Urine Retention: Tight Pelvic Floor Muscles & Stretches

Posted by terwifwoods @terwifwoods, Nov 27, 2021


I am a forty some year-old man who was otherwise healthy until a few months ago. I had no known medical issues and would work out at least five days a week. I have been dealing with urinary retention and voiding dysfunction. I have seen two urologists, general practitioners, and a physical therapist. I have also had a cystoscopy and continue self-catheterization. I have a lot of questions, but one thing is for certain: I have a tight urethral sphincter muscle and a tight pelvic floor. I have been doing pelvic floor stretches and general stretching of my hips religiously for at least two months. I have not noticed any results regarding my ability to urinate and void more effectively.

Here's the million dollar question:

Have ANY MEN out there with urinary retention issues had any success with doing pelvic floor stretches? If so, what worked best, and what was the time frame?

***It has been difficult to find studies/articles and other men willing to discuss urinary and pelvic floor issues. Time to speak up fellas!


Interested in more discussions like this? Go to the Men's Health group.

@terwifwoods, I have a different issue with BPH but I can relate to the problem. You mentioned you have been doing pelvic floor exercises Have you included Kegel exercises for Men? Here's some information I found that might be helpful.

"Tighten your pelvic floor muscles, hold the contraction for three seconds, and then relax for three seconds. Try it a few times in a row. When your muscles get stronger, try doing Kegel exercises while sitting, standing or walking." — Kegel exercises for men: Understand the benefits – Mayo Clinic: https://www.mayoclinic.org/healthy-lifestyle/mens-health/in-depth/kegel-exercises-for-men/art-20045074


Nothing has worked for me and I am tired of self-catheterization; I wish there something to help as it is embarrassing in public bathrooms.


This is an extreme measure, but after years of trouble voiding, and without my knowing it, I was retaining so much urine that it backed up into my kidneys and I ended up in acute renal failure–at that point, could not urinate all. But the result was my insurance covered HoLEP surgery due to medical necessity, which completely solved my problem. A few side affects, but nothing major. Now I completely pretty much empty my bladder when urinating.


What is your PSA?


Thanks for the replies. My urologist has confirmed my prostate is fine. I have not been tested for my PSA.

Has any men had success with pelvic floor exercises?

I have noticed a slight increase in flexibility doing the pelvic floor and hip stretches. Believe it or not, I started acupuncture and noticed I can void more urine on my own. I still have to self-cath three times a day though….

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