Pelvic Health and Incontinence Training
Learn how to improve your control and enjoy a more active life.
The Pelvic Health and Incontinence Program is rehabilitation that includes both education and exercise to treat pelvic dysfunction. Pelvic dysfunction refers to any impairment located in the pelvic area. The most common pelvic dysfunctions are:
Symptoms: Accidental leakage of urine
Symptoms: Accidental bowel movements, painful and/or infrequent bowel movements and constipation
Symptoms: Any pain from the lower stomach into your pelvis, including discomfort while sitting, with urination, with bowel movements and with sexual intimacy, which may be caused by muscle spasms, tightness and weakness of the pelvic floor muscles
Pregnancy and Childbirth Issues
Symptoms: Urinary incontinence, bowel incontinence and/or pelvic pain and difficulty with sexual intimacy during or after having a child from changes in posture, strength, joint mobility and the weight of a growing baby pressing against the pelvic floor
Middlesex Hospital’s Physical Rehabilitation Department provides a number of services that may be helpful to the transgender person. Hormone therapies, medications or gender transition surgery can sometimes result in problems with movement, ongoing pain, incontinence or bladder issues. The Department offers several programs to help with these issues. All of our locations have private spaces for you and your therapists to work on helping you feel better and aiming for the best outcome.
Because many symptoms are caused by pelvic floor muscle weakness and dysfunction, a specially trained physical therapist is the ideal provider to help you gain control over your symptoms.
Bladder Self-Assessment Questionnaire
- Leak or wet yourself when you stand up, cough, laugh or sneeze?
- Feel an uncomfortable urge to urinate?
- Sometimes wear pads to absorb urine, or "just in case?"
- Wake up more than twice during the night to use the toilet?
- Sometimes feel your bladder is not quite empty?
- Often feel anxious because you think you might not make it to the toilet in time?
Bowel Self-Assessment Questionnaire
- Leak when you stand up, cough, laugh or sneeze?
- Have to push or strain during bowel movements?
- Have pain during bowel movements?
- Have accidental bowel movements after a meal or beverage?
Pelvic Pain Self-Assessment Questionnaire
- Have pelvic, rectal, vaginal or genital pain, numbness or tingling at any time?
- Still have pain from a pelvic area surgery?
*If you answered "yes" to any of these questions, you may have a bowel, bladder and/or pelvic pain problem that can benefit from Middlesex Hospital's Pelvic Health and Incontenence Trianing Program
Treatment plans may include:
- Pelvic floor muscle strengthening
- Core muscle strengthening
- Postural awareness
- Electrical stimulation for urinary incontinence, strengthening and pain relief
- Biofeedback to help patients relax or strengthen pelvic floor muscles
- Behavioral and dietary modifications