Surgery is not the only option for your pelvic floor problem. In fact the only treatment you may need is a slight modification of your diet. Or you may need to learn certain pelvic floor exercises or undergo behavioral training to develop proper bladder voiding patterns. Or the optimal treatment for your problem may be a course of physiotherapyto relearn good bowel and bladder movement maneuvers and how to relax your pelvic floor. There are multiple such conditions in which non-surgical treatment is all that you require and surgery may in fact be counterproductive.

This is in fact the beauty of urogynecology as we see it; that there may be a hidden slight problem in your lifestyle or habits that are modifiable. Specialized physical therapy for the pelvic floor and/ or behavioral modification is increasingly becoming the first line of treatment for almost all problems of the pelvic floor. Physiotherapy and behavioural modification treatments are clinically effective and cost-effective alternatives that can often be the only solution you need for your pelvic floor problem. They are also often necessary complements to other treatment solutions, including surgery. If for example, you have paradoxical contraction of the pelvic floor muscles or non-relaxing pelvic floor muscles, performing surgery without a course of physical therapy to learn how to relax the pelvic floor muscles can often lead to failure of the surgery.

UPHI believes in providing you comprehensive solutions for your pelvic floor problems. Hence UPHI is one of the first centers in the country to introduce a comprehensive pelvic floor physiotherapy program that matches the best that is offered internationally. We have developed the most comprehensive physiotherapy program and behavioural modification program in house. These treatments will definitely bring about considerable improvements in your problem and often cure you completely.

What are the conditions that are benefitted by a physical therapy program?

If you suffer from

  • Prolapse: dropped pelvic organs
  • Incontinence: leakage of urine
  • Pelvic pain
  • Vulvoynia: unexplained pain or discomfort in the vulva
  • Sexual dysfunction
  • Constipation

you may benefit from the physiotherapy program at our center.

Pelvic floor dysfunction is often caused by problems with the pelvic floor muscles. These are a group of muscles that surround and support the bladder and urethra, uterus and vagina and the rectum. The muscles work together to contract to maintain continence and relax to allow for effortless urination, defecation and sexual intercourse.

When these muscles are too weak and have low tone (called hypotonicity), they can lead to or contribute to incontinence and prolapse of the pelvic organs.

When these muscles are too tight (hypertonic), then they can cause pelvic pain syndromes, urinary and fecal urgency and frequency, sexual problems including painful sex, bladder pain syndromes, pudental nerve pain problems and uncoordinated muscle contractions leading to muscle spasm.
You can have both too tight as well as low-tone muscles simultaneously causing a constellation of problems.

A specially trained physiotherapist works with you at an individual level after assessing your pelvic floor. Depending on your particular problem, the diagnosis of which will be arrived at by a thorough physical examination, a physical therapy program will be designed specifically for you to help improve your pelvic floor muscle coordination and bladder/bowel habits.

This may include among other programs,

  • Pelvic floor exercises (Kegel exercises),
  • Biofeedback and
  • Electrical stimulation.

You may read about these therapies in our patient information center.

It must be remembered that pelvic floor therapy does not mean only Kegel exercises. They are not indicated in all patients and in fact may do more harm than good in some patients. Or you may not be performing them correctly that can worsen your problem. And hence it is important to take the doctor’s advice before you start Kegel exercises.

Lifestyle and behavioural modification

Our lifestyle modification and behavioural therapy program include focused attention on various aspects of your lifestyle that may be causative or contributing to your problem. They are often the first step in your treatment program that will help you improve the quality of your life immensely.

The general lifestyle changes you will be advised may include managing the amount of fluid you drink and when you drink, reducing alcohol and caffeine intake, maintaining a healthy weight and stopping smoking. Good posture to reduce pressure on your pelvic organs and stretching techniques including yoga may be helpful to avoid spams of your pelvic floor. Management of anxiety and stress and pain education is also important part of our program as your thoughts, beliefs and anxieties can perpetuate any pelvic pain you may be suffering from.

There are many behavioural modification programs that may help with your incontinence problem include timed toileting, double voiding, urge suppression techniques and bladder retraining. You can read about these behavioural therapy programs in our patient information center.

Medications: Vaginal estrogen therapy is an important corollary treatment for numerous pelvic floor problems including incontinence and prolapse. Drugs that relax the bladder muscles such as anticholinergics may be useful if you suffer from urgency incontinence.

Call UPHI today to enter our comprehensive non-surgical program. We are committed to work with you to offer you the best treatments keeping in mind your treatment goals!

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