First, thank you for your interest in Premiere Rehab's Urinary Incontinence Program.

When a patient comes to us, it is because of the consequences of Urinary Incontinence, such as embarrassment, socialization limitations, depression, and disrupted sleep have finally become too much to bear. Urinary Incontinence or UI is a costly diagnosis, with dignity usually paying the price. Other secondary consequences are increase in fall risk, and decreased skin integrity which can also increase burden of care for those in dependent situations.

Our Continence Improvement Solution is designed to address the complex need of the patient experiencing urinary incontinence, if surgery is not your first choice. Some patients we see after surgery and some complete the program to strengthen before surgery.

It is a rehab driven program, meaning we allow the patient to have an active role in their continence.

First, we get a baseline bladder health assessment from the patient, family, and physician. Then we complete a functional and postural assessment, to see if this program can help. For 2-3x/week the patient is guided through step by step to improve various functions and associated muscles using a certified training technique to improve not only proper bladder filling, but also bladder emptying.

Then we add a Neuro Re-education portion of the program, if the patient has had history of CVA, TIA, or TBI, which has proven to be effective in the reduction of incidence of urge stress, and mixed incontinence. This provides Neuro Re-education to the entire pelvic region, addressing the hypersensitivity/hyperactivity, the lack of micturition sensation, and targets fast twitch muscle fibers and their motor control loops to restore fast closure of the external sphincter.

This all being said…No; it's not just “Kegels”, not just biofeedback… it a comprehensive program for long term improvement of bladder dysfunction.