Pelvic Floor Rehabilitation in London
Supervised pelvic floor muscle training and bladder retraining can be an effective, non-invasive first-line treatment for many people with urinary incontinence, particularly stress and mixed incontinence. Where appropriate, the BTL EMSELLA chair may also be used to support pelvic floor strengthening.
What is pelvic floor rehabilitation?
The pelvic floor is a group of muscles that supports the bladder and helps control when you pass urine. When these muscles are weakened, leakage can occur. This may be linked to pregnancy, childbirth, the menopause or prostate surgery.
Pelvic floor rehabilitation is a structured programme of exercises and techniques designed to improve strength, coordination and bladder control. It can help people with stress incontinence and mixed incontinence, where both stress leakage and urgency are present.
Support is supervised rather than left to guesswork. Many people find it difficult to identify or exercise the correct muscles on their own. A guided programme helps ensure the exercises are suited to your symptoms and performed correctly.
Bladder retraining and practical lifestyle advice may also form part of treatment. As it is non-invasive, pelvic floor rehabilitation is often considered before medication, procedures or surgery.
How it works
A structured programme may combine several approaches to support bladder control.
Pelvic floor muscle training
Guided exercises help strengthen the muscles that support the bladder. Your programme is tailored to your symptoms and ability.
Bladder retraining
Practical techniques can help gradually increase the time between toilet visits and improve control over urgency.
Lifestyle advice
Advice about fluid intake, bladder habits and other practical factors can support progress and help maintain improvements.
Who pelvic floor rehabilitation may suit
Pelvic floor rehabilitation may be suitable for people who:
- Have stress or mixed urinary incontinence
- Want to try a non-invasive treatment first
- Would prefer to avoid medication or surgery
- Are recovering bladder control after childbirth or prostate surgery
- Experience urgency, mild leakage or reduced pelvic floor strength
What to expect
- Assessment
Your consultant will assess the type of incontinence you have, discuss how it affects your daily life and confirm whether a supervised rehabilitation programme is appropriate. - Supervised programme
You will be guided through the correct techniques and given a structured plan, rather than being left to manage alone. - Recovery and progress
Your progress will be reviewed and the programme adjusted where needed. Further treatment options are considered only if appropriate.
Why choose The Forbury Clinic for pelvic floor rehabilitation in London?
Non-invasive first-line care
Pelvic floor rehabilitation can be considered before procedures or surgery for many people with stress or mixed incontinence.
Structured support
A supervised programme helps ensure you are using the right technique and working towards realistic goals.
Care for men and women
Pelvic floor rehabilitation may support women after childbirth or menopause, and men recovering urinary control after prostate surgery.
A foundation for further care
Even when another treatment is needed, improving pelvic floor strength and coordination can remain an important part of managing bladder symptoms.
Advanced technology we offer
The EMSELLA chair
The BTL EMSELLA chair is a non-invasive option that may be used to support pelvic floor rehabilitation for suitable people.
You sit fully clothed on the chair during treatment. It uses high-intensity focused electromagnetic energy to stimulate contractions in the pelvic floor muscles, without the need for internal treatment or recovery time.
A course is usually made up of several sessions. Your consultant will explain the recommended schedule, what the treatment involves and whether it is suitable for your symptoms.
EMSELLA may be considered for both men and women, including people with stress or urge-related urinary symptoms. It is not suitable for everyone. Your consultant will check for factors that may affect suitability, including pregnancy, certain implanted medical devices, metal implants or a copper coil.
Frequently asked questions
Can pelvic floor exercises help urinary incontinence?
For many people with stress or mixed incontinence, a structured programme can help reduce leakage and improve bladder control. Results vary depending on the type and severity of symptoms, as well as regular practice.
Why do I need supervision? Can I not do the exercises at home?
You can practise pelvic floor exercises at home. However, many people find it difficult to identify the correct muscles or use the right technique without guidance. Supervision can help ensure your exercises are appropriate for your symptoms.
Does pelvic floor rehabilitation work for men?
Yes. Pelvic floor rehabilitation can be valuable for men, particularly when rebuilding bladder control after prostate surgery.
How long will it take to notice a difference?
Progress varies. Some people notice changes within a few weeks, while others need longer. Your consultant will discuss what may be realistic for you and review your progress throughout the programme.
Is the EMSELLA chair suitable for everyone?
No. EMSELLA is not appropriate for everyone, including some people who are pregnant or have certain implanted medical devices or metal implants. Your consultant will check your suitability and discuss alternatives where needed.
Start with a structured, non-invasive approach
If leakage, urgency or reduced pelvic floor strength is affecting your everyday life, our team can assess your symptoms and discuss whether pelvic floor rehabilitation may be suitable.
- AppointmentBook a consultation
- Reception0118 920 7055
- Location
The Forbury Clinic London, 45 Queen Anne St, London, W1G 9J
