Specialized pelvic floor therapy
Urogynecological physiotherapy for women is a specialized field of clinical physiotherapy focused on the diagnosis, treatment, and prevention of functional disorders within the pelvic floor, urogenital system, and structures responsible for central body stabilization. This area of medicine is based on current scientific knowledge, functional anatomy, and neurophysiology, with its effectiveness confirmed by clinical studies and recommendations from scientific societies.
In daily practice, urogynecological physiotherapy plays a crucial role in treating women's health issues such as urinary incontinence, pelvic organ prolapse, pelvic pain, sexual dysfunctions, and complications following childbirth and gynecological procedures. These are conditions that directly affect quality of life, psychophysical comfort, and professional and social activity, and they are often untreated or underestimated.
At Ambasada Urody Clinic & Spa, urogynecological physiotherapy is treated as an integral element of comprehensive women's health care. Each therapy is preceded by detailed functional diagnostics, and the treatment plan is individually tailored to the patient's needs, age, health status, and stage of life. The aim of the therapy is not only to reduce symptoms but primarily to restore proper pelvic floor function, improve body biomechanics, and achieve long-term improvement in quality of life.
WHAT IS UROGYNECOLOGICAL PHYSIOTHERAPY?
Effective urogynecological physiotherapy is based on precise functional diagnostics and an understanding of the mechanisms that led to the occurrence of symptoms. The therapy is not limited solely to working with the pelvic floor muscles but encompasses the entire musculo-fascial system, breathing patterns, body posture, and neuromuscular coordination.
Such an approach enables causal rather than merely symptomatic intervention, which is crucial for the durability of therapeutic effects.
The therapeutic process includes:
- a detailed medical interview including childbirth history, gynecological procedures, physical activity, and lifestyle,
- functional examination of the pelvic floor, deep muscles, body posture, and breathing patterns,
- manual therapy of soft tissues and fascial structures,
- individually tailored functional exercises and pelvic floor muscle re-education,
- working on proper movement patterns and central stabilization,
- patient education on prevention, ergonomics, and safe physical activity.
The therapy is conducted in a safe, gradual manner, tailored to the body's capabilities, with full respect for the patient's comfort and boundaries.
WHO IS UROGYNECOLOGICAL PHYSIOTHERAPY INTENDED FOR?
Pelvic floor physiotherapy is aimed at women at various stages of life, both for therapeutic and preventive purposes. It is a solution for patients who want to improve pelvic floor function, reduce discomfort, and prevent the worsening of health problems. The indications for therapy are broad and include many common, though often unspoken, issues. The most common indications are:
- Urinary incontinence, gas, or stool leakage,
- A feeling of heaviness, pressure, or descent in the pelvic area,
- Prolapse or descent of pelvic organs,
- Pelvic, perineal, lower abdominal, or lower back pain,
- Painful intercourse, intimate discomfort, excessive muscle tension,
- Pregnancy period – prevention of discomfort and preparation for childbirth,
- Postpartum and recovery after natural childbirth or cesarean section,
- Diastasis recti, weakened core stability,
- Scars from cesarean sections and gynecological procedures,
- Menopause-related discomfort.
Each patient is individually assessed, and the scope of therapy is tailored to her needs, health status, and therapeutic goals.
EFFECTS OF UROGYNECOLOGICAL PHYSIOTHERAPY
Properly conducted urogynecological physiotherapy brings measurable and long-term effects that extend beyond the intimate area itself. The therapy improves the functioning of the entire body, increasing the comfort of life and the sense of control over one's own body. The effects are the result of restoring proper functions, rather than temporarily masking symptoms. Key effects of the therapy: - Improved control over the bladder and excretory functions, - Reduction or elimination of pain in the pelvic and perineal areas, - Normalization of pelvic floor muscle tension—both in cases of weakness and excessive tension, - Improved comfort in sexual life and quality of intimate life, - Support for tissue regeneration after childbirth and surgical procedures, - Improved trunk stabilization and body posture, - Reduced risk of recurrent urogynecological problems, - Increased body awareness and a sense of security in daily functioning. The effects of the therapy grow gradually and are maintained long-term when adhering to therapeutic recommendations.
CONTRAINDICATIONS FOR UROGYNECOLOGICAL PHYSIOTHERAPY
Urogynecological physiotherapy is a safe method, but in certain situations, it requires postponement or prior medical consultation. Each patient undergoes therapeutic qualification to ensure maximum safety. In case of any doubts, the therapy is conducted in cooperation with a doctor.
Contraindications include:
- active intimate infections and inflammations,
- bleeding of undetermined cause,
- recent postoperative conditions without the consent of the attending physician,
- cancers of the pelvic organs during oncological treatment,
- acute pain conditions requiring medical diagnostics.
RECOMMENDATIONS AND COURSE OF THERAPY
Urogynecological physiotherapy is a therapeutic process whose effectiveness depends on the regularity and cooperation of the patient with the physiotherapist. The very first visit is diagnostic-therapeutic in nature and forms the basis for further treatment.
The frequency and duration of therapy are determined individually, depending on the issue and the body's response.
Recommendations include:
- regular visits according to the established therapeutic plan,
- performing prescribed exercises at home,
- adhering to recommendations regarding physical activity and ergonomics,
- conscious work with breathing and muscle tension.
At Ambasada Urody Clinic & Spa, urogynecological physiotherapy is conducted with complete discretion, respecting the patient's privacy and based on the highest standards of clinical work. It is a conscious investment in the health, comfort, and quality of life for women.