Perineal Re-education

Perineal Re-education

Perineal re-education is one of the numerous fields of practice in physiotherapy. When faced with a dysfunction of the uro-genital system, it aims at improving pelvic floor strength, bladder control, diminishing chronic pain, etc. The muscles of the pelvic floor have various functions such as supporting the abdominal organs, controlling urinary and anal sphincters and enhancing sexual pleasure. The majority of these muscles are skeletal; this means that you have the capability of controlling them voluntarily and that they can be trained, just like the muscles of the arms and legs. It is also possible to regain control over your bladder by changing some habits and initiating a specific training program.

Therapeutic Interventions

The evaluation and treatments take place in a private and fully equipped room. The appointments last one hour and the interventions may consist of the following:

  • Patient education and viewing of video 
  • Exercises
  • Bladder training
  • Electrotherapy (e.g.: biofeedback, muscle stimulator, etc)
  • Manual therapy

Who is perineal re-education for and in what circumstances?

  • Both men and women can benefit from perineal re-education
  • When uncontrollable urine and/or loss of feces interferes with daily activities, social involvements, etc.
  • If there is chronic pain in the pelvic area (e.g.: vulvodynia).
  • Before or after surgery performed in the pelvic area (e.g.: prostatectomy)
  • After childbearing
  • If frequent visits to the bathroom (e.g.: 10 times a day) interferes with quality of life

Perineal re-education is an intervention in physiotherapy; the costs are therefore covered by most insurance plans.

Health issues that can be treated

  • Dysfunction of the Urogenital System
  • Incontinence
  • Loss of Urine and Fecal Incontinence
  • Chronic Pain in the Perineum (e.g.: Vulvodynia)
  • Surgery in the Perineum (e.g.: Prostatectomy)
  • After Childbirth
  • Frequent Visits to the Bathroom
  • Urinary Dysfunction
  • Anorectal Dysfunction
  • Stabilization of the Internal Unit
  • Sexual Dysfunction
  • Prolapse