Bladder & Bowel Archive

Few women realize how common pelvic prolapse is—and how easily treated. Here are five things you should know.

Two in three women over age 40 wake up at least once each night because of a full bladder, and nearly half make two or more nighttime trips to the bathroom. But only a quarter of women who get up to urinate during the night say they are bothered by having to do so.

That's the finding from a survey of more than 2,000 northern California women ages 40 and older. Factors that increased the likelihood that a woman woke at night to urinate included older age, past hysterectomy, hot flashes, and use of vaginal estrogen. However, the late-night bathroom breaks weren't caused by an overactive bladder or stress incontinence. The results were published in the January 2015 issue of the journal Obstetrics and Gynecology.

Keep hydrated, and empty your bladder often to stave off these risky infections.

Simple strategies can help you regain control.

As men age, the simple act of urinating can get complicated. Prostate surgery often leaves men vulnerable to leakage when they cough, sneeze, or just rise from a chair. Or the bladder may become impatient, suddenly demanding that you find a bathroom right now. "Thousands of years ago, it was not as much of an issue," observes Dr. Anurag Das, a urologist at Harvard-affiliated Beth Israel Deaconess Medical Center. "There were lots of trees, and you could just find one and go."

But tricky bladders can be whipped into shape. The first step is a careful assessment of what triggers those difficult moments. Then your doctor can suggest helpful strategies and possibly medication to improve urinary control.