Urogynecological Physiotherapy

Urogynecological physiotherapy is a specialized branch of physiotherapy that focuses on women’s intimate health at every stage of life – from puberty, through pregnancy planning, pregnancy, postpartum period, and up to menopause. At Aurora Medical in Warsaw, we provide therapy aimed not only at treating existing issues but also at prevention to avoid their recurrence in the future.

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Our physiotherapist

MSc Julia Safińska
Urogynecological Physiotherapist

I hold a Master’s degree in physiotherapy, specializing in urogynecological physiotherapy. In my work with patients, I focus on a holistic approach – caring not only for the physical aspect but also for psychological and emotional comfort. I treat each patient individually, building a relationship based on trust, empathy, and mutual respect.

What is Urogynecological Physiotherapy?

Urogynecological physiotherapy focuses on the diagnosis and treatment of disorders in the pelvic floor muscles, the pelvic region, and related structures – including the spine, hip joints, and abdominal wall.
A urogynecological physiotherapist works both manually and through individually tailored exercises, also teaching patients how to properly engage and relax the pelvic floor muscles in daily activities.

Indications for Urogynecological Physiotherapy

The most common issues that bring patients to therapy include:

• Urinary incontinence (stress, urge, mixed)

• Fecal and gas incontinence

• Pelvic organ prolapse (uterus, bladder, rectum)

• Painful menstruation and endometriosis

• Pain during intercourse (dyspareunia)

• Pubic symphysis separation and groin pain during pregnancy

• Scars after cesarean section or perineal incision – adhesions, pain, restricted tissue mobility

• Diastasis recti after pregnancy

• Coccyx pain (coccydynia)

• Preparation for urogynecological or gynecological procedures

Contraindications

• Active intimate infections

• Advanced pelvic oncological diseases

• Uncontrolled hypertension (especially during pregnancy)

• Generalized edema of unknown origin

• Vaginal bleeding of unknown etiology

• In complicated pregnancies, a gynecologist’s approval is required.

Physiotherapy During Pregnancy

Urogynecological physiotherapy during pregnancy in Warsaw helps to:

• Prepare the pelvic floor muscles for childbirth

• Reduce back and pelvic pain

• Improve posture and breathing

• Teach pushing and relaxation techniques for labor

• Reduce the risk of perineal tears

The first visit is recommended in the second trimester.

Postpartum Physiotherapy – Postnatal Rehabilitation in Warsaw

After childbirth, regardless of its type, it is advisable to see a physiotherapist to:

• Assess pelvic floor muscle condition

• Evaluate scars from perineal incision or cesarean section

• Diagnose potential diastasis recti

• Implement safe exercises to return to activity

Postpartum therapy helps prevent urinary incontinence, pelvic organ prolapse, and chronic back pain.

What Does a Session Look Like?

• Medical interview – discussing your symptoms, obstetric history, diseases, and surgeries.

• Examination – assessment of posture, breathing, muscle tension, and pelvic floor function (palpation or ultrasound).

• Therapy plan – selection of manual techniques, exercises, and breathing work.

• Education – learning daily ergonomics, proper habits, and home exercises.

Techniques Used in Urogynecological Physiotherapy

• Manual soft tissue therapy

• Pelvic floor muscle exercises (Pelvic Floor Muscle Training)

• Breathing and postural exercises

• Scar mobilization

• Relaxation techniques

• Biofeedback and electrostimulation (if indicated)

Tests Before Starting Therapy

In most cases, special tests are not required, but the following may be helpful:

• Recent pelvic ultrasound

• Gynecological examination results

• Information from the attending physician (during pregnancy or in chronic conditions)

Effects of Urogynecological Physiotherapy

• Improved bladder and bowel control

• Reduced pelvic and back pain

• Better sexual life quality

• Faster return to activity after childbirth or surgery

• Reduced risk of recurrence of problems in the future