Hospital Universitario La Zarzuela Madrid


Pelvic Floor Unit

The pelvic floor (or perineum) is the group of muscles and connective tissue that surrounds the lower part of the abdomen, acting like a flexible hammock that supports the bladder, the internal genitals (vagina and uterus) and the rectum.

Diseases associated with the pelvic floor have to do with the organs it holds up (the rectum, vagina/uterus and bladder), a weakness or improper of these muscles in the pelvic floor causes the organs to be positioned improperly, making them descend (prolapse). This may alter urinary and/or faecal continence.

Every day there is an increasing number of women who suffer from urinary incontinence and other problems related to the pelvic floor.


Due to a weakening of the supporting structures of the pelvic floor, the bladder, uterus (or vagina in women who have been operated upon) and rectum may protrude through the vagina, causing discomforts such as: a heavy feeling, the appearance of "lumps" that poke through the vagina, pain during sex and erosions of the exposed vaginal membrane.


This is a health problem with significant social and psychological consequences. It affects 30-40% of women over age 25, and if allowed to progress, their quality of life worsens significantly, since they reduce their physical activities to prevent urine leakage, affecting even their social lives, and triggering disorders such as loss of security and self-esteem, depression, societal withdrawal and anxiety


For too long, this type of problem has remained in the background because many women were uncomfortable discussing it with their doctors and also because medical professionals did not have effective solutions.

Thanks to the appearance of new technology in diagnostics and treatment, it is now possible to help women who suffer from problems related to the pelvic floor. This is why the Hospital Universitario Sanitas La Zarzuela's Pelvic Floor Unit was d.

It is a multidisciplinary unit, integrating Urology, Rehabilitation, Proctology and Gynaecology services.

Its primary objective is to provide patients with a specialised consultation enough time can be taken to diagnose their problems properly based on the latest techniques, and to recommend which treatment would be best for helping resolve the problem to improve their quality of life.


  • Medical treatments: rehabilitation, physiotherapy, electrostimulation, etc.
  • Surgical treatments: proven, contrasted classical techniques and the most modern techniques (using meshes indicated).

Regarding this last point, it should be noted that the Hospital Universitario Sanitas La Zarzuela is renowned as a leading health centre for training specialists from other centres on how to implant meshes.

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