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Urgency, Frequency & Hesitancy in Urination

Why do I pee all the time? Why does almost nothing come out when I go?

Urgency, frequency and hesitancy – these are some of the biggest issues that may be separate from or in addition to leakage. Although they may seem to be contradictory, frequent voiding and urinary hesitancy may actually drive each other.

Regarding urgency/frequency: When the bladder is emptied too often (or not enough), the bladder muscle walls may become less compliant.

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How can I stop urgency, frequency and leakage?

Physical therapy can help to reduce urinary urgency, frequency and leakage.

What should you expect at your initial PT evaluation? It will include a thorough history followed by an orthopedic and pelvic examination that determine what factors may be driving your particular issue.

In treating urinary incontinence, physical therapy interventions can be directed toward the pelvic floor muscles, but should also include a full-body assessment and treatment program. Appropriate coordination of the pelvic muscles with everything around and attached to them is required to reduce bladder symptoms,

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What is the difference between stress, urge and mixed urinary incontinence?

The most common types of UI are “stress,” which involves increased abdominal pressure (sneeze, cough, laugh, etc) and “urge,” which is accompanied by urgency and/or bladder contractions. Mixed incontinence has both stress and urge components. This is the most common form of UI, and people will exhibit a higher percentage of one component over the other. For example, you may have frequent, sudden strong urges with leakage most of the time but occasionally also leak with a strong cough. That would be considered mixed UI with urge dominance.

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Do I Have Incontinence? (UI)

Urinary Leakage, Urgency and Frequency – A Physical Therapy Perspective

Some feel that if urinary leakage is infrequent or only happens a few drops at a time, then it’s not considered incontinence. In fact, urinary incontinence (UI) is defined as experiencing involuntary loss of any amount of urine, at any frequency. Leakage does not result from “just getting older” and should not be regarded as inevitable. It is a physical condition that is treatable. If you find that you are going to the bathroom all the time just to avoid leakage/urgency then you likely fall in the UI category as well.

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Physical Therapy Internet Resources

The list of websites below is not meant to be exhaustive, but they are each reliable sources of information and support.


  • PopUp Lifting is an amazing online exercise program designed for women with prolapse. It’s run by Haley Shevener and Annemarie Everett, PT. It’s an amazing, informative program – lots of options!
  • Intimate Rose is a company that helps all-things-pelvic. It includes resources for education, supplies, and many other pelvc-related.

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