{"title":"Perineal and sphincter rehabilitation","image":"https://pes-luxembourg.lu/bascharage/wp-content/uploads/sites/2/2019/07/Reeducation-Périnée-3-300x277.jpg","content":"\n**Urinary leakage, the aftermath of childbirth, intimate pain, disorders after prostate surgery: these subjects can be treated, without taboo and with concrete results. At Pôle Equilibre & Santé in Bascharage, perineal and sphincter rehabilitation is for women as well as men, at any age, to regain control of a group of muscles too often forgotten.** Care is gentle, progressive and based on current recommendations, with constant respect for your privacy and your pace.\n\n## What is the perineum for?\n\nThe perineum is the group of muscles stretched from the pubis to the coccyx, in women as well as in men. It fulfils three essential functions: supporting the pelvic organs, retention — the locking during effort, coughing or sneezing — and evacuation, that is, releasing at the right moment. An imbalance between these functions, whether a perineum that is too weak or, on the contrary, too tense, is at the origin of most urinary, anorectal and sexual disorders.\n\nRehabilitation therefore aims to regain the right balance between suppleness, tone and control. It is not only a matter of \"strengthening\": learning to release at the right moment is just as important as knowing how to contract. It is fine, personalised work that begins with a good understanding of one's own body.\n\n## Who is it for?\n\nPerineal and sphincter rehabilitation helps in many situations, in women as well as in men, notably:\n\n- stress urinary incontinence, bladder instability and urgency (urgent needs);\n- the aftermath of childbirth: post-partum disorders, pain from episiotomy or tearing, and preparation before childbirth;\n- pain during intercourse (dyspareunia) and vaginismus;\n- anorectal disorders, anal incontinence and rehabilitation of continence reflexes;\n- in men: preparation for prostate surgery and incontinence after prostatectomy, as well as certain erectile disorders;\n- paediatric disorders (retention, encopresis, dyssynergia).\n\nThese situations are common and are by no means inevitable. They concern women after pregnancy as well as men operated on for the prostate, athletes subjected to repeated effort as well as older people. All respond well to appropriate care, provided you dare to talk about it.\n\n## A first awareness session\n\nEverything begins with an awareness session: we explain to you concretely where your perineum is and how it works, with simple words and no jargon. This step is accompanied by easy-to-apply lifestyle advice — position on the toilet, management of straining, hydration, protection of the perineum during effort. Understanding how it works is already the beginning of regaining control.\n\nThe second session begins with a precise assessment, which makes it possible to target the treatment according to your real needs, then with the first pelvic floor control exercises. The following sessions evolve according to your progress and the goals set together, with simple exercises to continue at home to move forward faster. Each step is explained in advance, and nothing is ever imposed.\n\n## The techniques used\n\nSeveral complementary techniques are used, chosen after the assessment and adapted to your situation:\n\n- **Manual rehabilitation**, which makes it possible to precisely assess the ability to contract and release, then to guide the strengthening or relaxation of the muscles.\n- **Biofeedback**, which displays your contractions on screen using a probe: you visualise your efforts in real time, which speeds up awareness of the right movement.\n- **[Electrotherapy](/bascharage/equipement/electrotherapie)**, which delivers gentle stimulation, toning or, on the contrary, soothing depending on the settings, useful for recruiting fibres that are difficult to contract voluntarily.\n- **Global rehabilitation**, with hypopressive exercises and coordination work between the perineum and the abdominal girdle, applicable in daily life and during effort.\n\nAt the end of the session, an [andullation](/bascharage/equipement/andullation) session with a relaxing aim may be offered if you wish. The pace and intensity always remain adjusted to your comfort and how you feel.\n\n## What does science say?