How do you train your bladder after a catheter removal?

Go to the bathroom at the specific times you and your health care provider have discussed. Wait until your next scheduled time before you urinate again. Be sure to empty your bladder even if you feel no urge to urinate. Follow the schedule during waking hours only.

ucsfhealth.org - Bladder Training | Patient Education - UCSF Health

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Bladder training is an important form of behavior therapy that can be effective in treating urinary incontinence. The goals are to increase the amount of time between emptying your bladder and the amount of fluids your bladder can hold. It also can diminish leakage and the sense of urgency associated with the problem. Bladder training requires following a fixed voiding schedule, whether or not you feel the urge to urinate. If you feel an urge to urinate before the assigned interval, you should use urge suppression techniques — such as relaxation and Kegel exercises. As success is achieved, the interval is lengthened in 15- to 30-minute increments until it is possible to remain comfortable for three or four hours. This goal can be individualized to suit each woman's needs and desires. Keeping a diary of your bladder activity is very important. This helps your health care provider determine the correct place to start the training and to monitor your progress throughout your program.

Bladder Retraining Instructions

Empty your bladder as soon as you get up in the morning. This act starts your retraining schedule. Go to the bathroom at the specific times you and your health care provider have discussed. Wait until your next scheduled time before you urinate again. Be sure to empty your bladder even if you feel no urge to urinate. Follow the schedule during waking hours only. At night, go to the bathroom only if you awaken and find it necessary. When you feel the urge to urinate before the next designated time, use "urge suppression" techniques or try relaxation techniques like deep breathing. Focus on relaxing all other muscles. If possible, sit down until the sensation passes. If the urge is suppressed, adhere to the schedule. If you cannot suppress the urge, wait five minutes then slowly make your way to the bathroom. After urinating, re-establish the schedule. Repeat this process every time an urge is felt. If the urge is suppressed, adhere to the schedule. If you cannot suppress the urge, wait five minutes then slowly make your way to the bathroom. After urinating, re-establish the schedule. Repeat this process every time an urge is felt. When you have accomplished your initial goal, gradually increase the time between emptying your bladder by 15-minute intervals. Try to increase your interval each week. However, you will be the best judge of how quickly you can advance to the next step. Increase the time between each urination until you reach a three- to four-hour voiding interval. It should take between six to 12 weeks to accomplish your ultimate goal. Don't be discouraged by setbacks. You may find you have good days and bad days. As you continue bladder retraining, you will start to notice more and more good days, so keep practicing. You will hasten your success by doing your pelvic muscles exercises faithfully every day. Your diaries will help you see your progress and identify your problem times. The Center for Urogynecology and Women's Pelvic Health is here to help and support you. Be sure to keep your regularly scheduled visits. If you need more help, medication and other treatments are available and may be useful.

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Does sitting when you pee protect your prostate?

Sitting to urinate is associated with an improved urodynamic profile in men with lower urinary tract symptoms (LUTS) and other prostate problems, a recent study published in PLOS ONE has found.

renalandurologynews.com - Sitting to Urinate Eases Lower Urinary Tract Symptoms (LUTS)

the Renal and Urology News take:

Sitting to urinate is associated with an improved urodynamic profile in men with lower urinary tract symptoms (LUTS) and other prostate problems, a recent study published in PLOS ONE has found. Ype de Jong, MD, PhD, and fellow urologists at the Leiden University Medical Center in the Netherlands conducted a meta-analysis to better understand the effects of voiding posture on urodynamic parameters such as being able to urinate faster and with greater force, and leaving behind less urine in their bladders. They looked at a total of 11 studies gathered from 2,352 publications across 14 medical databases, looking for studies that compared urodynamic parameters in standing against those that included sitting. “We found that in patients with LUTS, the sitting position is associated with a trend towards a more favorable urodynamic profile,” the authors wrote. “When men with LUTS sat down to urinate, they did so faster, longer, at a greater pressure, and released more urine than men with LUTS who stood.” The authors stated that a possible reason for this is that when patients are sitting, pelvic and hip muscles were more relaxed, and contraction of the pelvic floor musculature inhibits urinary muscle activity.

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