Q&A for How to Strengthen Your Bladder and Urinate Less Often

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  • Question
    How do I know if I'm doing Kegels right?
    Allison Romero, PT, DPT
    Pelvic Health Specialist
    Dr. Allison Romero is a Pelvic Health Specialist, Physical Therapist, and the Owner of Reclaim Pelvic Therapy in the San Francisco Bay Area. With over a decade of experience, Allison specializes in comprehensive pelvic physical therapy treatments for pelvic floor dysfunction. She holds a Bachelor of Science in Kinesiology and Exercise Science from Sonoma State University and a Doctor of Physical Therapy from the University of Southern California. Allison is a board certified Physical Therapist in California and is a member of the American Physical Therapy Association-Section on Women’s Health and the International Pelvic Pain Society.
    Pelvic Health Specialist
    Expert Answer
    Pretend you're sucking up a smoothie through a straw. Women can imagine this motion through the vagina, while men can imagine this through the penis and rectum.
  • Question
    What is bladder leakage a sign of?
    Allison Romero, PT, DPT
    Pelvic Health Specialist
    Dr. Allison Romero is a Pelvic Health Specialist, Physical Therapist, and the Owner of Reclaim Pelvic Therapy in the San Francisco Bay Area. With over a decade of experience, Allison specializes in comprehensive pelvic physical therapy treatments for pelvic floor dysfunction. She holds a Bachelor of Science in Kinesiology and Exercise Science from Sonoma State University and a Doctor of Physical Therapy from the University of Southern California. Allison is a board certified Physical Therapist in California and is a member of the American Physical Therapy Association-Section on Women’s Health and the International Pelvic Pain Society.
    Pelvic Health Specialist
    Expert Answer
    Bladder leakage can be a sign of anything from tight pelvic muscles to a pelvic floor injury. I recommend you see your doctor or a physical therapist so they can diagnose what's going on.
  • Question
    Why can't I stop feeling like I have to pee?
    Allison Romero, PT, DPT
    Pelvic Health Specialist
    Dr. Allison Romero is a Pelvic Health Specialist, Physical Therapist, and the Owner of Reclaim Pelvic Therapy in the San Francisco Bay Area. With over a decade of experience, Allison specializes in comprehensive pelvic physical therapy treatments for pelvic floor dysfunction. She holds a Bachelor of Science in Kinesiology and Exercise Science from Sonoma State University and a Doctor of Physical Therapy from the University of Southern California. Allison is a board certified Physical Therapist in California and is a member of the American Physical Therapy Association-Section on Women’s Health and the International Pelvic Pain Society.
    Pelvic Health Specialist
    Expert Answer
    Oftentimes, tight pelvic floor muscles can cause us to feel like we have to urinate, even we don't. I recommend doing some deep breathing to help relax your muscles. If you keep having issues, talk to your doctor.
  • Question
    Why do I leak urine when I cough?
    Allison Romero, PT, DPT
    Pelvic Health Specialist
    Dr. Allison Romero is a Pelvic Health Specialist, Physical Therapist, and the Owner of Reclaim Pelvic Therapy in the San Francisco Bay Area. With over a decade of experience, Allison specializes in comprehensive pelvic physical therapy treatments for pelvic floor dysfunction. She holds a Bachelor of Science in Kinesiology and Exercise Science from Sonoma State University and a Doctor of Physical Therapy from the University of Southern California. Allison is a board certified Physical Therapist in California and is a member of the American Physical Therapy Association-Section on Women’s Health and the International Pelvic Pain Society.
    Pelvic Health Specialist
    Expert Answer
    Our bodies sometimes have trouble regulating the pressure when we cough, especially if our pelvic muscles are weak or we've experienced a pelvic floor injury. This pushes pressure down to the pelvic floor, which can cause a urine leak.
  • Question
    How do I stop my bladder from leaking when I run?
    Robert Dhir, MD
    Board Certified Urologist & Urological Surgeon
    Dr. Robert Dhir is a board certified Urologist, Urological Surgeon, and the Founder of HTX Urology in Houston, Texas. With over 10 years of experience, Dr. Dhir’s expertise includes minimally-invasive treatments for enlarged prostate (UroLift), kidney stone disease, surgical management of urological cancers, and men’s health (erectile dysfunction, low testosterone, and infertility). His practice has been named a Center of Excellence for the UroLift procedure, and is a pioneer in non-surgical procedures for ED using his patented Wave Therapy. He earned his undergraduate and medical degrees from Georgetown University and was awarded honors in pre-medical studies, urology, orthopedics, and ophthalmology. Dr. Dhir served as chief resident during his urological surgical residency at University of Texas at Houston / MD Anderson Cancer Center in addition to completing his internship in general surgery. Dr. Dhir was voted Top Doctor in Urology for 2018 to 2019, one of the top three Best Rated Urologists in 2019 & 2020 for Houston Texas, and Texas Monthly has named him to the 2019 & 2020 Texas Super Doctors Rising Stars list.
    Board Certified Urologist & Urological Surgeon
    Expert Answer
    Mild stress incontinence can be corrected by weight loss and kegel exercises. The former takes pressure of the bladder and sphincter muscle, and the latter helps strengthen the pelvic floor to prevent leaking. If these do not help, a urologist may need to perform a surgical procedure to place a urethral sling to fix the problem.
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