Holistic Treatment
For The Whole Patient.

At Innovative Pelvic Health, conservative, non-surgical measures are always the first option in treatment — and they come in a wide (and growing) variety themselves. After a detailed history and physical examination, every patient is provided with an individualized plan of care. Initial steps to getting your problem under control will include behavior modification such as timed voiding techniques, fluid modification and dietary counseling, drug therapy and exercises designed to strengthen pelvic muscles.

After your very first visit to Innovative Pelvic Health, you may find yourself taking advantage of some of the following common treatment options.

Pessaries

These soft silicone devices fit inside the vagina to provide support for the pelvis. They are a common and effective treatment for pelvic organ prolapse and urinary incontinence. Pessaries have been used for centuries and are available in many different sizes and shapes that are expertly fit to meet the needs of each patient. Pessaries offer a safe and effective alternative for the patient who cannot have surgery due to health reasons, or for those who simply wish to avoid or postpone surgery. Pessary fitting and management are done in the office setting by the female nurse practitioners at Innovative Pelvic Health.


Kegel Exercises

Initially, nearly all patients are instructed on Kegel (rhymes with bagel) Exercises. These simple exercises have been used for years to successfully treat weak pelvic muscles, mild pelvic organ prolapse and many types of incontinence. Patients are taught to tighten and relax the pelvic floor muscles in a series. These exercises can provide impressive results but must be done correctly and on a regular basis to be effective.

Diagnostic Physiotherapy Testing

Further testing may be conducted if conservative measures such as diet changes and Kegels are unsuccessful. Diagnostic physiotherapy testing includes computerized electrical and pressure evaluation of the muscles of the pelvic floor using vaginal and rectal sensors. The findings of the tests are computer analyzed and used to develop an advanced treatment program tailored to your specific needs. Various techniques may then be recommended including:

Biofeedback Therapy

Biofeedback therapy has been utilized for more than 40 years to treat many medical conditions from headaches to high blood pressure. It may also be used in the treatment of urinary and fecal incontinence, pelvic muscle weakness and pelvic pain. Sensors are placed in the vagina, rectum and on the abdominal surface which are then analyzed by computer. The computer is able to generate images that provide useful "feedback." These painless therapy sessions are usually done on a weekly basis in our office, and very effective in gaining awareness, increasing strength and promoting control of the pelvic muscles.

Pressure Manometry

Uses computer technology to evaluate the muscles of the pelvic floor and to provide an exact recommendation of pelvic floor exercise. This effective technique is used in the treatment of incontinence as well as pelvic muscle weakness. Pressure sensitive readings are taken from either the vagina or rectum using a balloon sensor filled with air. Readings are then computer analyzed to determine strength and fatigue points and can be compared from session to session. Pressure Manometry is painless and may be done at weekly or biweekly intervals or greater to accurately monitor progress.

Pelvic Stimulation

(Also know as e-stim) Pelvic Stimulation is used in the treatment of pelvic muscle weakness, urge, stress and mixed urinary incontinence. A process called neuromuscular electrical stimulation delivers a gentle stimulus to the pelvic area that causes muscle contraction. This therapy can be used to treat muscle weakness and stress incontinence and helps to strengthen and tone muscles. Pelvic stimulation may also be used to relax the bladder muscle and ease muscle contraction in patients with overactive bladder and urge incontinence. Stimulation is delivered to the pelvis through a small tampon-like vaginal transmitter or using a suppository sized rectal transmitter. Weekly treatments are typically painless, last approximately 15 minutes and are done in our office.

Tibeal Nerve Stimulation

Used in the treatment of urgency, frequency, overactive bladder and urge incontinence. The Urgent PC Neuromodulation System delivers a small battery powered stimulus through an electrode placed near the tibeal nerve (near the ankle) to the nerves controlling the bladder. The painless treatments are done weekly for 12 weeks in our office.

Treatments Designed for Interstitial Cystitis / Painful Bladder

Further testing may be conducted if conservative measures such as diet changes and Kegels are unsuccessful. Diagnostic physiotherapy testing includes computerized electrical and pressure evaluation of the muscles of the pelvic floor using vaginal and rectal sensors. The findings of the tests are computer analyzed and used to develop an advanced treatment program tailored to your specific needs. Various techniques may then be recommended including:

Potassium Sensitivity Testing

Frequently used to evaluate the bladder lining in suspected Interstitial Cystitis. A small catheter is placed inside the bladder to instill a solution containing potassium chloride. Patients with Interstitial Cystitis may experience bladder pain and urgency during the procedure. After completion of the testing, mild numbing agents such as lidocaine may be placed in the bladder to ease any discomfort.

Bladder Instillations

Many different agents may be used for the treatment of Interstitial Cystitis. These solutions are administered directly into the bladder in order to provide acute and symptomatic bladder pain relief in the Interstitial Cystitis patient .The Nurse practitioner will develop an individualized solution to best achieve relief from bladder pain and voiding urgency.

Dietary Irritants

Decreasing dietary potassium intake and assisting to identify other dietary triggers may help to reduce symptom flares of urinary urgency, voiding frequency, and pain. Maintaining food diary and total-elimination diet followed by systematically reintroducing potential trigger items one by one assist to identify bladder dietary irritants.

Medications

A variety of medications are currently available to treat complaints of overactive bladder, bladder pain, urinary urgency, frequency and interstitial cystitis. When taken as directed, these medications have been proven effective in providing substantial relief from bladder and pelvic complaints — and have lead to a vast improvement in quality of life for many people.