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Urologic Dysfunction After Menopause (cont.)

Urologic Dysfunction After Menopause Other Therapy

Electrical stimulation and biofeedback techniques offered by doctors and physical therapists may help strengthen the pelvic muscles in cases of bladder control problems and prolapsed bladder.

Electrical stimulation targets muscles in the vagina and pelvic floor with a probe attached to a device that delivers painless electrical currents that contract the muscles. This can also be performed through the pudendal nerve with a probe placed outside the body.

Biofeedback uses a sensor to monitor muscle activity in the vagina and pelvic floor. Based on information provided through biofeedback, a doctor or physical therapist can recommend exercises to strengthen these muscles.

Urologic Dysfunction After Menopause Follow-up

Urinary tract infection

Completing the entire course of antibiotics prescribed by the doctor is extremely important, even if the woman feels better. A woman may also be asked to return to the doctor for a follow-up urinalysis. If a woman experiences a return of symptoms or new symptoms, she should call her health care professional immediately. These symptoms include fever or pain with urination continuing 2 days after antibiotic treatment; inability to keep medication down or severe side effects of medication; nausea or vomiting related to foods, fluid, or medication; flank pain, shaking chills, or high fever related to kidney involvement; or worsening of any symptoms after 2 days of antibiotic treatment.

Bladder control problems/bladder prolapse

Keep follow-up appointments with the doctor and continue seeking medical care if a first approach does not work.

Urologic Dysfunction After Menopause Prevention

Urinary tract infections

  • Wipe from the front to the back after going to the bathroom to prevent bacteria from being moved from the anus to the urethra.
  • Empty the bladder regularly and completely, especially after sexual intercourse.
  • Drink plenty of fluids including cranberry juice. Studies have shown cranberry juice reduces the ability of bacteria to stick to bladder cells, thus reducing the chance that urinary tract infections will occur.
  • Quit smoking. Smoking irritates the bladder and has been shown to cause bladder cancer in some patients.

Bladder control problems

  • Drink plenty of fluids, but avoid alcohol and caffeine.
  • Avoid spicy foods or citrus foods and drinks that can irritate the bladder.
  • Urinate regularly.
  • Practice Kegel exercises regularly.
  • Quit smoking. Smoking irritates the bladder and has been shown to cause bladder cancer in some patients.
  • Maintain a healthy weight with a healthy diet and regular physical activity.

Bladder prolapse

  • Eat a high-fiber diet and drink plenty of fluids to reduce the risk of constipation.
  • Seek medical attention for long-term constipation.
  • Avoid heavy lifting.
  • Maintain a healthy weight as obesity is a risk factor for bladder prolapse.
  • Quit smoking. Smoking irritates the bladder and has been shown to cause bladder cancer in some patients.
Medically Reviewed by a Doctor on 5/19/2016

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