Pelvic floor rehabilitation consultation

Our consultations are open to all women (whether you have your baby with us or at another facility), and in particular: 

• Women who have had a baby. In the postpartum period, treatment is recommended from six weeks after a spontaneous vaginal delivery, assisted vaginal delivery or cesarean section. You can also make an appointment for a consultation if you had your baby at another facility.
• Pregnant women experiencing incontinence. 
• Any women experiencing stress urinary incontinence, fecal incontinence, urge incontinence, or a bearing down pressure in the pelvis, etc. 
• Women of any age with pain in the genital and pelvic region or difficulties related to penetration.

Consultations are provided by midwives specialised in urodynamics at the maternity or by physiotherapists specialised in perineology.

You can contact one or other of our teams, according to your choice or after discussion with your gynecologist.  

If your goal is to follow Get your strength back after having a baby program, we invite you to start your perineal rehabilitation beforehand.
 

The course of treatment is selected according to each patient’s symptoms and abilities. 

• Manual therapy: this enables the physiotherapist to assess the tone of the pelvic floor, make the patient aware of the muscles that form it, and explain the different exercises the patient can do to restore the correct tone.
• Biofeedback with a vaginal probe: as the patient contracts and releases their pelvic floor muscles around the probe, they can see the changes on a screen. It is used to assess the strength of the muscles, how long the patient can contract them for, and how easily the muscles become fatigued.
• Electrical stimulation: a small electric current is applied to the pelvic floor muscles to strengthen them. It can also provide pain relief. 
• Bladder and intestinal rehabilitation: this includes anatomical and physiological explanations and patient education.
• Guillarme blower: the aim is to restore the natural synergy between the abdominal muscles, the diaphragm, and the pelvic floor.
• Pelvic floor massage: pressure is applied to relax the muscles and tissue.
• Trigger point pressure: pressure is applied to highly sensitive areas of the affected muscles, which may be a source of pain.
• Treatment for levator ani syndrome (vaginismus): progressive desensitization is performed.
• Use of a pessary: a device that is placed in the vagina to keep the pelvic organs in place. 
• Abdominal muscle work: hypopressive abdominal exercises are taught.

Pelvic floor rehabilitation is taken into covered by your insurance when you have a doctor's prescription.

T +41 22 719 67 67

Hôpital de La Tour 
Physiotherapy department 
Building B2 - ground floor