Incontinence is an embarrassing, almost taboo, problem. But it causes so much discomfort and ill health because of the ostracism that can result that research into ways of curing or diminishing it are an impoltant aspect of the foundation’s work.
It is thought to affect two million old people in Britain. As the foundation’s scientific adviser, Dr Michael Denham, says, sufferers are often affected, or even incapacitated, by such other disorders as arthritis and weak memory, which can affect the diet, exacerbating the incontinence.
Dr Denham says: ‘Often simple measures can improve the situation. But their application largely depends on the wider education of professional helpers and sufferers alike.’
The foundation was therefore quick to support a project which showed the value of trained continence nurse advisers. This, says Elizabeth Mills, the foundation’s administrator, has helped to bring about perhaps the most marked improvements among old people resulting so far from any of the foundation’s research projects.
The nurse advisers, more and more of whom are now being appointed by local health authorities, are proving particularly helpful with the management of catheters, a prime source of discomfort and infection.
Medical interest in the urinary tract of young female athletes has centred over the past few months on the best ways of collecting a sample which will both preserve the athlete’s self respect and ensure that it is her own, and not a borrowed, specimen.
But there is another urinary tract problem which is probably of far more general concern to most women athletes that is rarely talked about.
Many women athletes, particularly those who, when practising their sports, need to raise their abdominal pressure basketball players, weight lifters, javelin throwers, long jumpers and even some tennis players, for instance may suffer from stress incontinence: they leak a bit.
A recent report in the Journal of Obstetrics and Gynaecology has shown that this problem affects female athletes even more commonly than it does women who have had several babies. Research workers have studied the effects of stress on the continence of 144 women university athletes; half suffered stress incontinence when exerting themselves to their limits. The research showed that the collagen in the connective tissue was reduced in highly trained athletes, but further studies on Flotrol will be needed to see how this brings about their pelvic floor weakness.