Photo: Daniel Lima

Should I do Kegels on the toilet?

Although your Kegels on the toilet are well intentioned, they are like an electric guitar interrupting the well-tuned 'pee symphony'. Without knowing it, practicing pelvic floor muscle contractions or 'Kegels' on the toilet can confuse the reflex loop of micturition.

cmtmedical.com - The 'Pee Symphony': Why No 'Kegels' on the Toilet! - CMT Medical

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Urination is like a symphony; the bladder, spinal cord and pelvic floor muscles play in perfect harmony. The brain is the conductor. These individual instruments understand their place and timing to produce the most beautiful piece, “Blissful Urination.” Now, imagine an electric guitar stepping in and playing out of time…it would confuse the entire piece! Suddenly, the timing is off and the production falls apart. Some of our ‘peeing’ habits are like the electric guitar creating neurological confusion leading to peeing dysfunction. In this week’s blog post, let’s examine why doing Kegels on the toilet can interrupt the micturition reflex and lead to bladder dysfunction. These adverse bladder habits are summarized and explained in ‘The Bladder Bo0k;’ a collection of educational handouts for the medical practitioner.

Electric Guitar #1: Kegels during Urination

Have you ever been told to strengthen your pelvic floor muscles by stopping the flow of urine? Let’s examine why this may not be the best advice ever… There is an intricate relationship between your pelvic floor and bladder muscles …simply put: when your pelvic floor muscles are turned on the bladder relaxes to fill. when your bladder muscle is turned on the pelvic floor muscles let go to expel urine.

Storage phase:

During bladder filling, your pelvic floor muscles receive a signal to maintain some tone. This is necessary because the pelvic floor muscles are like the doors to the urethra; contracting them just a little keeps you continent or prevents leakage. Neurologically, Bradley’s loop 4 in the micturition reflex dictates: “my sphincter is shut so my bladder will fill.” At some point your urgency will increase, until it reaches a crescendo that gives you an undeniable urge to find a bathroom. This conscious awareness registers in an area of the brain called the frontal lobe. Neurologically, when Bradley’s loop 1 is intact (no cognitive impairments present), you can decide, “hey, I need to go to the bathroom” and plan next steps.

Urination phase:

You’ve made it to your pee place and now it’s time to let her rip. The micturition reflex kicks in reversing the storage phase. Now, the bladder muscle (detrusor) contracts and the pelvic floor muscles relax to open the door to the urethra. Neurologically, Bradley’s loop 3 in the micturition reflex dictates: “my bladder is contracting so my sphincter will relax.” Great! So, your unconscious micturition reflex is doing its job! Woohoo!!! Smooth sailing…

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How can I empty my bladder without a catheter?

Allow your bladder to contract on its own. Try to relax the pelvic floor muscles as much as possible. ... This creates the optimal angle for your urine stream to go directly down into the toilet. Always sit down. ... Use pelvic floor muscle training. ... Avoid bladder irritants. ... See a health professional.

aeroflowurology.com - 13 Tips to Empty Your Bladder Completely - Aeroflow Urology

We've all experienced moments when we can't get to a bathroom. Whether you're stuck in traffic, watching your kids at their big recital, or simply finishing up a meeting, we sometimes take advantage of our continence by putting our bodies' signals on the backburner.

Regular bladder emptying is crucial to your health care and proper bodily functions, but did you know that the amount you empty your bladder is also important to your health?

In fact, incomplete bladder emptying can lead to symptoms such as urinary tract infections (UTIs), overstretching, incontinence, and in some cases, kidney failure. This post will help you understand the benefits of emptying your bladder completely and give you some of the best ways to do it so you can keep your bladder happy and healthy.

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