At-Home Diaphragmatic Interventions for Voiding Abnormalities (DIVA)

Inclusion Criteria: * Participants are new or established English-speaking patients \>= 18 years of age with symptomatic dysfunctional voiding defined as an affirmative answer of "yes, bothers me somewhat" or more to LURN SI-10 Item 6 and/or Item 7. * Participants must have a valid email address and telephone number. Exclusion Criteria: * Participant with: * neurological disorders, such as cognitive impairment, multiple sclerosis, upper or lower motor neuron disorders, cauda equina syndrome * history of pelvic irradiation * history of bladder cancer * known fistulation to the bladder, urethra, or any component of lower urinary tract * apical or anterior wall prolapse past the hymen. * plan for/history of pelvic surgery within 8 weeks. * pregnancy \>28 weeks gestation * desire to continue tamsulosin * a pessary fitted within the last one month * post void residual volume \>200 cc * ongoing supervised pelvic floor physical therapy in the last three months for any indication. * desire to modify overactive bladder medications and interstitial cystitis medications during trial period * Mybetriq * Ditropan * Santura * Vesicare * Tropsium * Detrol * Urispas * Toviaz * Gemtasa * Elmiron