O U R S E R V I C E S
Our Pelvic Floor Rehabilitation Program Can Help You Take Control
The UCSF Women's Continence Center recognizes the importance of helping women with incontinence take control of their problem. Our Pelvic Floor Rehabilitation Program is a unique and important part of our clinical services. It provides women with the tools and skills necessary to regain control.
Pelvic floor rehabilitation is a term that describes a systematic approach to improving the strength and function of the muscles which support the bladder, urethra and other organs contained within the bony pelvis.
A group of muscles, called the levator ani, stretch from the pubic bone (symphysis pubis) to the tail bone (coccyx) creating the "floor" of pelvis. The urethra, vagina, and anus pass through small openings in this muscle group. The levator ani (also called pelvic floor muscles or PFM) help maintain pressure within the urethra, which in turn prevents urine leakage at inappropriate times. Strong muscles also may reduce or alleviate the involuntary bladder contractions associated with overactive bladder, and help to keep the bladder, uterus and rectum in their proper position within the pelvis. These muscles may become damaged or lose strength and tone due to aging, childbirth, surgery, illness or other condition.
Pelvic floor rehabilitation uses the principles of physical therapy to provide a structured program for muscle reconditioning. Our Pelvic Floor Rehabilitation Program is staffed by a nurse practitioner and physical therapist who specialize in urinary incontinence and prolapse.
We work with each woman to develop an individualized program for building strength and improving the function of the pelvic floor. The components of an individually designed program may include pelvic muscle exercises (Kegels), biofeedback, and/or electrical stimulation of muscles depending on the symptoms and type of problem.
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