marina.
Urinary Incontinence is defined as any “involuntary leakage” of urine. It affects a large part of the population, especially women. On average, 26% of women in developing countries, such as Brazil, have this health condition, with those aged between 45 and 60 years being the most affected.
According to the doctor. Marina Fernandes, gynecologist and specialist in urogynecology, factors such as age, obesity, smoking, sedentary lifestyle, asthma, diabetes, menopause, poor diet, physical constitution, pregnancy and childbirth, may be related to a higher risk of developing urinary incontinence.
I have Urinary Incontinence, now what?
In such cases, evaluation by a healthcare professional is the first step. “Most women who experience urinary incontinence can be treated with adequate fluid intake, behavioral changes and pelvic physiotherapy.”
Urinary Incontinence is NOT a “droopy bladder”
Another relevant fact, most women confuse Urinary Incontinence with Vaginal Prolapse, which is the loss of support of Organs pelvic organs causing the descent of the vaginal walls and their exteriorization through the vaginal introitus. Differential diagnosis is important because treatment is different.
Prevention
Urinary continence is a phenomenon that depends on several factors. Furthermore, the act of urinating has a complex physiology. Throughout life, lifestyle habits and comorbidities may play a relevant role in the development of voiding disorders. It is important to keep in mind that Urinary Incontinence is not a disease, but a health condition that needs investigation and treatment.
“However, the key element is prevention. Identifying risk factors, as mentioned above, is of fundamental importance. Understanding voiding and behavioral habits can alleviate most of the symptoms. Being evaluated by an experienced professional in the subject makes all the difference. Pelvic physiotherapy is an ally in the treatment and prevention of Urinary Incontinence, as well as other gynecological conditions”, points out the gynecologist.

Dr. Marina Silva Fernande
Gynecologist and Obstetrician
CRM/MT 12930 | RQE 6168
• Physician graduated from the Faculty of Medicine of Catanduva (FAMECA-SP), 2006 to 2011;
• Medical Residency in Gynecology and Obstetrics Federal University of São Paulo (UNIFESP), 2012 to 2015;
• Medical Residency in Urogynecology and Vaginal Surgery Obstetrics Federal University of São Paulo (UNIFESP), 2016 to 2017;
• Title of Specialist in Gynecology and Obstetrics by AMB;
• Master's Degree in Sciences, Post-Graduation in Gynecology (UNIFESP), 2021;
• Member of the Brazilian Association of Gynecology and Obstetrics.