Pelvic Floor Training

A Non-Surgical Solution For
Urinary Incontinence

If you are dealing with mild to moderate overactive bladder or stress urinary incontinence, the problem is based in your pelvic floor. After women experience childbirth, and also with the natural aging process, pelvic floor muscles no longer function as well as they used to. The result is a leaky bladder.

Houston Female Urology is one of the only practices in Houston to offer Pelvic Floor Training. Most urologists and urogynecologists do not offer this unique treatment, and it is one of the simplest ways to fix urinary incontinence and overactive bladder.  It is also considered a first-line treatment option in practice guidelines.

What is Pelvic Floor Training?

Pelvic floor muscle training is a non-surgical treatment to tone the pelvic floor muscles and retrain the bladder nerves.  The treatment consists of a 20-minute session, in the office, once a week for 8 weeks.  Using a vaginal and a small rectal probe, we can determine the strength of your pelvic floor muscles and stimulate the nerves to retrain your overactive bladder. The nerve endings to the pelvic floor and bladder are intermingled, and when the pelvic muscles get stronger, the nerves are retrained. In addition, the stimulation of the nerves, via the vaginal probe, directly targets and retrains the bladder nerves.  These treatments also improve fecal incontinence by strengthening the rectal sphincter.

Along with the in-office treatment, we will create a Kegel exercise program specifically designed for you, and explore what you are drinking or eating that may be exacerbating your condition.

What is the Pelvic Floor?

The pelvic floor is a group of muscles, in a bowl shape, that stretches from the pubic bone to the tailbone, and across from left to right.  These muscles help support the pelvic organs (including the vagina, bladder and rectum) and help provide function to these organs.

In order to restore continence and control, we need to retrain the interconnected urethral and rectal sphincters.  You can learn where these muscles are by squeezing the muscles you use to hold back from passing gas, or by stopping your urinary stream the next time you go to the bathroom.  (But please remember to not routinely practice your pelvic floor muscle toning while urinating! That will cause dysfunctional voiding.)

Which conditions does Pelvic Floor Training treat?

Stress Urinary Incontinence

The loss of urine with activity, such as coughing, sneezing, and laughing, is called stress urinary incontinence.  It is a common problem that can limit your activities as the symptoms get worse, and you need thicker and thicker pads to absorb the leakage. Toning up the pelvic floor is a great way to improve urinary continence without surgery, and it is best to treat the condition early before it gets worse.

Overactive bladder

This very common bladder problem causes both urgency and frequency of urination that result in too many trips to the bathroom. Sometimes women feel such a strong urge to urinate (that “gotta go” feeling) that they cannot make it to the bathroom in time, and end up wetting themselves.

Does Pelvic Floor Training help my sex life?

Yes! These muscles are very important in improving the ability to achieve and feel an orgasm.  When these muscles get stronger, your sex life will improve.  You will be able to generate more positive friction during intercourse and your orgasms will be stronger.

What can I expect after treatment?

The vast majority of women report significant improvement with their leaky-bladder symptoms. To maintain the improvement, you will need to continue the Kegel exercises that we design for you.

Sometimes women choose to follow up their Pelvic Floor Toning with one of our other incontinence treatments. When combined with EMSella, pelvic floor training will boost muscle strength even more quickly. You can also combine the training with ThermiVa  to boost collagen and blood flow to the pelvic floor, to better restore its function.

If pelvic floor training is not 100% effective for you, you will have a better base to work from for other treatments.  Some patients use pelvic floor training for stress urinary incontinence, and while they do get stronger and drier, they still need surgery for the complete cure. If this is the case, your surgery results will last even longer because the muscles were prepared, in advance, by Pelvic Floor Training,