Bladder Emptying Disorders

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The urine that is produced by your kidneys travels through the ureters and is stored in the bladder. As the urinary bladder reaches its maximum storage capacity, the bladder emptying process or the process of urination begins.

Comprehensive Evaluation

Advanced diagnostics to assess bladder function and identify the cause of emptying issues.

Medical Management

Prescription medications and lifestyle modifications to improve bladder control.

Catheterization Support

Guidance and training for intermittent self-catheterization or long-term catheter use.

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Our Bladder Emptying Disorders
Procedure

Comprehensive Evaluation

Detailed medical history and symptom assessment.

Medical Management

Prescription medications to aid bladder contractions or relax the urethral sphincter.

Catheterization Techniques

Patients are trained to use a catheter to empty the bladder periodically.

Behavioral Techniques

Bladder retraining exercises. Biofeedback therapy to strengthen pelvic muscles.

Considering Bladder Emptying Disorders?

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caring experts in a private, safe space.
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About Bladder Emptying Disorders

Bladder emptying disorders occur when the bladder does not fully empty, leading to urinary retention, discomfort, and potential complications such as infections or kidney problems. These disorders can result from nerve damage, weakened bladder muscles, obstructions, or certain medical conditions.


  • Difficulty starting urination

  • Weak urine stream or dribbling

  • A feeling of incomplete bladder emptying

  • Frequent urinary tract infections (UTIs)

  • Lower abdominal discomfort or bloating

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Frequently Asked Questions

Incomplete bladder emptying is a problem that commonly occurs in females. It is characterized by an abnormally slow urine flow while passing it or a feeling of incomplete bladder emptying post urination.

The main symptoms of incomplete bladder emptying are:

  • Delay in starting urination
  • A slow flow of the urinary stream
  • Straining to pass urine

Additional symptoms of incomplete bladder emptying include:

  • Urinary frequency or frequent urination
  • Urgency to urinate
  • Recurrent urinary tract infections (UTIs)

There are many causes of incomplete bladder emptying in females that can be permanent or temporary. Some of these are:

  • Vaginal delivery
  • Pelvic surgery
  • Acute inflammation, including infection of the genital tract or UTIs
  • Drugs such as detritus, epidural anesthesia, and antidepressants
  • Incomplete relaxation of the urethral sphincter while passing urine
  • Psychological problems such as hysteria, depression, and anxiety

Incomplete bladder emptying may lead to frequent and recurrent urinary tract infections if left untreated. In severe cases, it may also damage the patient’s kidney function.

Incomplete bladder emptying is a problem that commonly occurs in females. It is characterized by an abnormally slow urine flow while passing it or a feeling of incomplete bladder emptying post urination.The main symptoms of incomplete bladder emptying are:

  • Delay in starting urination
  • A slow flow of the urinary stream
  • Straining to pass urine

Additional symptoms of incomplete bladder emptying include:

  • Urinary frequency or frequent urination
  • Urgency to urinate
  • Recurrent urinary tract infections (UTIs)

There are many causes of incomplete bladder emptying in females that can be permanent or temporary. Some of these are:

  • Vaginal delivery
  • Pelvic surgery
  • Acute inflammation, including infection of the genital tract or UTIs
  • Drugs such as detritus, epidural anesthesia, and antidepressants
  • Incomplete relaxation of the urethral sphincter while passing urine
  • Psychological problems such as hysteria, depression, and anxiety

Incomplete bladder emptying may lead to frequent and recurrent urinary tract infections if left untreated. In severe cases, it may also damage the patient’s kidney function.

There are many approaches to improve bladder emptying, and double voiding is among the most common. This technique is particularly effective in females who have incomplete emptying of the bladder or frequently return to the toilet after passing urine.

The following are the steps for double voiding:

  • Sit comfortably on the toilet seat and lean forward slightly
  • Rest your hands on the thighs or knees; this is the perfect position of your bladder for passing urine
  • Pass urine normally; focus on emptying your bladder as much as you can
  • Remain seated on the toilet seat and wait for about 20-30 seconds
  • Lean further forward slightly and pass urine again

You may also rock from side to side and then pass urine, leading to better bladder emptying.

There are additional techniques apart from double voiding that you can use to improve bladder emptying and reduce frequent urination.

One such technique is the Crede maneuver, in which you have to sit on the toilet seat and lean slightly forward before passing urine. You should put your hand over your pubic bone and push slightly inward toward your stomach and start urinating. It would be best if you continued pushing toward your bladder while urinating. This helps in increasing the quantity of urine passed from your bladder.

Additional techniques to improve bladder emptying are:

  • Running water: You may listen to running water to enhance your ability to empty your bladder.
  • Bladder percussion: When you tap on your bladder, giving slight pressure can result in contractions that may help pass urine. It would help if you continued tapping for a couple of seconds, even after it seems that the bladder is fully emptied.
  • Vibration therapy: In this therapy, you have to hold a vibrating device on your lower abdomen. The vibrations may stimulate the urinary bladder and promote bladder emptying.
  • Stimulation therapy: This therapy includes touching certain regions of your body to stimulate bladder emptying. Stimulation methods include massaging the inner thighs or lower stomach and pulling the pubic hair.

