Pelvic floor disorders such as urinary or bowel incontinence, pelvic organ prolapse (POP), uterine prolapse, urinary urgency and frequency, and bladder or pelvic pain are frustrating and troublesome for the many women who experience them every day. We want to help women become free of bothersome pelvic conditions so they can live their lives with confidence and comfort.
The pelvic floor is a set of muscles spread across the bottom of the pelvic cavity like a hammock. A woman’s pelvic floor muscles can weaken as a result of pregnancy and childbirth, frequent heavy lifting or recurrent strain from bowel movements, smoking or chronic cough, and with hormonal changes, such as menopause. Weak pelvic floor muscles can lead to involuntary leakage of urine or bowel, and pelvic organ prolapse.
Treatment for pelvic floor conditions supports a woman’s abdominal and pelvic floor muscles, specifically the ligaments and muscles supporting the uterus and vaginal walls. This type of treatment helps women withstand increases in pressure from coughing, sneezing, laughing, straining and lifting. Additional benefits may include increased sexual response and reduced lower back pain, hip pain or lower extremity pain.
Our comprehensive Urostym program provides complete care for weakened pelvic muscles. The program starts with an evaluation of the strength of your pelvic floor through two tests: anorectal manometry and EMG. These tests allow us to understand your baseline pelvic floor status and endurance, so we can prescribe a targeted and individualized treatment program.
Anorectal Manometry includes testing using small sensors that we monitor as you tighten specific muscles. Electromyography (EMG) is a diagnostic procedure designed to assess the health of muscles and the nerve cells that control them (motor neurons).
Who Can Benefit?
Women who experience pelvic floor disorders can benefit from our comprehensive Urostym program. Some of the symptoms helped by the program include:
- Urinary incontinence
- Bowel incontinence
- Pre- or post-partum strengthening
- Pelvic organ prolapse
- Irritation when voiding
- Pelvic or rectal pain
- Urinary urgency or frequency
What to Expect
Your first visit will take approximately one hour in which we will review your health history and goals of treatment, and assess a two-day voiding diary and a Pelvic Floor Inventory Questionnaire.
The Urostym program will then be used to determine an effective course of treatment. Treatment usually includes exercises to maintain the strength, tone, and elasticity of the pelvic floor along with biofeedback, electrical muscle stimulation and behavioral modifications.
Clients may be guided in the proper performance of Kegel exercises and “Quick Flick,” i.e. fast twitch exercises. Pelvic floor biofeedback helps women strengthen and relax their pelvic floor muscles by measuring muscle activity. This activity is displayed as a visual graph that gives the patient immediate feedback on the cues for contracting and relaxing the muscles. Muscle stimulation is used for strengthening as well as to support muscle re-education and rehabilitation of weak pelvic floor muscles so that nerves and muscles will better respond to therapy.
For certain bladder symptoms, behavior modification is the final component of our program, and includes work to retrain the bladder to hold larger volumes of urine. This treatment also includes a review of common dietary bladder irritants to determine if dietary changes will result in a decrease in bothersome bladder symptoms.
Seventy five to eighty percent of the patients we see have significant improvement or cure with this type of therapy alone. We recommend appointments every week initially, with an average of six to eight visits in total. Improvements should be seen in three to four visits if this therapy is going to be successful for you.
- Kegel exercises
Pelvic floor exercises, or Kegel exercises, consist of repeatedly contracting and relaxing the muscles that form part of the pelvic floor as part of a treatment for incontinence and other pelvic floor issues.
In medicine, prolapse is a condition where organs, such as the uterus, fall down or slip out of place. It is used for organs protruding through the vagina or the rectum.
- Stress Incontinence
Stress incontinence is urinary incontinence/leakage with activity.
Some common symptoms are:
- Leaking with coughing
- Leaking with laughing
- Leaking with sneezing
- Leaking with exercise