What is pelvic floor dyssynergy

No pelvic floor training with repeated interruption of the urine stream


It can have negative effects on the problem-free emptying of the urinary bladder if women repeatedly interrupt the process rhythmically and actively when urinating.

Rumor has it that women should stop the stream when urinating to exercise their pelvic floor. However, deliberate interruptions in emptying the urinary bladder (micturition) can have significant side effects and do more harm than good, as a current study shows (Int J Urol 2019; September 14).

In a small study, urine flow measurements and ultrasound examinations were carried out in healthy women (20, on average 38.7 years old) who had no impaired bladder function. In one measurement, they urinated normally until they completely emptied their bladder. In another measurement, you should briefly interrupt the urine stream every three seconds. Basically, you should only urinate if you have felt a clear need to urinate. It was decided at random which of the two bladder evacuations was performed as the first or second variant, the normal or the one with active pee breaks.

A subsequent ultrasound examination made it clear that the women had an almost five-fold higher residual urine volume after the repeatedly interrupted urination - the bladder had not emptied completely or up to a physiological residual amount of urine. In five women with considerable residual urine volume after active peeing breaks, the urinary bladder emptied with normal micturition behavior. The urine flow measurements showed a reduced maximum urine flow when the women stopped urinating.

Potentially adverse effects on urination

The authors of the study point out that such “exercises” could possibly trigger a bladder dysfunction, which is caused by the impaired interaction of the anatomical structures involved in emptying the bladder (functional detrusor-sphincter dyssynergy). In addition, the greater the volume of urine remaining in the bladder, the greater the risk of infection.
In addition, there is currently no scientifically proven evidence that deliberately interrupting urination benefits the pelvic floor or actually prevents urinary incontinence. Women should rather let it go when peeing.

Int J Urol 2019; September 14th

Source: Doctors newspaper online, October 11, 2019

Author (s): äin-red