Bladder Health

Bladder concerns

Bladder concerns take many forms and are all addressed differently. 

Incontinence (involuntary loss of urine): 

● Can be one of three forms: 

Stress urinary incontinence (SUI): leakage with increasing pressure such as cough or sneeze. 

Urge urinary incontinence (UUI) which is leakage that occurs when you haven’t made it to the toilet in time. 

Mixed incontinence: a combination of both. 

● Contributing factors may include reduced pelvic floor muscle strength, an overactive pelvic floor, fluid intake, mental health or stress. 

● Pelvic Health Physiotherapists are well equipped to assess and diagnose these conditions and their root cause to help minimise or resolve the symptoms. 

Overactive bladder (OAB): 

● A sudden and compelling desire to empty your bladder without sufficient warning that is difficult to defer. 

● It may also include incontinence and increased frequency during the day and night. 

● This condition can be diagnosed by a Pelvic Health Physiotherapist in the absence of a urinary tract infection. 

● Treatments may include bladder retraining, fluid intake modifications, constipation management, pelvic floor muscle downtraining, reducing bladder irritants or trans-tibial nerve stimulation (non-invasive). 

Voiding symptoms: 

● Changes or difficulty in emptying the bladder. 

● These can include changes to the flow speed or direction, hesitancy, stop/start flow, increased time to empty, feeling of incomplete emptying, the need to void twice, post void dibble or pain with urination. 

● Your Pelvic Health Physiotherapist will work with you asking specific questions, completing specialised assessments and providing individual treatment.