{"id":3330,"date":"2025-12-16T15:51:33","date_gmt":"2025-12-16T14:51:33","guid":{"rendered":"https:\/\/www.aspug.ch\/je-suis-patient-e\/"},"modified":"2026-07-22T17:49:21","modified_gmt":"2026-07-22T15:49:21","slug":"je-suis-patient-e","status":"publish","type":"page","link":"https:\/\/www.aspug.ch\/en\/je-suis-patient-e\/","title":{"rendered":"I am a patient"},"content":{"rendered":"<section class=\"hero gutenberg-block  public-inner  has-menu-content\" id=\"block_f47d773585f7fe72bb993de9f2aa8036\">\n            <div class=\"hero__bg\">\n        <img fetchpriority=\"high\"\n        class=\"js-parallax-hero\"\n        src=\"https:\/\/www.aspug.ch\/wp-content\/uploads\/2025\/12\/f30b6a4945102f1f29869f568eb4001265e5db7f.jpg\"\n        width=\"2448\"\n        height=\"1632\"\n        alt=\"Hero Image\"\n        loading=\"eager\"\n        decoding=\"async\">\n      <\/div>\n        \n  <div class=\"sk-container\">\n    <div class=\"hero__content \">\n      <div class=\"hero__wrap\">\n        <div class=\"hero__text\" data-rise-up data-delay=\"0.3\">\n                      <p>Swiss Association<br \/>\nof Physiotherapists<br \/>\nspecialised in Urogynaecology<br \/>\n&amp; Pelvic Floor Therapy<\/p>\n\n                  <\/div>\n      <\/div>\n      \n          <\/div>\n          <div class=\"hero__acc\" data-rise-up data-delay=\"0.3\">\n        <button type=\"button\" class=\"hero__acc-btn\">How can we assist you ?\n          <svg width=\"10\" height=\"10\" viewBox=\"0 0 10 10\" fill=\"none\">\n            <path d=\"M9.75301 4.39295L9.12766 3.76663C8.96826 3.60698 8.7528 3.51751 8.52685 3.51926C8.30087 3.51926 8.08541 3.61049 7.92778 3.7719L6.26013 5.46489L6.26013 0.847371C6.26013 0.380681 5.88001 -1.8009e-07 5.41407 -2.00457e-07L4.58724 -2.36599e-07C4.36302 -2.464e-07 4.14756 0.0894746 3.98992 0.249128C3.83052 0.407023 3.74118 0.622817 3.74118 0.847367L3.74118 5.49646L2.04201 3.79466C1.88435 3.63501 1.66889 3.54554 1.44469 3.54554C1.22048 3.54554 1.00501 3.63501 0.845622 3.79466L0.248303 4.3929C-0.0827686 4.72449 -0.0827687 5.25959 0.248303 5.59118L4.40159 9.75087L4.40159 9.75263C4.561 9.91053 4.77646 10 5.00066 10C5.22486 10 5.44033 9.91053 5.59972 9.75263L9.75301 5.59293L9.75301 5.59118C9.91241 5.43328 10 5.21749 10 4.99294C10 4.76662 9.91242 4.55258 9.75301 4.39295Z\" fill=\"currentColor\"\/>\n          <\/svg>\n        <\/button>\n        <div class=\"hero__acc-content\">\n          <div style=\"overflow:hidden;\">\n            <nav id=\"nav-hero-acc\" class=\"hero__acc-nav\" role=\"navigation\">\n                              <ul class=\"menu-list\">\n                                                        <li class=\"menu-item\">\n                      <a href=\"https:\/\/www.aspug.ch\/en\/je-suis-patient-e\/\" class=\"menu-item-link\" target=\"_self\">I am a patient<\/a>\n                    <\/li>\n                                                        <li class=\"menu-item\">\n                      <a href=\"https:\/\/www.aspug.ch\/en\/je-suis-medecin\/\" class=\"menu-item-link\" target=\"_self\">I am a physician<\/a>\n                    <\/li>\n                                                        <li class=\"menu-item\">\n                      <a href=\"https:\/\/www.aspug.ch\/en\/je-suis-physio\/\" class=\"menu-item-link\" target=\"_self\">I am a physiotherapist<\/a>\n                    <\/li>\n                                  <\/ul>\n                          <\/nav>\n          <\/div>\n        <\/div>\n      <\/div>\n      <\/div>\n<\/section>\n\n\n<section class=\"content-with-image gutenberg-block  sk-container sk-container--md\" id=\"block_4803ecd15f6f0a8ef8a521fe307e381f\">\n  <div class=\"content-with-image__wrap\" data-rise-up>\n          <h2 class=\"content-with-image__title\">I am a patient<\/h2>\n        <div class=\"content-with-image__columns\">\n              <div class=\"content-with-image__text\">\n          <p>Pelvic floor physiotherapy is a specialised field of physiotherapy. It is intended for people of all ages experiencing urinary, gynaecological, anorectal, sexual, or lumbopelvic disorders.<\/p>\n<p>Its aim is to improve your quality of life by helping restore the function and comfort of your pelvic region through an individualised, comprehensive, and respectful approach tailored to your needs.<\/p>\n\n        <\/div>\n                    <div class=\"content-with-image__media content-with-image__lottie-wrap\" data-lottie-wrap>\n          <div id=\"lottie-anim\" class=\"content-with-image__lottie ASPUG_Personnae_Patient\" data-lottie-onscroll data-lottie-hover data-lottie=https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/05\/ASPUG_Personnae_Patient-2.json><\/div>\n        <\/div>\n          <\/div>\n      <div class=\"buttons-group\" data-rise-list>\n                                                <a href=\"https:\/\/www.aspug.ch\/members\/\" class=\"sk-btn sk-btn--primary sk-btn--deep-blue\" target=\"_self\"\n    \n     title=\"Trouver un th\u00e9rapeute\"  data-rise-item>\n\n          <span class=\"title-wrap\">\n      Trouver un th\u00e9rapeute\n      <\/span>\n        \n    \n      <\/a>\n\n                    <\/div>\n  <\/div>\n<\/section>\n\n\n<section class=\"sk-accordion gutenberg-block  section-top-space\" id=\"block_705724a68cd062757172bce56751b00b\">\n  <div class=\"sk-container sk-container--sm\" data-rise-up>\n          <div class=\"sk-accordion__content\">\n                  <h2>I&#8217;d like to learn more about&#8230;<\/h2>\n                \n      <\/div>\n                  <div class=\"sk-accordion__list\">\n                  <div class=\"sk-accordion__item\">\n                          <button type=\"button\" class=\"sk-accordion__btn\">Radical Prostatectomy<\/button>\n                                      <div class=\"sk-accordion__text\">\n                <div class=\"disabled\">\n                  <div class=\"sk-accordion__wrap\">\n                    <h5>Bladder Anatomy and Function<\/h5>\n<p>&nbsp;<\/p>\n<p>The bladder is a hollow organ made of muscle tissue. It stores the urine continuously produced by the kidneys, much like a barrel collects rainwater.<\/p>\n<p>Two urinary sphincters (the internal and external sphincters) prevent involuntary urine leakage. The prostate, which surrounds part of the urethra, also contributes to urinary continence by providing structural support.<\/p>\n<p>As the bladder fills, the urge to urinate gradually develops. By voluntarily relaxing the external sphincter, urine is able to flow out. Conversely, contracting this sphincter allows urine to be retained.<\/p>\n<p>&nbsp;<\/p>\n<h5>Changes Following Radical Prostatectomy<\/h5>\n<p>&nbsp;<\/p>\n<p>During a radical prostatectomy:<\/p>\n<ul>\n<li>the prostate and the internal urinary sphincter are removed;<\/li>\n<li>the bladder is surgically connected directly to the urethra, above the external sphincter.<\/li>\n<\/ul>\n<p>To promote proper healing, this area is kept immobile for several days using a urinary catheter.<\/p>\n<p>Once the catheter is removed, the external urinary sphincter becomes solely responsible for maintaining urinary continence.<\/p>\n<p>In the early stages, urinary leakage may occur, particularly during certain movements. This is common and generally improves over time with appropriate rehabilitation.<\/p>\n<p>&nbsp;<\/p>\n<h5>Pelvic Floor Physiotherapy<\/h5>\n<p>&nbsp;<\/p>\n<p><strong>Before surgery<\/strong><\/p>\n<p>Physiotherapists specialising in pelvic floor rehabilitation teach patients how to identify and activate their pelvic floor muscles, particularly the external urinary sphincter.<\/p>\n<p>Specific exercises are provided to help integrate these muscle contractions into everyday activities and physical exercise.<\/p>\n<p><strong>After surgery<\/strong><\/p>\n<p>Once the catheter has been removed, rehabilitation can begin or continue, depending on the patient&#8217;s needs.<\/p>\n<p>Muscle strengthening is a gradual process that requires regular practice. It is based on daily exercises and may continue for several months.<\/p>\n<p>&nbsp;<\/p>\n<h5>Sexual Function<\/h5>\n<p>&nbsp;<\/p>\n<p>Sexual function may also be affected following surgery.