Physiotherapy urogynaecology deals with the treatment of conditions associated with pelvic abnormalities. It helps to alleviate urogenital complaints such as urinary incontinence, lowering of the reproductive organs or gas and faecal incontinence. It is a type of therapy that can form the basis of the treatment process for pelvic floor disorders in addition to the use of pharmacological agents.
What physiotherapy can help with urogynaecology?
Physiotherapy treatments urogynaecological is carried out, among other things, to eliminate problems related to urinary incontinence, overactive bladder, proctological disorders and a range of gynaecological disorders such as divergence of the pubic symphysis, recovery after caesarean section or lowering of the reproductive organs.
What are the consequences of pelvic floor abnormalities?
Pelvic floor is responsible for supporting the trunk from below and stabilising the internal organs. It is attached to the pubic symphysis, the bones of the button and ischial tuberosities, which support the muscles. During pregnancy or in cases of obesity, the pelvic floor is stressed, resulting in muscle overload and muscle weakness. Damage to the pelvic floor leads to various disorders such as:
- stress urinary incontinence,
- overactive bladder,
- various forms of pelvic organ prolapse, such as bladder, urethra, uterus, vagina, bowel, rectum,
- disorders and dysfunctions concerning lower urinary tract function, the gastrointestinal tract and sexual function,
- pelvic organ prolapse,
- painful menstruation,
- experiencing discomfort during sexual intercourse,
- faecal incontinence.
What are the causes of urogynaecological problems?
The causes of urogynaecological problems faced by women are most often due to a history of childbirth. Age and being overweight are additional aggravating factors. In addition, the most important risk factors for both urinary incontinence and pelvic organ static disorders are:
- a history of road and natural childbirth,
- operative deliveries,
- smoking,
- overactive bladder,
- hormone therapy,
- changes associated with the menopausal period.
Scar tissue adhesions can also cause problems such as infertility, painful menstruation or painful intercourse. They also have an impact on conditions that can occur during the menopause, such as lowering of the reproductive organs.
What is the use of physiotherapy urogynaecology pregnant?
Physiotherapy urogynaecology It prepares the woman's body for the moment of birth and helps to combat ailments such as sciatica. He also deals with the prevention of separation of the rectus abdominis muscle and the symptoms of separation of the pubic symphysis.
Urogynaecological physiotherapy in pregnancy can be used to:
- support infertility treatment,
- eliminate painful periods,
- treat endometriosis,
- strengthen pelvic floor muscles,
- prepare the patient for delivery,
- struggle with urinary or faecal incontinence,
- counteract breathing difficulties and back pain,
- combat constipation.
Physiotherapy urogynaecological It is also worth starting after a natural childbirth and caesarean section.
Treatment methods and prevention
Pelvic floor disorders can be treated with manual therapy and through proper exercise.
Manual therapy treatments are performed with the hands on the spinal and pelvic areas. It is very effective if the underlying dysfunction is neurological or muscle tension-related.
Pelvic floor muscle training involves training the Kegel muscles. Tightening and relaxing them properly rebuilds tension and strengthens weakened pelvic floor muscles, which have a direct effect on urinary continence. Doing the exercises correctly is vital, as incorrect patterns can have the opposite effect. It is therefore important to learn these exercises under the guidance of a specialist.
However, to protect yourself from pelvic floor disorders, it is a good idea to avoid activities that can weaken its muscles such as:
- lifting heavy objects and lifting them incorrectly,
- incorrect coughing and sneezing technique,
- urinating or defecating with urination.
