Our office provides comprehensive urological services to the community. Patients are referred by their physicians for bladder training, pelvic floor therapy, and urodynamics testing. In addition, patients without a physician’s referral can be seen by one of the urology nurses for assessment and assistance with urinary incontinence and fecal incontinence.
What is Pelvic Floor Therapy?
This conservative, non-surgical therapy is used to treat incontinence, urgency, pelvic pain, or to re-educate the pelvic floor muscles to restore and maintain health. A healthcare professional will educate, evaluate, and instruct you on proper isolation and exercise of your pelvic floor muscles. Often people attempt to exercise the pelvic floor by performing Kegel exercises, but do not realize that they are performing these exercises improperly, and therefore are not making progress. With the guidance of trained healthcare professionals, biofeedback offers a clear visual reinforcement of the accuracy and effectiveness of muscle exercises to obtain optimal results.
Pelvic Floor Muscle Exercise Therapy
Using pelvic floor therapy technology, a computer recorder monitors the strength of your pelvic muscles and your progress throughout the therapy. This computerized technology allows you to immediately see the results as you contract and relax the correct group of muscles according to a preset pattern of exercises. Think of this as your personal trainer while you “do a circuit” of exercises in the same way you might exercise other muscles at the gym. You will learn skills that will enable you to continue maintaining pelvic floor health throughout your life.
Electrical Stimulation during Pelvic Floor Therapy
Your physician may decide that your pelvic floor muscles could benefit from an extra boost of exercise which can be provided by directly stimulating these muscles. A very mild electrical stimulation causes the muscles to contract without your direct effort. Many people also report this offers a sensation that guides them in identifying the correct muscles to contract. This stimulation is often described as a tingling sensation. This is not painful and is always adjusted to your specific comfort.
What to Expect During Pelvic Floor Therapy
With each visit, you will consult with your healthcare professional about your progress and discuss your therapy regimen. Typically, this therapy consists of weekly sessions for 4 weeks. The first session will last about one hour while the remaining sessions will last less than an hour. A small medical device probe may be inserted vaginally or rectally to allow direct assessment of the pelvic floor muscles. Also adhesive patches may be placed on your abdominal muscles so that you can be assured that only the desired muscles contract while exercising. This probe and the patches are cleaned and reused for each therapy session. You may be asked to keep them and bring them with you each time you visit. It is important to always have these with you for your appointments.
How to Make an Appointment
Your physician will determine what type of pelvic floor therapy you will need.
Once testing or your initial therapy session is scheduled, you will receive verification of appointment time and location in the mail. You should arrive 10 minutes prior to your scheduled appointment in order to register.
It is a good idea to wear comfortable clothing to your therapy sessions, and if you use pads or absorbent products please bring a replacement with you.
If you have any additional questions please call our office.