I. Pressure is not only about magnitude. It is about duration.
A breathing pattern can be correct in direction but ineffective in time. Storage work needs slow, sustained down-regulation. Voiding work needs a gradual rise in abdominal pressure. The length of the pressure change is often what shifts symptoms.

II. Faster is not better for voiding. Slower is.
Many men strain because they increase abdominal pressure too quickly. The pelvic floor responds reflexively and shuts the flow down. A slow exhale with gradual abdominal expansion often initiates stream with far less effort.

III. The bladder responds to pacing more than force.
Urgency settles when pressure reduction is long enough to let the system quiet. Underactive bladders respond when pressure is raised slowly enough for the detrusor to sense volume and engage. The tempo you choose becomes part of the clinical intervention.

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I. “Nothing takes place in a vacuum. Everything depends on something else.” -Ursula K. Le Guin
Bladder control is not one muscle or one cue. It is timing, sequence, and relationship.

II. “Be quick, but do not hurry.” -John Wooden
Voiding needs intention without rush. Too much speed becomes self-defeating.

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When this patient breathes, is the pressure changing too quickly, too slowly, or not long enough to influence the storage or voiding phase you are trying to improve?

With care,

Team IPC