Pelvic Muscle Rehabilitation

Pelvic floor muscle exercise (Kegel exercises) is one form of nonsurgical treatment for urinary incontinence. Numerous studies have shown that learning how to control and strengthen the pelvic floor muscles helps women reduce or eliminate urine leakage. This improvement is seen in leakage caused by physical activities and also with urgency. Women with mild to moderate symptoms experience the greatest improvement. Like any other form of exercise, improvement is a reflection of good exercise technique and dedication to doing the exercises regularly. A specially trained Nurse practitioner performs this therapy in a comfortable office setting.

Electrical Stimulation. Pelvic floor muscles can be stimulated in order to improve the muscles performance. This form of therapy is useful for many forms of urinary incontinence. This technique can be provided in conjuction with biofeedback therapy in the office setting.

Bladder retraining or bladder drills. To begin bladder retraining it is recommended to empty your bladder on a set schedule. Some women don’t get the message that their bladder is full until it’s too late. The goal of this exercise is to regain bladder control by emptying before the sudden strong urge comes. You or your doctor can decide where to begin after reviewing a completed bladder diary. The interval between urination is extended every few days as long as leaking accidents are avoided. A comfortable goal to reach is urinating every 2 1/2 to 3 hours. The bladder retraining period can take several months and requires



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