Unintentional urination after childbirth, treatments, therapy: Focus Physical✓

Involuntary urination, or urinary incontinence, refers to a situation in which a woman cannot fully control her bladder. It most commonly manifests as urine leakage during physical exertion, such as coughing, laughing, sneezing, running, or lifting heavy objects. Sometimes it involves a sudden, urgent need to urinate, and sometimes it is a combination of both types.

Postpartum urinary incontinence is not a sign of weakness—it is a consequence of physiological changes during pregnancy and childbirth. With proper assessment and treatment, most women can significantly improve or fully regain bladder control.

Recognizing the symptoms of involuntary urination is crucial for timely diagnosis and treatment. Various signs may indicate weakness of the pelvic floor muscles or a disruption in bladder control, and early detection allows for appropriate intervention and preservation of quality of life. If you experience any of the following symptoms, it is time to seek professional help:

• Urine leakage during coughing, laughing, sneezing, or physical exertion;
• Sudden and strong urge to urinate that you cannot control;
• Frequent urination, especially at night;
• Feeling of incomplete bladder emptying;
• Weakness or pain in the pelvic floor;
• Changes in sexual function or pain during intercourse.

Even if the problem is mild, timely intervention can prevent it from worsening and help maintain everyday quality of life.

• Vaginal Delivery
• Multiple Pregnancies
• Hormonal Changes
• Increased Body Weight

The good news is that most women can significantly improve their condition or fully regain bladder control. Treatment is usually non-invasive and effective, and may include:

Pelvic floor exercises (Kegel exercises): Properly performed exercises strengthen the muscles that support the bladder and urethra. It is crucial to perform these exercises regularly and under professional guidance, as incorrect technique may be ineffective.

Bladder training and habit changes: Scheduled urination, controlling fluid intake, and reducing caffeine or carbonated beverages can significantly reduce symptoms.

Pelvic floor physical therapy: Specialized physiotherapists use techniques such as:

• Biofeedback to monitor muscle contractions

• Targeted exercises to strengthen and coordinate muscles

• Manual techniques and pelvic floor massage

Regular therapy increases muscle strength and, in turn, bladder control.

Modern technology – EMSELLA chair: EMSELLA uses electromagnetic stimulation to strengthen pelvic floor muscles effortlessly and completely non-invasively. The treatment is painless, and results often appear after just a few sessions.

Pharmacotherapy and surgery: In severe cases, when conservative approaches are insufficient, medications or surgical interventions may be considered. However, most women successfully resolve the problem without surgery.

Prevention of postpartum urinary incontinence is based on actively strengthening and maintaining pelvic floor function. Regularly performing pelvic floor exercises, both before and after childbirth, significantly contributes to their strength and elasticity. Maintaining an optimal body weight and avoiding prolonged heavy lifting immediately after delivery further reduces the risk of developing problems. Proper physical therapy guidance and professional advice help women strengthen the pelvic floor correctly and prevent long-term complications, thereby preserving everyday quality of life.