\n\nPelvic floor rehabilitation is now recommended as first-line treatment for stress urinary incontinence and the aftermath of childbirth: literature reviews confirm its effectiveness on leakage and quality of life. In men, it is also recognised for speeding up the recovery of continence after prostate surgery.\n\nIts great advantage: it is non-invasive, drug-free, and makes you an active participant in your recovery through the exercises learned. The benefits are all the better maintained if the work is continued regularly, with the simple techniques integrated into daily life.\n\n## Your specialists at the practice\n\nAt the practice, perineal and sphincter rehabilitation is notably provided by **[Marie Poncelet](/bascharage/kinesitherapeute/marie-poncelet)**, a physiotherapist specialised in perineology, uro-gynaecological, ano-rectal and paediatric pelvic rehabilitation, and by **[Amandine Lotti](/bascharage/kinesitherapeute/amandine-lotti)**, who is also trained in pelvic-floor care. It is to them that you will most often be directed for this type of care, in a discreet and caring setting.\n\nTo find out more, our dedicated site [kine-perinee.lu](https://kine-perinee.lu/) presents this rehabilitation in detail, the situations we treat and practical advice for preparing your appointment.\n\n## In Luxembourg: reimbursement and official framework\n\nAt the Pôle Equilibre & Santé practice, this care falls within physiotherapy on medical prescription. The [National Health Fund (CNS)](https://cns.public.lu/fr/assure/remboursements/prestations-remboursees/prestations-paramedicales/kinesitherapeutes.html) sets the conditions for coverage (general rate of 70%, 100% in certain cases). The title of physiotherapist is a regulated health profession in the Grand Duchy ([Ministry of Health](https://sante.public.lu/fr.html)). The concrete steps are detailed on our page [The Consultation](/bascharage/kinesitherapie/consultation-kine), and the practice handles the administrative formalities for you.\n\n## When should you seek medical advice?\n\nPerineal and sphincter rehabilitation does not replace medical follow-up. Certain signs should prompt you to consult without delay: blood in the urine, intense or sudden pelvic pain, fever associated with urinary disorders, complete urinary retention, or a sudden loss of sensation in the perineal region. In case of emergency — malaise, intense pain, sudden deficit — call **112**. Your doctor remains your point of contact for establishing the diagnosis and prescribing appropriate care.\n\n## Frequently asked questions\n\nDo I need a prescription?
\n\nYes, rehabilitation is carried out on medical prescription to be reimbursed by the [CNS](https://cns.public.lu/fr/assure/remboursements/prestations-remboursees/prestations-paramedicales/kinesitherapeutes.html) — and the practice handles the administrative steps for you. The full process is explained on our page [The Consultation](/bascharage/kinesitherapie/consultation-kine).\nIs it embarrassing or painful?
\n\nNo. Each step is explained, your agreement is sought and the pace adapts to you. The work is done with respect for your comfort and privacy, never imposing anything. You can ask any questions and report at any time how you feel.\nDoes rehabilitation also concern men?
\n\nYes, absolutely. It is particularly useful for preparing for prostate surgery and recovering continence after a prostatectomy, as well as for certain erectile disorders. The care is the same: discreet, progressive and adapted to each situation.\nWhen to consult after childbirth?
\n\nAs soon as your doctor or midwife recommends it, generally after the postnatal visit. Post-partum rehabilitation helps regain tone and comfort, and prevent leakage and pain in the long term. [Osteopathic support for the pregnant woman](/bascharage/osteopathie/femme-enceinte) can also complement the follow-up, during and after pregnancy.\nHow many sessions are needed?
\n\nThat depends on your situation, how long the disorders have been present and your goals. The programme is reassessed regularly with you rather than set at an identical number for everyone. The exercises learned and continued at home help you progress faster and consolidate the results.\nHow do I book an appointment?
\n\nIn a few clicks via [Doctena](https://fr.doctena.lu/cabinet/Pole_Equilibre_Sante-281318) or by phone on [+352 26 65 28 42](tel:+35226652842). The practice is located at 20B Rue du Bois, 4912 Bascharage, with free parking nearby — see [Contact & access](/contact).\n