Urinary and Bowel Incontinence (Pelvic Floor Therapy)

Urinary and bowel incontinence (leakage) occurs primarily in women as they age and is often associated with delivery of babies which can lead to damage to the nerves and muscles
of the pelvic floor. Patients may have urinary leakage with coughing, sneezing, laughing, or jumping. This is referred to as Stress Urinary Incontinence (SUI). If patients feel a sudden urge to urinate and cannot make it to the bathroom in time, this is referred to as Urgency Urinary Incontinence (UUI). If patients have both, it is referred to as Mixed Urinary Incontinence (MUI). If patients have trouble with leakage of stool, this is referred to as Fecal Incontinence (FI). The pelvic floor musculature is the primary inhibitor of these forms of urinary and bowel leakage. These muscles can “tear” at the time of delivery or the nerves that control the muscles can be damaged by over-stretching which then leads to weakness in pelvic muscle contraction.

There is no surgery to address the injury to these nerves and pelvic floor muscles, leaving Pelvic Floor Therapy as the answer. We at Customized Relief have been treating patients with this therapy for the past 11 years. This is an in-office procedure with no pain, no risk, and with fantastic results. Our success rates for treatment over the past decade have been consistent with 90% of our patients having an 80-90% improvement in their symptoms when finished with the therapy.


Four Month Urinary and Bowel Incontinence Customized Services Summary

  • Comprehensive health history and physical examination (to include a detailed pelvic examination)
  • Collection of a 24 hour input (what, how much, and what time the patient has liquids during the day) and voiding diary
  • Medical Assistant performing measurements and stimulation treatment for 6 visits
  • Physician oversight and plan of care management including counseling on home exercises
  • Progress and changes to be made as needed to continue to see improvements
  • Formulate a long term plan to sustain success.


  • Leakage with coughing/laughing/sneezing/jumping
  • Urgency symptom to urinate (“I’ve got to go”) with an inability to make it to the bathroom in time
  • Incomplete bladder emptying
  • Stool leakage with and without urgency
  • Leakage of gas without warning

Potential Risks without Treatment

With both types of incontinence, shame and embarrassment are common. The untreated condition can be detrimental to emotional, psychological and social life, preventing those who suffer from leading full lives as they are afraid to stray too far from a toilet. Skin irritation frequently occurs with fecal incontinence. Repeated contact of stool on the delicate skin around the anus can lead to pain, itching and potentially lead to skin breakdown in the area (ulceration).