Question

Urinary Incontinence Treatment

How can I do a proper kegel exercise?

A Answers (5)

  • AMichael Roizen, MD, Internal Medicine, answered
    To perform Kegel exercises, you must be seated on a toilet with your legs apart. (Men and women both sit.) The exercises consist of a sequence in which you urinate a small amount, try to stop the flow midstream by contracting the muscles, and then hold the contraction of the muscle for about five seconds. If you can stop the flow, you are doing the exercises correctly. You then release the muscles and again urinate a small amount. Again stop the flow by holding the muscles for five seconds and continue until you have emptied your bladder.

    One conceptualization will help you do these exercises. Imagine that the pelvic floor is an elevator. When the pelvic muscles are completely relaxed, the elevator is at the basement. You then contract the muscles to the "first floor" and, without relaxing, continue to tighten the muscles to the second floor. Hold at each level for a count of five. When you reach your limit, don't release suddenly. Gradually release the muscles "floor by floor" until completely relaxed. Some people practice contracting these muscles when they are waiting for the light to change while driving a car. Contract the muscles and relax five to ten times.
    Helpful? 3 people found this helpful.
  • AJay T. Bishoff, MD, Urology, answered on behalf of Intermountain Healthcare
    To prevent and treat stress incontinence, Kegel exercises are commonly recommended. They strengthen the muscles around your pelvic organs
    and are easy to do anywhere, any time. Here’s how:

       • To start, tighten the muscles you use to stop the flow of urine. (If
         you’re not sure you’re using the right muscles, first try it while you’re
         urinating.)

       • Keep squeezing the muscles for a count of ten, then slowly relax.

       • Repeat several times a day, working up to 100 Kegels a day.

    There are several variations on this basic exercise. Follow your doctor’s specific advice for you.
  • AJill Rabin, Obstetrics & Gynecology, answered
    Here’s how to tell that you are doing a Kegel correctly: Insert a tampon into your vagina. Then tug on the string and prevent yourself from removing it. The muscles you feel contracting are your pelvic floor muscles.
  • AAudrey K. Chun, MD, Internal Medicine, answered on behalf of The Mount Sinai Health System
    Simple Kegel exercises can help strengthen your pelvic floor. Squeeze the muscles of your pelvic floor as if interrupting the flow of urine (but don't do Kegels while urinating), holding each contraction for 5 to 10 seconds. Plan to do Kegels 3 times daily, for 20 to 30 reps. You can do them sitting, standing or lying down.
    Helpful? 1 person found this helpful.
  • AJan Shifren, MD, Obstetrics & Gynecology, answered
    Both men and women can improve their sexual fitness by exercising their pelvic floor muscles. To do Kegel exercises, tighten the muscle you would use if you were trying to stop urine in midstream. Hold the contraction for two or three seconds, then release. Repeat 10 times. Try to do five sets a day. These exercises can be done anywhere -- while driving, sitting at your desk, or standing in a checkout line. At home, women may use vaginal weights to add muscle resistance. Talk to your healthcare provider or a sex therapist about where to get these and how to use them.
    Helpful? 1 person found this helpful.
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How do Kegels help urinary incontinence?