Your Pelvic Floor Physical Therapist (PFPT) will likely tell you that despite your physician writing an order for the customary "8" sessions, your insurance company or Medicare only approved "2" sessions. But...your PFPT will tell you that all (s)he needs to do is write/submit a justification for 6 more sessions to total "8", and your insurance company should easily approve it. That was my experience with my Medicare Advantage Plan. I actually only went to 7 sessions, the seventh quite reluctantly, because I felt that I had "peaked" at what I could do.

The therapy is actually quite involved...easy in one sense...but was difficult for me because...My PFPT explained how the entire core abdomen below the diaphragm is involved with how your bladder functions, therefore, your "breathing" during the exercises will affect your success. I somehow was a problem child. I breathed the exact opposite way of what I should have, or I actually held my breath to my therapists exasperation ("Breathe... BREATHE....NO NOT THAT WAY!!!). . The breathing you are to do "while" doing your exercises, is the exact opposite of what nature would have you do while breathing. It was frustrating. BTW...these exercises go well beyond the traditional Kegel's you see online. They are not strenuous or difficult, just "counterintuitive" in terms of when you breathe and how you breathe. I flat out gave up after the 6th session. As mentioned, I reluctantly went to the 7th session like the school kid who didn't do his homework. I had done it, but with no effective results. But...bottom line...the good news is that those exercises - for the time that I did them many months ago - and time itself, restored 98% of my continence. I still have accidental little leaks like when sneezing, coughing, or squatting, but they are minimal. I do still wear a thin "Shield" to avoid embarrassment in public. I am retired, and I often experiment with how long I can just wear undershorts without a Shield at home. Sometimes I can go 6, 8, or even 10 hours before I have that first little leak. I am hoping for 100% continence within the next month or two. It will be a lifestyle game changer. Lastly, your PFPT will also coach you on your "new" habit and pattern of liquid consumption. During therapy and a few months after: no more than 8 ounces at one time; go to the bathroom every two hours to urinate whether you feel you need to or not; drink that 8 ounces of WATER right after you urinate (so you are drinking 8 ounces of water every two hours); For several months: no caffeine of any kind from coffee, tea, sodas or energy drinks. No "acidic" beverages like orange juice, pineapple juice, etc. No sugary drinks. Sugar, caffeine, and acid are all bladder irritants. In your post-surgical assault and recovery, your bladder is really "pissed off" (pun intended). It is irritated and bothered by the least little thing while it too heals from the surgery. I did well following my therapist's directives, and it helped tremendously. Don't fall prey to cave in because you "need your morning coffee" (switch to decaf for a few months). Similarly, don't say "I need my afternoon Diet Coke (or whatever your caffeinated drink is). Try to force yourself to drink water only. That drive me nuts, but it really helped. I would break the rule and have my morning OJ or an afternoon Diet Coke, then initially be angry as to why I was leaking so badly, until I realized: "Oh ya...the OJ and that Diet Coke I had messed me up." Good Luck!