Which is it? Where is it? What is it for?



The PERINEUM (also known as the pelvic floor or even pelvic floor) is a group of muscles located at the base of the pelvis. This way are responsible for the urinary function, defecatory, as well as sexual. However in women are also responsible for supporting the pelvic organs. Therefore, muscles are not important for our quality of life.

According to the book Anatomia de Gray is divided into 3 layers:


It’s in the deeper layer, eventually considered the most important since it is the most talked about.  It is made up of the levator ani and coccygeus muscles. The anus elevator muscle is formed by the pubococcygeus, puboretal and iliococcygeus muscles. The puboccygeus muscle is divided into puboprostatic (in men), pubovaginal (in women) and puboanal.


It is likely to be the least known layer as it is the least cited. It is formed by the deep transverse perineal muscles, external urethral sphincter and, only in women, by the urethrovaginal sphincter and urethral compressor muscles.


Because it is very important for the sexuality is becoming more and more popular. Its muscles are: ischiocavernosus, bulbospongiosus and superficial perineal transverse (which form the urogenital triangle); and by the external anal sphincter muscle (which forms the anal triangle).


In short the pelvic floor is important for women, men and children, after all, these muscles work in synergy, being responsible for função urinary, defecatory and sexual.

However, in women they are also responsible for supporting of the pelvic organs (urethra, bladder, vagina, uterus, anus and rectum). Right at pregnancy and postpartum are most requested, regardless of whether it was a vaginal birth or cesarean section.

Likewise, they are in great demand during physical activity impact and in various sports, since the increase in intra-abdominal pressure, generated by efforts, leads to weight overload on this structure.

At first these muscles always contract together, therefore, in this movement they close the urethra, the vagina (in the case of women) and the anus. This contraction also elevates and supports the pelvic organs (urethra, bladder, vagina, uterus, anus and rectum).


The pelvic floor dysfunctions can occur as a result of changes in the pelvis and malfunction of the muscles of the PERINEUM, regardless of age and gender.

At first the weakness of these muscles is the cause of urinary incontinence (pee loss), fecal incontinence (loss of gas or feces), pelvic organ prolapse (“dropped bladder”), and some sexual dysfunctions (decreased pleasure, difficulty having an erection, difficulty having an orgasm).

However, people who cannot relax these muscles(hyperactivity) may have complained about urinary retention (difficulty peeing), intestinal constipation (difficulty evacuating), pelvic pain (pain in the pelvic region) and some sexual dysfunctions (pain during sexual intercourse, difficulty in having an erection, premature ejaculation, among others).

Without a doubt, these dysfunctions are embarrassing and bring about a reduction in quality of life and self-esteem.


Through urogynecological physiotherapy we treat and preventdysfunctions of the urinary, defecatory, sexual and support systems of the pelvic organs. So this is the area of physiotherapy specializing specifically in disorders of the pelvic floor.

In this way, we use perineal rehabilitation for the treatment and theprevention of the dysfunctions of women, men and children. We aim to avoid surgical intervention by offering a conservative treatment.

All of our treatments follow the revolutionary and innovative concept Active Perineal Rehabilitation and Series, developed by physiotherapist Dr. Laira Ramos, expert in this area. We don’t just deliver fast and efficient results , as also long-lasting.

Finally, these treatments will improve well-being, quality of life, sexuality and self-esteem.


Since 2006 offering the best treatments in urogynecological physiotherapy