Urogynecologic behavioral therapy services at Penn Medicine
Our specialists listen to your concerns and design a comprehensive treatment plan that supports your needs. Depending on your condition and symptoms, we may recommend one or more of the following therapies:
Bladder retraining is an effective therapy for urge incontinence and OAB. First, you keep a bladder diary to track how often you go to the bathroom each day. You also record the type and amount of fluid you drink to see how it affects your urge to urinate.
During bladder retraining, you’ll take trips to the bathroom at scheduled intervals, lengthening the time between trips. Doing so helps teach your bladder to hold more urine for longer periods of time.
Biofeedback can help you better control involuntary body functions like urination by providing information on how well you are contracting your pelvic floor muscles. A pelvic health physical therapist places sensors near your anus and on your abdomen to measure muscle strength. The sensors are connected to a computer that produces graphs and audible tones to show you the muscles you are exercising. The feedback enables your therapist to create an individualized pelvic floor exercise program.
Our specialists can teach you pelvic muscle (Kegel) exercises. These pelvic floor support exercises can help you gain pelvic muscle control and manage urine leakage.
Certain foods and beverages can make incontinence and bladder symptoms worse. We may recommend lifestyle changes for pelvic health, such as decreasing your daily caffeine intake, to help reduce or eliminate your symptoms.
A psychologist or licensed mental health therapist can use CBT to help you address the mental and emotional aspects of living with incontinence or overactive bladder. CBT can help you manage anxiety by changing negative thoughts. It can also help you learn coping strategies and enhance bladder retraining.
Deep breathing can help you resist the urge to use the bathroom and train your bladder to hold more urine.