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Pelvic floor rehabilitation

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Abstract

Pelvic floor disorders can be improved by various methods of conservative treatment. Urogynecologic rehabilitation involves pelvic floor physiotherapy, functional electrical stimulation and biofeedback. Recent urodynamic studies have revealed obstetric risk factors, and restoration of pelvic floor musculature after vaginal deliveries is essential. It would appear that urogynecologic rehabilitation should also be routinely prescribed during the months preceding some surgical procedures. Biofeedback has been used successfully in urologic disorders such as instability and enuresis. It is probably the most efficient therapy for learning “perineal blockage at stress”, which gives the patient functional control of the pelvic floor muscles during daily activities. Functional electrical stimulation, either on an outpatient basis or as a home program, is a practical and successful method for improving or curing incontinence. Physiotherapy has to be recommended more frequently to young nulliparous women as a preventive measure and to mothers after childbirth.

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Authors and Affiliations

  1. IFRUG, 2 Square La Fontaine, 75016, Paris, France

    A. Bourcier

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  1. A. Bourcier
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Bourcier, A. Pelvic floor rehabilitation. Int Urogynecol J 1, 31–35 (1990). https://doi.org/10.1007/BF00373606

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  • DOI: https://doi.org/10.1007/BF00373606

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