Urogynecological physiotherapy is a specialist branch of physiotherapy focused on diagnosing, treating and preventing problems related to the urogenital system and the organs of the lesser pelvis. It is primarily directed at women, but men and children can also benefit from its methods.
What Problems Can Urogynecological Physiotherapy Help With?
1. Urinary Incontinence
One of the most common indications for urogynecological physiotherapy is urinary incontinence — both stress and urge. A specialist will help strengthen the pelvic floor muscles, improve bladder control and minimise symptoms.
2. Pelvic Organ Prolapse
Physiotherapy helps in cases of prolapse of the uterus, bladder or rectum, which may manifest as a feeling of heaviness in the perineal area.
3. Pelvic and Spinal Pain
Pain in the lesser pelvic area can have various causes, including neurological, mechanical or related to muscular tension. A physiotherapist can help identify the source of the problem and treat it.
4. Preparation for Labour and Postnatal Rehabilitation
Urogynecological physiotherapy plays a key role in preparing the body for childbirth and in recovery after birth, helping minimise the risk of problems such as diastasis recti or urinary incontinence.
5. Painful Intercourse
Pain during intercourse (dyspareunia), pelvic floor muscle tension or laxity can be effectively treated using physiotherapy techniques.
6. Post-Surgical Problems
Physiotherapy assists in the rehabilitation process after pelvic surgery, such as hysterectomy or urological procedures.
7. Other Conditions
Urogynecological physiotherapy can also help with problems such as chronic constipation, endometriosis, post-caesarean scars or menstrual pain.
What Does the Therapy Look Like?
Therapy begins with a detailed interview and assessment, allowing for individual tailoring of the treatment plan. Depending on the problem, various techniques are used, such as:
- Exercises strengthening the pelvic floor muscles
- Manual therapy
- Electrostimulation
- Education in correct posture and habits
- Relaxation techniques
Urogynecological physiotherapy is a safe and effective method of supporting intimate health and quality of life. If you are experiencing any of the listed problems, it is worth consulting a qualified physiotherapist.
Originator, founder and mentor of Personal Training Center FitMixer
Sandra Szychowska is a certified personal trainer and physiotherapist at FitMixer, speaking Polish, English and German (PL/EN/DE).
Licensed Strenght Conditioning Trainer, a graduate of the Academy of Physical Education in Krakow at
