Kegel Exercises and Bladder Control

Q:  My Ob-Gyn recommends I do Kegel exercises because of bladder problems (age, infections, and early hysterectomy). However, she has no written literature on how often they should be done or how long to hold each contraction. Is there anything available (brochures, etc.)? I would appreciate your help. I find your column most informative.

A:  Kegel exercises are for strengthening the muscles of the pelvic floor to help prevent leakage of urine with coughing, sneezing, running, or from a full bladder. There are two main muscles between your legs that do most of the work and just like other muscles they will get stronger with repetitive use. You can do those exercises while driving, watching TV, reading, etc. Just pull in the pelvic muscles and hold for about 10 seconds. Then relax for 10 seconds and repeat 10 times. Do sets of 10 several times during the day and you may notice improved bladder control after about 4-8 weeks. The trick is to try to keep the pelvic muscles tight and the abdominal muscles relaxed. It will take some practice, like rubbing your belly and patting your head at the same time, but be patient, keep at it, and it will pay off.

"Dear Doctor" is a compilation of patient questions answered by doctors from the Medical College of Wisconsin.