Pelvic Floor

Preventive Post-Partum Pelvic Floor Physiotherapy

The Pelvic Floor Unit of HM Hospitals began its journey in 2011 after assessing, under the coordination of Dr. Ignacio Galmés Belmonte, urologist with extensive experience in this field, the need to respond with a Multidisciplinary Unit to an important relationship of pathologies affecting both women, men and children.

The pelvic floor is the set of muscles, ligaments and fascia that close the pelvic cavity in its lower part, allowing passage through the urethra and rectum (in men and women) and the vagina (in women).The pathologies related to the Pelvic Floor are very numerous and affect both women and men or children. This is the reason why the Pelvic Floor Unit of HM Hospitals is made up of different specialists (Multidisciplinary Unit) that includes: urologists, gynecologists, general surgeons, rehabilitators and physiotherapists, psychologists, all of them specifically trained in pelvic floor.

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Pathologies to be treated in the unit:

  • Female urinary incontinence (UI): stress UI; Emergency UI; Mixed UI; other forms of UI.
  • Genital prolapse.
  • Chronic voiding syndrome (obstructive or irritative).
  • Hyperactive Bladder Syndrome.
  • Chronic cystitis, interstitial cystitis.
  • Repeated urinary tract infections.
  • Fecal incontinence.
  • Chronic pelvic pain.
  • Vaginismus.
  • Urinary incontinence in men.
  • Urinary incontinence in the child.
  • Chronic prostatitis.
  • Urogynecological iatrogenesis.
  • Prevention of pathologies of the Pelvic Floor after pregnancy and childbirth.

Pelvic Floor Rehabilitation Activity Centers

The Consultation of the Pelvic Floor Unit of HM Hospitals is located in HM Madrid

Plaza del Conde Valle de Súchil nº 3.

Citation phone: 902 089 800

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Pelvic Floor Service Portfolio


  • Consultation of the pelvic floor.
  • Other consultations: General Surgery, Gynecology.
  • Rehabilitation consultation.
  • Psychology consultation.

Pelvic floor ultrasound

  • Basic urological ultrasound.
  • Post vacuum residue measurement.
  • Specific ultrasound.


Urodynamic studies

Conventional Urodynamics

  • Free flowmetry.
  • Cystomanometry.
  • P / Q Studies.
  • LPP measure.
  • Electromyography.
  • Video-urodynamics.

Other diagnostic tests

  • Endoscopic examination of the TUI.
  • Urinary cytologies.
  • Anal manometry.
  • Transrectal ultrasound of the anal sphincter.
  • Defecography.

  • Pelvic floor rehabilitation

    • Evaluation consultation
    • Physiotherapy sessions (30-40 minutes):10 - 15 sessions approx. in case of treatment (isolated or adjuvant),5 sessions approx. in case of preventive therapy.

    Surgical interventions

    • Surgical correction of stress UI.
    • Urgent surgical correction of the UI:
    • Intravesical injection of botulinum toxin.
    • Bloating of the bladder under anesthesia.
    • Neuromodulation of sacral roots.
    • Enterocystoplasty.

    Treatment of chronic cystitis:

    • Bladder instillations.
    • Intravesical injection of botulinum toxin.
    • Surgical correction of genital prolapse:
    • Previous compartment.
    • Middle compartment.
    • Rear compartment.

    Pelvic floor pathology prevention program

    • Program aimed at patients
    • Women admitted for vaginal delivery or cesarean section.
    • Especially necessary in cases of instrumental delivery, history of previous incontinence, family history of urinary incontinence.
    • Women admitted for major pelvic surgery: hysterectomies, colo-rectal surgery, urological surgery, etc. Especially indicated in case of oncological surgery.

    Program structure:

    • Information delivery.
    • Initial consultation for evaluation and treatment planning.
    • Physiotherapy sessions.

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    Structure of the medical team

    Unit Coordinator: Dr. Ignacio Galmés Belmonte.

    Gynecology teams at HM hospitals.

    Urology Team HM Universitario Madrid.

    HM Madrid General Surgery Team.

    HM Madrid rehabilitation team.

    Team of physical therapists.

    Psychology team.

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