Urogynecological physiotherapy

Urogynecological physiotherapy is the treatment of dysfunctions involving the pelvic floor muscles, bladder, vagina, and reproductive organs. We work with women of all ages — both after childbirth and before it, during the perimenopausal period, after gynecological surgery, as well as with patients experiencing stress urinary incontinence, painful periods, or pelvic organ prolapse.

At Garden Clinic, we provide therapy in close cooperation with gynecologists, urologists, and endocrinologists. Treatment is based on precise functional diagnostics, observation of the body’s responses, and systematic work.

It is worth booking a consultation in any of the following cases:

during pregnancy — to prepare for childbirth and protect the pelvic floor muscles
after vaginal delivery or cesarean section
in cases of urinary, gas, or stool incontinence, both stress and urgency-related
if you experience a feeling of “heaviness” in the perineum, pressure, or pelvic organ prolapse
in cases of pain during intercourse, painful menstruation, or tension in the perineal area
after gynecological procedures, such as hysterectomy or vaginal wall repair
during menopause and the perimenopausal period, when tissue elasticity decreases
in cases of recurrent intimate infections or problems emptying the bladder
before and after urogynecological or urological procedures
in cases of diastasis recti abdominis (DRA)

The most common causes of pelvic floor dysfunction include:

childbirth, especially when it is rapid, prolonged, or ends with intervention, such as vacuum extraction or forceps
perineal tear or episiotomy
damage to the muscles and nerves of the lesser pelvis during pregnancy and childbirth
gynecological and urological surgeries
chronic constipation, coughing, or heavy lifting
hormonal fluctuations, including menopause, the postpartum period, and thyroid disease
chronic stress, emotional tension, and lack of movement
a feeling of pressure or fullness in the vagina
difficulty controlling gas
pain in the sacral area or tension in the lower abdomen
pain during intercourse
lack of sexual satisfaction

Therapy is carried out by a qualified urogynecological physiotherapist. The first step is a consultation and functional examination, including an assessment of posture, breathing pattern, abdominal muscles, pelvic floor, and diaphragm function.

Depending on the patient’s needs, we use:

manual therapy — work on scars, the diaphragm, the hip girdle, and the deeper layers of muscles
pelvic floor muscle tone re-education
functional training with biofeedback
work on conscious contraction and relaxation of muscles
training in proper breathing patterns and activation of the deep trunk structures
scar therapy — after cesarean section, episiotomy, and surgery
exercises improving stabilization of the pelvis and lower spine

Natalia Mikulska

Urogynecological physiotherapist

Urogynecological physiotherapy

Urogynecological physiotherapy at Garden Clinic

When should you see a urogynecological physiotherapist?

Symptoms and causes of dysfunction: childbirth, perineal tear, and muscle tone disorders

Modern urogynecological physiotherapy at Garden Clinic

Specialists

Natalia Mikulska