3-2-1: Dynamic Interplay in Continence Control

I. Healthy men vary in how they hold back urine
Some rely more on levator ani, others on the urethral sphincters. There is no single “gold standard” contraction strategy.

II. Cue creativity matters
One patient may need “stop the flow of urine,” another may need “lift the nuts to the guts.” Variation is not dysfunction but individual patterning.

III. Loss of one strategy demands adaptation
Post surgical men may need to recruit new muscles they have never relied on before. Expect struggle and guide them into unfamiliar control pathways.

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I. Neuroscientist Santiago Ramón y Cajal on plasticity:
“Any man could, if he were so inclined, be the sculptor of his own brain.”
Targeted cues and reps reshape continence control.

II. Martial artist Bruce Lee on adaptability:
“Be water, my friend.”
When one cue strategy fails, flow to another that works.

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How might reframing “dysfunction” as “variation” change the way you guide a struggling patient?

With care,

Team IPC