I. In male LUTS, the direction of pressure is the real intervention.
Every inhale sends pressure somewhere: chest, ribs, abdomen, pelvis, or spine.
Two men can “breathe well” yet create opposite bladder effects depending on where the pressure travels.
Your work is not to fix the breath. Your work is to guide the direction.

II. Storage and voiding need different mechanics.
Storage improves when pressure moves away from the lower abdomen.
Chest and lateral costal patterns drop pressure. Pelvic expansion does it gently over time.
Voiding improves when pressure increases in the lower abdomen.
Slow abdominal expansion triggers flow without provoking guarding.

III. Pressure control should change symptoms in the same session.
Urgency should soften within a few breaths.
Initiation should improve when pressure rises gradually.
If nothing changes, adjust the direction. Pressure is immediate feedback.

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I. “The first rule of tinkering is to save all the pieces.” -Richard Feynman
Each pressure pattern gives you one more piece of the bladder puzzle. Keep testing until the picture becomes clear.

II. “Clarity is the elimination of what does not matter.” -Naval Ravikant
Once you identify the pressure direction that drives the symptom, everything else becomes optional. Cue only what moves the needle.

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Where does this patient’s inhale actually travel, and does that direction support the phase you want to change today?

With care,

Team IPC