The following methods are used to strengthen the muscles of your pelvic floor:
- Kegel Exercises are to re-educate and strengthen the pelvic floor muscles. It involves tightening the muscles around your back passage, vagina and front passage, and to lift up inside as if trying to stop passing wind and urine at the same time.
- Real Time Ultrasound Imaging is state of the art technology used for training the important core muscles. It lets the physiotherapist to assess the function of the deep pelvic floor muscles and allows you to see the muscle contractions on a screen whilst performing the exercise. This helps you to identify the right muscles to be activated.
- EMG Biofeedback and Stimulation – Electrodes are placed in your pelvic area and around the back passage. These are then attached to a bio-feedback machine. The electrodes sense your muscle activity and the strength of contraction. This gives you an audio-visual feedback which helps you to locate the muscles. Once the right muscles are activated, you’ll get low-voltage electrical currents to stimulate the pelvic floor muscles in order to strengthen the contractions further.
- Bladder Retaining involves urinating on a schedule, whether you feel a need to go or not. In between those times, you try to wait for the next scheduled time. At first, you may need to schedule 1 hour intervals but gradually, you can increase by 1/2 hour intervals until you are only urinating every 3-4 hours without leakage.