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.
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 is an important form of behavior therapy that can be effective in treating urinary incontinence. Learn more here.
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.
The pessary is a device (firm ring) that is placed into the vagina to support the uterus or bladder and rectum. Learn more here.
Case Management and Social Work
Connect with a team that can help you find resources, solve problems and advocate for you during treatment at UCSF.
Mindfulness-Based Stress Reduction Class
This eight-week UCSF class teaches mindfulness practices, such as meditation and body awareness, that can reduce stress and improve your overall health.
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Spiritual Care Services
Chaplains representing many faiths are available around the clock to provide support, comfort and counsel to patients, families and caregivers. Learn more.
Women's Health Resource Center
Access a range of UCSF women's health resources, such as classes, support groups, a lending library and services focused on pregnancy, birth and breastfeeding.
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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
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