PELVIC FLOOR KINESIOLOGY SERVICE

The Pelvic Floor Kinesiology Service is a fundamental area for the Urology Service.

The members of the Service are trained to offer the best treatments, accompanied by the latest technology and standing out for their ability to listen and empathy with those who are in need of them to solve different problems.

The objective of Pelvic Floor Kinesiology is to prevent and treat pathologies related to the base of the pelvis, the muscles of this structure protect and support the pelvic organs, being affected both urinary, defecatory and sexual functions in the life of the person.

These are presented in situations such as: urine leakage (urinary incontinence), pelvic organ prolapse (prolapse), prostatitis (prostate inflammation) or chronic pelvic pain, as well as sexual dysfunction among other pathologies.

At CAU, we currently have graduates in Kinesiology and Physiatry trained and specialized in treating pelvic floor pathologies.

In this area of rehabilitation, men can develop problems associated with the prostate. Because this important gland is directly related to the pelvic floor muscles, when it is affected by any pathology, the interdisciplinary work between urologists and physiotherapists plays a key role in improving the quality of life of the patient, from prostate cancer, benign prostatic hyperplasia (BPH), prostatitis, erectile dysfunction, among others.

Within the pelvic floor pathologies, women are more likely than men to develop problems in this area. Much has to do with the more open anatomy in the pelvis, so it can develop a descent of pelvic organs or prolapse. The most treated pathology is the involuntary loss of urine or also called urinary incontinence, this can be manifested by several causes, pregnancy, type of childbirth, menopause, obesity, pelvic surgeries, parity and / or high impact activities.

Within our team of pelvic floor physiotherapists, we also have a specialist in pelvic floor in pediatrics. Being able to address pathologies such as Enuresis (urinary incontinence in children), constipation, bladder sphincter dysfunction (uncoordinated urination syndrome) as well as patients with spina bifida, neurogenic bladders and bowel among others. Pelvic pain has an important character for our health team. This is considered chronic when it persists from 3 to 6 months, affecting both sexes, covering not only the perineal area, but also the lower abdomen, lower back, gluteal and inguinal area, it can reach up to the legs.

All the techniques applied in each physiotherapy treatment are always individualized and will depend on the specific needs of each person. The reeducation of the sphincters and improve the quality of life of the patient is our goal as a health team.

Among the techniques we use are

THERAPEUTIC PELVIC FLOOR EXERCISES:

It is the first line of conservative treatment for pelvic floor dysfunctions, we work especially after an evaluation where we obtain values of the musculature to be able to offer the patient a guide of exercises focused on the goal to achieve.

BIOFEEDBACK: 

It is a feedback equipment that through visual, auditory and sesoriales stimuli that the patient receives to be able to execute actions of the pelvic floor. At the same time it can collect information about the pelvic floor and therefore is not only a tool to work different qualities, but also to evaluate.

EMSELLA: 

It is a great ally for rehabilitation, not only from the proprioception and information that is offered to the patient on the body awareness of their perineum.  It is a powerful recruiter of muscle fibers.

In CAU, we also use it when removing the bladder catheter in those patients post prostate surgery. We also use EMSELLA as a desensitizer in patients with chronic pelvic pain.

ELECTROSTIMULATOR:

Electric current that stimulates the musculature.

NEUROMODULATION CURRENT OF THE TIBIALIS POSTERIOR:

Electric current applied to the posterior tibial nerve in order to treat overactive bladders and to be able to inhibit the activation of the detrusor muscle main muscle in urination and altered in this pathology.

WORK ON SCARS: 

From an old episiotomy to a prostatectomy scar it is important to work to improve a pelvic floor problem, A variety of techniques can be used, from manual therapy to improve the mobility of a tissue to dry needling with acupuncture needles or cupping, they help us to release adhesions, the purpose of the different techniques is to improve the quality of the tissue and allow a better passage of blood so that the tissue is nourished.

BALLOON THERAPY:

Therapeutic balloons are great allies when rehabilitating, not only decrease the generalized tension or muscle tone of our patients, but also are used to train and improve the registration of the pelvic floor.

ACUPUNCTURE:

One of the pillars of traditional Chinese medicine brings us another therapeutic look for pain and anxiety management to address pelvic floor pathologies.

BEHAVIORAL THERAPY:

Listening to habits, routines, daily practices and the patient’s problems in everyday life does not lead to devise strategies to improve habits with evaluation scales endorsed.

In CAU we also accompany our patients with protocols prior to their pelvic surgeries in order to strengthen the pelvic floor and achieve an improvement in a post-surgical stage.

If you need more information contact us.