Many women have had experience with laughing too hard or coughing too forcefully and having had “an accident.” However, many of us have ongoing problems regarding urinary incontinence and are reluctant to seek help. Having 12 or more leaks during the day or getting up every hour at night or having to use pads or adult diapers may be something that you are dealing with currently. Sometimes this is due to denial and see this as a normal part of aging. Other times, this may be due to not knowing what to do. Consequently, it may be years before treatment is sought.

 

  • If you frequently get up to urinate at night.
  • If you notice dribbling of urine after urination.
  • If you ever leaked urine and/or stool without control.
  • If you have chronic constipation.
  • If you have problems with sexual activity.

Incontinence Evaluation

If you have any of the above issues, you may have issues with incontinence/ pelvic muscle floor strength and we can help.

Did you know that there is a solution for you that DOES NOT require surgery?! We want to help you improve your urinary health by providing you with urodynamic testing and pelvic floor rehabilitation program. We have partnered with Mobile Diagnostic Solutions to offer women a possible solution for this problem of incontinence.

What Steps to Expect

Evaluation & Diagnosis:

  • Call us at (407) 345-5055 to make an appointment. We will take a detailed history of your symptoms. You will be asked to fill out a questionnaire by Mobile Diagnostics Solutions that assesses your diet, lifestyle, history, and any physical problems that may be occurring.
  • Physical exam will be done by the healthcare provider to evaluate your pelvic floor muscles.
  • Additional tests such as bloodwork and/or sonogram may be scheduled.
  • A diagnosis will be made such as Pure Stress Incontinence, Cystocele, Post Void Dribble, and/or others.
  • Recommendation for Urodynamic testing will follow.
  • Precertification will be done by our office to ensure Medical Insurance Coverage.
  • Urodynamic test appointment will be scheduled.
  • Appointment confirmation will be made.
  • After Urodynamic test has been completed, a follow-up appointment will be made to discuss the results.
  • Recommendation for Pelvic Floor Rehabilitation (PFR) or physical therapy for your bladder/pelvic floor muscles and appointment will be made by Mobile Diagnostics Solutions.

Treatment & Therapy

  • A pelvic floor rehabilitation associate from Mobile Diagnostic Solutions will call you to schedule an appointment for your therapy.
  • Therapy for the next 8 weeks : once a week will be determined between you and your physical therapist.
  • Your therapist will call you weekly to confirm your appointments.
  • During each session, you will be assessed by biofeedback and receive gentle nerve stimulation to improve your pelvic muscles. Your physical therapist will recommend exercises that you will practice throughout the week. By doing this, you WILL see improvement.
  • After your therapy program, you will have a follow-up appointment with one of our doctors or a nurse practitioner about six weeks after to monitor your progress.

Urodynamics Testing

Urodynamics testing is approximately a 20 minute procedure where the therapist will perform various tests to assess your bladder function including filtration, storage and voiding. It will also evaluate your urethral function and neurological reflex patterns. It is done here at the office and as each step of the test occurs, the therapist will explain and teach you what she is doing and why.

 

Pelvic Floor Rehabilitation

This is a once a week (total of 8 weeks) physical therapy for the pelvis done here at the office. The entire visit should take approximately 30 minutes where you will be taught how to use your muscles responsible for continence. With educational materials as well as a detailed home exercise program, you will see improvement weekly. Just like going to the gym to “work out your biceps/abs/buttocks”, you are required to “work out your pelvic floor muscles” weekly as well in order to strengthen those muscles. Studies have shown up to an 85% improvement with this program lasting seven to eight years. These results are similar to the results you would receive with surgical intervention.