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What is Pelvic Floor Biofeedback Therapy?

Pelvic floor biofeedback is a  physical therapy that can help women and men  learn how to contract and relax the pelvic floor muscles to help in reducing the symptoms associated with bladder control and pain syndromes

Bladder conditions that can be treated using biofeedback

Stress Incontinence — the loss of urinary control with physical activity.

Urge Incontinence — a strong urge to urinate that is uncontrollable.

Frequency — the need to go to the bathroom often.

Urine retention caused by abnormal pelvic muscle contraction

Interstitial cystitis

Painful bladder syndrome


What are the pelvic floor muscles?

The pelvic floor is a group of muscles attached to the pelvic bone that support the organs in the pelvis, including the bladder, uterus (womb)much like a hammock

These muscles also wrap around your urethra (the pipe from the bladder in which urine flows out of the body) Contracting and relaxing these muscles control bladder functions. When contracted these muscles effectively squeeze the urethra stopping urine leaking from the bladder. In order for the bladder to empty these muscles must relax to allow for urination Weakness in these muscles may also result in urinary incontinence. Painful bladder syndrome may be due to abnormal tension or spasm of these muscles.


How does pelvic floor biofeedback therapy work?

Pelvic floor biofeedback therapy works by training the brain, bladder muscles and the pelvic floor muscles to work together to tighten and relaxSome people may find it difficult to identify and exercise these muscles .By using biofeedback techniques in conjunction with Kegel exercises it helps patients to learn how to  properly relax and contract and the muscles of the pelvic floor more efficiently .

A small sensor probe is inserted vaginally for women or rectally for men along with small pads placed on the abdomen. to measure the contraction and relaxation of the pelvic floor muscles and abdominal muscles  in your body (bio) This information (feedback) is displayed on a computer screen showing not only the pelvic muscles but also nearby muscles such as the abdominal  muscles  that patients frequently substitute in an effort to overcome the problems caused by the weak or damaged, muscles of the pelvic floor

By following a set of specific exercises the aim is to contract the pelvic floor muscles around the sensor without using the abdominal muscles. You will be able to see the strength of your muscle contractions an  which muscles are being used during these exercises on a computer screen

Visual confirmation will enable you to relax or contract the correct muscles at the correct time to regain bladder control. Sometime to help the pelvic floor muscles to contract electrical stimulation via the sensor may be required to encourage the pelvic floor muscles to contract.



Normally weekly 1 hour sessions with a nurse specialist over  six to eight week period is suggested

After six weeks, the patient is re-evaluated and a specific exercise program to carry out at home is provided.

Just as we exercise regularly to tone muscles in the arms or legs or any other part of the body the same applies to pelvic floor exercise muscle strength will not be maintained without continued exercise.


How effective is Biofeedback

Pelvic floor therapy is effective treatment with up to up to 70 percent of patients reporting a significant improvement in their symptoms.

Biofeedback may also help avoid the need for medications or surgery.

For some patients, pelvic floor exercises and biofeedback therapy serve as a compliment to medication or surgery.