Tuesday, 12 June 2012
Elder Taboos – Part 2: Incontinence Products
This blog is one of the few places I've ever found that openly discusses leaky pipes – urinary incontinence – which, some research says, affects about 35 to 45 percent of older women and only slightly fewer men older than 60.
There is some good information here and here – and don't ignore the comments if you click over to read those two TGB posts. You guys are both informative and funny.
My first post about this, in 2009, came about because I was peeing my panties any time I coughed, sneezed or laughed – all three of which are hard to suppress. The problem stopped after I lost a good deal of weight last year but you know how that goes and the pounds are creeping up.
I'm working on reversing that trend because although keeping my weight in check for health reasons is important, I especially don't want to reawaken the leaky pipe problem.
One of the things I monitor about old folks is how we are treated in the media. For elders, advertisers mostly hawk remedies for all the icky stuff our flesh is heir to (in old age and youth) and they do it badly, low-production-value video made on the cheap.
Even so, I don't recall any commercials for incontinence products, especially on television. Until now, that is.
You can safely bet that when there is money to be made, any taboos that have hindered advertisers in the past will be ignored and with all those baby boomers getting old now, the purveyors of incontinence products are making a stand.
Good old Depends, the most well-known name in adult diapers for decades, has refashioned its product into a new, slim design and added some attitude to their sales pitch. This commercial is a hoot:
That's funny and, I think, effective. Here's the one targeting women:
The woman is Lisa Rinna who is Harry Hamlin's wife which, I guess, makes it okay for him to run his finger down her thigh.
Another product, new to the U.S., has begun advertising on television too. It's called the TENAtwist, a pad rather than full pants, and their “twist” is that it holds nearly a full glass of water without feeling wet and won't leak even if you twist it.
It's hard to understand the reason, but the company does not allow embedding the commercial so you'll need to go here to see it.
The copy refers to leak problems from jogging and because the women appearing in the ad are young, I had to check the website before I was sure it was an incontinence and not a menstrual product.
They don't make that clear and the ad is not nearly as effective as the Depends commercials – at least not for old people who are much more likely to need it than 30-somethings.
To be fair, the Depends commercial also elides past the fact that theirs is an incontinence product, but the brand is so closely tied to adult diapers, no one is going to mistake the point. Hey, it's progress.
It's nice, for a change, to see something like this done reasonably well.
At The Elder Storytelling Place today, Jacklynn WinMill-Lee: Missing You
Posted by Ronni Bennett at 05:30 AM | Permalink | Email this post
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Keel, kegel, kegel. Start now:) I had a doctor tell me the procedure for helping me with the pee. Then I had the nurse practioner come in and tell me to start kegel exercises. It worked!
I am thrilled, though, that the products are coming out in the open. Have you noticed they are in the back of the store- often hidden. Crazy.
Posted by: Janette | Tuesday, 12 June 2012 at 06:14 AM
The Tena ads in the UK are all made using 30ish glamorous model types and excruciatingly twee.
Posted by: Ian | Tuesday, 12 June 2012 at 06:44 AM
The problem doesn't just affect women of course, but men seem even less likely to admit it, since we don't have the 'excuse' of childbirth or the opportunity to hide the problem with sanitary products.
I suffer regularly with UTIs, which can cause these problems so I understand and sympathise. In my case it was exhausting because I seemed to be up and off to the bathroom every half hour day and night.
In some older people UTIs can also lead to mental confusion, so making the problem even worse.
Posted by: Ian | Tuesday, 12 June 2012 at 06:56 AM
Ian makes an important point. Leaky pipes are not only treatable, untreated they can lead to other serious medical problems.
Although we've had a good deal of fun discussing this in the past, do not consider it to be inevitable. Always tell your physician.
Posted by: Ronni Bennett | Tuesday, 12 June 2012 at 07:02 AM
Yes, our "second childhood" as it has been referred to by some seems to come complete with requiring diapers. Sigh!
