Perineal rehabilitation

Perineal rehabilitation

In the physical therapy outpatient clinic, specific manual and physical treatments are given for perineal rehabilitation. Nowadays, patients, especially women, are not obliged anymore to choose between resignation or surgery when facing issues such as urinary incontinence or prolapses.

Today, so-called “conserving” methods are available, which are very effective and above all capable of avoiding or integrating the more traditional invasive strategies for pelvic-perineal disorders.

  • Stress and urge urinary incontinence
  • urinary incontinence in outcomes of radical prostatectomy or TURP
  • prolapse of pelvic organs (bladder, uterus, rectum)
  • obstructive constipation
  • pelvic-perineal pain (chronic pelvic pain, vulvodynia, interstitial cystitis, pudendal syndrome, vestibulitis, clitoral pain, vaginism…)
  • painful scars (episiotomy, perineal laceration, Caesarian section)
  • Outcomes of pelvic surgery (hysterectomy, cystocele, rectocele, etc.…)
  • Diastasis of rectus abdominis muscles
  • Anal incontinence

Medicine has progressed remarkably and through PELVIC FLOOR REHABILITATION important results may be obtained; the pelvic floor is of fundamental importance in improving a person’s quality of life.

Our packet for pelvic floor rehabilitation, besides the important and fundamental goal of preventing disorders concerning the pelvic floor, is aimed at treating and/or improving pelvic-perineal diseases, by adopting a complete and personalized therapeutic approach.

Perineal Rehabilitation, prior an accurate diagnosis, nowadays has more and more become the first therapy choice, since:

  • it is of documented effectiveness (success in 80-95% of cases)
  • it has no side effects
  • it is painless
  • there is no need to take any medication
  • it can be repeated
  • it is personalized

It is recommended in cases of:

  • rectal, uterine or bladder prolapse
  • post-menopause
  • after surgery (hemorrhoids, hysterectomy, prostatectomy)
  • constipation or fecal and/or urinary incontinence
  • painful sexuality
  • after childbirth
  • after a Caesarian section or other gynecological surgery
  • preparation for childbirth

Results that may be obtained:

  • a painless back, with a pelvis and perineum working correctly
  • aligned posture and less tension on shoulders
  • better control of muscles when sneezing or coughing, without annoying urine leakages
  • more awareness during childbirth
  • pre-surgery preparation for better surgery outcomes
  • faster rehabilitation after surgery
  • improving post-surgery functionality
  • recovery of sexual pleasure

Rehabilitation is in any case a valid support because it leaves the patient with instructions and autonomy after ending the treatment, making him/her aware of the correct movements to be adopted in everyday life so as to prevent relapses and new disorders.


  • involuntary loss of urine/gas/stools
  • urge to urinate/defecate
  • the need to urinate often
  • difficulty in emptying the bladder completely
  • bladder/ anal heaviness
  • pain during sexual intercourse
  • reduced sexual perception

If you have any of the above listed symptoms, please book an appointment with the Specialist and discover how your life may  significantly improve.