Bladder retraining

  • to restore continence by re-educating the bladder to a ‘normal’ or improved pattern of voiding
  • to avoid episodes of incontinence by planned voiding regime

Pelvic Floor Exercise

  • It helps in supporting pelvic organs e.g bladder, uterus and bowel and to prevent urinary or bowel incontinence or pelvic organ prolapse
  • It helps pelvic floor muscle to give an extra control to the above outlets especially on coughing, sneezing or ant exertion to prevent stress urinary incontinence
  • It helps to strengthen pelvic floor muscle in postnatal mothers and menopausal women

Change of vaginal ring pessary and teaching of self management of vaginal ring pessary

  • Provide relief on pelvic organ prolapse
  • Need to be changed regularly to prevent ulceration in vaginal tissue

Conservative management on fecal incontinence and constipation

  • Sphincter exercise : to strengthen muscle around anus in order to improve fecal and flatus incontinence
  • Bowel training : avoid constipation and fecal impaction

Teaching of clean intermittent self catheterization if indicated

  • Avoid excessive accumulation of urine, resulting in urinary incontinence
  • Avoid excessive accumulation of urine, which led to backflow to the kidneys

Pre-operative and post-operative education

  • Explain the preoperative and postoperative care on anti-incontinence surgery
  • Explain the preoperative and postoperative care on pelvic floor reconstruction surgery