Problems such as urinary and anal incontinence, prolapse problems as well as sexual problems and chronic pelvic floor pain can be treated at Mirha Pelvic Care Center .

Specialisations

Pelvic floor problems-Pelvic Care Center

Pelvic floor
problems

More than 60% of women will have a pelvic floor problem at some point in their lives.

More frequent than breast cancer

Most common chronic condition in women

Long-term consequences

1 woman out of 3
develops a
urinary incontinence
0%
1 woman in 10 will develop anal incontinence
0%

Some common pelvic floor problems

Some common pelvic floor
problems

Urinary incontinence

Urinary incontinence is a condition affecting millions of people worldwide, in which control of the bladder is lost, resulting in involuntary urine loss. This condition can vary in severity and impact on daily life. From limiting social activities to causing emotional discomfort, urinary incontinence can affect various aspects of life.

Fortunately, there are numerous diagnostic and treatment options available to effectively address this condition. Through specialised care, we aim to help manage symptoms and improve quality of life.

Our dedicated team is ready to provide support, diagnose and develop personalised treatment plans.

Urinary leakage on exertion

Urinary leakage on exertion or urinary stress incontinence is usually a result of a mechanical problem of support.

Urination without exertion

Non-exertional urine leakage or Urinary urge incontinence accompanied by a sudden strong and sometimes painful urge to urinate is usually a functional problem of stocking.

Urinary leakage can be treated with:

Kinesitherapy

Kinesitherapy

Pelvic physiotherapy, or pelvic floor therapy, focuses on strengthening and optimising the muscles in the pelvic floor area. These muscles play a crucial role in supporting the bladder, uterus and bowels, and in regulating the flow of urine.

Pessary

Pessary

A pessary is a flexible, often ring-shaped structure made of silicone, rubber or plastic that is inserted into the vagina and placed there to provide support or to alleviate certain medical problems.

Surgery

Surgery

TVT-O surgery is a surgical procedure performed to treat stress incontinence in women. In this operation, the surgeon places a narrow, synthetic tape-like material under the urethra (urethra) to support it and reduce pressure on the bladder.

Medication

Medication

Fortunately, there are several medicinal treatments available that can help reduce urine leakage and improve bladder control.

Botox

Botox

Botox, a brand name for botulinum toxin, may be known for its cosmetic applications for reducing wrinkles, but it also plays an important role in treating urine leakage, especially in women with urge incontinence.

Neuromodulation

Neuromodulation

In women, neuromodulation can be effective in managing urge incontinence, a form of urine leakage characterised by sudden and strong urges to urinate.

Genital prolapse

Rarely single problem

Functional consequences

Often an interaction between bladder, vagina and rectum

Genital prolapse, also known as pelvic organ prolapse, occurs when the pelvic organs, such as the bladder, uterus or intestines, sag out of their normal position and may protrude through the vaginal opening. 

This condition can cause discomfort, feeling of pressure in the pelvic area and problems with urination, defecation or sexual activity. 

Fortunately, several treatment options are available, from conservative therapies to surgical procedures, to relieve symptoms and improve quality of life. 

Our team of specialists is ready to assess individual needs and provide tailor-made treatment plans for an effective and personalised care experience.

Of course, all this is done in consultation in our multidisciplinary team.

Genital prolapse can be treated with:

Follow up

Follow up

Follow-up of genital prolapse includes regular evaluations of symptoms, pelvic floor muscle strength and anatomical condition. After all, not every prolapse needs to be treated. Complications such as pain and discomfort, incontinence and sexual dysfunction should be monitored and treated as needed.

Pessary

Pessary

Silicone or rubber inserts placed in the vagina to support the pelvic organs and relieve symptoms.

Surgery

Surgery

- Vaginal repair surgery: repair of pelvic floor support structures through a vaginal approach.
- Laparoscopic and robot-assisted surgery: In some cases, it is better to operate along the abdomen, with or without robot support

Kinesitherapy

Kinesitherapy

Targeted exercises to strengthen pelvic floor muscles and improve pelvic organ support.

Constipation

Treatment of constipation (constipation) can vary depending on the severity of symptoms and their causes. Usually, treatment will be part of a multidisciplinary treatment plan.

Commonly recommended treatment options

Diet

Diet

Fibres, such as whole grains, vegetables, fruits, legumes and nuts. help promote bowel movements and improve the consistency of stools.

Olive oil

Olive oil

Olive oil can help lubricate the intestines and facilitate the passage of stools, especially when taken on an empty stomach.

Water

Water

Drink enough water daily (about 8 glasses a day). Fibre needs water to work properly. Magnesium-rich water improves transit.

Psyllium fibre

Psyllium fibre

Psyllium fibre should be taken with a sufficient amount of water.

Physical exercise

Physical exercise

Physical activity stimulates bowel movements. Try to perform at least 30 minutes of moderate physical activity daily.

Regular toilet routine

Regular toilet routine

Take time to go to the toilet regularly, especially after meals.

