Based on your health history and the pelvic floor muscle measurements taken during your first visit, a plan of care is developed specifically for you. This may include:
1. Urodynamics: This study evaluates how your bladder muscles hold urine, measures your bladder capacity, and also determines how well you control bladder function. A micro-thin catheter is placed in the bladder and filled with sterile water. In order to reproduce your bladder symptoms, you should report any sensations you feel during the study. In addition, you may be asked to cough, bear down or stand during the test. At the end of the study, you will be asked to urinate.
2. Pelvic Floor Rehabilitation: Sophisticated instrumentation is used to determine that the correct muscle is being contracted, and when the muscle begins to fatigue. After isolating the appropriate muscles and exercise plan is developed with specific muscle strengthening instruction. Much like a personal trainer in a gym.
3. Pelvic Floor Stimulation: A mild stimulus is used to stimulate pelvic muscles and cause a comfortable, timed contraction of the pelvic floor muscles. Stimulation aids in muscle reeducation and strengthening, and decreases muscle spasm associated with bladder dysfunction and pelvic and pelvic pain in both men and women.
4. Bladder Retraining: Once strength is improved, the bladder can be “retrained” to hold a larger volume of urine so bathroom stops are not so frequent.
5. Dietary Changes: Often simple dietary modifications can help alleviate bladder dysfunction.
After your initial visit, you will be asked to return to the office for a series of Pelvic Floor Rehabilitation visits. These visits will last approximately 30 minutes. Most people require 7-9 treatments before they are discharged with a successful outcome. A positive change in your symptoms should be noticed in 3-4 visits. This does not mean you will be cured in 3-4 visits but should begin noticing improvement. We encourage our patients to continue any vacation or travel plans. Instructions can be given to maintain your level of rehabilitation until you return.