- Urinary incontinence, urgency, overactive bladder
- Constipation, irritable bowel syndrome, faecal incontinence
- Dyspareunia (painful sexual intercourse), lack of orgasm
- Painful menstruation, ovulation pain or midcycle pain
- Vaginal and cervical prolapse
- Postnatal rehabilitation: perineal pain, haemorrhoids
- Physiotherapy after prostatectomy
Stress urinary incontinence (SUI) is involuntary leakage of urine (even a single drop) on effort, while coughing, laughing, jumping, etc. The first symptoms are often played down and taken to be the “norm” which unfortunately causes them to intensify.Patients will often not report their problem until large amounts of urine are leaked which makes their professional, family and social lives difficult.
Urgency is a situation where the desire to pass urine compels to find a toilet in less than 15 minutes.This is a problem which makes the patient's entire life dependent on availability of a toilet so it affects holiday trips, shopping, etc.It may turn into urgency incontinence where urine is leaked at the time of feeling the urgency.
Overactive bladder (OAB) is when the need to void the bladder is more frequent than once in approximately three hours and the volume of urine passed is generally small (not more than 250ml).Another symptom of OAB is the feeling of incomplete voiding.
The so-called Kegel exercises (individual, in groups or at special courses), vaginal balls or electrostimulation are only to strengthen muscles.However, weak muscles may not be the actual cause of the problem and then strengthening them will not improve the situation.Excessive tension in some pelvic floor muscles, their pain and pressure on nerves leads to dysfunction of the entire bladder-sphincter system.
Therefore, physiotherapy in such situations involves identifying the cause of the problem by interviewing the patient and carefully examining the pelvic floor.The right method (one or more) is then chosen which is appropriate for the specific condition of the patient’s pelvic floor.