Pelvic Muscle Rehabilitation

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The Queen's Medical Center

Cystoscopy/Kidney Stone Center
Pelvic Muscle Rehabilitation


What is Pelvic Muscle Rehabilitation?
The pelvic muscles stretch from the pubic bone to the tail bone. These muscles support the bladder and are important for bladder control.

Pelvic muscle rehabilitation includes pelvic muscle exercises, biofeedback therapy, and pelvic floor electrical stimulation. With supervised instruction, patients are taught how to strengthen their pelvic muscles to regain or improve their bladder control. It is a safe and effective treatment of urinary frequency as well as urge and mild stress incontinence.

It is contraindicated for patients with a cardiac pacemaker, urinary or vaginal infections, menses or pregnancy.

What Does Treatment Entail?
Band-aid like, sensors are placed on the abdomen. Vaginal probe for women and anal probe for men are used to monitor pelvic muscle activity as well as provide electrical stimulation. The sensors and the probe are connected to a special computerized equipment which translates muscle activity into a picture, a "feedback" to the patient. It shows the patient how their pelvic muscles are performing. Electrical stimulation is not painful. It strengthens the muscles and increase sphincter tone.

Who Will Benefit?
Biofeedback therapy is not for everyone. Patients must be willing to commit to six weekly biofeedback sessions. He or she must be well motivated to do 30 pelvic floor muscle exercises three times a day. The nurse is just a "bladder coach", the success of treatment is based on how diligently and consistently the patient does the pelvic muscle exercises.

What Are the Benefits?
Research has shown that biofeedback is an effective short and long term treatment. As the pelvic muscles grow stronger with exercise, patients are more and more successful in preventing urine loss. The muscles can be used to quiet the sensation of urgency, so patients with urge incontinence have more time to reach the bathroom. Electrical stimulation is thought to inhibit overactive bladder contractions.


Monday thru Friday:
8:00am to 4:30pm

 


808.691.4100

 


808.691.7860

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