<\/p>\n<p>Targeted pelvic floor muscle training can also help improve recovery and comfort in this area.<\/p>\n\n                                                        <a href=\"https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/06\/01_Feuilledinformation_Prostataectomie_radicale_fr.pdf\" class=\"sk-btn sk-btn--primary sk-btn--deep-blue\" target=\"_blank\" rel=\"noopener noreferrer\"\n    \n     title=\"Informations\"  >\n\n          <span class=\"title-wrap\">\n      Informations\n      <\/span>\n        \n    \n      <\/a>\n\n                                      <\/div>\n                <\/div>\n              <\/div>\n                      <\/div>\n                  <div class=\"sk-accordion__item\">\n                          <button type=\"button\" class=\"sk-accordion__btn\">Perinatal Care<\/button>\n                                      <div class=\"sk-accordion__text\">\n                <div class=\"disabled\">\n                  <div class=\"sk-accordion__wrap\">\n                    <h5>Pregnancy and Childbirth: A Challenge for the Body<\/h5>\n<p>&nbsp;<\/p>\n<p class=\"isSelectedEnd\">Pregnancy and childbirth place considerable strain on the pelvic floor and abdominal muscles. As pregnancy progresses, the abdomen expands and the abdominal muscles stretch to make room for the growing baby.<\/p>\n<p>The pelvic floor is also significantly stretched, particularly during childbirth. This is made possible by the action of pregnancy-related hormones.<\/p>\n<p>&nbsp;<\/p>\n<p data-start=\"421\" data-end=\"577\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-2958 aligncenter\" src=\"https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/06\/perinatalite-300x237.png\" alt=\"\" width=\"300\" height=\"237\" srcset=\"https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/06\/perinatalite-300x237.png 300w, https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/06\/perinatalite.png 662w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<hr \/>\n<h5>Anatomy and Function of the Pelvic Floor and Abdominal Muscles<\/h5>\n<p>&nbsp;<\/p>\n<p>The pelvic floor is a group of muscles approximately the size of a hand that closes the bottom of the pelvis. It has several essential functions:<\/p>\n<ul data-spread=\"false\">\n<li>Supporting the pelvic organs (bladder, bowel, and uterus)<\/li>\n<li>Providing voluntary control of urine, gas, and bowel movements<\/li>\n<li>Contributing to sexual function<\/li>\n<\/ul>\n<p>The pelvic floor muscles can be voluntarily contracted (to maintain continence) or relaxed (when emptying the bladder or bowels).<\/p>\n<p>The abdominal wall consists of four pairs of muscles, located on either side of the abdomen:<\/p>\n<ul data-spread=\"false\">\n<li><strong>Rectus abdominis:<\/strong> positioned on either side of the midline.<\/li>\n<li><strong>Lateral abdominal muscles:<\/strong> layered along the sides of the abdomen. The deepest layer is the <strong>transversus abdominis<\/strong>, covered by the <strong>internal<\/strong> and <strong>external oblique muscles<\/strong>.<\/li>\n<\/ul>\n<p>Together, these muscles contribute to the shape, stability, and movement of the trunk.<\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-2959 aligncenter\" src=\"https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/06\/abdominaux-300x216.png\" alt=\"\" width=\"300\" height=\"216\" srcset=\"https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/06\/abdominaux-300x216.png 300w, https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/06\/abdominaux.png 667w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<hr \/>\n<h5>Common Problems During Pregnancy<\/h5>\n<p>&nbsp;<\/p>\n<p class=\"isSelectedEnd\">As a result of muscle stretching and weight gain, some women may experience:<\/p>\n<ul data-spread=\"false\">\n<li>Pelvic, back, or abdominal pain<\/li>\n<li>Urinary leakage<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<hr \/>\n<h5>Postpartum Problems<\/h5>\n<p>&nbsp;<\/p>\n<p>After childbirth, some muscle weakness may persist, particularly due to stretching of the pelvic floor and abdominal muscles.<\/p>\n<p>This may result in:<\/p>\n<ul data-spread=\"false\">\n<li>Urinary or bowel leakage<\/li>\n<li>Weakness of the pelvic floor or abdominal wall (rectus diastasis)<\/li>\n<li>Pelvic pain<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<hr \/>\n<h5>The Role of Pelvic Floor Physiotherapy<\/h5>\n<p>&nbsp;<\/p>\n<p>During pregnancy and after childbirth, targeted rehabilitation of the pelvic floor and abdominal muscles can help prevent or treat these conditions.<\/p>\n<p>Physiotherapists specialising in pelvic floor rehabilitation are trained to provide safe, individualised exercise programmes tailored to each patient&#8217;s needs.<\/p>\n<p>&nbsp;<\/p>\n\n                                                        <a href=\"https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/06\/02_Feuilledinformation_Perinatalite_fr.pdf\" class=\"sk-btn sk-btn--primary sk-btn--deep-blue\" target=\"_blank\" rel=\"noopener noreferrer\"\n    \n     title=\"Informations\"  >\n\n          <span class=\"title-wrap\">\n      Informations\n      <\/span>\n        \n    \n      <\/a>\n\n                                      <\/div>\n                <\/div>\n              <\/div>\n                      <\/div>\n                  <div class=\"sk-accordion__item\">\n                          <button type=\"button\" class=\"sk-accordion__btn\">Incontinence in Children<\/button>\n                                      <div class=\"sk-accordion__text\">\n                <div class=\"disabled\">\n                  <div class=\"sk-accordion__wrap\">\n                    <p>Paediatric pelvic floor physiotherapists use a variety of approaches, including: * Body awareness exercises * Educational games to help children understand the role of the pelvic floor muscles * Toilet training * Biofeedback, when appropriate, using small electrodes placed on the skin The aim is to help children develop better bladder and bowel control while taking into account their age and individual needs.<\/p>\n<p>&nbsp;<\/p>\n<h5>Nocturnal Enuresis (Bedwetting)<\/h5>\n<p>&nbsp;<\/p>\n<p>Nocturnal enuresis refers to the involuntary loss of urine during sleep.<\/p>\n<p>It is diagnosed in children over the age of <strong>5 years<\/strong> when bedwetting occurs at least <strong>twice a month for three consecutive months<\/strong>.<\/p>\n<p>It may affect:<\/p>\n<ul>\n<li>Children who have never achieved nighttime bladder control<\/li>\n<li>Children who had previously been dry at night<\/li>\n<\/ul>\n<p>Several factors may contribute to nocturnal enuresis, including:<\/p>\n<ul>\n<li>Heredity<\/li>\n<li>Emotional factors<\/li>\n<li>Delayed maturation of bladder control mechanisms<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h5>Encopresis (Faecal Incontinence)<\/h5>\n<p>&nbsp;<\/p>\n<p>Encopresis is the involuntary passage of stool outside the toilet in children aged <strong>4 years and older<\/strong>, in the absence of an identifiable physical cause.<\/p>\n<p>It may be associated with:<\/p>\n<ul>\n<li>Constipation<\/li>\n<li>Reluctance to use the toilet<\/li>\n<li>Physical discomfort or a previous unpleasant experience<\/li>\n<li>Anxiety related to bowel movements<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h5>Anatomy and Function of the Bladder and Rectum<\/h5>\n<p>&nbsp;<\/p>\n<p><strong>The Bladder<\/strong><\/p>\n<p>The bladder is a hollow organ made of muscle tissue. It stores the urine continuously produced by the kidneys.<\/p>\n<p>Two urinary sphincters (the internal and external sphincters) prevent involuntary urine leakage.<\/p>\n<p>As the bladder fills, the urge to urinate develops. The external urinary sphincter allows urine either to be retained or released.<\/p>\n<p>In children, bladder emptying during sleep should normally be automatically inhibited.<\/p>\n<p><strong>The Rectum<\/strong><\/p>\n<p>The rectum, located above the anus, is normally empty. As it fills with stool, the urge to have a bowel movement develops.