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Caring for a loved one with incontinence can be extremely challenging.  Read stories from other caregivers who have walked in your shoes on the NAFC Caregiver Blog.

Gender Neutral Pelvic Floor Tips

Steve Gregg

Simply stated - the pelvic floor isn’t just a female thing - it is a muscular sling supporting the pelvic and abdominal organs of men and women.  The pelvic floor helps keep us dry.  According to an earlier blog post, more than 50 percent of men over the age of 60 experience bladder control issues due to an enlarged prostate.  

Before I share my best pelvic floor tips for both sexes, we need to agree on the following three truths: strengthening a weak pelvic floor may improve bladder control and confidence, utilizing my tips in conjunction with seeing your healthcare provider will create the most optimal effect, and it’s important to allow yourself to have a bad day here and there.  

My best pelvic floor tips?

  • Start a Bladder or Bowel Diary

    For a week, keep track of your trips to the bathroom, your leaks and how much and what you are drinking.  Note any trends with fluid intake, time of day and activity level in relation to using the bathroom and your leaks.  Your documentation may help your health care provider order tests, make a more accurate diagnosis or prompt a referral to a specialist.

    But, please consider what you can do with the information.  Are there any trends you are seeing?  Do you have more problems in the morning, afternoon or evening?  Do you need to space out your fluid intake?  You may be able to cue into changes that may positively impact your bladder control and confidence.  

  • Drink more water and consider cutting down on alcohol and caffeine

    Many newly incontinent persons incorrectly assume if there is less water in the system there will be less water to pass.   Cutting out water, or significantly decreasing water consumption, while continuing to consume alcohol and caffeine at normal previous levels may aggravate the bladder and make the leakage problems worse.  Hydration with plain, old water is one of the keys to improved bladder function.  

    And, revisit your diary – it may be possible that alcohol or caffeine may be a trigger to your leakage pattern.  Do you need notice you have more problems with bladder control after a glass or two of coffee or your favorite cocktail?  

  • Kegels

    Yes – we need to talk about this.  Men can do Kegels and should do Kegels to improve bladder control.  Kegels are not just meant for women.  Repetitively performing Kegels will improve pelvic floor muscle function, strength and endurance.  Kegels should be a habit like brushing your teeth. The truth of the matter is - if your pelvic floor muscles are in better space they will be better able to support you and keep you dry.  

    Here are some cues that may help you or your loved one perform a Kegel.   

    • Return to the idea that pelvic floor is a muscular sling.  It supports your abdominal and pelvic organs kind of like a hammock running along the base of pelvis – front to back and side to side.

    • Gently pull the pelvic floor up and in towards your navel as if trying to protect yourself from a blow to the belly.  When you do this – you may feel a gentle tightening of the muscles underneath your navel.  Your tailbone may gently rises up and in.  Continue your normal breath.  Keep in mind, the Kegel, I am recommending is not 100% effort but a gentle tightening of the muscular sling.

    • Continue breathing and hold the Kegel for a few seconds.  Then gradually relax.  Repeat until you’re fatigued or have completed your goal.

That concludes my list of my best pelvic floor tips. What are your best practices?