Difficulty Emptying your bladder: Voiding Dysfunction
Voiding dysfunction is a complex issue that can disrupt the normal process of urination, affecting both men and women. The pelvic floor, a network of muscles, ligaments, and connective tissues supporting the pelvic organs, plays a crucial role in bladder and bowel control. In this article, we'll delve into the relationship between voiding dysfunction and the pelvic floor, highlighting factors such as prolapse, pelvic floor tightness, menopause, and postnatal injuries.
Understanding Voiding Dysfunction
Voiding dysfunction refers to difficulties in either initiating or completing the process of urination. It encompasses a range of issues, including urinary hesitancy (difficulty starting to urinate), incomplete bladder emptying, frequent urination, and urgency (sudden, strong urge to urinate). When the pelvic floor is compromised, it can contribute to these challenges.
Pelvic Organ Prolapse and Voiding Dysfunction
Pelvic organ prolapse occurs when the pelvic organs, such as the bladder, uterus, or rectum, shift from their normal positions and descend into the vaginal canal. This condition can exert pressure on the bladder and urethra, potentially leading to voiding dysfunction. As the pelvic floor muscles weaken and lose their ability to support the organs, urinary symptoms like incomplete emptying and frequent urges can arise.
Pelvic Floor Tightness and Voiding Dysfunction
While weakened pelvic floor muscles can contribute to voiding dysfunction, pelvic floor tightness is another factor to consider. When the pelvic floor muscles are overly tense, they can obstruct the normal flow of urine. This may lead to hesitancy, straining, and incomplete bladder emptying. Balancing pelvic floor tone through relaxation exercises and stretches can help alleviate these symptoms.
Menopause and Voiding Dysfunction
Menopause brings about hormonal changes that can impact the pelvic floor and urinary function. The decrease in estrogen levels during menopause can lead to pelvic muscle atrophy and weakened connective tissues, which may contribute to urinary symptoms. Women experiencing menopause might notice increased urinary urgency, frequency, and even mild leakage. Hormone therapy and pelvic floor therapy can aid in managing these effects.
Postnatal Injuries and Voiding Dysfunction
Pregnancy and childbirth can lead to postnatal injuries that affect the pelvic floor. Trauma during delivery can weaken or damage the pelvic floor muscles and supportive tissues. This may result in symptoms like urinary incontinence and difficulties with bladder control. Engaging in postnatal pelvic floor rehabilitation exercises can aid in the recovery process and improve voiding function.
Seeking Pelvic Floor Physio advice
If you're experiencing voiding dysfunction or related symptoms, seeking professional guidance is essential. A healthcare provider, such as a urologist, gynecologist, or pelvic floor physical therapist, can conduct assessments and recommend tailored treatments. Pelvic floor physical therapy, lifestyle modifications, and, in some cases, surgical interventions can address the underlying causes and alleviate voiding dysfunction.
To book an appointment with one of our Pelvic Floor Physiotherapists on the Gold Coast or Northern Rivers click here.
