Unit of Urinary Incontinence and Pelvic Floor
The problems of Stress Urinary Incontinence (urinary leakage related to strains such as coughing, sneezing, running, weight lifting etc.) start, unless caused by illnesses or other types of exceptional complications, after one or various births. If the lesion is not treated, the incontinence advances and adds to other problems that come with age.
The Unit of Urinary Incontinence and Pelvic Floor of HCB has been created to offer personalised answers that adapt to the problems of every woman. Because with every patient, and also every age range, the level of incontinence can be different so the solutions that are proposed will be adapted to each case.
The best way to personalise the treatment and the integral solution for each patient is to follow a protocol that unites the work and the evaluations of a multidisciplinary team formed by different specialists: a specialist in Gynaecology, Pelvic floor and Gynaecological surgery, who will make the first evaluation of each patient and will be supported by the work and second opinion of a specialist in Rehabilitation Medicine and his team of physiotherapists, specialised in therapies of the pelvic floor.
To guarantee the complete efficiency of each treatment proposal, the patient passes through a well-studied medical path that will detect, at all times, their evolution, condition and therapeutic needs:
The specialist in Pelvic Floor and Gynaecological Surgery, Dr. Server, will evaluate, during the gynaecology consultation, the grade of incontinence of the patient with urine loss and will indicate the steps to follow.
Medical Specialist – Grade of incontinence
The Rehabilitation Doctor, Dr. Fernando Verdú, assesses the patient to indicate the best treatment for the Pelvic Floor.
The Rehabilitation Doctor will carry out the ‘ICIQ-SF Questionnaire of Urinary incontinence’ to determine the quality of life of the patient; he will give the patient a diary for urinary records and register the strength of the Pelvic Floor by manometry. With all of this, he can obtain results before and after the 20 sessions.
The treatment is individual and is made up of 20 sessions, performed over three months in which the objective is to make the patient aware (proprioception) of how to tone the Pelvic floor analytically and without artefacts and to design their training program for when they leave the clinic.
The Physiotherapy team for the pelvic floor will work on correction techniques for the abdomen with hypopressive exercises, manual re-education, massotherapy, electrostimulation and biofeedback( waves with intracavitary electrodes) intracavitary mechanisms -when necessary-, free exercise and behavioural techniques.
- Rehabilitation Doctor ICIQ-SF Questionnaire of Urinary incontinence
- 20 sessions over 3 months
- Correction techniques for the abdomen
The gynaecologist will evaluate if the patient has recuperated after the physiotherapy, or if, on the contrary, requires another treatment focused on Incontinence Surgery.
The surgical technique of Stress Urinary Incontinence, through the TOT technique (tension free Trans obturator tape) is a simple and effective surgery which allows patients to return home 24 hours after the operation and quickly recuperate their everyday life. This surgery completely and immediately eliminates the problems of urine loss.
INCONTINENCE SURGERY
- TOT TECHNIQUE
- SIMPLE AND EFFICIENT SURGERY
- COMPLETELY ELIMINATE URINARY PROBLEMS
- 1 DAY ADMISSION
After the surgery, it is possible to perform a simple treatment of post-surgical Physiotherapy with the possibility of group therapy, flexible rachis exercises, hypopressive exercises, management of the abdominal area, proprioception of the area, and specific exercises for the pelvic floor.
The Rehabilitation Doctor will provide his report with the details collected before and after the conservative treatment so that the Specialist in Gynaecology can discharge the patient and can offer them a specific follow up plan of 3 to 6 months.
- Rehabilitation Doctor
- Post-Surgical Physiotherapy
- Specialist doctor in Gynaecology
- Discharge of the patient
- 3-6 months of follow up treatment.
Gynaecology, Pelvic floor and Gynaecological surgery
Dr. Javier Server
Rehabilitation Medicine
Dr. Fernando Verdú
