Symptoms produced by prolapse and similar to those of UI include frequent urge to urinate, frequent urinary tract infection (UTI) and feeling of incomplete bladder emptying. Symptoms more suggestive of prolapse include vaginal, lower back, lower abdomen, pelvic or groin pain or painful intercourse. Mild cases of bladder prolapse may not produce any symptoms at all. When an individual leaks urine irrespective of how much or
how often, has trouble urinating, has painful urination or has any of the symptoms mentioned above, a comprehensive history and physi- cal needs to be performed by a professional health care provider. This is important because the cause of the symptoms needs to be di- agnosed and a multi-system evaluation may uncover a co-problem- atic issue. The diagnosis obtained guides the respective treatment. Below are listed some effective, non-surgical treatments that can restore continence or vastly improve its symptoms. These treatments include but are not limited to:
1. Evaluation of diet and eating habits with subsequent guidance. 2. Guidance for weight loss. 3. Behavior modification. 4. Pelvic floor rehabilitation using biofeedback and physical therapy. 5. Local hormonal restoration using topical application of estrogen. 6. Pessary fitting. 7. Antibiotic therapy for UTI.
Lastly, here are some steps you can take to help keep your
bladder healthy: • Have a complete annual physical exam. • If you smoke, try to stop. • Cut soda use down or out of your diet as much as possible. • Eat a balanced diet with plenty of fruits and vegetables in as many varieties as possible.
• When you feel the urge to urinate, do not wait too long to empty. • Take time to completely empty your bladder. • Drink adequate amounts of liquid each day (usually 4-6 glasses each day, more in hot weather).
Submitted by Alison Gorman, Board Certification Advanced Nurse Practitioner. Ms. Gorman founded the CT Center for Bladder Health in June, 2012. The Center is located at 139 Hazard Ave., Building #6, in Enfield. For more information, call 860-265-6205 or visit
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