Posted by: Larry | Tuesday, 12 June 2012 at 07:40 AM
My problem is waiting too long, but even then I'm fine until my eyes spot the toilet and send a signal to my brain, and my brain pokes my bladder with a pointy finger while I'm still two steps away.
Anyway, this subject reminded me of a post I wrote two years ago about an adult diaper commercial, so it seemed appropriate to post the link.
Posted by: Linda@VS | Tuesday, 12 June 2012 at 07:51 AM
In the beginning, I ranted and raved against pads. Now, I've given up ranting. Sometimes I have Linda's problem, but even with Kegels, the problem is still here.
Posted by: Mage B | Tuesday, 12 June 2012 at 08:15 AM
I have two female friends who've had a pessary installed but didn't know much about them? Anyone have info on these? Online research doesn't say much either, except that they can wear a hole between the vaginal wall and bowel. Who needs that?
When I made inquiries at my doctor's, I was offered one of the drugs that minimizes urges, but I've read that it can increase cognitive decline - and it's expensive. Who needs that either?
Posted by: Lauren Nelson | Tuesday, 12 June 2012 at 08:21 AM
Believe it or not, my biggest problem occurs when I brush my teeth. When I brush my back teeth, I occasionally trigger a gag reflex. Every time that happens, I know I will pee down my leg.
So I brush my teeth with my legs crossed. I have to laugh.
Sneezing and coughing are also dangerous.
Posted by: Nina | Tuesday, 12 June 2012 at 10:22 AM
Coughing, sneezing, laughing, crying, getting out of a deep chair, weeding the garden: it goes on and on...sheesh!
Posted by: Kathi Williams | Tuesday, 12 June 2012 at 10:42 AM
Kegels have helped but not solved the problems. Crossing my legs works best but is not always feasible if I am, for example, crossing a busy street when a laugh, cough, or sneeze threatens.
An older neighbor alerted me to Depends Silhouettes. After an April 2011 hemorrhagic stroke, they were absolutely wonderful for my first solo airline travel last month, and participation in day-long events at my destination.
Posted by: Linda Skupien | Tuesday, 12 June 2012 at 10:59 AM
I use tena pads (never heard of twist). The only place I know to get them is walmart.
Posted by: Carol from CO | Tuesday, 12 June 2012 at 04:51 PM
Y'know, I can't easily locate confirming material on the 'net, but I'm quite sure June Allison sold these continence products on TV for years. And as I recall it anyhow, she did it in a sensitive way. Dang, I miss that actress.
Posted by: sflichen | Tuesday, 12 June 2012 at 06:04 PM
Okay, I found the link for the Allison commercial. Here 'tis:
http://www.youtube.com/watch?v=Vm1Grxg6ags
Posted by: sflichen | Tuesday, 12 June 2012 at 06:22 PM
Accupuncture along the bladder point and tibial nerve stimulation may be helpful. You can check these out with a reputable provider.
Posted by: uma | Wednesday, 13 June 2012 at 04:07 AM
I still get by with the cheaper "sanitary" napkins. It happens when I cough, sneeze, I have hay fever, hear running water, and for some reason getting to my front door is a trigger even if I've just been to the toidy. I wonder if hypnosis would help?
Posted by: Celia | Wednesday, 13 June 2012 at 07:56 AM
I started off with Poise Pads or the generic version from Walgreen's or Walmart. Tried a pessary but I don't think it helped much. Eventually I had problems all day long with leaking. I had a bladder lift in 2005 and it helped immensely. Incontinence was the bane of my Mother's last years. Tena products were much better than Depends. I learned from a friend that she had an implant of a unit that gave electrical stimulus to muscles that helped her stay dry at night. A friend went through a course of training that helped her learn how to isolate the muscles used for Kegels which helped quite a bit. Women need to find a urologist who specializes in women's bladder issues. When Mother was recovering from her broken hip the OT worked with her with exercises from a manual called Beyond Kegels which added some other exercises that helped. I also learned that women who had been ballet dancers had the opposite problem of hyper-continence so do your plies.
Posted by: aenodia | Thursday, 14 June 2012 at 11:08 PM