Dr. Fagin has created a detailed program of pre surgical preparation and post operative rehabilitation to maximize your ability to return to your pre surgery level of urinary function as rapidly as possible. Dr. Fagin created this program in conjunction with experienced physical therapists based on international data in the fields of urinary rehabilitation. Although not all patients will return to their pre surgical level of urinary function, this rehab regimen helps you to improve your chances of reaching that endpoint and is an integral part of his A.R.T. protocol.

To give you the best chance possible of a rapid and complete urinary control recovery Dr. Fagin works closely with a Kimberlee Sullivan, a local physical therapist with extensive experience in pelvic floor rehabilitation. Prior to your surgery Dr. Fagin recommends you set your first appointment with Kimberlee to begin to develop your pelvic floor strength. Think of it like training for a marathon, your best chance of finishing the race quickly will be if you get into shape first.

Each physical therapy appointment is one-on-one with Kimberlee. As a result, you will receive an individualized treatment plan designed around your diagnosis and goals. At your first physical therapy session you will receive an evaluation of your pelvic floor muscle strength and posture. You will then receive instruction on a home exercise program to strengthen the abdominals, buttocks and pelvic floor. Your pelvic floor training includes Kegel Exercises (see explanation at the end of this section) to strengthen these pelvic muscles, which help hold urine in the bladder. Because it can be difficult to tell whether you are getting the most out of your Kegel Exercises, you will receive biofeedback, stimulation or both during your physical therapy sessions. Biofeedback uses sensors to detect muscle activity and create a signal you can either see or hear when the appropriate muscles are being used. If you need more help to isolate these muscles gentle electrical pulses can be delivered to the pelvic floor causing them to contract and grow stronger.

At the end of your first session you will receive handouts that explain tips on how to isolate the pelvic floor contraction, information on how fluid and food affect bladder function, and your individualized home exercise program. Dr. Fagin will receive a copy of the evaluation and home exercise program as well as updates on your progress.

After your surgery and once your catheter is removed, you should call Kimberlee to begin weekly physical therapy sessions for about four to six weeks. During each 45 minute session your pelvic floor strength will be re-evaluated and changes or additions to your home exercise program will be made as needed. In addition, you may also receive biofeedback or stimulation therapy as needed to assist in the recovery process.