<\/p>\n<p>The internal anal sphincter provides automatic closure of the anal canal, while the external anal sphincter is under voluntary control.<\/p>\n<p>&nbsp;<\/p>\n<h5>Pelvic Floor Physiotherapy<\/h5>\n<p>&nbsp;<\/p>\n<p>Any child with urinary or faecal incontinence should be assessed in a paediatric specialist centre to determine the most appropriate treatment.<\/p>\n<p>Paediatric pelvic floor physiotherapists use a variety of approaches, including:<\/p>\n<ul>\n<li>Body awareness exercises<\/li>\n<li>Educational games to help children understand the role of the pelvic floor muscles<\/li>\n<li>Toilet training<\/li>\n<li>Biofeedback, when appropriate, using small electrodes placed on the skin<\/li>\n<\/ul>\n<p>The aim is to help children develop better bladder and bowel control while taking into account their age and individual needs.<\/p>\n\n                                                        <a href=\"https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/06\/03_Feuilledinformation_Incontinence_enfants_fr.pdf\" class=\"sk-btn sk-btn--primary sk-btn--deep-blue\" target=\"_blank\" rel=\"noopener noreferrer\"\n    \n     title=\"Informations \"  >\n\n          <span class=\"title-wrap\">\n      Informations \n      <\/span>\n        \n    \n      <\/a>\n\n                                      <\/div>\n                <\/div>\n              <\/div>\n                      <\/div>\n                  <div class=\"sk-accordion__item\">\n                          <button type=\"button\" class=\"sk-accordion__btn\">Neurological Disorders<\/button>\n                                      <div class=\"sk-accordion__text\">\n                <div class=\"disabled\">\n                  <div class=\"sk-accordion__wrap\">\n                    <h5>Consequences of Neurological Disorders<\/h5>\n<p>&nbsp;<\/p>\n<p>In certain neurological conditions, such as <strong>Parkinson&#8217;s disease<\/strong> or <strong>multiple sclerosis (MS)<\/strong>, bladder and bowel control problems may occur in addition to motor symptoms.<\/p>\n<p>These dysfunctions may include:<\/p>\n<ul>\n<li>Urinary or faecal leakage<\/li>\n<li>Difficulty emptying the bladder completely<\/li>\n<li>Difficulty passing stool<\/li>\n<\/ul>\n<p>The Nervous System, Bladder and Bowel<\/p>\n<p>The brain acts as the body&#8217;s control centre, while the nerves transmit information between the brain and the different parts of the body.<\/p>\n<p>The function of the pelvic floor muscles, bladder, and bowel depends on these nerve connections, which involve both voluntary (conscious) and automatic (reflex) control.<\/p>\n<p>In neurological disorders, damage to the brain, spinal cord, or nerve pathways can disrupt these control mechanisms.<\/p>\n<p>&nbsp;<\/p>\n<h5>Anatomy and Function of the Pelvic Floor<\/h5>\n<p>&nbsp;<\/p>\n<p>The pelvic floor is a group of muscles approximately the size of a hand that closes the bottom of the pelvis.<\/p>\n<p>It has several essential functions:<\/p>\n<ul>\n<li>Supporting the pelvic organs (bladder, bowel, and uterus)<\/li>\n<li>Providing voluntary control of urine, gas, and bowel movements<\/li>\n<li>Contributing to sexual function<\/li>\n<\/ul>\n<p>The pelvic floor muscles can be voluntarily contracted (to maintain continence) or relaxed (when emptying the bladder or bowels).<\/p>\n<h5><\/h5>\n<h5>Pelvic Floor Physiotherapy<\/h5>\n<p>&nbsp;<\/p>\n<p>Physiotherapists specialising in pelvic floor rehabilitation carry out a comprehensive assessment (medical history and physical examination, often including an internal examination) to determine whether the pelvic floor muscles have:<\/p>\n<ul>\n<li>Excessive or insufficient muscle tone<\/li>\n<li>Muscle weakness<\/li>\n<li>Reduced muscular endurance<\/li>\n<\/ul>\n<p>The goals of rehabilitation are to:<\/p>\n<ul>\n<li>Normalise muscle tone<\/li>\n<li>Strengthen the muscles<\/li>\n<li>Improve muscular endurance<\/li>\n<li>Promote adequate support during everyday activities<\/li>\n<li>Achieve optimal muscle relaxation, particularly during toileting<\/li>\n<\/ul>\n<p>Behavioural strategies may also be taught to improve bladder and bowel function.<\/p>\n<p>Depending on individual needs, treatment may also include:<\/p>\n<ul>\n<li>Electrical stimulation (S2\u2013S3, pudendal nerve, or posterior tibial nerve)<\/li>\n<li>Medication prescribed by a physician<\/li>\n<\/ul>\n\n                                                        <a href=\"https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/06\/04_Feuilledinformation_Troubles_neurologiques_fr.pdf\" class=\"sk-btn sk-btn--primary sk-btn--deep-blue\" target=\"_blank\" rel=\"noopener noreferrer\"\n    \n     title=\"Informations \"  >\n\n          <span class=\"title-wrap\">\n      Informations \n      <\/span>\n        \n    \n      <\/a>\n\n                                      <\/div>\n                <\/div>\n              <\/div>\n                      <\/div>\n                  <div class=\"sk-accordion__item\">\n                          <button type=\"button\" class=\"sk-accordion__btn\">Pelvic Organ Prolapse<\/button>\n                                      <div class=\"sk-accordion__text\">\n                <div class=\"disabled\">\n                  <div class=\"sk-accordion__wrap\">\n                    <h5>Cystocele, Rectocele, Uterine Prolapse, and Rectal Prolapse<\/h5>\n<p>&nbsp;<\/p>\n<p>Pelvic organ prolapse refers to the descent of one or more pelvic organs\u2014<strong>the bladder, rectum, or uterus in women<\/strong>\u2014into the vagina or beyond the vaginal opening.<\/p>\n<p>The different types of prolapse include:<\/p>\n<ul>\n<li><strong>Cystocele:<\/strong> descent of the bladder<\/li>\n<li><strong>Rectocele:<\/strong> descent of the rectum into the vagina<\/li>\n<li><strong>Uterine prolapse:<\/strong> descent of the uterus<\/li>\n<\/ul>\n<p>In both men and women, the rectum may also protrude through the anus; this is known as <strong>rectal prolapse<\/strong>.<\/p>\n<p>Under normal circumstances, the pelvic organs are supported within the pelvis by connective tissue structures (fascia and ligaments) and the pelvic floor muscles.<\/p>\n<p>&nbsp;<\/p>\n<h5>Causes of Pelvic Organ Prolapse<\/h5>\n<p>&nbsp;<\/p>\n<p>Pelvic organ prolapse results from weakening or injury of the connective tissue support structures and\/or the pelvic floor muscles.<\/p>\n<p>These conditions mainly affect women, particularly:<\/p>\n<ul>\n<li>After a difficult childbirth<\/li>\n<li>After menopause<\/li>\n<\/ul>\n<p>Certain factors may also contribute to or worsen pelvic organ prolapse:<\/p>\n<ul>\n<li>Chronic constipation<\/li>\n<li>Heavy physical strain<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h5>Pelvic Floor Physiotherapy<\/h5>\n<p>&nbsp;<\/p>\n<p>For pelvic organ prolapse, physiotherapists specialising in pelvic floor rehabilitation provide targeted training of the entire pelvic floor.<\/p>\n<p>Muscle strengthening is a gradual process that requires daily exercises and regular practice over several months to achieve lasting results.<\/p>\n<p>To reduce strain on the pelvic floor, patients may also be taught a range of strategies, including:<\/p>\n<ul>\n<li>Managing intra-abdominal pressure<\/li>\n<li>Behavioural adaptations for everyday activities<\/li>\n<li>Advice on physical exertion<\/li>\n<\/ul>\n<p>Depending on individual needs, supportive devices may also be recommended, such as:<\/p>\n<ul>\n<li>Vaginal support tampons<\/li>\n<li>Pessaries<\/li>\n<\/ul>\n\n                                                        <a href=\"https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/06\/05_Feuilledinformation_Prolapsus_fr.pdf\" class=\"sk-btn sk-btn--primary sk-btn--deep-blue\" target=\"_blank\" rel=\"noopener noreferrer\"\n    \n     title=\"Informations\"  >\n\n          <span class=\"title-wrap\">\n      Informations\n      <\/span>\n        \n    \n      <\/a>\n\n                                      <\/div>\n                <\/div>\n              <\/div>\n                      <\/div>\n                  <div class=\"sk-accordion__item\">\n                          <button type=\"button\" class=\"sk-accordion__btn\">Pelvic Pain<\/button>\n                                      <div class=\"sk-accordion__text\">\n                <div class=\"disabled\">\n                  <div class=\"sk-accordion__wrap\">\n                    <p>When pain occurs in the pelvic floor region, the pelvic floor muscles are often involved.