Fellowship-Trained Urogynecologist
Urogynecology & Reconstructive Pelvic Surgery
Green Bay, Wisconsin
✓ Medically reviewed March 2026
Bladder Problems After C-Section
Many women are surprised to develop bladder problems after a C-section. There’s a common misconception that avoiding vaginal delivery protects the pelvic floor entirely. While C-section does reduce some risks, pregnancy itself — the nine months of carrying increasing weight — places significant strain on the pelvic floor regardless of delivery method.
Why This Happens
- Pregnancy weight — months of increasing pressure on the pelvic floor weakens support structures
- Hormonal changes — pregnancy hormones soften connective tissue throughout the body, including the pelvic floor
- Surgical effects — the C-section incision and recovery can affect core and pelvic muscle coordination
- Pre-existing factors — genetics, weight, and other risk factors contribute regardless of delivery type
Dr. Stewart explains: “I see this misconception frequently. Women tell me, ‘But I had a C-section — how can I have incontinence?’ The answer is that pregnancy is the major risk factor, not just delivery. The pelvic floor supports increasing weight for nine months regardless of how the baby comes out.”
Signs You Should Seek Help
- Urinary leaking during coughing, sneezing, or exercise
- Urgency or frequency that developed during or after pregnancy
- Difficulty fully emptying your bladder
- Symptoms persisting beyond 6 months postpartum
Treatment Options
- Pelvic floor physical therapy — effective whether you delivered vaginally or by C-section
- Core rehabilitation — addressing the abdominal wall healing alongside pelvic floor recovery
- Behavioral strategies — bladder training and fluid management
- Specialist evaluation — a urogynecologist can assess the full picture
Dr. Stewart notes: “The treatment approach is essentially the same whether you had a vaginal delivery or C-section. Pelvic floor therapy is the foundation, and most women respond well.”
Your Next Steps
Don’t dismiss bladder symptoms because you had a C-section. Your experience is valid, your symptoms are real, and effective treatments are available.
Learn more about urinary incontinence
Schedule Your Appointment
Dr. Stewart understands the unique challenges you're facing and is here to help.
- No referral necessary
- Now accepting new patients
- In-person and virtual appointments available
- Most insurance plans accepted