Biofeedback is a technique that people can use to improve their health. By identifying signals from their body and using this information to control body functions, patients can modify problems such as migraine headaches, high blood pressure, chronic pain, and bladder control problems.  Biofeedback does nothing to patients; there are no side effects.

The pelvic floor muscles are like a hammock, stretching from the pubic bone to the lower back.  These muscles support the pelvic organs, including the bladder.   If pelvic floor muscles become weak or damaged due to childbirth, surgery, excess straining, or genetics, incontinence can occur. 

Fortunately, urinary incontinence can be improved in some patients by exercising and strengthening these muscles.  Although some patients may in the past have tried pelvic floor muscle exercises, called Kegel exercises, they may have found them ineffective for several reasons.   Many patients may try Kegel exercises for a brief time, but abandon them before improvement can be noticed.  Also, most people are unaware of their pelvic floor muscles, and as a result, may not be exercising and strengthening the proper muscles. 

Using biofeedback, a patient with urinary incontinence learns to recognize signals from the pelvic floor muscles that control urination.  The patient can then use these signals to exercise and strengthen the correct pelvic floor muscles and improve function.

When using biofeedback to treat urinary incontinence, special sensors are placed near the pelvic floor muscles that control urination.  One sensor resembling a tampon is placed into the vagina. A second one shaped like a   suppository is inserted into the anus.  Patients can usually place the vaginal or anal sensors without help. 

Another set of sensors that look like small, round Band-Aids with snaps on them are placed on the abdomen.  All sensors are connected to a computer screen, where patients can see their own muscle activity.  Commonly when performing Kegel exercises, people err by using their abdominal muscles rather than their pelvic floor muscles.  With the information received from the computer screen, patients can adjust and correct their muscle activity.  With repetition, patients learn proper exercise technique that they can continue to use, eventually without biofeedback equipment.

Biofeedback can be used alone, with medications or with other treatments.  If an operation is necessary, biofeedback may also be prescribed before and after surgery to help maintain the surgical results.  Biofeedback can be a valuable tool for patients who are willing and able to assume more responsibility and control of their bodies.

         Gynecology and Fertility Clinic
       Aston Ambulatory Care Building
     5303 Harry Hines Blvd., Fifth Floor, Room U5.104
Dallas, Texas 75390-8865
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