*now available at Restore Allied Health…..
I am delighted, to now be able to offer real-time Transperineal Ultrasound (TPUS) assessment and bio-feedback of pelvic floor muscle function.
What is TPUS? – an ultrasound transducer is placed over the perineum (under part of the pelvic floor), allowing a sagittal plane image of the pelvic organs (bladder, vagina/uterus and rectum) and pelvic floor muscles. The patient is asked to perform a pelvic floor muscle contraction and in real time we can see on the screen whether the muscle is contracting properly, if the organs are moving in response to the contraction and also if the muscle relaxes and the organs return to their starting position. We can also look at what happens to the organs during certain manoeuvres such as coughing and straining. Whilst it does not necessarily take the place of a vaginal or rectal palpation examination, TPUS can be a very useful tool to provide bio-feedback, especially if the patient is having trouble achieving or feeling a PFM contraction. Being able to see the muscles and the organs moving in response to your efforts can be reassuring and validating.
It can prove very useful for women of all ages; and for men, especially those who are about to undergo, or have already had, surgery for prostate cancer. In this scenario it may take the place of an internal or surface palpation assessment of male PFM function, which many men find confronting and potentially embarrassing. Being able to see the muscles moving and working on the screen provides immediate feedback of correct isolation, quality, strength and endurance of the pelvic floor muscles…
After all what is the point of doing exercises if you are not doing them correctly????
Even though the ultrasound transducer will be covered with plastic wrap or a latex glove , it is still mandatory that it be treated after each use, with a high level disinfection process. At Restore, to ensure the utmost safety for our patients we use the TGA approved, Tristel 3-part high level disinfection system, which comes at a cost to the clinic of $10 per application. Thus there will be a $10 surcharge on all TPUS sessions. You will be informed of this surcharge before the commencement of the session.
If you have any further questions about this exciting new assessment and bio-feedback modality now available at Restore Allied Health please call Kristy Andrew (Women and Mens’ Pelvic Health Physiotherapist) on 53030333.