Thank you for signing up to receive weekly educational emails about Urgent PC percutaneous tibial nerve stimulation (PTNS) therapy and how to get the most out of your overactive bladder treatment plan. This information is not intended to replace medical advice. You should always talk to your provider if you have questions about your care.

Downward facing dog

Taking care of your body is a great way to take care of your bladder. This includes things like avoiding bladder irritants but it also involves doing pelvic floor exercises, sometimes referred to as Kegels. The pelvic floor muscles are located between your legs, and run from your pubic bone at the front to the base of your spine at the back. They are shaped like a sling and hold your pelvic organs (uterus, vagina, bowel and bladder) in place. However, locating the correct muscles to use can be a little tricky so don't be embarrassed to ask your provider for help!

While you wait to see the results of your PTNS therapy, continue to track in a voiding diary. That way, you'll be able to see improvements as they start to happen.

Pelvic Floor Exercises

These exercises strengthen your pelvic floor muscles, making it easier for you to hold your urine longer. 

Here's how:
  1. Locate your correct pelvic muscles. It is important to isolate this group of muscles, and not use any other muscles such as abdominals or buttocks. Think about how you must squeeze your pelvic muscles in order to prevent “passing gas” in public or to hold back a bowel movement.
  2. To perform the pelvic floor exercise, squeeze your pelvic floor muscles for 5 seconds, then relax for 10 seconds.
  3. Pelvic floor exercises should be performed when sitting, standing and laying down. Repeat 10 times in each position.
  4. Make these exercises part of your daily routine by doing them when you do a daily task in that particular position. For example, watching TV, bathing, or responding to an email. Habits are formed with repetition.

Focus on the muscles used for urination

Kegel exercises
Things to remember: 
  • Try to isolate the muscles in the pelvic floor. When looking at yourself naked in the mirror, you should not see your stomach, thighs or buttocks move. However, men can expect to see the tip of their penis rise slightly with each successful contraction.
  • Breathe freely, do not hold your breath.
  • Do not do these exercises when you’re tired or while driving.

Helpful Links

Cogentix Medical Resource Center
Urgent PC Transformations - Kegel Exercises 
Patient Stories

Again, we wish you the very best on your Urgent PC PTNS journey.  While we are always happy to hear from patients, the best resource for questions about your care is always your provider.

Until next week,