The pelvic floor is the group of muscles and ligaments in the pelvic region which support the pelvic organs, including the bladder, rectum, and uterus or prostate. Contracting and relaxing these muscles allows a person to control bowel movements, urination, and sexual intercourse. If pelvic floor dysfunction is left untreated, it can lead to discomfort, and decreased quality of life socially and/or professionally and, negatively impact a person's self-image.

Pelvic floor dysfunction may develop during life under a variety of circumstances: during pregnancy and/or postpartum, after pelvic surgery, or associated with medical problems such as lower back pain, neurological, orthopedic, and chronic lung diseases. Despite the prevalence of the phenomenon and the negative impact on quality of life, there is still somewhat of a taboo around the subject, and many women do not seek professional advice and treatment, mainly because of shame or lack of knowledge about the possibilities for diagnosis and treatment. Some men and children also have difficulties and problems with proper pelvic floor functioning and in the future, our clinic will treat them as well.

Shany Paula Tsury, a certified physiotherapist for pelvic floor rehabilitation and women's health, will run the Pelvic Floor Clinic. Prof. Jacob Bornstein, a specialist in Lower Genital Tract Disease and Molecular Virology, and Director of the Department of Obstetrics and Gynecology at Galilee Medical Center and Associate Dean at the Bar-Ilan University, Faculty of Medicine, said: "I have patients from all over the country with pelvic floor dysfunction who have been healed with proper rehabilitation. Physiotherapist Shany Tsury treats the condition professionally and competently and patients from all over the north in need are able to receive an examination and treatment."

Treating pelvic floor problems in the early stages can prevent their worsening and allow for a significant improvement in quality of life. At the same time, it is important to address the prevention of pelvic floor dysfunction as much as possible before and after pregnancy and childbirth, as is customary in some European countries. The conditions that should be addressed to a physiotherapist for the rehabilitation of the pelvic floor include the following: urinary/stool/gas incontinence; pain or difficulty in sexual intercourse; pelvic organ prolapse; urgency and frequency of urination; constipation; and hemorrhoids.

Shany Paula Tsury, Physiotherapist at the Pelvic Floor Rehabilitation Clinic: "It is a privilege for me to provide a service that affects peoples' quality of life so significantly. When a woman cannot get out of the house, is afraid to laugh or do physical exercise, she loses vital functions and quality of life. I am pleased that Galilee Medical Center's management and the Physiotherapy Department see the importance in making this service available for patients in northern Israel so that those who are in need can improve their condition."

The Pelvic Floor Physiotherapy Clinic patients are examined and treated in a quiet and private area in the Outpatient Clinic.

For an appointment call 04-9107414, Sunday through Thursday.

Photo by Roni Albert, Galilee Medical Center: In the photograph, Prof. Jacob Bornstein and Shany Paula Tzury