Bladder Training Treatment

Benefits and Technique

Bladder Training is the first treatment doctors recommend to help control urinary incontinence and prevent emergency leaks.

Helps improve and control your bladders role of storing and emptying urine.

This training teaches you how to hold in urine for a more extended period to avoid having to rush to a bathroom and prevent uncontrolled leakage. More than 30 percent of Americans citizens suffer from urinary incontinence. But it is more common in women after giving birth and after menopause.

Bladder training also helps people with overactive bladders (OAB), stress incontinence or after surgery to prevent its symptoms.

A healthy bladder can take 3 to 4 hours between urine releases. So if you experience more, often and emergency visits to the bathroom you do need to practice this bladder training.

In older people, these patterns change because their bladder reduces its size and they have the need to go more frequently to the bathroom day and night. That is why bladder training is also excellent for elders.

The volume of urine release each time can go from 200 to 400 milliliters. (For normal adults).

Total urine volume for 24 hours ranges from 800 to 2.000 ML.

Normal urination times per day can go from 6 to 8 times or even ten times if you drink a lot of liquid. Small variations in your bladder are normal.

Bladder training benefits

  • Control of your bladder. You can control the urge to visit the bathroom to urinate.

  • More bladder liquid capacity. Helps your bladder increase the amount of liquid to hold before feeling the need to urinate.

  • Hold regular periods of time to visit the bathroom. Not feeling the urge to urinate often.

Bladder training technique. Is based on following a programmed schedule (a diary) of your visits to the bathroom for urine release that will help you be able to control your bladder increasing the time between visits in 10 to 30 minutes until you feel comfortable and can achieve the average 3 to 4 hours between voids per day.

Before your visit to your doctor, begin bladder control by keeping a diary in the bathroom with all the information of your 24-hour activity for 2 to 4 days. This information is vital for your doctor to have to give you a specific time technique schedule to follow.

Bladder diary information to keep:

  • What you drink. Write down precisely what you drink and how much (mL).

  • At what time you had your liquid intake.

  • At what time you urinate to check how often you go to the bathroom.

  • How many milliliters (mL) each time you urinate and empty your bladder.

Begin with first urination after you wake up in the morning.

Day 1

Activity / Drink / Amount

6 A.M.

6:30 A.M.

7 A.M.

7:30 A.M.

8 A.M.

8:30 A.M.

9 A.M.

9:30 A.M.

Bathroom visit (250mL approx.)

Coffee (200mL)*

Bathroom visit (250mL approx.)

Leakage (wet1/ damp/ soaking 3)


…and On for 24 hours each day

*200mL = a standard cup of coffee

Bladder training technique steps

  • Keep a record of how many times you urinate or leak during a day.

  • Track how many hours you wait between urination.

  • Choose an interval time if your time between urination is one hour and a half, increase it to one hour and forty minutes next time. 10 minutes between intervals.

  • Hold and restrain. The first thing you have to do in the morning when you wake up is empty your bladder and wait that hour and forty minutes you’ve designated as an interval to void again. If you feel the need to urinate before that hour and forty minutes, try to relax and focus on any other activity to avoid going to the bathroom. Walk instead of running, if you can, sit down and take deep breaths because it can help decrease muscle tensions and make the sensation leave. Practice Kegel exercises to help incontinence and your bladder control. Five minutes, two or three times a day is recommended. If you reach the designated hour and forty minutes and have no urge to urinate, go anyway. Do not skip your assigned time.

  • Increase your interval time 10 minutes more between urination times. You will notice the difference between intervals and feel comfortable and will be able to keep on increasing your time intervals in 15 to 30 minutes until you reach the ideal time for a healthy bladder.

Keep writing it down to check and keep a track, increase intervals and keep trying until you reach the ideal time between urinating intervals.

Once you start bladder training, it usually takes from 2 to 4 months to be effective. Don’t worry or hesitate if you may experience temporary delays or a slight reverse in progress due to flu, cold weather or emotional stress. Stay positive and keep trying.

This training becomes better with practice.

Many treatments are available, but a proper one will depend on the cause of your incontinence. Visit a specialist to assure an appropriate remedy. A urologist or urogynecologist.

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