Apart from various techniques to promote bladder emptying, other treatments are also available to improve the condition. Some of these are:

Lifestyle changes

If you are overweight, losing excess weight can help reduce the incidence of frequent urination. You should also avoid drinking excessive fluids, particularly before going to bed, to prevent frequent urination at night.

It would be best if you also took measures to prevent constipation. Increase the quantity of fiber in your diet and do moderate-intensity exercise for at least half an hour every day. This helps in stimulating the bowels and reducing constipation. In addition, drink a sufficient amount of water during the daytime to prevent constipation.

Exercises

Doing pelvic floor exercises helps strengthen the muscles of the pelvis and those present around the urinary bladder. This may decrease the incidence of incontinence and improve bladder emptying. Examples of such exercises are Kegels or Kegel exercises.

Medicines

Your physician may prescribe medicines to treat incomplete bladder emptying. Some of these medicines are:

  • Oxybutynin
  • Tolterodine
  • Trospium
  • Solifenacin

Your physician may also inject Botulinum toxin into your bladder to reduce the frequency of bladder spasms and improve incomplete bladder emptying.

Your physician may also prescribe antibiotics to treat urinary tract infections.

Surgery

Surgery is the last approach to treat incomplete bladder emptying and frequent urination. Surgery is done on the urinary bladder and its surrounding structures in the pelvis. Some examples are bladder sling procedures or bladder neck suspension surgery.

There are many approaches to improve bladder emptying, and double voiding is among the most common. This technique is particularly effective in females who have incomplete emptying of the bladder or frequently return to the toilet after passing urine.

The following are the steps for double voiding:

  • Sit comfortably on the toilet seat and lean forward slightly
  • Rest your hands on the thighs or knees; this is the perfect position of your bladder for passing urine
  • Pass urine normally; focus on emptying your bladder as much as you can
  • Remain seated on the toilet seat and wait for about 20-30 seconds
  • Lean further forward slightly and pass urine again

You may also rock from side to side and then pass urine, leading to better bladder emptying.There are additional techniques apart from double voiding that you can use to improve bladder emptying and reduce frequent urination.

One such technique is the Crede maneuver, in which you have to sit on the toilet seat and lean slightly forward before passing urine. You should put your hand over your pubic bone and push slightly inward toward your stomach and start urinating. It would be best if you continued pushing toward your bladder while urinating. This helps in increasing the quantity of urine passed from your bladder.

Additional techniques to improve bladder emptying are:

  • Running water: You may listen to running water to enhance your ability to empty your bladder.
  • Bladder percussion: When you tap on your bladder, giving slight pressure can result in contractions that may help pass urine. It would help if you continued tapping for a couple of seconds, even after it seems that the bladder is fully emptied.
  • Vibration therapy: In this therapy, you have to hold a vibrating device on your lower abdomen. The vibrations may stimulate the urinary bladder and promote bladder emptying.
  • Stimulation therapy: This therapy includes touching certain regions of your body to stimulate bladder emptying. Stimulation methods include massaging the inner thighs or lower stomach and pulling the pubic hair.

Apart from various techniques to promote bladder emptying, other treatments are also available to improve the condition. Some of these are:

Lifestyle changes

If you are overweight, losing excess weight can help reduce the incidence of frequent urination. You should also avoid drinking excessive fluids, particularly before going to bed, to prevent frequent urination at night.

It would be best if you also took measures to prevent constipation. Increase the quantity of fiber in your diet and do moderate-intensity exercise for at least half an hour every day. This helps in stimulating the bowels and reducing constipation. In addition, drink a sufficient amount of water during the daytime to prevent constipation.

Exercises

Doing pelvic floor exercises helps strengthen the muscles of the pelvis and those present around the urinary bladder. This may decrease the incidence of incontinence and improve bladder emptying. Examples of such exercises are Kegels or Kegel exercises.

Medicines

Your physician may prescribe medicines to treat incomplete bladder emptying. Some of these medicines are:

  • Oxybutynin
  • Tolterodine
  • Trospium
  • Solifenacin

Your physician may also inject Botulinum toxin into your bladder to reduce the frequency of bladder spasms and improve incomplete bladder emptying.

Your physician may also prescribe antibiotics to treat urinary tract infections.

Surgery

Surgery is the last approach to treat incomplete bladder emptying and frequent urination. Surgery is done on the urinary bladder and its surrounding structures in the pelvis. Some examples are bladder sling procedures or bladder neck suspension surgery.

Considering Bladder Emptying Disorders?

Ready to discuss your options? Click the appointment button to talk to our
caring experts in a private, safe space.
Call Now – 213-372-0307


Make An Appointment