The Urology Service of the San Rafael Hospital places at your disposal a pelvic floor unit with all technical advances and current treatments available.  Amongst those treatments are pelvic floor physiotherapy or urogynecology and obstetrics.

This consists of highly effective (up to 80%) specialist physiotherapy treatments, which have been widely used outside our country: United States, France, England, etc for more than 20 years.

These therapies are indicated and based on scientific evidence relating to different pathologies.  The most well-known are urinary incontinence, genital prolapse, preparation for childbirth, etc. But there are many others such as chronic pelvic pain syndrome, postpartum recovery, erectile dysfunction, enuresis, constipation, as a complement to urinary incontinence and/or genital prolapse surgery, etc. about all of which there is currently very little information in our country, despite these treatments being equally effective here.

The pelvic floor physiotherapy unit of the San Rafael Hospital has the best means and therapy techniques available: electromyographic biofeedback, Electrotherapy, Ultrasound / Thermotherapy, Hypopressive abdominal gymnastics, Abdo-uro-mg Method, APOR method, Osteopathy, Myofascial Techniques, Manual techniques, Behavioural techniques.

The medical team will evaluate your case, establish a diagnosis and decide whether you would benefit from any of these treatments as best therapy option.

Once you arrive at the physiotherapy unit a personalised functional physiotherapy evaluation will be made, which together with medical diagnosis and the complementary tests that in each case may have been necessary, will form the basis of establishing the best possible treatment.

Prostate surgery is a safe and highly effective intervention for the resolution of the principal problem which  is normally undertaken, in other words the growth of the prostate due to an adenoma or prostatic adenocarcinoma.

One of the possible side effects of the surgery is urinary incontinence.  This is because the muscles charged with ensuring continence may have been damaged by the inflammatory and scarring process, in a small percentage of men it remains as a symptom for six months after surgery although in the majority of cases it tends to disappear gradually after surgery within a variable timeframe that may extend to months.

In the days immediately before and after surgery it is possible to re-educate the body, via physiotherapeutic techniques, kinesiotherapy pelvic floor exercises and behavioural habits, in order to accelerate the recovery of continence and to avoid this symptom becoming a long term problem.  It consists of a preventive treatment that we know, through existing scientific evidence, to be effective.  It is carried out in approximately three physiotherapy sessions which are completely painless and without any kind of risk or side effect.

We recommend this physiotherapy to all patients who are to undergo this operation.

Those patients who have not undergone the preventive treatment or where undergoing said treatment was not sufficient to recover continence, in a very small percentage of cases, or where the surgeon due to the characteristics of the surgery does not believe that this type of treatment alone will be sufficient, must undergo full physiotherapy treatment in order to solve the problem.

It is widely known and scientifically proven amongst urologists, gynaecologists and other related health care specialists from around the world, the important role that women´s pelvic floor muscles play in urinary incontinence or the lowering of the pelvic organs (bladder, rectum, uterus) called genital prolapse (cystocele, rectocele, hysterocele).  These muscles form an authentic floor which sustains these organs and avoid their descent when straining.

Occasionally, conservative physiotherapy treatment alone is not sufficient and it is necessary to turn to surgical intervention in order to solve the problem.

After surgery these muscular structures will have to continue fulfilling their resistance and retaining function in the face of strains or efforts as common as coughing, running, lifting heavy things, sneezing, etc, thereby protecting and helping the surgical reconstruction performed to solve your problem.

There is already scientific evidence to show that the addition of physiotherapy in patients undergoing surgery for incontinence and/or prolapse problems improves the results of the same, as in many other interventions where muscles, joints, ligaments, etc play a fundamental role.

Scientific reference: Peri-operative physiotherapy improves outcomes for women undergoing incontinence and or prolapse surgery: Results of a randomised controlled trial.”
Sherin K. JARVIS, at cols.
Department of Endo-Gynaecology, Royal Hospital for Women, University of New South Wales, and 2School of Mathematics, University of New South Wales, Sydney, Australia.

We advise a specialist physiotherapy evaluation prior to this type of surgery, in case you are to undergo it, to thereby establish whether complementary physiotherapy would be appropriate or not.

Related URL: www.fisioterapiasuelopelvico.com