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In adulthood, one in three women and one in ten men experience a degree of urinary incontinence. It is a serious problem, and one which affects people socially, physically and psychologically. There are four basic types of incontinence: overflow (false) incontinence - when the bladder never drains completely; stress incontinence - when any movement that increases pressure in the abdominal cavity results in urine leakage; urge incontinence - when the urge to urinate is so great, it can't be held in. The bladder muscle contracts in spasm so strongly it squeezes fluid out; and mixed incontinence - when two or more types of incontinence occur together, such as stress and urge incontinence. This guide's physical approach to a freer lifestyle suggests a range of different treatment options, as Peter Dornan, writing from personal experience, gets behind the stigma and misunderstandings to help you improve or overcome your problem. Imagine the freedom that life without incontinence could offer you.
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Table of Contents

FiguresGlossaryAcknowledgementsIntroductionPart 1 Anatomy and physiology: The bladder and the lower urinary tractHow it worksPart II Incontinence: Causes and treatmentsWhat causes incontinenceConventional treatment options for stress incontinencePart III Behavioural intervention: A new and physical approach: Taking controlUrge incontinence and bladder trainingPart IV Cancer and Incontinence: The psychological and social effectsDealing with the demons: Cancer, depression and beyondErectile dysfunction: The meaning of manhoodBibliographyAppendix: Pilot study resultsIndex

About the Author

Peter Dornan has been a physiotherapist in the fields of sporting injuries and manipulative therapy for more than thirty-five years. When surgery for prostate cancer left him with a severe incontinence problem, he used his knowledge of the body and his determination to find the cure that no-one else offered him. In a final, triumphant test of the Peter Dornan regimen Peter successfully climbed Mt Kilimanjaro in Africa in 2003.

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