Any tips for emptying bladder more completely

Body: 

This is my first post after discovering this site about 3 weeks ago. I suddenly (after about 15 years) got a UTI. The ER PA said he wouldn't call what I have a prolapse by any definition but just some "laxness", which he attributed to the 4 children I have had. For my diagnosis, he put "cystocele?"(I was encouraged by the question mark). I go for a well woman checkup on July 6th. I figure what happened was that, because of the laxness, my bladder didn't empty fully and I ended with an infection. Anyway, I got the Whole Woman DVD and have been doing the posture and some of the beginner movements on the DVD.

This is my question: "Does anyone have a technique they have found to empty their bladder more completely?" I notice that when I am urinating, all I have to do is lean forward just a tad and the flow is decreased some. I just figure that if I didn't have any clue about the right and wrong posture, I may not have a clue as to the right position for urinating.

Thanks for any tips!

Yes, UTIs are very common with cystocele, as urine stays in the vaginal wall bulge that is sometimes lower than the outlet from bladder to urethra. That little bit of urine can ferment and become infected. Therefore, it's very important to empty your bladder fully every time you urinate.

The general instruction here is to lean forward onto the soles of your feet, lifting your bottom slightly off the seat. Your skin can even stay in contact with the seat, as long as you get your weight off. If that isn't enough to empty fully, then stand up more, bending completely over at your hip joints. Your bladder will fall into the hollow of your lower belly, establishing normal anatomy. This is the same bladder position as urinating on hands and knees (in the bathtub, or with a basin underneath), which is also a sure-fire way to empty.

I'm not sure why the simplest things can seem difficult--I think it must be the "fear factor" involved with this whole issue. Your tips are quite practical and I am glad to get them.

Happy Sheep

Hi Happy Sheep

Don't underestimate the effect of fear. It has a habit of hunching us over from the waist and tucking the butt under. It is like we are subconsciously protecting both our front and our genitals. Hunching over will worsen POP, that's for sure. When you bend, *always* bend first from the hip joints, where your legs join into your pelvis. Bending at the waist happens afterwards.

Don't worry. Once you learn more about your body, and start to experience some improvements your brain will realise that you do have considerable ability within you to manage this condition, and the fear will eventually dissipate. Then you can stop pretending to be tall, proud and strong, and really become tall, proud and strong!

Louise

I had my yearly gyno check after about six years of procrastinating. I was relieved to have a good PAP, but was surprised when my new doctor nonchalantly added, "prolapsed bladder" to her voice report as I was being examined. Later I asked her, "what was that you said about my bladder?" I had never heard of such a thing. Granted, most women might not if there haven’t been any problems. It was explained to me, and that I should do kegal exercises which I had always done after each of my 4 children.
The only change I had noticed over the years is trickling slowly while urinating even if it seemed I had an urgent need to go. Mentioned this to the doctor and she said to lift my right butt cheek a little while going. Hey it works! For the first time in many years my urine gushes like normal. Give it a try.
I also found this site a few weeks ago and am researching other things.

Hi Pidge

Yes, you are right. It does work. And how wonderful to have a doctor suggest this very simple technique for adapting to pelvic organ prolapse!

Use the Search box to look for the hundreds of conversations we have had on this topic. Try 'Lopo' ( a concept based on how other mammals intuitively urinate, and how they use their bodies, which are essentially the same as ours, even though they mostly get about on four legs) 'urinating' 'peeing' 'weeing', 'bladder control' and other similar terms.

Leaning forwards and allowing the bladder to rest on the front abdominal wall straightens kinks in the urethra and allows the bladder to empty properly too, which helps prevent urinary tract infection which can arise when the bladder is not completely flushed of urine on a regular basis.

Louise