<\/p>\n<p>Excessive muscle activity makes the pelvic floor tight and less mobile. Conversely, insufficient muscle activity makes it weak and unstable.<\/p>\n<p>&nbsp;<\/p>\n<h5>Anatomy and Function of the Pelvic Floor<\/h5>\n<p>&nbsp;<\/p>\n<p>The pelvic floor is a group of muscles approximately the size of a hand that closes the bottom of the pelvis.<\/p>\n<p>It has several essential functions:<\/p>\n<ul>\n<li>Supporting the pelvic organs (bladder, bowel, and uterus)<\/li>\n<li>Providing voluntary control of urine, gas, and bowel movements<\/li>\n<li>Contributing to sexual function<\/li>\n<\/ul>\n<p>The pelvic floor muscles can be voluntarily contracted (to maintain continence) or relaxed (when emptying the bladder or bowels).<\/p>\n<p>&nbsp;<\/p>\n<h5>Acute and Chronic Pain<\/h5>\n<p>&nbsp;<\/p>\n<p>Acute pain occurs following an injury or inflammation. It usually decreases and resolves as the tissues heal. It plays a protective role and supports the healing process.<\/p>\n<p>Chronic pain persists for more than <strong>3 to 6 months<\/strong>, even after the tissues have healed. In this situation, continued protection of the affected area is no longer appropriate, and different management strategies are required.<\/p>\n<p>&nbsp;<\/p>\n<h5>Pain and Pelvic Floor Overactivity<\/h5>\n<p>&nbsp;<\/p>\n<p>Chronic pain often leads to increased muscle tension. However, muscles that remain overly tense can further increase pain, creating a vicious cycle of <strong>pain\u2013tension\u2013pain<\/strong>.<\/p>\n<p>An overactive pelvic floor may cause:<\/p>\n<ul>\n<li>Lower abdominal pain<\/li>\n<li>Pain in the genital area<\/li>\n<li>Diffuse pain throughout the pelvic region<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h5>Pelvic Floor Physiotherapy<\/h5>\n<p>&nbsp;<\/p>\n<p>Physiotherapists specialising in pelvic floor rehabilitation perform a comprehensive assessment, including:<\/p>\n<ul>\n<li>A detailed medical history<\/li>\n<li>Evaluation of pelvic floor muscle tone, strength, and endurance<\/li>\n<li>Assessment of the muscles of the pelvis, back, and abdomen<\/li>\n<li>Analysis of breathing patterns<\/li>\n<\/ul>\n<p>The aim of treatment is to normalise muscle tone, strengthen or relax the muscles as needed, and restore functional balance, particularly for everyday activities and sexual intercourse.<\/p>\n<p>Patients also learn specific strategies to help them better manage chronic pain.<\/p>\n\n                                                        <a href=\"https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/06\/06_Feuilledinformation_Douleurs_plevienne_fr.pdf\" class=\"sk-btn sk-btn--primary sk-btn--deep-blue\" target=\"_blank\" rel=\"noopener noreferrer\"\n    \n     title=\"Informations\"  >\n\n          <span class=\"title-wrap\">\n      Informations\n      <\/span>\n        \n    \n      <\/a>\n\n                                      <\/div>\n                <\/div>\n              <\/div>\n                      <\/div>\n                  <div class=\"sk-accordion__item\">\n                          <button type=\"button\" class=\"sk-accordion__btn\">Sexual Dysfunction<\/button>\n                                      <div class=\"sk-accordion__text\">\n                <div class=\"disabled\">\n                  <div class=\"sk-accordion__wrap\">\n                    <p>Sexual dysfunction includes painful sexual intercourse in women and erectile dysfunction or premature or painful ejaculation in men. It also includes disorders of sexual arousal and orgasm.<\/p>\n<p>In both men and women, the pelvic floor muscles play a key role in the development and management of these conditions.<\/p>\n<p>&nbsp;<\/p>\n<h5>Anatomy and Function of the Pelvic Floor<\/h5>\n<p>&nbsp;<\/p>\n<p>The pelvic floor is a group of muscles approximately the size of a hand that closes the bottom of the pelvis. It has several essential functions:<\/p>\n<ul>\n<li>Supporting the pelvic organs (bladder, bowel, and uterus)<\/li>\n<li>Providing voluntary control of urine, gas, and bowel movements<\/li>\n<\/ul>\n<p>The pelvic floor muscles can be voluntarily contracted (to maintain continence) or relaxed (when emptying the bladder or bowels).<\/p>\n<p>The pelvic floor also plays an important role in sexual function, particularly during sexual arousal and orgasm. In men, it contributes to erection and ejaculation. In women, it contributes to vaginal lubrication and sexual pleasure.<\/p>\n<p>&nbsp;<\/p>\n<h5>Sexual Pain and Pelvic Floor Overactivity<\/h5>\n<p>&nbsp;<\/p>\n<p>When a muscle is painful, it tends to contract more, and this increased tension further intensifies the pain.<\/p>\n<p>An overactive pelvic floor may cause pain in the genital region as well as tension in the lower abdomen.<\/p>\n<p>Anticipatory fear of pain can also increase muscle tension, creating a vicious cycle of <strong>pain\u2013tension\u2013pain<\/strong>.<\/p>\n<p>&nbsp;<\/p>\n<h5>Erectile Dysfunction, Ejaculatory Disorders, and the Pelvic Floor Muscles<\/h5>\n<p>&nbsp;<\/p>\n<p>Pelvic floor muscles that are either too weak or too tight can impair the ability to maintain an erection.<\/p>\n<p>In cases of premature ejaculation, excessive tension in the pelvic floor muscles may reduce voluntary control.<\/p>\n<p>&nbsp;<\/p>\n<h5>Pelvic Floor Physiotherapy<\/h5>\n<p>&nbsp;<\/p>\n<p>Physiotherapists specialising in pelvic floor rehabilitation perform a comprehensive assessment, including a detailed medical history and clinical examination.<\/p>\n<p>They assess whether the pelvic floor muscles have excessive or insufficient muscle tone, as well as deficits in strength or endurance.<\/p>\n<p>The aim of treatment is to normalise muscle tone, improve muscle strength and endurance, and achieve optimal muscle relaxation, particularly during sexual intercourse.<\/p>\n<p>If the pelvic floor is overactive, muscle relaxation techniques are used.<\/p>\n<p>If it is too weak, a targeted strengthening programme is prescribed.<\/p>\n<p>Depending on the patient&#8217;s symptoms, additional therapeutic aids such as vaginal dilators or electrical stimulation may also be used.<\/p>\n\n                                                        <a href=\"https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/06\/07_Feuilledinformation_Dysfonction_sexuelles_fr.pdf\" class=\"sk-btn sk-btn--primary sk-btn--deep-blue\" target=\"_blank\" rel=\"noopener noreferrer\"\n    \n     title=\"Informations\"  >\n\n          <span class=\"title-wrap\">\n      Informations\n      <\/span>\n        \n    \n      <\/a>\n\n                                      <\/div>\n                <\/div>\n              <\/div>\n                      <\/div>\n                  <div class=\"sk-accordion__item\">\n                          <button type=\"button\" class=\"sk-accordion__btn\">Anal Incontinence<\/button>\n                                      <div class=\"sk-accordion__text\">\n                <div class=\"disabled\">\n                  <div class=\"sk-accordion__wrap\">\n                    <p>Anal incontinence is the involuntary loss of stool or gas.<\/p>\n<p>To better understand the underlying mechanisms, it is important to understand the structure and function of the rectum.<\/p>\n<p>&nbsp;<\/p>\n<h5>Anatomy and Function of the Rectum<\/h5>\n<p>&nbsp;<\/p>\n<p>The rectum is located above the anus within the pelvis. Under normal circumstances, it is empty. As it fills with stool, the urge to have a bowel movement develops.<\/p>\n<p>Two sphincters prevent the involuntary passage of stool.<\/p>\n<p>The <strong>internal anal sphincter<\/strong> keeps the anal canal closed automatically, without conscious control. It is assisted by a haemorrhoidal venous plexus, which acts as a soft, watertight cushion.<\/p>\n<p>The <strong>external anal sphincter<\/strong> is under voluntary control. It can be contracted to retain stool and\/or gas, or relaxed to allow evacuation.