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Pelvic floor concerns can have a significant impact on quality of life and physiotherapy is recommended as first line intervention in many pelvic floor conditions.

Commonly Treated Conditions:

  • Stress urinary Incontinence (leaking with effort or exercise)
  • Bladder urgency and frequency
  • Bladder urgency and urge Incontinence
  • Prolapse
  • Bowel symptoms (constipation, incontinence and faecal urgency)
  • Painful sex / Dyspareunia
  • Incontinence following prostate surgery

What Can I Expect?

The first appointment involves documenting a history of your problem, including how much it bothers you and the effects on your life, as well as establishing your goals. Then a physical examination is performed. This will be tailored for your condition, but can include:

  • Assessment of posture and movement
  • Assessment of abdominal muscles and breathing
  • External pelvic examination
  • Internal examination (including assessment of pelvic floor muscle tone, activation, presence of pain or sensitivity, pelvic organ prolapse)

Throughout the examination your physiotherapist will explain the process and discuss the best treatment plan for you.

Treatment May Include:

  • Teaching you how to use your pelvic floor muscles correctly
  • An individual targeted pelvic floor exercise program
  • Discussing lifestyle changes to help you manage the problem
  • Looking at how your diet and fluid intake may be influencing your problem
  • Bladder training
  • Relaxation of the pelvic floor
  • Individualised general exercise program (including Pilates exercises)
  • A medical grade silicone support pessary
  • Ultrasound to help you with pelvic floor exercises