Double voiding is a behavioral technique that involves attempting to empty the bladder twice during a single restroom visit. This practice is specifically designed for individuals who feel they have not fully voided or who experience a rapid return of the urge to urinate shortly after leaving the toilet. The goal of this method is to ensure that the bladder is completely emptied, which helps to maintain urinary tract health. This article will explore the mechanism behind this technique, provide the proper steps for execution, and detail the negative consequences that can arise from performing it incorrectly.
Defining Double Voiding and Its Purpose
Double voiding addresses post-void residual (PVR) urine, which is the volume of urine remaining in the bladder after urination. In a healthy bladder, the detrusor muscle contracts effectively to expel nearly all urine. When the detrusor muscle is weak or obstructed, a significant volume of urine can be retained. This incomplete emptying leads to a constant sensation of fullness and an increased frequency of needing to urinate.
The purpose of double voiding is to minimize retained urine, which creates a stagnant environment. Stagnant urine provides an ideal breeding ground for bacteria, significantly increasing the risk of recurrent urinary tract infections (UTIs). Chronic incomplete emptying can also cause the bladder muscle to overstretch, further impairing its ability to contract. Healthcare providers often recommend this technique to manage symptoms and prevent complications like bladder stones or kidney issues.
The Correct Technique for Double Voiding
The correct technique requires a relaxed and deliberate, sequential process. Begin by sitting fully and comfortably on the toilet, avoiding hovering, which tenses the pelvic floor muscles and impedes urine flow. Lean slightly forward, resting your hands on your thighs or knees; this posture optimizes the angle of the bladder neck for drainage. Allow the urine to flow naturally without conscious straining or pushing from the abdominal muscles.
After the initial stream has completely stopped, remain seated and wait for 20 to 60 seconds. This brief pause allows the bladder muscle to potentially contract again. Following this pause, lean forward again, or try a gentle side-to-side rocking motion to mechanically shift the bladder’s position. This change in angle can release any urine that remained trapped after the first voiding attempt.
Attempt to urinate a second time, focusing on relaxing the muscles rather than forcing the flow. If only a few drops or a small stream is released, the technique has successfully removed the post-void residual. If this method is consistently difficult, or if you must actively press on your lower abdomen to void, consult a physician to rule out underlying issues.
Potential Risks of Improper Double Voiding
Double voiding is detrimental only when performed incorrectly, most commonly by aggressive straining or pushing with the abdominal muscles. Attempting to force the urine out using abdominal pressure instead of pelvic floor relaxation places excessive strain on the pelvic muscles and ligaments. This increased intra-abdominal pressure may lead to the weakening of the pelvic floor over time, potentially worsening conditions like urinary incontinence or pelvic organ prolapse.
Forceful voiding works against the natural process of urination, which requires the bladder muscle to contract and the pelvic floor to relax simultaneously. When a person strains, they are often tightening the pelvic floor, which can lead to dysfunctional voiding. Continuously straining to empty the bladder can also increase pressure within the urinary tract. If the second void does not happen easily after the recommended waiting period and postural adjustments, the attempt should be stopped. If symptoms of incomplete emptying persist despite proper technique, seek guidance from a healthcare professional to identify and treat the root cause.