Perineal reeducation

Are you suffering from urine loss or flatulences when you make an effort (coughing, sneezing, jumping or exercising)?

Perineal and pelvic reeducation, Who is it for?

Are you suffering from urine losses or flatulences when you make an effort (coughing, sneezing, jumping or exercising)? Are you experiencing frequent and/or sudden urges to urinate or to have a bowel movement that gets you rushing to the bathroom? Are you not getting to the bathroom on time? Are you suffering from any constipation? Are you feeling pain in the perineum area,to the vulva or to the scrotum? Are your sexual intercourse difficult or even impossible? If you answered yes to one or many of these questions, you are like three millions Canadians who are experiencing similar problems.

These problems are mostly caused by dysfunctional perineal muscles. Theses ills could be due to many differents reasons : weakened or reduced muscular control, too much relaxation or too much tension in the muscles located in the perineum area. Perineal and pelvic reeducation is a proven approach to relieve you from these problems. You are not alone; consult and talk about it.

What are the pelvic muscles or pelvic floor?

These muscles are located into the pelvis area between the coccyx and the pubic bone. They support the pelvic floor organs (the bladder, the uterus and the rectum) and the continence of urines and stools. It's not always easy to properly contract the pelvic floor muscles without compensating with other muscles such as the abdominal and buttock muscles. You will get judicious advice from one of our physiotherapists to contract your pelvic muscles the right way.

Expertise and experience

Perineal and pelvic reeducation is a specialized approach to physiotherapy. Giselle Asselin , Guylaine Déry and Manon Racine have taken thorough training in this domain including perineal and pelvic reeducation for women, men, geriatric patients, perineal and pelvic reeducation in gynaecology, in obstetrics as well as anorectal reeducation. We have been doing perineal and pelvic reeducation since 1995 and through the years, we have developed an expertise which allows us to be leaders in the region when it comes to perineal reeducation.

Biofeedback

We are using devices designed especially to treat problems relative to the bladder, to the rectum, to perineal muscles and to pain in the vulva area. These appliances allow us to record muscular activity of our clients permitting them to visualize the contraction or the release of their muscles. That's what we call biofeedback. It's used to allow the client to learn what are the best exercises to use and how to develop your muscular control.

Muscle stimulation

In addition to biofeedback, we also offer muscle stimulation in order to trigger a contraction of the muscles of the perinea. It's a complementary treatment that permits the client to feel more his muscles and to ensure that suggested exercises are more effective. Muscle stimulation also helps to desensitize the perineal region in case of pain.

Exercise program

The biofeedback and the muscular stimulation are not sufficient by themselves. To reach set objectives, the client must follow the exercise program at home, taught during the treatment period. Vaginal cones may be used to increase resistance of the muscles. In order to allow the client to develop more flexibility in the pelvic muscles, work with a dilator may be taught if pain is experienced during sexual intercourse.

Manual techniques

These are used to facilitate the contraction or to help muscle relaxation. They can reduce pain or muscle tension by making progressive stretching exercises to help regain muscular flexibility, especially when you are suffering from pain problems. Small balloon techniques are used with clients suffering from constipation or rectal incontinence problems; these techniques could increase or reduce rectal sensitivity in order to normalize bowel movement.

Education and counselling

Once you have strengthened your perineal muscles, you have to learn to use them properly! With the help of functional exercises, your physiotherapist will teach you how to use your muscles to correct your urinary incontinence, your bladder’s prolapse, as well as controlling your sudden urges to go to the bathroom. You may have to change some of your habits in order to help us to fix this problem. You will learn the correct techniques to evacuate your stools to prevent or to deal with a pelvic floor prolapse as well as to ease evacuation.

Treated problems

  • Urinary stress incontinence
  • Urinary urge incontinence
  • Mixed urinary incontinence
  • Urinary incontinence following a prostatectomy
  • Micturation urgency
  • Prolapse of one or more pelvic floor organs
  • Faecal or gas incontinence
  • Constipation
  • Pelvic or perineal pains
  • Children’s incontinence
  • Peyronie’s disease