
Leaky Bladder, Pelvic Floor, UTIs, & Constipation: Dr. Rena Malik Gives Solutions To Get Control
Mel Robbins (host), Dr. Rena Malik (guest)
In this episode of The Mel Robbins Podcast, featuring Mel Robbins and Dr. Rena Malik, Leaky Bladder, Pelvic Floor, UTIs, & Constipation: Dr. Rena Malik Gives Solutions To Get Control explores pelvic Floor Secrets: Stop Leaks, UTIs, Constipation, and Take Control Mel Robbins and urologist Dr. Rena Malik unpack how the pelvic floor—a core set of muscles supporting bladder, bowel, and sexual function—is central to quality of life but widely misunderstood and ignored.
Pelvic Floor Secrets: Stop Leaks, UTIs, Constipation, and Take Control
Mel Robbins and urologist Dr. Rena Malik unpack how the pelvic floor—a core set of muscles supporting bladder, bowel, and sexual function—is central to quality of life but widely misunderstood and ignored.
They differentiate what’s common versus truly normal in issues like urinary leakage, overactive bladder, constipation, pelvic pain, and recurrent UTIs, emphasizing that these are treatable medical conditions, not personal failures.
The conversation covers root causes (childbirth, genetics, tight vs. weak muscles, constipation, prostate enlargement, lifestyle factors), practical first-line strategies (pelvic floor physical therapy, Kegels when appropriate, diet, hydration, irritant reduction), and when to seek specialist care.
Overall, the message is that shame keeps people suffering for years, but early evaluation and simple interventions can often prevent surgery, restore function, and dramatically improve confidence and daily life.
Key Takeaways
Common does not mean normal—and most pelvic floor problems are treatable.
Leaking urine, urgency, constipation, pain with sex, or recurrent UTIs are extremely common but not physiologically “normal. ...
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Understand your pelvic floor before you try to “strengthen” it.
The pelvic floor is a layered bowl of muscles that support organs, control sphincters, aid stability, orgasm, and lymph flow. ...
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Quality of life is the real threshold for seeking help.
If leaking, urgency, nighttime peeing, pain, or constipation make you avoid activities, alter your social life, or feel ashamed, that alone is reason to see a specialist—even if nothing feels “life-threatening” in the traditional medical sense.
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Pelvic floor physical therapy is often the best first-line intervention.
Certified pelvic floor PTs can assess whether your muscles are weak or tight, teach you correct Kegels and relaxation/stretching techniques, and guide safe progressions—often improving symptoms enough to avoid surgery, especially when started early.
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Lifestyle tweaks can significantly reduce bladder and UTI problems.
Managing constipation, moderating caffeine and alcohol, quitting smoking, adjusting fluid timing, walking more, increasing fiber, and losing excess weight (around 8% body weight if overweight) can reduce urinary urgency, frequency, leakage, and UTI risk by meaningful margins.
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Hydration and targeted cranberry supplements can help prevent recurrent UTIs.
Drinking 2–3 liters of water daily can cut recurrent UTI risk by about 46%, and evidence-based cranberry supplements (36 mg proanthocyanidins from the fruit, not sugary juice) can further help some patients, especially in patterns like post-sex infections.
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There are minimally invasive procedures if conservative methods aren’t enough.
Options like urethral bulking injections, pessaries, mid-urethral slings, bladder Botox, and tibial nerve stimulation exist for stress incontinence and overactive bladder; many are outpatient with short or no downtime and can be life-changing when symptoms are severe.
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Notable Quotes
“These things that we're gonna learn about and talk about today are not necessarily normal. They're very common, but they're not necessarily normal.”
— Dr. Rena Malik
“You don't have to suffer in silence. You don't have to just live with it.”
— Dr. Rena Malik
“It is extremely devastating, and we just like, 'Oh, everyone leaks a little.' Like, we just sort of brush it off like it's nothing.”
— Dr. Rena Malik
“My whole fricking life changed once I finally got the sling.”