<\/p>\n<p>If it is not possible to go to the toilet immediately, the rectum gradually relaxes and the urge subsides.<\/p>\n<p>&nbsp;<\/p>\n<h5>Types of Anal Incontinence<\/h5>\n<p>&nbsp;<\/p>\n<p>There are two main mechanisms that can cause anal incontinence.<\/p>\n<p><strong>Active Anal Incontinence<\/strong><\/p>\n<p>The external anal sphincter is too weak.<\/p>\n<p>Leakage occurs when there is a strong urge to defecate because the sphincter is unable to retain stool for long enough or with sufficient strength.<\/p>\n<p><strong>Passive Anal Incontinence<\/strong><\/p>\n<p>The internal anal sphincter is weakened, or the anal canal does not close properly, for example due to haemorrhoids or rectal prolapse.<\/p>\n<p>Stool leakage occurs without the person being aware of it and without any sensation of urgency.<\/p>\n<p>In both types, rectal capacity may also be reduced.<\/p>\n<p>&nbsp;<\/p>\n<h5>Pelvic Floor Physiotherapy<\/h5>\n<p>&nbsp;<\/p>\n<p>Physiotherapists specialising in pelvic floor rehabilitation tailor treatment according to the type of anal incontinence.<\/p>\n<p>For <strong>active anal incontinence<\/strong>, treatment focuses on targeted strengthening of the external anal sphincter. This requires daily exercises over several months.<\/p>\n<p>For <strong>passive anal incontinence<\/strong>, the aim is to optimise stool consistency and introduce appropriate supportive measures.<\/p>\n<p>More generally, behavioural strategies are taught to retrain anorectal function.<\/p>\n<p>Depending on individual needs, treatment may also include:<\/p>\n<ul>\n<li>Rectal sensory and capacity training (using a rectal balloon)<\/li>\n<li>Electrical stimulation<\/li>\n<li>Dietary fibre supplementation<\/li>\n<li>Medication<\/li>\n<\/ul>\n\n                                                        <a href=\"https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/06\/08_Feuilledinformation_Incontinence_anale_fr.pdf\" class=\"sk-btn sk-btn--primary sk-btn--deep-blue\" target=\"_blank\" rel=\"noopener noreferrer\"\n    \n     title=\"Informations \"  >\n\n          <span class=\"title-wrap\">\n      Informations \n      <\/span>\n        \n    \n      <\/a>\n\n                                      <\/div>\n                <\/div>\n              <\/div>\n                      <\/div>\n                  <div class=\"sk-accordion__item\">\n                          <button type=\"button\" class=\"sk-accordion__btn\">Urinary Incontinence<\/button>\n                                      <div class=\"sk-accordion__text\">\n                <div class=\"disabled\">\n                  <div class=\"sk-accordion__wrap\">\n                    <p>Urinary incontinence is the involuntary leakage of urine, meaning the loss of urine outside normal toileting.<\/p>\n<p>To better understand the underlying mechanisms, it is important to understand the structure and function of the bladder.<\/p>\n<p>&nbsp;<\/p>\n<h5>Anatomy and Function of the Bladder<\/h5>\n<p>&nbsp;<\/p>\n<p>The bladder is a hollow organ made of muscle tissue. It stores the urine continuously produced by the kidneys, much like a barrel collects rainwater.<\/p>\n<p>Two urinary sphincters (the internal and external sphincters) prevent involuntary urine leakage.<\/p>\n<p>As the bladder fills (the filling phase), the urge to urinate develops. Voluntary contraction of the external urinary sphincter allows urine to be retained, while relaxation of the sphincter allows urine to be passed.<\/p>\n<p>&nbsp;<\/p>\n<h5>Types of Urinary Incontinence<\/h5>\n<p>&nbsp;<\/p>\n<p>There are two main mechanisms that can cause urinary leakage.<\/p>\n<p><strong>Stress Urinary Incontinence (SUI)<\/strong><\/p>\n<p>The external urinary sphincter is too weak or does not respond appropriately.<\/p>\n<p>Urine leakage occurs when intra-abdominal pressure increases, for example during sneezing, coughing, or physical exertion.<\/p>\n<p><strong>Overactive Bladder (OAB)<\/strong><\/p>\n<p>The bladder muscle does not relax sufficiently during the filling phase and contracts inappropriately before the person reaches the toilet.<\/p>\n<p>People with overactive bladder may experience:<\/p>\n<ul>\n<li>A sudden, compelling urge to urinate<\/li>\n<li>Increased urinary frequency<\/li>\n<li>Urine leakage before reaching the toilet<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h5>Pelvic Floor Physiotherapy<\/h5>\n<p>&nbsp;<\/p>\n<p>For stress urinary incontinence, pelvic floor physiotherapy includes specific training of the external urinary sphincter.<\/p>\n<p>Muscle strengthening is a gradual process that requires daily exercises over several months.<\/p>\n<p>Behavioural strategies are also used to help restore normal bladder function.<\/p>\n<p>When appropriate, treatment may also include:<\/p>\n<ul>\n<li>Electrical stimulation<\/li>\n<li>Medication prescribed by a physician<\/li>\n<\/ul>\n\n                                                        <a href=\"https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/06\/09_Feuilledinformation_Incontinence_urinaire_fr.pdf\" class=\"sk-btn sk-btn--primary sk-btn--deep-blue\" target=\"_blank\" rel=\"noopener noreferrer\"\n    \n     title=\"Informations \"  >\n\n          <span class=\"title-wrap\">\n      Informations \n      <\/span>\n        \n    \n      <\/a>\n\n                                      <\/div>\n                <\/div>\n              <\/div>\n                      <\/div>\n                  <div class=\"sk-accordion__item\">\n                          <button type=\"button\" class=\"sk-accordion__btn\">Constipation<\/button>\n                                      <div class=\"sk-accordion__text\">\n                <div class=\"disabled\">\n                  <div class=\"sk-accordion__wrap\">\n                    <p>Constipation is the difficulty in passing stool.<\/p>\n<p>Stools are often hard, bowel movements are infrequent, and straining is required to evacuate. Some people also have the sensation of incomplete bowel emptying.<\/p>\n<p>&nbsp;<\/p>\n<h5>Anatomy and Function of the Rectum<\/h5>\n<p>&nbsp;<\/p>\n<p>The rectum is located above the anus within the pelvis. Under normal circumstances, it is empty.<\/p>\n<p>As it fills with stool, the urge to have a bowel movement develops. Defecation is only possible once this urge occurs.<\/p>\n<p>Two sphincters maintain continence:<\/p>\n<ul>\n<li>The <strong>internal anal sphincter<\/strong> keeps the anal canal closed automatically, without conscious control. It is assisted by a haemorrhoidal venous plexus, which functions as a soft, watertight cushion.<\/li>\n<li>The <strong>external anal sphincter<\/strong> is under voluntary control. It can be contracted to retain stool and\/or gas, or relaxed to allow evacuation.<\/li>\n<\/ul>\n<p>Soft, well-formed stools are easier to pass than stools that are excessively hard.<\/p>\n<p>&nbsp;<\/p>\n<h5>Possible Causes of Constipation<\/h5>\n<p>&nbsp;<\/p>\n<p><strong>Hard Stools \u2013 Slow-Transit Constipation<\/strong><\/p>\n<p>Passing stool becomes difficult when stools are too dry and compact.<\/p>\n<p>This type of constipation may be caused by:<\/p>\n<ul>\n<li>A low-fibre diet<\/li>\n<li>Inadequate fluid intake<\/li>\n<li>Lack of physical activity<\/li>\n<li>Delaying or ignoring the urge to have a bowel movement<\/li>\n<\/ul>\n<p>Less commonly, it may result from slow intestinal transit or an underlying gastrointestinal disorder.<\/p>\n<p><strong>Inadequate Sphincter Relaxation \u2013 Dyssynergic Defecation (Outlet Obstruction)<\/strong><\/p>\n<p>When the external anal sphincter or pelvic floor muscles fail to relax during defecation, this lack of coordination makes bowel emptying difficult despite the urge to defecate.<\/p>\n<p>&nbsp;<\/p>\n<h5>Pelvic Floor Physiotherapy<\/h5>\n<p>&nbsp;<\/p>\n<p>For slow-transit constipation, pelvic floor physiotherapy aims to promote healthy bowel habits by addressing:<\/p>\n<ul>\n<li>Optimal stool consistency<\/li>\n<li>Correct toileting posture<\/li>\n<li>Appropriate defecation technique<\/li>\n<\/ul>\n<p>For dyssynergic defecation, the physiotherapist specifically assesses the ability of the anal sphincter and pelvic floor muscles to relax.