The pelvic floor is a set of muscles, ligaments and tissues that support important organs such as the bladder, uterus and rectum. In addition to ensuring urinary and fecal continence, it is involved in proper abdominal function, pelvic mobility and sexual function. When this musculature weakens or loses coordination, problems such as urinary or fecal incontinence, prolapse, chronic pelvic pain, atrophy, sexual dysfunction, constipation, abdominal diastasis, etc… can appear, affecting both men and women.
There are many factors that can weaken the pelvic floor: childbirth, age, obesity, some high-intensity sports, sedentary lifestyle, certain surgeries…
In this context, pelvic floor physiotherapy becomes an essential tool. Its objective is to prevent, evaluate and treat these dysfunctions from a non-invasive approach based on scientific evidence. Thanks to manual therapy, muscle re-education and advanced technology, functions that are key to the quality of daily life are restored: walking, coughing, carrying weight, playing sports or having a healthy sex life.
A unique model in Ibiza and Formentera: real and continuous coordination between surgeons, gynecologists, urologists and pelvic floor physiotherapists.
One of the greatest differential values of the Pelvic Floor Unit of Clínica Vila Parc is its multidisciplinary work model, the only one of its kind in Ibiza and Formentera. Here, specialized physiotherapists work in constant communication with the services of General Surgery, Gynecology and Urology, forming a coordinated team that analyzes and accompanies the patient from diagnosis to final recovery.
This system includes regular meetings and ordinary clinical sessions, where cases are reviewed on an individual basis, as well as extraordinary sessions when complex situations arise that require joint decisions and rapid responses. In addition, there is a direct line of communication between the medical specialists and the pelvic floor physiotherapists, which allows treatments to be adjusted in real time and guarantees exceptional continuity of care.
In addition to minimally invasive and robotic surgery, in which Grupo Policlínica is a leader, rehabilitation based on the latest pelvic floor technology is added, creating a comprehensive care circuit that combines surgical precision and advanced functional recovery.
This global approach ensures that the patient’s follow-up is not limited to the technical intervention, but is carried out in a holistic and coordinated manner, focused on achieving the best possible recovery with maximum guarantees.
Abdominal wall surgeries (such as hernias or diastasis) and colorectal surgeries can profoundly alter core balance and pelviperineal function. As the general surgeon, Leopoldo Salvatierra, points out: ” in patients undergoing abdominal wall surgery, where full midline repair is required, we usually try before and after to rehabilitate this area to help them have better control of the deep musculature. This facilitates a faster recovery.
This physiotherapy is also essential for the treatment of pain and scars after surgery. And in patients with perianal pathology (hemorrhoids, fissures…).
Postpartum: a key stage that often requires rehabilitation
Pregnancy and childbirth are two of the physiological experiences that have the greatest impact on the pelvic floor. The pelvic musculature supports up to 10 times more pressure than usual, and vaginal delivery or cesarean section add factors such as tears, episiotomies, scarring or changes in the pelvis.
Therefore, postpartum is a stage in which physiotherapy is essential, both to prevent and to treat: urinary incontinence, prolapse, pain during sexual intercourse, abdominal diastasis, cesarean scar, tear or episiotomy…
Along these lines, gynecologist Jordi Boned adds: “after childbirth, we normally always refer patients to our pelvic floor physiotherapy colleagues to ensure an ideal recovery”.
The most advanced technology, at the Vila Parc clinic
The Pelvic Floor Unit at Clínica Vila Parc has some of the most advanced equipment currently available in pelvic floor rehabilitation:
Biofeedback. It is a device that allows to visualize muscle activity in real time, improving pelvic floor control, optimizing continence rehabilitation and accelerating muscle re-education.
INDIBA radiofrequency: Promotes tissue regeneration, reduces inflammation, reduces pain and accelerates recovery times after abdominal, colorectal and postpartum surgeries. Especially useful in scars, fibrosis and chronic pelvic pain.
Laser: Indicated to improve tissue quality, increase vascularization and promote healing in episiotomies, cesarean sections and abdominal surgical scars. It is also useful to treat chronic pain, dryness or moderate atrophy.
TeslaCare chair (high intensity electromagnetic stimulation): A non-invasive technology capable of generating supra-maximal muscle contractions in the pelvic floor, allowing for effortless deep muscle strengthening. Very effective in cases of urinary incontinence, severe weakness or as a complement to active therapy.
NESA: Or non-invasive neuromodulation. Especially indicated for the treatment of pain, overactive bladder, sleep disturbances…
Physiotherapist Tania Güiza clarifies: “We use one technology or another depending on the patient’s needs, always seeking a personalized treatment.
It is clear that the pelvic floor is an area of the body that, keeping it strong and functional is essential for quality of life on a daily basis. The specialized physiotherapists at Clínica Vila Parc also advise and educate patients to protect it and prevent future problems.
