PESSARIES
Pessaries are certainly instruments that have been on the market for years, however due to the large number of surgeries performed to correct the condition prolapsesof the pelvic organs and the stress urinary incontinence, we no longer offer this resource to patients.
Occasionally, we use pessaries in the conservative treatment of prolapses of the pelvic organs and in urinary incontinence of effort.
However, there are different indications for the use of pessaries and it is essential that each case is carefully analyzed.
We recommend pessaries in cases where urogynecological physiotherapy treatment was not enough to eliminate the patient’s symptoms, or in cases where the patient does not want or cannot undergo surgery.
However, we also suggest pessaries when women want to start doing impact exercises and are still undergoing rehabilitation treatment for the muscles of the PERINEUM.
However, there are several different sizes and models, we recommend each one for a specific case and evaluate them according to the woman’s anatomy. Sometimes we need to replace the chosen model or size.
We offer a specialized assessment to choose the most suitable pessary.
UROGYNECOLOGICAL PHYSIOTHERAPY
The urogynecological physiotherapy</a > it is a conservative treatment, certainly without any side effects, which in a way simple and quick resolves pelvic floor dysfunctions.
In this way, the main national and international medical societies recommend it as the first form of treatment for perineal dysfunction, also serving as a form of prevention.
Firstly, our treatments aim to carry out a global rehabilitation of the muscles of the PERINEUM, at the end of treatment these muscles will be able to perform all their functions: urinary, defecatory, sexual and support of the pelvic organs.
Therefore, all treatments follow the revolutionary and innovative concept Active Perineal Rehabilitation and Series developed by physiotherapist Dr. Laira Ramos.
ACTIVE PERINEAL REHABILITATION
The Active Perineal Rehabilitation protocol consists of 14 individual consultations, with the purpose of providing global rehabilitation of the muscles of the PERINEUM.
Each consultation lasts an average of 50 minutes in which the patient undergoes kinesiotherapy (Kegel exercises)with biofeedback and electrostimulation</a >.
In this sense, the difficulty of the exercises evolves gradually, with the protocol divided into 3 phases: sessions 1 to 4 are for the teaching of contraction and relaxation; 5 to 8 sessions are for training agility and muscular coordination; sessions from 9 to 14 to promote muscle hypertrophy.
Therefore, in order to obtain better results more quickly, at the end of each session patients are instructed to do exercises at home and women instructed in the use of vaginal cones.