<\/p>\n<p>Treatment focuses on retraining muscle relaxation and coordination, often using breathing exercises and body awareness techniques.<\/p>\n\n                                                        <a href=\"https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/06\/10_Feuilledinformation_Constipation_fr.pdf\" class=\"sk-btn sk-btn--primary sk-btn--deep-blue\" target=\"_blank\" rel=\"noopener noreferrer\"\n    \n     title=\"Informations\"  >\n\n          <span class=\"title-wrap\">\n      Informations\n      <\/span>\n        \n    \n      <\/a>\n\n                                      <\/div>\n                <\/div>\n              <\/div>\n                      <\/div>\n                  <div class=\"sk-accordion__item\">\n                          <button type=\"button\" class=\"sk-accordion__btn\">Overactive Bladder (OAB) \/ Irritable Bladder<\/button>\n                                      <div class=\"sk-accordion__text\">\n                <div class=\"disabled\">\n                  <div class=\"sk-accordion__wrap\">\n                    <p>Overactive bladder (OAB) is characterised by frequent and\/or urgent urges to urinate, with or without urinary leakage.<\/p>\n<p>The symptoms may be similar to those of an acute bladder infection (cystitis). It is therefore important to rule out a urinary tract infection.<\/p>\n<p>&nbsp;<\/p>\n<h5>How Does the Bladder Normally Function?<\/h5>\n<p>&nbsp;<\/p>\n<p>The bladder is like a balloon: as it fills, its walls stretch.<\/p>\n<p>During the filling phase, the muscles around the urethra (the tube through which urine leaves the body) contract to keep the bladder closed, allowing urine to accumulate.<\/p>\n<p>Once the bladder reaches a certain level of filling, the first urge to urinate is felt. This urge can subside if it is not possible to go to the toilet immediately, as the bladder still has additional capacity.<\/p>\n<p>When a person decides to urinate, the brain signals the bladder to contract while simultaneously signalling the urethra and pelvic floor muscles to relax, allowing urine to flow.<\/p>\n<p>On average, a person who drinks around <strong>1.5 litres of fluid per day<\/strong> urinates:<\/p>\n<ul>\n<li><strong>6 to 7 times<\/strong> during the day<\/li>\n<li><strong>0 to 1 time<\/strong> during the night<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h5>What Happens in an Overactive Bladder?<\/h5>\n<p>&nbsp;<\/p>\n<p>The bladder muscle becomes overactive and contracts too frequently.<\/p>\n<p>These contractions create frequent and urgent urges to urinate, even when the bladder is not full.<\/p>\n<p>This sensation may occur, for example:<\/p>\n<ul>\n<li>When hearing running water<\/li>\n<li>When arriving home<\/li>\n<li>When walking towards the toilet<\/li>\n<\/ul>\n<p>Sometimes, this urgency is accompanied by urinary leakage.<\/p>\n<p>Certain drinks may worsen symptoms, including:<\/p>\n<ul>\n<li>Coffee<\/li>\n<li>Tea<\/li>\n<li>Carbonated beverages<\/li>\n<li>Alcohol<\/li>\n<li>Certain fruit juices<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h5>What Is the Treatment for Overactive Bladder?<\/h5>\n<p>&nbsp;<\/p>\n<p>Treatment generally includes:<\/p>\n<ul>\n<li>Lifestyle modifications<\/li>\n<li>Bladder retraining<\/li>\n<li>Medication<\/li>\n<\/ul>\n<p>If these treatments are not sufficiently effective, other options may be considered, including:<\/p>\n<ul>\n<li>Botox injections into the bladder<\/li>\n<li>Posterior tibial nerve stimulation<\/li>\n<li>Sacral neuromodulation<\/li>\n<\/ul>\n\n                                      <\/div>\n                <\/div>\n              <\/div>\n                      <\/div>\n                  <div class=\"sk-accordion__item\">\n                          <button type=\"button\" class=\"sk-accordion__btn\">Diastasis Recti<\/button>\n                                      <div class=\"sk-accordion__text\">\n                <div class=\"disabled\">\n                  <div class=\"sk-accordion__wrap\">\n                    <p>Diastasis recti abdominis (DRA) is an abnormal and persistent separation of the linea alba, the connective tissue that joins the two rectus abdominis muscles.<\/p>\n<p>It most commonly occurs after pregnancy but may also develop following:<\/p>\n<ul>\n<li>Significant weight gain<\/li>\n<li>Abdominal surgery<\/li>\n<li>Repeated activities that increase intra-abdominal pressure<\/li>\n<\/ul>\n<p>This separation is not a muscle tear. The muscles remain intact, but the connective tissue between them becomes stretched.<\/p>\n<p>&nbsp;<\/p>\n<h5>How Is It Measured?<\/h5>\n<p>&nbsp;<\/p>\n<p>Diastasis recti is usually assessed clinically by evaluating the width and depth of the separation, as well as the quality of the connective tissue. Ultrasound may be used to confirm the diagnosis when necessary.<\/p>\n<p>There is no universally accepted diagnostic threshold. However, many authors consider a separation of 2 cm or more at the level of the umbilicus, beyond the early postpartum period, to be consistent with clinically significant diastasis recti.<\/p>\n<p>&nbsp;<\/p>\n<h5>What Are the Possible Consequences?<\/h5>\n<p>&nbsp;<\/p>\n<p>Not everyone with diastasis recti develops symptoms.<\/p>\n<p>When symptoms are present, they may include:<\/p>\n<ul>\n<li>A feeling of trunk weakness or a &#8220;bulging abdomen&#8221;<\/li>\n<li>Bloating or digestive discomfort<\/li>\n<li>A sensation of reduced abdominal support during physical effort<\/li>\n<li>Impaired abdominal\u2013pelvic coordination<\/li>\n<li>In some cases, associated pelvic floor disorders (such as urinary incontinence or pelvic heaviness)<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h5>Why?<\/h5>\n<p>&nbsp;<\/p>\n<p>The separation may impair force transmission through the abdominal wall and disrupt coordination between:<\/p>\n<ul>\n<li>The abdominal muscles<\/li>\n<li>The diaphragm<\/li>\n<li>The pelvic floor<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h5>How Is It Managed in Physiotherapy?<\/h5>\n<p>&nbsp;<\/p>\n<p>Treatment is individualised and aims to improve function rather than simply &#8220;closing&#8221; the gap.<\/p>\n<p>Management may include:<\/p>\n<ul>\n<li>Breathing retraining and management of intra-abdominal pressure<\/li>\n<li>Strengthening of the transversus abdominis (the deep stabilising abdominal muscle)<\/li>\n<li>Abdominal\u2013pelvic coordination training<\/li>\n<li>Progressive, individualised exercises, from simple to functional activities<\/li>\n<li>Postural and movement advice for everyday activities and sports<\/li>\n<\/ul>\n<h5><\/h5>\n<p>&nbsp;<\/p>\n<h5>When Should Surgery Be Considered?<\/h5>\n<p>&nbsp;<\/p>\n<p>Surgery (abdominoplasty with plication of the linea alba) is not the first-line treatment.<\/p>\n<p>It may be considered in certain situations when:<\/p>\n<ul>\n<li>The diastasis is severe and symptomatic<\/li>\n<li>A well-conducted rehabilitation programme has not provided sufficient improvement<\/li>\n<li>There is significant functional impairment or an associated hernia<\/li>\n<\/ul>\n\n                                      <\/div>\n                <\/div>\n              <\/div>\n                      <\/div>\n                <p class=\"no-results sk-text-micro\" style=\"display:none;\">\n          No results found\n        <\/p>\n      <\/div>\n              <div class=\"buttons-group\" data-rise-list>\n                                                <a href=\"https:\/\/www.aspug.ch\/members\/\" class=\"sk-btn sk-btn--secondary sk-btn--purple\" target=\"_self\"\n    \n     title=\"Trouver un th\u00e9rapeute\"  data-rise-item>\n\n          <span class=\"title-wrap\">\n      Trouver un th\u00e9rapeute\n      <\/span>\n        \n    \n      <\/a>\n\n                    <\/div>\n  <\/div>\n<\/section>\n\n\n<section class=\"sk-accordion gutenberg-block  section-top-space\" id=\"block_8e69377c625104fade5e1a5250d576c6\">\n  <div class=\"sk-container sk-container--sm\" data-rise-up>\n          <div class=\"sk-accordion__content\">\n                  <h2>Frequently Asked Questions<\/h2>\n                \n      <\/div>\n                  <div class=\"sk-accordion__list\">\n                  <div class=\"sk-accordion__item\">\n                          <button type=\"button\" class=\"sk-accordion__btn\">What Is the Pelvic Floor?