Scribd
Upload
150 views2 pages

Bladder Training

Cara bladder training

Uploaded by

Ahmad Shafiq
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
150 views2 pages

Bladder Training

Cara bladder training

Uploaded by

Ahmad Shafiq
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

BLADDER TRAINING

The overall aim of bladder training is to restore the normal function of your bladder.

Research shows that bladder training is an Some techniques which may help you control
effective treatment for some types of bladder your urge
problems.
• Stop and relax – do not rush to the toilet.
When you do bladder training you are aiming to: • Breathe slowly and evenly.

• decrease the number of times you go to the • Perineal / Vaginal pressure:


toilet o Sit on the arm of a chair or the edge of a desk.
o Sit on a rolled-up towel.
• increase the amount of urine you pass each
time o Cross your legs.

• hold on for longer or put off emptying your • Curl your toes repeatedly or hold firmly.
bladder. • Stretch your calf muscles and hold the stretch.
• If you are walking, slow your pace and
How does a normal bladder work? emphasise heel-toe walking.
The normal bladder can hold approximately 600- • Press or rub the trigger point on the inside of
800mls. It is usual to empty the bladder about four your leg just above your ankle.
to six times per day. It is normal to make it to the • Press or rub the trigger point at the base of
toilet without rushing, or to be able to put off your nose.
emptying the bladder if it is not convenient for you. • Squeeze and lift your pelvic floor muscles –
hold them tight!
Common problems you may
• Distract yourself! Do not think about the toilet
experience or about leaking. Distract yourself with a
• Urgency – feeling the sudden need to rush to physical or mental task e.g. count backwards
the toilet. from 100 by 3’s or 7’s; think of 3 Australian
• Urge incontinence – feeling the urgent need to towns starting with A, then with B, then C etc.
go to the toilet and not making it in time. • When you have performed the technique, walk
• Frequency – going to the toilet often, then only to the toilet in a slow and controlled manner.
passing small amounts
Remember: your bladder does not have eyes or
Urgency and urge incontinence often occur ears; it cannot see the toilet nor know how far
because the bladder gets over excited and away you are. If you feel you may leak on the way
overactive. it is just anxiety. Relax, stay calm and walk slowly.
Remember: different techniques work for different
people. By practicing these techniques you will
find out which ones work for you.
Use the above techniques to gradually increase the
time between toileting and to stop getting out of
bed at night when you feel the urge to go to the
toilet.

BLADDER TRAINING – MAY 2018 PAGE 1 OF 2


How do I retrain my bladder? How will I know if it is working?
Review any lifestyle factors which may be You may not notice an improvement immediately,
contributing to poor bladder function, such as: but gradually you will become aware of not having
to go to the toilet as often, being able to stop
• reducing or ceasing caffeine intake (tea,
yourself going, passing more urine each time you
coffee, cola drinks), alcohol and very sweet
go, having less urgency, and not getting up to the
drinks
toilet at night time.
• not being constipated
Bladder training takes time. You may have good
• only going to the toilet when you need to go
and bad days. Persevere and you will eventually
(not going “just-in-case”)
be the boss of your bladder.
• drinking about 1.5L of fluid per day (mostly
water) aim to regularly pass 300ml or more What happens if it doesn’t work?
urine
Despite best efforts, in a few cases, the bladder
• get rid of any cough or sneezing will not respond to the program. In these cases,
• exercise your pelvic floor muscles as you have some medications, prescribed by the doctor, may
been shown assist. If you decide to take medications it is
• maintain a healthy weight by walking for thirty important to still continue your bladder training
minutes each day strategies.
• do persevere. You have the ability to make
your brain the boss and retrain your bladder!
• do speak to your Physiotherapist or For more information and advice
Continence Nurse about any concerns or Urogynaecology Pelvic Floor Unit
problems you encounter. Continence Nurse Advisor
Royal Women’s Hospital
It is important to have strong pelvic floor muscles.
Level 1, Women’s Health Clinics
Please see facts sheets on Pelvic Floor Exercises
Cnr Grattan St & Flemington Rd
and Preventing Constipation for more information.
Parkville VIC 3052
Setting a personal program Tel: (03) 8345 2000
Every person will have different needs in regard to Physiotherapy Department
bladder training. Royal Women’s Hospital
The first step is to complete a three-day bladder Level 1
diary to get information about your bladder Cnr Grattan St & Flemington Rd
function. From this your personal goals can be set. Parkville VIC 3052
Set yourself achievable goals. For example, if you Tel: (03) 8345 3160
start with a break of one hour between emptying Monday to Friday 8.30am – 5.00pm
your bladder, your initial goal may be to “hang on”
for 5 or 10 minutes. The aim is to gradually
increase the time you can “hang-on”. Discuss
appropriate goals with your Continence Nurse or
Physiotherapist.

Disclaimer: The Royal Women’s Hospital does not accept any liability to any person for the information or advice (or use of such information or advice) which is provided in this fact
sheet or incorporated into it by reference. We provide this information on the understanding that all persons accessing it take responsibility for assessing its relevance and
accuracy. Women are encouraged to discuss their health needs with a health practitioner. If you have concerns about your health, you should seek advice from your health care
provider or if you require urgent care you should go to the nearest hospital Emergency Department. © The Royal Women’s Hospital, May 2018

BLADDER TRAINING – MAY 2018 PAGE 2 OF 2

You might also like