As a rule, patients can safely be treated using conservative modalities such a biofeedback, pelvic muscle stimulation and  pessaries as long as urinary tract and vaginal infection have been ruled out and the potential for more serious problems such a stones, cancer and fistula is minimal.

One to two weeks before treatment is initiated, a questionnaire and voiding diary is sent out to the patient.  At the initial appointment, the patient  history, normal routine, coping mechanisms, medications and environmental barriers are reviewed.  A thorough physical exam focuses on possible causes for the problem in the central nervous system, abdomen, vaginal vault and rectum.

Gynecologists and urologists are available for consultation if there is a question regarding appropriate patient treatment.  If there is a need for urodynamic testing or cystoscopy an appropriate referral is made.