— Mel Robbins
“You're worth it and you deserve to take time for yourself to take care of your body.”
— Dr. Rena Malik
Questions Answered in This Episode
How can an individual practically distinguish at home between a weak versus an overly tight pelvic floor, and what are the risks of guessing wrong with self-directed Kegels?
Mel Robbins and urologist Dr. ...
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What specific questions or tests should a patient request when they first see a doctor about leakage, urgency, or pelvic pain to ensure a thorough evaluation?
They differentiate what’s common versus truly normal in issues like urinary leakage, overactive bladder, constipation, pelvic pain, and recurrent UTIs, emphasizing that these are treatable medical conditions, not personal failures.
Get the full analysis with uListen AI
For someone with a traumatic birth history like Mel’s, what would an ideal early postpartum pelvic floor care plan look like to prevent long-term problems?
The conversation covers root causes (childbirth, genetics, tight vs. ...
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How should people balance the benefits of high water intake for UTIs and overall health against the downsides of overactive bladder symptoms or nighttime urination?
Overall, the message is that shame keeps people suffering for years, but early evaluation and simple interventions can often prevent surgery, restore function, and dramatically improve confidence and daily life.
Get the full analysis with uListen AI
What evidence-based criteria should guide the decision to move from conservative treatments (PT, lifestyle changes) to procedures like bulking agents, slings, or bladder Botox?
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Transcript Preview
What is the pelvic floor? You said this is a very important part of your anatomy that we don't talk about enough that has an impact on everything from normal urinary function, normal, like, pooping, your orgasm, all of it. Like, is it like a- a- a hammock down there? Like, what is it?
It's sort of like a hammock. Yeah, it's a bunch of different muscles, and there's actually layers to it. So the pelvic floor is actually part of your core. So people don't realize this. They think of core, they think of abdominal muscles, but it's actually a bowl of muscles that sits in the pelvis that holds up your organs. You're always using them, right? But it's a matter of, like, are they going through their full range of motion or are they tight or are they weak and you can't really put them through their full range of motion?
Well, this was my story. This is why I wanted to talk to you, because I just thought there was this wildly embarrassing thing that was happening to me. Like, it started to profoundly impair the quality of my life.
I can't tell you the number of women who wait years. Like, you ask them, "How long have you had this for?" "20 years, 40 years."
You're not some weirdo-
Mm-hmm.
... if you're having issues with leaking or with constipation, but your body is designed to function in a better way.
Exactly.
Hey, it's your buddy Mel. Thank you so much for being here with me today. I'm so excited that we are having this conversation, because this is an issue that I have dealt with personally, literally for over a decade. It's something that I wish I would have faced head-on sooner in my life. It would have improved my quality of life. And so I am really excited that you and I are going to learn a lot more about improving our pelvic health, because Dr. Rena Malik is here today. She is a board-certified, fellowship-trained urologist. She's a pelvic surgeon and a sexual health expert. She specializes in female pelvic medicine and reconstructive surgery and sexual medicine. Now, she runs a really busy medical practice that offers patient-focused care in bladder health, sexual health, and hormone management, with a particular expertise in urinary incontinence, which means leakage and accidents, and an overactive bladder. Dr. Rena is a medical powerhouse. She is known for her no-shame, science-backed YouTube videos that have over 300 million views. She has also published over 80 peer-reviewed research articles, and her extraordinary contributions to the field of urology earned her the distinguished title of the 2023 American Urological Association Young Urologist of the Year. Now, this is a topic that I care deeply about, and so does Dr. Rena. Like 40% of you, I have dealt with bladder issues, and I suffered in silence for years about it, and I will not let you do the same. Dr. Rena is here to help you and your loved ones, and she's gonna tell you exactly what you need to know and what to do about it in a no-shame, matter-of-fact, medically accurate way. So, let's jump into it. Dr. Rena, I'm so excited that you are here and that we're gonna talk about pelvic floor issues, and I wanna start by having you speak directly to the person who's listening. What can they expect to change about their life based on what they're gonna learn from you today?
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