You can feel whether you are using the correct muscle by stopping your urine stream during a visit to the toilet. Only do this for a very short time and never train this way, as you are cheating the reflex that empties the bladder, so it might get difficult to empty the bladder otally. Women can insert a finger into the vagina and in this way find out if they are squeezing correctly; in fact, this is how the Continence Advisor controls how well women squeeze.
In the case of urge incontinence, it is important to increase bladder capacity. If you often visit the toilet and empty your bladder, the bladder becomes smaller and loses a lot of its elasticity. Targeted training means that your bladder will contain the normal quantity of urine again. The aim is to prolong the interval between toilet visits.
What else can I do?
You can ask for a continence fluid chart from your General Practitioner or by contacting Abena. A fluid chart is a complete diary of your liquid intake and passing of urine over 3 days.
- Write down on the form how much you drink and at what times you drink.
- Note the quantity of urine and the time for each visit to the toilet.
- Note any leakage, time, and activity connected to the leakage.
Bladder trainings aim is that the patient will learn not to pass urine as a preventive measure. The training will teach the patient to wait to go to the toilet until they really have to go.
When you feel the urge, sit down for a moment, and the urge might pass and you can wait a little longer. Do not drink large quantities of fluids late in the evening, and remember that offee, tea, and beer have a more diuretic effect than other beverages.
Sometimes, bladder training may cause increased leakage when you try to restrain yourself for longer periods. This is quite normal and will improve during the training. Bladder raining takes time and requires patience and commitment! But it works, and might rectify some of the continence problems you experience.
Before beginning stress incontinence training, it is very important that you are examinated by and talk to your Continence Advisor or General Practitioner.