Pelvic Floor Rehabilitation Program

The UCSF Pelvic Floor Rehabilitation Program, offered by the UCSF Center for Urogynecology and Women's Pelvic Health, provides women with the tools and skills necessary to regain bladder control. Patients may be referred to the program by their doctors.

Pelvic floor rehabilitation is an approach to improving the strength and function of the muscles that support the bladder, urethra and other organs within the pelvis. These muscles, called the levator ani or the pelvic floor muscles, stretch from the pubic bone to the tailbone, creating the "floor" of the pelvis. The urethra, vagina and anus pass through small openings in this muscle group. The levator ani may be damaged or lose strength and tone due to aging, childbirth, surgery, illness or other conditions.

The levator ani helps maintain pressure within the urethra, which in turn prevents urine leakage. Strong muscles may alleviate the contractions associated with overactive bladder, and help keep the bladder, uterus and rectum in their proper positions.

Pelvic floor rehabilitation uses the principles of physical therapy to provide a structured program for reconditioning these muscles. Our program is staffed by physical therapists who specialize in urinary incontinence and pelvic organ prolapse.

We work with each woman to develop a personalized program for building strength and improving pelvic floor function. The components of an individual program may include pelvic muscle exercises (Kegel exercises), biofeedback or electrical stimulation of muscles.

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    Patient education

    Biofeedback for Incontinence

    Biofeedback takes information about something happening in the body and presents it in a way that you can see or hear and understand. Learn more here.

    Bladder Training

    Bladder training is an important form of behavior therapy that can be effective in treating urinary incontinence. Learn more here.

    FAQ: Incontinence

    Urinary incontinence is the involuntary loss of large or small amounts of urine, and it is thought to affect 13 million Americans. Learn more here.

    Pelvic Muscle Exercises

    Pelvic muscle exercises, also known as kegels, are an essential part of improving incontinence and preventing it from worsening. Learn more here.

    Pessaries

    The pessary is a device (firm ring) that is placed into the vagina to support the uterus or bladder and rectum. Learn more here.

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    What to Bring

    • Photo I.D.
    • Health insurance card
    • Insurance authorization, if required
    • Doctor's referral, if required
    • Recent test results related to your condition
    • List of your medications, including dosages, plus any you're allergic to
    • List of questions you may have
    • Device or paper for taking notes

    Related clinics

    Center for Urogynecology and Women's Pelvic Health

    1500 Owens St., Suite 380
    San Francisco, CA 94158

    Center for Pelvic Physiology

    1825 Fourth St., Fourth Floor
    San Francisco, CA 94158

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