IS PELVIC FLOOR PHYSIOTHERAPY EFFECTIVE?
Physiotherapy is recommended by the International Continence Society (ICS) and the European Urology Associacion (EUA) for such conditions as stress urinary incontinence (SUI), urgency incontinence and pelvic organ prolapse (POP).
Rehabilitation of these disorders is widely available in many European countries. For example, prevention and basic post-natal rehabilitation have been introduced in France, Belgium and Holland which results in a much lower incidence of urinary incontinence in female populations there.
The ICS recommendation and the example of other countries justify the use of physiotherapy in pelvic floor organ disorders.
WHAT IS PELVIC FLOOR PHYSIOTHERAPY ABOUT?
A modern and effective approach to pelvic floor dysfunction involves a comprehensive investigation of all the conditions reported by the patient, such as problems with urination, defecation and the related continence, the quality of sex life, any pains in the area of the pelvis, abdomen, hips and sacrum.
Pelvic floor physiotherapy comprises a whole range of rehabilitation methods. These are to be chosen on a case by case basis according to the cause (or causes) of problems which has (have) been identified.
In this context, “Kegel exercises", whether performed individually or in a group, using various types of equipment or without it, are one of many methods available. They will not always be sufficient, sometimes totally unnecessary or even harmful (as confirmed by more and more scientific reports).
IS PELVIC FLOOR PHYSIOTHERAPY SAFE?
The physiotherapy methods which are used have been known for many years, they have proven effective in sports and posttraumatic rehabilitation. These well-known methods are used for pelvic floor rehabilitation in an innovative way.