Pelvi-perineal Re-education (Dyspareunia & Male 1)

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 The Physiotherapy Approach for Dyspareunia and Physiotherapy for Male Urinary Incontinence 

 Pre-requisite: entry level course in uro-gynecology (Physical therapy for female urinary incontinence, or equivalent)

NOTE: In March 2019,  this 4 day combo course is available to participants (Dyspareunia & Male Urinary Incontinence) or participants may chose to register for either of the 2 course options.


Did you know that up to 20% of women experience pain during sexual intercourse?  Imagine the impact on physical and mental health, body image, relationships and attempts for conception.   This three-day course will provide you with the knowledge and skills necessary to help this (relatively silent!) population, and includes both theoretical and practical sessions.  It concentrates specifically on the management of women with vestibulodynia, the most common form of dyspareunia in pre-menopausal women.  

Up to 40% of men undergoing surgery for cancer of the prostate will experience the unfortunate consequence of urinary incontinence, leading to significant impact on their quality of life.  Pelvic floor physiotherapy is considered first line intervention for post-prostatectomy incontinence.  This course will allow the pelvic floor physiotherapist to adapt her approach for the treatment of the male patient with incontinence.



Claudia Brown M. Sc. (P.T.) Marie-Josée Lord B. Sc. (P.T.)

About Us

Claudia Brown and Marie-Josée Lord have been successfully treating patients affected with urinary incontinence for many years. Having studied and worked with kinesitherapists in Europe, they have together been responsible for the training of more than 500 physical therapists across Canada, in the techniques of pelvi-perineal re-education.

Course Objectives

  • – Understand the common causes of dyspareunia
  • – Learn about the typical medical approach for dyspareunia
  • – Learn how to adapt the physiotherapy evaluation and examination for the patient with dyspareunia
  • – Review the pelvic floor anatomy
  • – Practice the pelvic floor evaluation
  • – Understand the clinical reasoning for the treatment of dyspareunia
  • – Be able to establish a treatment plan and progression for the patient suffering dyspareunia
  • – Understand the implications of the psychological aspect
  • – Understand the importance of the multi-disciplinary approach to treatment
  • – Become more proficient in manual treatment techniques for the pelvic floor and related structures
  • – Learn about lubricants, insertion devices, sexual practises and techniques
  • – Practice insertion techniques
  • – Understand the male uro-genital anatomy and physiology
  • – Understand pathologies of the prostate
  • – Learn about treatments for prostate cancer
  • – Become able to adapt the treatment process for urinary incontinence to the male patient


Course schedule

Day 1, 8:30 am – 4:30 pm

  • – Registration
  • – Introduction
  • – Dyspareunia: vestibulodynia, vaginismus, fissure, lichen sclerosis
  • – Medical evaluation and treatment approach
  • – Physiotherapy evaluation (history)         
  • – Review of anatomy and biomechanics of pelvic floor
  • – Physiotherapy evaluation (physical)

Day 2, 8:30 am – 4:30 pm                                 

  • – Practical review of pelvic floor evaluation (vaginal, anal)
  • – Specifics for physical evaluation of patient with dyspareunia
  • – Problem list, treatment plan, treatment approach
  • – Psychological approach
  • – Manual techniques: theoretical and practical session


Day 3, 8:30 am – 4:30 pm

  • – Education, exercise, biofeedback, electrical stimulation
  • – Insertion techniques: practical session
  • – Treatment progression, control
  • – Exam

Day 4, 8h30 am – 4:00 pm

  • – The male pelvic floor and related structures
  • – Urinary function, reproductive function
  • – Benign prostatic hyperplasia
  • – Prostatitis / prostatodynia
  • – Prostate cancer
  • – Physiotherapy for male urinary incontinence



Course calendar