The things our patients often want to know
As we specialise in diagnosing and treating pelvic floor issues, it’s likely we’ve heard or seen almost everything before. You don’t have to feel embarrassed – you’re not alone.
Here are some of the Coregood Institute’s most frequently asked questions (FAQs).
Am I the only one?
No, you’re not alone and so much can be done. As many as 2 in 3 people do not report incontinence issues to their health care provider. So while it’s common, it’s certainly not ‘normal’. Everyone deserves a pelvic floor they can rely on. And we can help you achieve this.
Is leaking and feeling less during sex inevitable and normal after you’ve had kids?
Research shows that over 50% of people think that urine leakage is a normal consequence of having children or getting older. Yes, it’s is very common, but it is not normal. It’s a consequence of a group of muscles becoming weak and dysfunctional. We specialise in strengthening and coordinating these muscles so that the cause of the incontinence is dealt with.
I’m getting older, I guess my erectile function is going to decline?
Not at all! Medical research proves that pelvic floor exercises are an extremely effective long term resolution for erectile dysfunction. 75% of men improve, with 40% being completely cured after 3 to 6 months of training – that’s more effective than Viagra! What’s more, pelvic floor muscle training on the PelviCenter is much more effective and rapid than doing Kegels exercises at home.
Isn't it cheaper to just 'manage' the problem?
No. The average person suffering with incontinence issues spends $1,900 each year on incontinence protective products alone, without factoring in other expenses and the loss of freedom and lifestyle. It’s considerably cheaper to treat and resolve the issue, not to mention being able to lead a much more active, enjoyable lifestyle.
I do my pelvic floor exercises, that should keep me good, shouldn't it?
Possibly. If you are doing your Kegels exercises correctly, this will be extremely beneficial. However, research proves that 50% of woman who do their Kegels exercises don’t produce a contraction effective enough to make any improvement and, worse still, 25% do a manoeuvre that will actually worsen their problem. At the Coregood Institute we can help you make sure you are exercising correctly and we offer alternative treatments that can be more effective.
Surgery will cure my problems, won't it?
Not always. Once you’ve had incontinence surgery, the risk of needing further surgery is 29%. And sometimes, other surgery can lead to pelvic floor problems. For example, hysterectomy results in a 40% increased risk of incontinence and this risk increases with age (the risk is more than 60% in woman who are 60 or older). If you’ve had gynaecological surgery it’s even more important that you are recruiting your pelvic floor in the right way and keeping these muscles in optimal condition (your pelvic floor muscles protect the ligaments and tissues that your surgeon has repaired).
I don’t have a problem with leaking, why should I care?
Prevention is better than cure. The risk of developing incontinence is 34% as an older woman and 22% as an older man. After the age of 30, 2% of the pelvic floor muscle cells die every year, making it progressively weaker as we age. Proper training of the pelvic floor muscles is well proven to treat and prevent leakage, prolapse, sexual and pain issues. Good pelvic floor muscles are not only about continence and improved sex. Your pelvic floor takes the load off your other pelvic and low back muscles, helping to prevent back and groin injury and improving your day to day performance whether you are swinging a golf club or picking up the washing.
Is an internal exam necessary?
Whilst the pelvic physiotherapists at the Coregood Institute are all trained and skilled in assessing the pelvic floor both vaginally and rectally, an internal assessment is not always required. RTUS biofeedback is a useful tool to assess correct pelvic floor function and is performed through the lower abdomen whilst fully clothed. However RTUS is not an assessment of strength.
The therapist may recommend an internal assessment if:
- information gained from the assessment leads to a more accurate diagnosis of your particular condition
- there is significant benefit to you due to the likelihood of improved therapy outcomes
- the information gained from doing so is invaluable
- it forms an integral part of your therapy such as scar tissue mobilisation or muscle trigger point release
This assessment is performed only when there is the upmost rapport and it is absolutely justified to address the presenting problem. Best practice protocols are always followed to provide a safe and supportive environment for both patient and clinician. You are entitled and encouraged to have a support person present. You can never offend the clinicians at The Coregood Institute by declining any treatment or assessment recommendation. It is your right to decline any assessment or treatment technique for whatever reason.
Is it just for women or also for men?
Everyone has a pelvic floor and we all need to make sure it’s healthy. There are many conditions that are common to both women and men, and certain conditions that are unique to women or men. But they can all be diagnosed and treated at the Coregood Institute.
Do I need a referral?
You don’t need a referral to be seen by the team at the Coregood Institute.
Is there any point seeing you if I'm planning to have surgery or have already had surgery?
Absolutely. At the Coregood Institute we work very closely with surgeons to help patients achieve the quickest, and best possible recovery. Research has shown that physical therapy both before and after surgery improves patient outcomes as well as reducing the need for future surgery.
Is my lifestyle contributing to my pain, or urinary or bowel dysfunction?
Quite possibly. There are certain lifestyle factors that can contribute to pelvic floor issues. Things like drinking coffee, eating fried food, exercising too vigorously, or sitting at a computer for long periods of time can strongly influence a person’s symptoms. At the Coregood Institute we’ll talk with you about your lifestyle and give you advice on ways to make changes to reduce your symptoms.
How can I be sure the PelviCenter works?
The PelviCenter has been the subject of a high quality independent study that was recently published in the US-based Journal of Urology. It confirmed the PelviCenter to be the most effective, long lasting non-surgical treatment available in the world today, with a 75% success rate.
You can learn more here.
There seems to be a lot of information online that says Pulsed Magnetic Stimulation doesn’t work, why is that?
While there have been other Pulsed Magnetic Stimulation treatment options available in the past that haven’t been as effective, the PelviCenter has been proven to deliver a contraction area that is 297% bigger and 60% deeper than previous technology. This results in a stronger contraction that penetrates deeper into the pelvic floor muscles, providing a 75% success rate that is long lasting.
You can learn more here.