Which specialist performs bladder training?

Bladder training, also called bladder retraining, is a structured way to change the timing and response to urination. A physiotherapist reviews your pattern, urgency, fluid habits and triggers, then helps you gradually lengthen the interval between planned toilet visits when appropriate. They may also teach calm breathing, pelvic floor coordination and strategies for managing a sudden urge.

The programme is individual. A general doctor, gynaecologist or urologist may first check for causes such as infection, medication effects or another bladder condition. Physiotherapy then supports the practical skills and daily routine used to manage symptoms.

Before your appointment, keep a bladder diary showing drinks, toilet visits, urgency, leakage and activities that bring symptoms on. Bring your medicine list and mention pregnancy, recent childbirth, pelvic pain or recurrent urine infections. Do not deliberately restrict fluids or hold urine for long periods without professional guidance. Ask the physiotherapist for a realistic schedule, what to do during a strong urge and how progress will be reviewed. The linked treatment page explains the approach in more detail.

Arrange prompt medical review for burning urination with fever, blood in the urine, new severe pelvic or back pain, inability to pass urine, or sudden loss of bladder control with weakness or numbness. These symptoms may need testing or urgent treatment rather than bladder exercises alone. Tell your clinician if leakage began after childbirth or surgery, or if symptoms are worsening despite following a plan.

Ask: Do I need a urine test before training? Is pelvic floor physiotherapy suitable for my symptoms? How often should I practise the schedule? What should I do when urgency appears? Which changes should make me stop and contact a doctor?