Urinary symptoms in men

Identifying the pelvic floor muscles and knowing how to feel a definate squeeze and lift action is the first part of being able to strengthen these muscles. Even men who feel just a small movement because of muscle weakness can improve! At first you will likely perform these exercises in lying or sitting. As these muscles strengthen you will progress to more functional positions such as standing. Your therapist will design a program specific to you.
We use technology such as EMG biofeedback to show how strong the muscles are and help teach you how to get the best activation for the perfect program for you. Optimisation of pevic floor muscle strength will take 3-4 months of regular training of the muscles.
Remember to use your muscles when ever you exert yourself during daily activities. Pelvic floor muscle exercises can not only increase the ability to hold urine, but it can also help control an unruly overactive bladder.

The volume of urine passed each time by a normal adult will vary from around 250 – 400mls or about 2 cups. Most people with normal bladder habits can hold on for 3-4 hours between toilet trips. Most younger adults can go through the night without voiding (passing urine / peeing)
Bladder retraining is for people who suffer from an urgent need to pass small amounts of urine more frequently than normal and may experience leakage with urgency. Some people with no urgency pass urine frequently and they too may benefit from bladder retraining.
The aim is to improve bladder control and increase the amount of urinary the bladder can comfortably hold without urgency / frequency or leakage of urine. We help to retrain the way you respond to the urgent desire to pass urine, and teach you how to suppress the urge until it is convenient to pass.
We may request a bladder diary to record the type of fluid you drank, the volume and the time, as well as the volume and timings of the urine you pass. We will request you to document the bladder sensation you feel when you need to go to the bathroom, and any episodes of urinary leakage.

Learning how to empty the pipe (urethra) properly can help prevent the few drops that sneak out after you have finished emptying the bladder.
Learning how to use the muscles when you need them, and having them work properly with the rest of the urinary system can help significantly to reduce leaking.

Aim to do at least 30 minutes of exercise most days. Not only can this help prevent constipation, but it will help keep the pelvic floor toned and help you maintain a healthy body weight.  We can give you more specific advice about appropriate exercise.

We may ask you to keep a record of the types and frequency of your bowel motions, so we can see the habits you are in. We can then help advise about any change that you could make to improve your bowel routine and habits.