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"It has become a reason for consultation": Insep wants to lift the taboo on stress urinary incontinence

2023-12-10T07:09:15.241Z

Highlights: Nearly three out of four high-level athletes are affected by urinary leakage. A partnership signed between Le Parisien and Insep makes it possible to monitor the training and preparation of French athletes up to the Games and beyond. The cause: high abdominal pressure and repetition of exercises mean that the pelvic floor no longer has the strength to fulfill its role of supporting the organs. 3D animations show the movement and type of solicitation of the perineum during running, certain judo holds or even gymnastics figures.


INSIDE INSEP. While nearly three out of four high-level athletes are affected by urinary leakage, a campaign to raise awareness


The partnership signed between Le Parisien and Insep makes it possible to monitor the training and preparation, in all its dimensions, of French athletes up to the Games and beyond. But also to tell the story of the daily life of one of the most modern training centres in the world from the inside on all our media, and on a recurring basis.

It's a little-known and still taboo subject in the world of high-level sport: stress urinary incontinence. A pathology that affects a large majority of female athletes, explains Carole Maitre, gynaecologist and sports doctor at the National Institute of Sport, Expertise and Performance (INSEP). And among the disciplines most concerned are athletics, weightlifting, fencing and gymnastics. The cause: high abdominal pressure.

"The end of training is the most risky period," explains the professional. It has already been an hour and a half of work. Intra-abdominal pressure and repetition of exercises mean that the pelvic floor no longer has the strength to fulfill its role of supporting the organs. Urinary leakage occurs. »

3 out of 4 athletes concerned

As a result, nearly 75% of athletes are affected by urinary leakage, regardless of their amounts. "Even small urinary leaks must be taken into account because they often affect young women under the age of 25 and the vast majority without children," insists Carole Maitre.

To alert high-level athletes, INSEP, in collaboration with the French National Olympic and Sports Committee (CNOSF), has just launched an awareness campaign. Since the beginning of November, a series of videos has been posted on Insep's YouTube account and QR codes have been placed in the four corners of the medical building.

3D animations show the movement and type of solicitation of the perineum during running, certain judo holds or even during gymnastics figures. Strengthening exercises are also offered.

Gymnast Marine Boyer, fencer Sara Balzer and para-athlete Mandy François-Elie have agreed to take part in the event to detail the body's movements in these phases where urinary leakage can occur. The result of two years of work, led by Carole Maitre, allows us to understand the mechanisms of the female body in these different situations. "The 3D animations show the importance of working the transverse muscle to help the perineum better meet this need," she explains.

"And today, people come to see me for that," says the INSEP sports doctor. It has become a reason for consultation, whereas before it was more up to me to look for symptoms. This is a sign that the messages are getting through and that prevention is gaining ground. And if necessary, treatment can be put in place. A physiotherapist trained in the management of the perineum is then called upon.

Source: leparis

All sports articles on 2023-12-10

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