<\/button>\n                                      <div class=\"sk-accordion__text\">\n                <div class=\"disabled\">\n                  <div class=\"sk-accordion__wrap\">\n                    <h5>The Pelvic Floor<\/h5>\n<p>&nbsp;<\/p>\n<p>The <strong>pelvic floor<\/strong>, also known as the <strong>perineum<\/strong>, is a group of muscles approximately the size of a hand that closes the bottom of the pelvis. Its structure and function are very similar in men and women, with the exception of the vaginal opening in women.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-2952 aligncenter\" src=\"https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/06\/plancher-pelvien-1-300x189.png\" alt=\"\" width=\"300\" height=\"189\" srcset=\"https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/06\/plancher-pelvien-1-300x189.png 300w, https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/06\/plancher-pelvien-1.png 542w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-2953\" src=\"https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/06\/plancher-pelvien-2-300x206.png\" alt=\"\" width=\"300\" height=\"206\" srcset=\"https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/06\/plancher-pelvien-2-300x206.png 300w, https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/06\/plancher-pelvien-2.png 666w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-2954\" src=\"https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/06\/plancher-pelvien-3-300x211.png\" alt=\"\" width=\"300\" height=\"211\" srcset=\"https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/06\/plancher-pelvien-3-300x211.png 300w, https:\/\/www.aspug.ch\/wp-content\/uploads\/2026\/06\/plancher-pelvien-3.png 751w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>It is attached to the pelvic bones and works in coordination with the abdominal muscles, back muscles, and diaphragm. Together, they form a stabilising unit for the trunk that is closely linked to breathing.<\/p>\n<p>Through its interaction with connective tissues (fascia and ligaments), the pelvic floor supports and stabilises the pelvic organs: the bladder, bowel, and uterus.<\/p>\n<p>It also plays an essential role in the voluntary control of urinary and anal continence through the external sphincters of the bladder and rectum, together with the pelvic floor muscles. These muscles can be contracted to retain urine, stool, or gas, or relaxed to allow their evacuation.<\/p>\n<p>The pelvic floor also contributes to sexual function by helping to maintain and regulate sexual arousal.<\/p>\n<p>In everyday life, these muscles require both endurance\u2014for example during prolonged walking\u2014and rapid responsiveness, such as when sneezing or during physical exertion. Equally important is their ability to relax completely, which is essential for normal pelvic floor function.<\/p>\n\n                                      <\/div>\n                <\/div>\n              <\/div>\n                      <\/div>\n                  <div class=\"sk-accordion__item\">\n                          <button type=\"button\" class=\"sk-accordion__btn\">When Should You Seek Pelvic Floor Rehabilitation?<\/button>\n                                      <div class=\"sk-accordion__text\">\n                <div class=\"disabled\">\n                  <div class=\"sk-accordion__wrap\">\n                    <p>Pelvic floor rehabilitation is recommended in many situations, regardless of a person&#8217;s age or gender.<\/p>\n<p>Examples include:<\/p>\n<ul>\n<li><strong>Improving continence:<\/strong> management of urinary, faecal, or gas leakage.<\/li>\n<li><strong>Improving bladder and bowel emptying:<\/strong> management of constipation, recurrent urinary tract infections, or difficulty emptying the bladder.<\/li>\n<li><strong>Relieving pelvic pain:<\/strong> treatment of pain related to lumbopelvic dysfunction.<\/li>\n<li><strong>Managing pain during sexual intercourse or menstruation:<\/strong> treatment aimed at reducing pain.<\/li>\n<li><strong>Management of pelvic organ prolapse:<\/strong> treatment for the descent of pelvic organs.<\/li>\n<li><strong>Improving bowel function:<\/strong> management of constipation and other bowel disorders.<\/li>\n<li><strong>Pre- and postoperative rehabilitation:<\/strong> rehabilitation before and after pelvic (bladder, vaginal, anal, or gender-affirming) and abdominal surgery, such as prostatectomy, hysterectomy, or prolapse surgery.<\/li>\n<li><strong>Pre- and postpartum rehabilitation:<\/strong> care for women during pregnancy and after childbirth.<\/li>\n<\/ul>\n\n                                      <\/div>\n                <\/div>\n              <\/div>\n                      <\/div>\n                  <div class=\"sk-accordion__item\">\n                          <button type=\"button\" class=\"sk-accordion__btn\">What Does Pelvic Floor Physiotherapy Treat?<\/button>\n                                      <div class=\"sk-accordion__text\">\n                <div class=\"disabled\">\n                  <div class=\"sk-accordion__wrap\">\n                    <p>Pelvic floor physiotherapy is part of a comprehensive, individualised approach to care. Its aim is to identify the underlying causes of symptoms, restore function, and help each patient achieve greater independence in managing their health.<\/p>\n<p>The main areas of rehabilitation include:<\/p>\n<p><strong>Patient Education<\/strong><\/p>\n<p>Providing personalised information and guidance to help patients understand their body, their symptoms, and how they can take an active role in improving their health.<\/p>\n<p><strong>Muscle and Postural Rehabilitation<\/strong><\/p>\n<p>Targeted pelvic floor muscle training combined with a whole-body approach, including postural correction, optimisation of muscle coordination, and improved management of intra-abdominal pressure.<\/p>\n<p><strong>Management of Muscle Tension<\/strong><\/p>\n<p>Manual treatment of painful or tight tissues, complemented by relaxation techniques, breathing exercises, stretching, and self-massage strategies.<\/p>\n<p><strong>Behavioural Rehabilitation<\/strong><\/p>\n<p>Supporting patients in adopting healthy daily habits through lifestyle advice and practical strategies to better manage their symptoms.<\/p>\n<p><strong>Integration into Daily Life and Sport<\/strong><\/p>\n<p>Assessment and optimisation of movement, posture, and body mechanics during everyday activities and sports.<\/p>\n<p><strong>Prevention and Long-Term Maintenance<\/strong><\/p>\n<p>Individualised advice to help maintain treatment outcomes and promote long-term pelvic floor health.<\/p>\n<p><strong>Multidisciplinary Care<\/strong><\/p>\n<p>Collaboration with the full range of healthcare professionals involved in the patient&#8217;s care.<\/p>\n\n                                      <\/div>\n                <\/div>\n              <\/div>\n                      <\/div>\n                  <div class=\"sk-accordion__item\">\n                          <button type=\"button\" class=\"sk-accordion__btn\">How Does a Pelvic Floor Physiotherapy Session Work?<\/button>\n                                      <div class=\"sk-accordion__text\">\n                <div class=\"disabled\">\n                  <div class=\"sk-accordion__wrap\">\n                    <p>The first session always begins with a comprehensive assessment to tailor treatment to the patient&#8217;s specific needs.<\/p>\n<p><strong>1. Discussion:<\/strong> the physiotherapist assesses urinary, anorectal, sexual, and pelvic organ support functions, as well as risk factors and comorbidities.<\/p>\n<p><strong>2. Physical assessment:<\/strong> evaluation of posture, breathing, and lumbopelvic movement.<\/p>\n<p><strong>3. Pelvic floor assessment:<\/strong> muscle strength, endurance, speed, coordination, support, and muscle tone are evaluated.