What is the perineum?
The perineum is a group of muscles, ligaments, and tissues that form the base of the pelvis. It supports the pelvic organs, such as the bladder, the uterus in women, and the rectum. This muscle group plays an essential role in controlling urinary and fecal continence, sexual function, and pelvic stability.
Female perineum
It is often affected during pregnancy, childbirth, or aging, which may lead to muscle weakness or pain.
Male perineum
Less well-known, but equally important for urinary continence, sexual function, and recovery after certain surgical procedures, particularly prostatectomy.
Indications for pelvic floor rehabilitation
Pelvic floor rehabilitation is recommended in several situations:
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For women: after childbirth, in cases of urinary incontinence or urinary tract infections, pelvic pain, painful intercourse (dyspareunia), or disorders related to excessive pelvic floor muscle tension.
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For men: after prostatectomy or other urological procedures, in cases of urinary incontinence, sexual dysfunction, or chronic pelvic pain.
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For everyone: in cases of disorders related to poor coordination or hypertonicity of the pelvic floor muscles, which may cause pain, tension, or dysfunction.
How does rehabilitation work?
Pelvic floor rehabilitation is based on tailored exercises, often supported by techniques such as biofeedback or muscle relaxation, to strengthen or relax the muscles as needed. Each program is personalized and always respects the comfort of the patient, whether male or female.
Rehabilitation can also help manage anal continence disorders, a sensitive area that requires specific care (anorectal rehabilitation), which I also provide.
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