Our Purpose
Our Approach
Many advances re health issues involving the pelvic organs have taken place over the last 30 years. There are clearly better tests and better therapies today, than in previous decades, to manage the myriad of pelvic organ health issues that affect the population as a whole. However, the expression of these problems has not changed. We still have the same incidences of disabling conditions involving the bladder ( and other pelvic physiologies); UTI’s, urinary Incontinence , impotency , prostate problems, bowel disorders, stones, etc. The root cause of many of these problems simply hasn’t been resolved. If it were, then the expression of many, if not most , of the above disorders would be on the decline with time.
The above observation suggest that the bladder is prone to accelerated failure over time, vs the inevitable decline of all body systems with age . Is there a way to minimize this risk? This is a good question to pursue. There have been some remarkable advances in regard to managing bladder problems. The advances in diagnostic Radiologic evaluations – CT scans, MRI’s, Ultrasound testing, nuclear medicine testing, urodynamic testing have been remarkable. Along with this, the menu of treatment options has also expanded in a phenomenal way. There are now a host of medications to treat dysfunction of the bladder and prostate. Surgical options and prosthetic advances have also been tremendous. Botulinum is now used to treat incontinence. The field of minimally invasive surgery was opened up with the coming of laparoscopic and robot assisted technologies. There have been some great prosthetic advances: artificial sphincters, implants to restore erections, a sacral stimulation pacemaker, sling procedures for incontinence . No doubt this all adds up to a pretty amazing amount of change in the last three decades .
However, all these wonderful advances are therapeutic and not prophylactic. There is still the same expression of the above health issues seen over this same time frame. 50% of men face a risk of prostate hyperplasia , and 50% of women face significant risk of incontinence in their respective lifetime., Government guideline still recommend 3 female bathrooms for every male bathroom in federal buildings. The exact reasons for this have as yet to be defined. Evolution didn’t necessarily design the bladder (and other pelvic systems) to fail prematurely over ones lifetime.
An approach that has yet to be fully explored, is the potential negative impact that repetitive stress in the voiding habit can have over time. Voiding is a behavior and as with all behaviors there are certain rules and guidelines that must be followed for this behavior to remain efficient and unstressed. If these rules are not followed, then the bladder, and other pelvic organs , may be pushed into failure, given time. There is therefore a potential achilles heal that can, subtly and slowly, adversely impact maintenance of pelvic health.
The information offered here is directed at trying to optimize voiding behavior. The goal of this web site is to provide enough awareness of ongoing bladder behavior so as to keep it as non stressed as possible. If this can be achieved, logically, the bladder should age kindly, with a lower risk of the time related consequences that could very well be the destiny of the chronically (behaviorally) stressed bladder.