<\/p>\n<p>Following this assessment, the physiotherapist and the patient work together to define the goals and plan of rehabilitation.<\/p>\n<p>Treatment sessions may include:<\/p>\n<ul>\n<li><strong>Awareness, relaxation, and strengthening exercises:<\/strong> training of pelvic mobility, the pelvic floor muscles, and other regions of the body.<\/li>\n<li><strong>Internal manual therapy:<\/strong> when appropriate, manual treatment via the vagina and\/or anus may be offered.<\/li>\n<li><strong>Biofeedback and electrical stimulation:<\/strong> performed using a vaginal or anal probe, or external electrodes. Biofeedback measures pelvic floor muscle activity and helps patients better understand how their muscles function through visual feedback. Electrical stimulation is used, in particular, to strengthen weakened muscles by stimulating muscle fibres with low-level electrical currents or to reduce certain types of pelvic pain.<\/li>\n<li><strong>Home advice and exercises:<\/strong> an individualised home exercise programme to support the progress made during treatment sessions.<\/li>\n<\/ul>\n<p>Regular follow-up allows progress to be monitored and treatment to be adjusted as needed. The aim of physiotherapy is to provide patients with the knowledge and tools they need to achieve lasting improvement in their symptoms and greater independence.<\/p>\n\n                                      <\/div>\n                <\/div>\n              <\/div>\n                      <\/div>\n                  <div class=\"sk-accordion__item\">\n                          <button type=\"button\" class=\"sk-accordion__btn\">How Can I Access Pelvic Floor Physiotherapy?<\/button>\n                                      <div class=\"sk-accordion__text\">\n                <div class=\"disabled\">\n                  <div class=\"sk-accordion__wrap\">\n                    <p>A medical prescription is required to begin pelvic floor physiotherapy.<\/p>\n<p>The prescription may be issued by any physician (general practitioner, gynaecologist, urologist, proctologist, sports medicine physician, etc.).<\/p>\n<p>Treatment must begin within <strong>5 weeks<\/strong> of the prescription date.<\/p>\n<p>Physiotherapy is covered by Switzerland&#8217;s mandatory basic health insurance (LAMal\/KVG). During pregnancy (from the <strong>13th week<\/strong>) and up to <strong>8 weeks after childbirth<\/strong>, treatment is fully covered under maternity insurance.<\/p>\n\n                                      <\/div>\n                <\/div>\n              <\/div>\n                      <\/div>\n                <p class=\"no-results sk-text-micro\" style=\"display:none;\">\n          No results found\n        <\/p>\n      <\/div>\n              <\/div>\n<\/section>\n\n\n<section class=\"links-list gutenberg-block  section-top-space\" id=\"block_dc8757f9c9de2902faf8fb286a4fc17d\">\n  <div class=\"sk-container sk-container--sm\" data-rise-up>\n    <div class=\"\" data-turn-id-container=\"request-WEB:a90faebc-6b35-4272-a926-c763e913794a-104\" data-is-intersecting=\"true\">\n<section class=\"text-token-text-primary w-full focus:outline-none has-data-writing-block:pointer-events-none [&amp;:has([data-writing-block])&gt;*]:pointer-events-auto R6Vx5W_threadScrollVars 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data-conversation-screenshot-content=\"\">\n<div class=\"flex max-w-full flex-col gap-4 grow\">\n<div class=\"min-h-8 text-message relative flex w-full flex-col items-end gap-2 text-start break-words whitespace-normal outline-none keyboard-focused:focus-ring [.text-message+&amp;]:mt-1\" dir=\"auto\" tabindex=\"0\" data-message-author-role=\"assistant\" data-message-id=\"c4468c52-feda-4042-855b-a7fc812bad91\" data-message-model-slug=\"gpt-5-5\" data-turn-start-message=\"true\">\n<div class=\"flex w-full flex-col gap-1 empty:hidden\">\n<div class=\"markdown prose dark:prose-invert wrap-break-word w-full light markdown-new-styling\">\n<h2 data-start=\"0\" data-end=\"24\"><strong data-start=\"0\" data-end=\"24\" data-is-last-node=\"\" data-is-only-node=\"\">Patient Associations<\/strong><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n\n  <\/div>\n      <ul class=\"links-list__items\" data-rise-list>\n              <li class=\"links-list__item link\" data-rise-item>\n                                  <a href=\"https:\/\/www.lichensclereux.ch\/accueil\u202f \" target=\"_blank\" rel=\"noopener noreferrer\" class=\"links-list__link\">\n              <div class=\"links-list__wrap sk-container sk-container--sm\">\n                Association Lichen Scl\u00e9reux\n                <span class=\"links-list__arrow\"><\/span>\n              <\/div>\n            <\/a>\n                  <\/li>\n              <li class=\"links-list__item link\" data-rise-item>\n                                  <a href=\"https:\/\/postpartale-depression.ch\/fr\/medias.html\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"links-list__link\">\n              <div class=\"links-list__wrap sk-container sk-container--sm\">\n                Periparto Suisse \n                <span class=\"links-list__arrow\"><\/span>\n              <\/div>\n            <\/a>\n                  <\/li>\n              <li class=\"links-list__item link\" data-rise-item>\n                                  <a href=\"https:\/\/s-endo.ch\/\u202f \" target=\"_blank\" rel=\"noopener noreferrer\" class=\"links-list__link\">\n              <div class=\"links-list__wrap sk-container sk-container--sm\">\n                S-Endo\n                <span class=\"links-list__arrow\"><\/span>\n              <\/div>\n            <\/a>\n                  <\/li>\n              <li class=\"links-list__item link\" data-rise-item>\n                                  <a href=\"https:\/\/www.espas.info\/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"links-list__link\">\n              <div class=\"links-list__wrap sk-container sk-container--sm\">\n                ESPAS\u00a0(Espace de Soutien et de Pr\u00e9vention \u2013 Abus Sexuels)\n                <span class=\"links-list__arrow\"><\/span>\n              <\/div>\n            <\/a>\n                  <\/li>\n              <li class=\"links-list__item link\" data-rise-item>\n                                  <a href=\"https:\/\/centrelavi-ge.ch\/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"links-list__link\">\n              <div class=\"links-list__wrap sk-container sk-container--sm\">\n                Centre genevois de consultation pour victimes d&#8217;infractions\n                <span class=\"links-list__arrow\"><\/span>\n              <\/div>\n            <\/a>\n                  <\/li>\n              <li class=\"links-list__item link\" data-rise-item>\n                                  <a href=\"https:\/\/www.prosca.ch\/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"links-list__link\">\n              <div class=\"links-list__wrap sk-container sk-container--sm\">\n                Association de soutien aux personnes touch\u00e9es par le cancer de la prostate et leurs familles\n                <span class=\"links-list__arrow\"><\/span>\n              <\/div>\n            <\/a>\n                  <\/li>\n          <\/ul>\n  <\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":439,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-3330","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.aspug.ch\/en\/wp-json\/wp\/v2\/pages\/3330","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.aspug.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.aspug.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.aspug.ch\/en\/wp-json\/wp\/v2\/users\/439"}],"replies":[{"embeddable":true,"href":"https:\/\/www.aspug.ch\/en\/wp-json\/wp\/v2\/comments?post=3330"}],"version-history":[{"count":21,"href":"https:\/\/www.aspug.ch\/en\/wp-json\/wp\/v2\/pages\/3330\/revisions"}],"predecessor-version":[{"id":3364,"href":"https:\/\/www.aspug.ch\/en\/wp-json\/wp\/v2\/pages\/3330\/revisions\/3364"}],"wp:attachment":[{"href":"https:\/\/www.aspug.ch\/en\/wp-json\/wp\/v2\/media?parent=3330"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}