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INCONTINENCE page 63

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problems that can cause inconti-
nence.
"Surgery is highly effective on
the right kind of incontinence,
namely stress incontinence," Dr.
Christensen said.
With the preferred surgical
method, known as the Burch
technique, the surgeon stitches
the vagina up higher in the
pelvis.
It then acts as kind of a ham-
mock to hold the bladder in place,"
Dr. Christensen said. "It's won-
derfully effective."
In Karen Smith's case, poor sup-
port from the pelvic floor was the
root cause of her incontinence.
"I had two children, both fast de-
liveries," she explained. "That
messed up the muscles in my low-
er body."
While her gynecologist offered
surgery as a means to correct the
problem, Ms. Smith was not eager
to go under the knife.

"He was only able to give me a
75 percent chance of surgery being
successful, anyway," she said.
Ms. Smith's physician then sug-
gested she make an appointment
with Ms. Hartmann.
"It's worked wonders for me,"
Ms. Smith marvels. "I've worked
with Dee for a year and a half or
two years, and I almost never have
to wear pads anymore."
Ms. Smith does admit that it
takes a high level of motivation to
keep the pelvic floor muscles in
shape and her bladder under con-
trol.
"I have to exercise every day,"
she explains. "Someone who was
less disciplined wouldn't be able to
do it."
But the great majority of indi-
viduals suffering from incontinence
experience improvement with the
correct therapy, according to Ms.
Hartmann. "You don't have to live
wet," she said. El

Staying Fit Advice:
Rainy-Day Workouts

ELIZABETH SCHEIBNER SPECIAL TO THE JEWISH NEWS

L

et's face it. most of us use
winter as an excuse not to
exercise. It's either too cold,
too dark or too damp.
Thanks to the extensive array
of indoor exercise equipment now
available, we no longer have the
luxury of blaming the weather
for our inactivity. Staying in
shape can — and should — be a

year-round commitment whether
you live at the Arctic Circle or the
equator.
Boredom is the primary rea-
son most people stop exercising,
which is why it's important to
keep your exercise regime inter-
esting. To make your workout
less monotonous, try exercising

STAYING FIT page 66