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Pelvic Floor Physiotherapy Exercises for Urethra Prolapse

Pelvic Floor Physiotherapy Exercises for Urethra Prolapse
Exercise can help manage symptoms of urethral prolapse.

The official name for a prolapsed urethra is urethrocele. This condition is the result of damage to muscle tissues in your pelvis that surround your urethra, whereby the surrounding tissues begin to sag downward toward your vagina. Urethrocele is frequently accompanied by cystocele or urinary bladder prolapse. The two conditions often occur as a result of vaginal child birth. It may take many years for symptoms of urethrocele to appear or you may notice a problem immediately following delivery.

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According to the experts at the University of Michigan Health System, many women have some degree of urethral collapse but do not have symptoms. If you begin to experience difficulty passing urine, pain during sexual intercourse or leaking of urine, also called urinary incontinence, you may have a urethrocele. Visit your health care provider for diagnosis and treatment. If your condition is severe, it may require surgery. Exercise is also a treatment option that works well for many women with mild urethrocele.


Your chance of urethrocele and other pelvic floor disorders increases with the number of pregnancies resulting in vaginal deliveries. The stress of childbirth may weaken or stretch some of the supporting structures in your pelvis. Kegel exercises are useful to help strengthen the muscles surrounding your urethra. The exercises involve strengthening the muscles you use to control urination. If your exercise program is successful, it can help reduce your symptoms.


To be successful at kegel exercises, you need to identify the muscles that are involved in the process. Do not be alarmed if it takes some practice — you will succeed. A good way to feel the muscles that require exercise is to sit on the toilet and begin to urinate slowly. Next, tighten the muscles in your lower abdomen and pelvis until you stop the flow of urine. The muscles required to accomplish this task are the same muscles involved in kegeling. The technique requires contraction and relaxation of these specific muscles.

Kegel Repetitions

You can perform your kegel exercises while on the toilet until you can easily contract the correct muscles. Once you have mastered the technique, complete the exercises lying down, sitting or standing. No one will realize you are preforming kegel exercises because there is barely any external movement of your pelvis. Once you contract your muscles, hold for three seconds and relax for three seconds. Repeat your set of contractions and relaxation 10 to 15 times per session. Repeat your exercise sessions at least three times per day.

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