Bladder urgency is a sudden, urgent and at times uncomfortable need to empty your bladder immediately. It is often described by women as “a busting need to go to the toilet many times a day”. It may feel like your bladder is the boss and you have very little control.  Bladder urgency may be contributed to by the brain and nervous system being overly sensitive to sensations in the bladder. This is why you often feel busting even with small amounts of urine in the bladder. This urgency may result in incontinence (leaking urine) on your way to the toilet.

Urgency can be due to:

  • An overactive bladder that contracts when it should not
  • An overly sensitive bladder
  • Weak or damaged pelvic floor muscles
  • Poor toileting habits
  • Constipation
  • Overactive pelvic floor muscles
  • Overly sensitive nervous system, along with stress, anxiety and poor sleep.

Good bladder control depends on correctly functioning pelvic floor muscles and an awareness of how to activate and relax this system.  The pelvic floor muscles control the bladder, vagina and bowel openings. If the muscles are working incorrectly or are weakened or stretched, control and support of the surrounding tissues and organs are compromised.  The end result may be incontinence which is the uncontrolled loss of urine.  One in four women are affected by this embarrassing condition at some time in their life.

Urgency is a common condition effecting women of all ages. Onset is often during pregnancy, after childbirth or through menopause. Thinking that incontinence or poor bladder control is a part of aging or part of a woman’s life is unhealthy.  Those thoughts set up barriers for women to seek treatment and advice. Correct management of urgency can often greatly reduce or eliminate symptoms.

Bladder urgency requires a full assessment by a trained women’s health professional to work out what may be contributing to the problem. Management will address any pelvic floor dysfunction and will involve exercises, education and advise to treat other contributing factors.

At Physiotherapy for Women, only physiotherapists with post-graduate continence training will be treating clients presenting with poor bladder control. The importance of respecting privacy and providing a relaxing environment for treatment purposes is a feature of our physio health services at Physiotherapy for Women.

Phone or email us now for an appointment.  If you have any queries on bladder control or pelvic floor concerns we are happy to assist you.