Protect Your Bladder as You Age: A Comprehensive Guide to Lifelong Urinary Health

Bladder health

By Dr. David Samadi

Aging often brings visible signs like gray hair, wrinkles, and joint stiffness, but one lesser-known change happens inside your body—specifically, to your bladder. As the years go by, the urinary system undergoes changes that can impact its function. Taking proactive steps to maintain bladder health now can make a big difference in the future. Here’s a look at how aging affects your bladder and what you can do to keep it functioning optimally:

Changes in the Urethra

The urethra is vital in carrying urine from the bladder out of the body. However, aging can alter how it works:
  • In men, the prostate gland surrounding the urethra often enlarges with age, potentially causing urinary urgency or frequency.
  • In women, weakened pelvic muscles from childbirth may cause the bladder to shift, sometimes making it harder to empty.
What You Can Do:
  • Wear loose-fitting cotton underwear to reduce moisture buildup, which can encourage bacteria growth.
  • Avoid tight pants and synthetic fabrics like nylon that trap heat and moisture.
If you experience difficulty urinating, it’s essential to consult your doctor for evaluation and treatment.

Stiffening of the Bladder Wall

As the bladder ages, the muscles lining its walls can weaken, reducing its elasticity and capacity. This stiffness can lead to incomplete bladder emptying and increase the risk of urinary problems. What You Can Do:
  • Practice Kegel exercises daily to strengthen pelvic muscles and improve bladder control.
  • Try Pilates to target core muscles, helping reduce stress incontinence.
Regular physical activity and mindfulness around bladder habits can help maintain strength and flexibility.

Increased Risk of Bladder Infections

Urinary tract infections (UTIs) are more common in older adults, particularly in postmenopausal women. Symptoms may include urgency, leakage, and lower back or abdominal pain. What You Can Do:
  • Drink at least 8 cups of water daily to flush bacteria from the urinary tract.
  • Wear breathable cotton underwear.
  • Women should always wipe front to back after using the restroom to avoid spreading bacteria.
  • Empty your bladder after sexual activity to lower the risk of infection.
If infections are recurring or severe, consult a healthcare provider for additional preventive strategies.

Leakage and Bladder Stones

Accidental urine leakage, or incontinence, becomes more common with age. This condition can be frustrating but is often manageable with lifestyle changes and medical support. Bladder stones and painful mineral deposits in the bladder are another age-related concern, particularly in men. What You Can Do to Manage Incontinence:
  • Maintain a healthy body weight helping reduce pressure on the bladder.
  • Limit alcohol and caffeine, which can irritate the bladder.
  • Schedule regular bathroom breaks to avoid overfilling the bladder.
  • Perform Kegel exercises regularly to improve bladder control.
What You Can Do to Reduce Bladder Stones:
  • Drink 8 cups of water everyday keeping hydrated and to dilute urine.
  • Practice “double voiding” by waiting a few seconds helping empty the bladder fully.
If you experience severe symptoms or suspect bladder stones, seek medical advice for further evaluation.

Higher Risk of Bladder Cancer

One of the most common cancers in the U.S that increases with age is bladder cancer. Men are particularly vulnerable, though women are also affected. Risk factors include smoking, chemical exposure, and family history. Bladder cancer symptoms can include blood in the urine, pain during urination, frequent urination, or persistent lower back pain. What You Can Do:
  • Quit smoking, as tobacco use significantly increases bladder cancer risk.
  • Eat a balanced diet of fruits and vegetables, aiming for five servings daily.
  • Drink plenty of water to help flush harmful substances from your bladder.
  • Minimize exposure to harmful chemicals, especially in workplaces involving paint, rubber, or printing materials.
Early detection is crucial, so don’t delay speaking to a healthcare provider if you notice concerning symptoms.

Final Thoughts

Bladder health is an often-overlooked aspect of aging, but it deserves attention. Adopting these strategies can protect your bladder and maintain urinary health for years. If you’re experiencing bladder-related issues or have questions about prevention, schedule a visit with a healthcare provider. Caring for your bladder today can help you age confidently and comfortably tomorrow.   Dr. David Samadi is the Director of Men’s Health and Urologic Oncology at St. Francis Hospital in Long Island. He’s a renowned and highly successful board certified Urologic Oncologist Expert and Robotic Surgeon in New York City, regarded as one of the leading prostate surgeons in the U.S., with a vast expertise in prostate cancer treatment and Robotic-Assisted Laparoscopic Prostatectomy.  Dr. Samadi is a medical contributor to NewsMax TV and is also the author of two books, Prostate Cancer Now What? A Practical Guide to Diagnosis, Treatment, and Recovery and The Ultimate MANual, Dr. Samadi’s Guide to Men’s Health and Wellness, available online both on Amazon and Barnes & Noble. Visit Dr. Samadi’s websites at robotic oncolo gy and prostate cancer 911.