Urine Retention: Tight Pelvic Floor Muscles & Stretches

Posted by terwifwoods @terwifwoods, Nov 27, 2021

Hello,

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!

Thanks!

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

@wa34937

I am curious about "most of my urine production occurs during sleep at night, which has to be fixed as well" I have wondered why my urine production is so high at night? Please elaborate, I do have BPH.

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I was amazed at the volume of urine I produced at night once I begin recording catheterizing volume. It occurs in the first 2-4 hours when I'm in deep sleep, even if I eliminated drinking water after dinner. My urologist said an increase was normal as we age (that's one reason we pee more often at night), but I was unusually high and may want to see a nephrologist (kidney doc). That's where we left it, and since I don't have BPH, and no surgery was recommended at this point, I assumed this was a big factor simply because a blockage of any kind combined with high volume during deep sleep eventually can lead to a distended bladder, my problem. I'm hoping to learn more in the next few months and will update.

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@paul55

Happy to comment, Colleen. I have not had a big issue since having HoLEP surgery, but am trying to do kegel exercises to strengthen those muscles. But I wondered about Emit's comment about prostrate surgery not justified. If he is having to use a catheter to urinate, normally that would mean doing so 4-5 times a day to avoid heavy urine retention and so avoid the urine backing up Into his kidneys. For me this meant prostrate surgery of some kind was deemed a medical necessity and so was covered by insurance. Prostrate surgery, including HoLEP, may seem scary, but it a lot better than kidney disease. Emit, I would encourage you to look into that possibility, although I only know about my own experience.

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Yes, catheter 4-5 times a day, and kidney reflux is the big risk. Prostate surgery/TURP was assumed but deemed unnecessary after various imaging and tests done that indicated more bladder muscle weakness than prostate blockage. I'm fortunate I don't have cancer, but without a clear prostate cause I'm sort of stuck without a surgical solution and relying on restoring some bladder muscle function over time. I'm also still trying to find the right doc for a second opinion on what other options may exist.

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How to EDIT these groups?
I should ONLY be on "Men's Health"
I find that I am on "Chronic Pain" by mistake.

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@topquark

How to EDIT these groups?
I should ONLY be on "Men's Health"
I find that I am on "Chronic Pain" by mistake.

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@topquark, you can learn how to follow and unfollow groups here: https://connect.mayoclinic.org/help-center/

To unfollow the Chronic Pain group:
1. Go to https://connect.mayoclinic.org/group/pain/
2. Click "Unfollow"

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@emit

Yes, catheter 4-5 times a day, and kidney reflux is the big risk. Prostate surgery/TURP was assumed but deemed unnecessary after various imaging and tests done that indicated more bladder muscle weakness than prostate blockage. I'm fortunate I don't have cancer, but without a clear prostate cause I'm sort of stuck without a surgical solution and relying on restoring some bladder muscle function over time. I'm also still trying to find the right doc for a second opinion on what other options may exist.

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Followers of this discussion may be interested in this blog post:
– Control frequent urges with bladder training https://connect.mayoclinic.org/blog/take-charge-healthy-aging/newsfeed-post/control-of-frequent-urges-with-bladder-training/

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