Medication

Medication

Laxatives,stool softeners, suppositories and enemas are sometimes recommended by your doctor

Kinesitherapy

Kinesitherapy

Pelvic floor physical therapy can be a treatment for constipation by strengthening exercises but often also by relaxation exercises of the pelvic floor.

Surgery

Surgery

Usually considered as a last resort when other treatment methods have proved ineffective in e.g. a prolapse problem.

Anal incontinence

Highly disabling

Difficult to talk about

Frequent association urine loss

Anal incontinence refers to the inability to control the bowels, leading to involuntary passage of stools or gas. This condition can have significant impact on quality of life. It is important to seek medical advice for a personalised approach to treatment and support

Causes

  • weakened anal muscles,
  • nerve damage,
  • underlying health problems.

Treatment

  • pelvic floor exercises,
  • dietary and lifestyle adjustments,
  • medication,
  • surgical procedures.

Pelviperineal Pain in Woman

Pelviperineal pain in women is a complex and often debilitating condition that causes pain in the pelvic and perineal area. This pain can range from mild to severe and can be continuous or intermittent. Women of all ages can be affected.

Causes

The causes of pelviperineal pain are diverse and may include endometriosis, interstitial cystitis, pelvic floor dysfunction, infections, scar tissue after surgery or childbirth, and nerve damage.

Sometimes the pain can also occur without a clear cause, making diagnosis difficult.

Symptoms

Symptoms of pelviperineal pain include persistent pain in the lower abdomen, perineum, vulva or vagina. This pain may worsen during sexual activity, urination, defecation, prolonged sitting or standing.

The pain may also be accompanied by other symptoms such as frequent urination, pain when urinating, constipation or painful periods.

Diagnosis

Diagnosis often begins with a thorough medical history and physical examination, paying specific attention to the pelvic floor muscles and nerves.

Additional diagnostic tests may be needed to identify the cause of the pain.

Treatment

Treatment of pelviperineal pain is usually multidisciplinary and may include physiotherapy, medication, nerve blocks and, in some cases, surgery.

In addition, lifestyle modifications, such as stress management, dietary changes and pelvic floor training, can help reduce pain. It is also important to seek psychological support, as chronic pain can have a significant impact on mental health and overall well-being.

Conclusion

Although pelviperineal pain is a challenging condition, there are several treatment options available that can help relieve symptoms and improve quality of life.

Timely diagnosis and a holistic approach to treatment are essential for effective management of this problem.

Perineum care after childbirth

Too often, the newly delivered woman is not heard or does not express herself. It is not always easy for a new mother to admit that things might be a bit less rosy than she had thought. The pelvic floor indeed takes a lot of strain during childbirth, and it is important to acknowledge this and get proper care. A good start means good self-care, and this includes the proper treatment of the pelvic floor, even in the early days. 

For this reason, we have decided to open our doors for a semi-urgent midwife consultation, so you can turn to someone with expertise, and where the perineologist can assist if things are a bit more complicated. 

Our story

In 2009 was by Dr. Pastine together with a group from motivated colleagues, the first multidisciplinary pelvic floor clinic founded at St Peter's UMC in Brussels. We had After all learned that cooperate the real key to success is Therefore private we to be on a unique way multidisciplinary care to at offer to our patients, in which we if needed patients with multiple specialists at same moment can see. This type care late toe to knowledge immediately at share and toe at fit and means also quite what advantage for the patients who thus all care so many possibly the same moment get This initiative is entered by the recognition that it no longer appropriate is to such problems by only one healthcare provider at have treat. We were also how longer how more driven to difficult problems as chronic pain, complaints after trauma and complex sexual problems to at suits.  

In 2023, we finally decided to expand our expertise outside the hospital to a more personal setting and to do so in a brand new location: the Mirha Pelvic Care Centre. 

Our aim is to further improve the quality of care through a personalised approach, in which 1 of the specialists will receive you the 1st time and then work out an appropriate care path with you, organising advice and a multidisciplinary consultation if necessary. 

In doing so, we are pleased to be able to count on highly specialised healthcare providers in our team including; 

  • Gynaecologists 
  • Urologists 
  • Digestive surgeon 
  • Neurosurgeon
  • Specialists in vulvovaginal skin and mucosal pathologies 
  • Pelvic floor mechographers 
  • Pain specialists 
  • Physiotherapists 
  • Midwives 
  • Sexologists 
  • Psychologists 
  • Life coach 
  • Mindfulness therapist 

Functional problems, such as urinary and anal incontinence, prolapse problems, as well as sexual problems and chronic pelvic floor pain, are carefully addressed through a multidisciplinary care pathway. 

Although some problems may be solved by a single specialist, we offer multidisciplinary consultations with several doctors and/or healthcare providers together if necessary.

For more complex issues, a multidisciplinary meeting is held first, followed by feedback during a consultation with your assigned doctor at the centre. 

The therapeutic pathway can be partly completed at the centre itself using innovative techniques such as the injection of Botox, hyaluronic acid or PRP. However, for surgical procedures, we will treat you in hospital. For more information on this, please contact your doctor.

Our pelvic floor clinic team

Our pelvic floor
clinic team

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