How Pelvic Floor Therapy Can Improve Urinary Symptoms

If you’re struggling with urinary leakage, urgency, or feeling like you’re always running to the toilet, you’re not alone. Bladder problems affect millions of men and women but here’s the good news: pelvic floor physiotherapy is one of the most effective, evidence-based ways to improve urinary symptoms.

Common Urinary Symptoms Linked to the Pelvic Floor

  • Stress incontinence: leaking when you cough, sneeze, laugh, or exercise

  • Urge incontinence: a sudden, strong need to urinate, sometimes with leakage

  • Frequency: needing to urinate more than 8 times a day

  • Nocturia: waking up more than once per night to pee

  • Incomplete emptying: feeling like your bladder never empties fully

👉 These issues are common, but they are not normal, and they can be treated.

How the Pelvic Floor Influences the Bladder

The pelvic floor muscles act like a supportive sling under the bladder. They:

  • Contract to keep urine in when you laugh, cough, or lift

  • Relax to allow the bladder to empty

  • Work with your diaphragm and core to manage abdominal pressure

When these muscles are weak, uncoordinated, or overactive, bladder control is disrupted.

How Pelvic Floor Therapy Helps

1. Muscle Training (Not Just “Kegels”)

A pelvic health physiotherapist teaches correct activation and relaxation of the pelvic floor. Many people do “Kegels” incorrectly or overuse already tight muscles.

2. Bladder Retraining

  • Learning to resist urgency signals

  • Increasing bladder capacity gradually

  • Breaking the habit of “just in case” bathroom trips

3. Biofeedback

These tools provide real-time feedback so you can see and feel whether you’re activating muscles correctly.

4. Lifestyle Strategies

  • Adjusting fluid intake (not too little, not too much)

  • Reducing bladder irritants (caffeine, alcohol, fizzy drinks, artificial sweeteners)

  • Managing constipation, which strains the pelvic floor

5. Education & Confidence

Understanding how your bladder and pelvic floor interact helps reduce anxiety and puts you back in control.

What the Evidence Says

Clinical guidelines (e.g. ICS, NICE) recommend pelvic floor muscle training as the first-line treatment for urinary incontinence in both men and women — before medication or surgery.

Urinary symptoms can feel frustrating and isolating, but you don’t have to live with them. With pelvic floor physiotherapy, bladder retraining, and lifestyle adjustments, most people see significant improvements in control, confidence, and quality of life.

Struggling with leakage or urgency? Book your consultation with our pelvic health physiotherapists at Renard Clinic and start your recovery with evidence-based support.

Previous
Previous

What Happens During a Pelvic Floor Physiotherapy Session for Men?

Next
Next

Still Leaking After Prostate Surgery? You’re Not Alone and You’re Not Broken.