2006 Brookwood Medical Center Drive, Ste. 405
Birmingham, AL 35209

Pelvic Floor Muscle Rehabilitation

Healthy pelvic floor muscles protect women from incontinence and prolapse.  Many times these muscles become weak with time or injury such as after childbirth.  Pelvic floor muscle strengthening and retraining can improve bladder and bowel control as well as decrease symptoms of prolapse such as pressure and bulging with early stages of prolapse.

Many women will try Kegel exercises but become frustrated when they either do not improve the bothersome symptoms or women feel like they are not doing them correctly.  Kegels or pelvic floor exercises are challenging to do correctly which is why Pelvic Floor Rehab can be beneficial.

Women undergo guided pelvic floor muscle retraining using a special set of sensors. During this training, women learn how to correctly use their Pelvic Floor Muscles to improve symptoms associated with various pelvic floor disorders.  

This guided pelvic floor muscle training helps women learn to use their pelvic floor muscles in a meaningful way to treat urinary incontinence, fecal incontinence and early stages of pelvic organ prolapse.  It can also help reduce the risk of progression or recurrence of pelvic organ prolapse.  During this training, women learn to isolate their “Kegel” muscle and strengthen it to improve pelvic floor symptoms.  

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Sacroneuromodulation with InterStim

This third line treatment option for women who have tried and failed lifestyle modifications and medical management, provides relief for many women who urge urinary incontinence, urinary retetention and fecal incontinence.  During this two step procedure, women undergo a trial period for approximately a week during which time we are able to see if the therapy will adequately improve bladder or bowel symptoms.  If the test period is successful, we then move to placing a permanent neurostimulator.  This therapy has been available in the United States since 1996 and continues to safely and effectively provide many women relief from their bladder or bowel symptoms.

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Surgical Treatment of Fecal Incontinence

Bowel accidents can be distressing and have a significant impact on one’s daily activities as well as quality of life.  It commonly occurs in women who have had an injury to the muscle surrounding the rectum after childbirth.  This can occur early in life but most often becomes a problem later when the muscles begin to weaken.  Once this problem has been identified, it can be addressed in a variety of ways.  Surgical treatment options are available but are less commonly employed than more conservative options such as lifestyle modifications, pelvic floor muscle retraining and sacroneuromodulation.

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