From the Urologist: Mastering Bladder Training for Men

From UROLOGIST Bladder Training for Men
From UROLOGIST Bladder Training for Men

Imagine a life without the constant worry of urinary problems. Picture the freedom to engage in activities without the fear of embarrassing leaks or sudden urges. For many men facing urinary issues, this may seem like an unattainable dream. However, through the power of bladder training, a proven technique backed by scientific research, men can regain control over their urinary health and live life to the fullest. Instructions for bladder training for men are written below.

Table of Contents

Collection of all Q&A: UROFLOWMETRY: A comprehensive guide – preparation, factors, results, cost

Statistics and Facts

Before delving into the world of bladder training, let’s take a look at some eye-opening statistics that highlight the prevalence of urinary problems among men:

  • According to a study published in The Journal of Urology, approximately 30% of men over the age of 50 experience symptoms of an enlarged prostate, such as urinary frequency, urgency, and weak urine flow.
  • The National Association for Continence reports that over 25 million adult Americans, predominantly men, suffer from some form of urinary incontinence.
  • According to European Guidelines of Urology 11% of men aged 60-64 years have urinary incontinence and the number increases to to 31% in men >85 years and to affect up to 32% of men with lower urinary tract problems[1].
  • EAU Guidelines state there is <10% of stress urinary incontinence, 40-80% of urgency incontinence and 10-30% of mixed incontinence[1].
  • Research published in the British Journal of Urology International reveals that bladder dysfunction affects up to 35% of men aged 40 and above.
  • A study published in The New England Journal of Medicine found that bladder training was successful in reducing urinary frequency and urgency in men with overactive bladder symptoms.
  • In the treatment of urinary incontinence, bladder exercises are the best, as studies have shown that only oxybutynin treats and improves urinary incontinence[1].
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These numbers highlight the significant impact of urinary problems on men’s quality of life. However, with the right approach, such as bladder training, these challenges can be overcome.

What is the goal of bladder training?

The goals of bladder training are following: correct habit patterns of frequent urination, improve control over bladder urgency, prolong voiding intervals, increase bladder capacity, reduce incontinent episodes and restore patient confidence in controlling bladder function[1]. In simple words, bladder training is a structured approach aimed at strengthening the bladder muscles and improving bladder control.

Which men are more prone to need bladder training

Several factors can contribute to an increased likelihood of men needing bladder training. While urinary issues can affect individuals of all ages and backgrounds, certain groups may be more prone to experiencing challenges with bladder control. Here are some examples:

  • Older Men: Age-related changes, such as an enlarged prostate (benign prostatic enlargement), can lead to urinary symptoms like increased frequency, urgency, and weak urine flow. Bladder training can be particularly beneficial for older men dealing with these issues.
  • Men with Prostate Conditions: Conditions like prostate cancer, prostatitis (inflammation of the prostate), or post-prostate surgery may result in urinary symptoms that can benefit from bladder training. It can help improve control and reduce urinary urgency or leakage.
  • Men with Overactive Bladder: Overactive bladder is characterized by a frequent and urgent need to urinate. Men dealing with overactive bladder symptoms, regardless of the underlying cause, can find relief through bladder training techniques.
  • Men with Neurological Conditions: Certain neurological conditions, such as spinal cord injuries, multiple sclerosis, or Parkinson’s disease, can affect bladder function and control. Bladder training can be a valuable tool to manage urinary symptoms in these cases.
  • Men with Chronic Pelvic Pain: Chronic pelvic pain syndromes, such as chronic prostatitis or interstitial cystitis, can cause discomfort and urinary issues. Bladder training, combined with other treatment approaches, may help alleviate symptoms and improve quality of life.
  • Obese men: Obesity causes the heavier, fatty internal organs to press even more than usual on the bladder and pelvic floor muscles, causing urge and urine leakage.
  • And other…
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It’s important to note that while these groups may be more prone to needing bladder training, anyone experiencing urinary problems can benefit from incorporating bladder training techniques into their routine.

Bladder Training – A Proven Technique

First, the truth: The ideal form or intensity of a bladder training program for urinary incontinence is unclear[1]. Another truth is that those taking anti-incontinence medications did not improve incontinence further when bladder training was done concurrently, BUT concurrency did improve frequency and nocturnal urination[1].
Now you know why there are many instructions. They have the following in common: Training involves gradually increasing the time intervals between urination, training the bladder to hold larger volumes of urine, and retraining the brain to recognize and respond to normal urinary cues.

From my urological practice

As I am an senior urologist with years of experience, I have seen multiple instructions and have concluded following exercises help the best. When you feel the need to urinate, wait another 5 to 15 minutes. This will fill your bladder a little extra. Gradually, the bladder thus expands further, increases its capacity and later informs you that it is full. This increases the time between urinations and increases the capacity of the bladder. Perform the exercises as regularly as you can, so that you will reach a volume of urine of at least 200-300ml. Don’t overdo it. Stick also to scheduled voiding. This means urinate approximately every few hours. It mainly depends on how much you drink. The point is not to go to the bathroom every time you feel a full bladder until you reach a certain capacity.

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If you are seeking for intructions how to do Kegel exercise for men, they are in a separate article. Search under the menu Articles.

How iPeeWell Can Help

At iPeeWell, we understand the challenges faced by men with urinary problems, and we are committed to providing solutions that empower individuals to take control of their urinary health. Our home uroflowmetry device, in combination with bladder training, can offer comprehensive monitoring and insights into your urinary patterns.
By using iPeeWell’s home uroflowmetry device, you can accurately measure how much and how fast you urinate and receive detailed reports to track your progress. It automatically makes a voiding diary entry. This makes it really easy for you to track progress.

Conclusion

Bladder training is a scientifically proven technique that offers hope and relief to men struggling with urinary problems. With iPeeWell’s home uroflowmetry device and the implementation of bladder training, you can regain control over your urinary health and enjoy life to the fullest. Consulting with a healthcare professional or urologist can provide personalized guidance and support based on individual circumstances.

Remember, you have the power to overcome urinary challenges. Start your bladder training journey today and take the first step towards a life free from urinary worries. Will you seize the opportunity to reclaim your urinary health?

References

  1. European Guidelines of Urology: Management of Non-neurogenic Male LUTS

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