The care concept for patients with pelvic floor dysfunction is based on discretion and discretion, expert and comprehensive assessment, from which individually tailored programs and personalized solutions are developed.
Una Vida Center provides care to all gender identities – including women, men, and members of the LGBTQ+ community. Care is available for all age groups, from adolescents to seniors, with full respect for individual needs.
My approach is grounded in evidence-based practices, including a gynecological-urological concept accredited by the Czech Ministry of Health and recommendations from professional associations of which I am a regular member (such as the Czech Urogynecological Society and the International Continence Society), as well as my own proven therapeutic methods.
During the initial session, we will thoroughly discuss your current condition and complete standardized questionnaires. A comprehensive pelvic floor examination follows, using 2D ultrasound and physical assessment (per vaginam, per rectum) according to a standardized protocol. After the examination, I will explain everything clearly and propose an individual therapeutic plan.
For patients with pelvic floor dysfunction, I combine proven physiotherapy techniques, lifestyle recommendations, specialized medical aids (which can be purchased directly at Una Vida Center with expert guidance tailored to your condition), device-assisted therapy, and coaching. These methods form the core specialization of my center. Your condition is continuously monitored and evaluated during regular follow-up assessments.
Patients typically turn to me for support with the following issues:
Diagnosis and therapy for infertility, care during IVF. Pregnancy and postpartum care.
Urinary incontinence in women and in men (after prostatectomy). Non-invasive treatment of overactive bladder.
Cystocele, rectocele, and uterine prolapse. Preoperative and postoperative care.
Gas and stool leakage. Constipation, irritable bowel syndrome, rectal prolapse.
Oncology care and pelvic floor muscle assessment before bowel continuity restoration in stoma patients.
Chronic pelvic pain syndrome in both women and men. Pudendal neuralgia, painful intercourse, and dysfunction resulting from surgery in both sexes.
Physiotherapy for family planning
Thanks to its unique integration of specialized pelvic floor physiotherapy for both women and men with coaching, Una Vida is the only center of its kind in the Czech Republic providing comprehensive care for couples planning parenthood.
The program includes expert diagnostics and subsequent pelvic floor and musculoskeletal physiotherapy. Couples also benefit from individual consultations focused on healthy lifestyle, physical fitness, and emotional well-being—delivered in the form of personal coaching. As part of interdisciplinary collaboration, I also support couples undergoing IVF treatment. For women preparing for embryo transfer, a unique pelvic floor relaxation program is available.
Physiotherapy in pregnancy
The goal is to help you prepare for the ongoing changes of pregnancy and the postpartum period. Movement programs for pregnant women are both educational and preventive. You will learn full-body exercises, including pelvic floor training, gain insights into which aids are appropriate or not, and understand what physical activities and ergonomic principles to follow during each trimester to maintain your overall fitness. Relaxation programs for pregnant women are also available. As part of natural birth preparation, you will learn perineal massage and techniques for active relaxation of pelvic floor muscles. If you are expecting a C-section, you will be guided on proper scar care and safe movement ergonomics during recovery.
Physiotherapy after childbirth
This program is designed for all mothers who are at least two months postpartum and wish to assess the condition of their pelvic floor muscles, abdominal diastasis and return to fitness safely. It is also suitable for women experiencing perineal injury, urinary or fecal incontinence, or gas leakage. Naturally, the program includes care for back pain, training in proper movement ergonomics, and safe baby-handling techniques. For women with a C-section scar, the therapy can be complemented with highly effective device-based treatment.
Physiotherapy for Urinary Incontinence and Overactive Bladder
According to international clinical guidelines, physiotherapy is the first-choice non-invasive treatment for stress, urge, and mixed incontinence, as well as for overactive bladder syndrome. This care is intended for both women and men (e.g. after prostate surgery) who are dealing with urine leakage during stress-related situations (such as coughing, laughing, or exercise), urgency, a combination of both, or symptoms of an overactive bladder. The therapy includes diagnostics, targeted pelvic floor training, lifestyle guidance, and the use of device-assisted treatment tailored to the individual's condition.
Physiotherapy for Pelvic Organ Prolapse
This care is intended for women experiencing pelvic organ prolapse – such as cystocele (bladder), uterine prolapse, or rectocele (rectum) – conditions that can significantly affect daily comfort and quality of life. Typical symptoms include difficulty with complete urination or bowel movements, discomfort during sexual intercourse, and a feeling of heaviness in the lower abdomen, perineum, or lower back pain. After a thorough assessment, we will choose an appropriate non-invasive approach, including therapeutic exercises and, if needed, supportive medical aids. If you decide to undergo surgery, I will gladly assist you with preoperative preparation and provide comprehensive postoperative care.
Physiotherapy for Anorectal Dysfunction
This care is designed for patients experiencing issues related to the anus and rectum (anorectal region), most commonly gas or stool leakage. These problems may be caused by postpartum injuries, pelvic trauma, or nerve damage.
Physiotherapy is also beneficial for patients suffering from chronic constipation or irritable bowel syndrome (IBS).
I also specialize in preoperative and postoperative care for women with rectal prolapse. An integral part of the program is support for oncological patients, where I perform pelvic floor muscle diagnostics as part of an interdisciplinary approach for patients preparing for bowel continuity restoration after a stoma. Therapy includes targeted exercises, the use of specialized aids, device-assisted treatments, and lifestyle modifications tailored to the individual needs of each patient.
Physiotherapy for Chronic Pelvic Pain, Endometriosis, and Sexual Dysfunction
At Una Vida, I combine recommendations from international clinical associations with my own proven therapeutic approach that integrates physiotherapy, device-assisted treatments, and coaching. This comprehensive method helps improve the quality of life for both women and men suffering from chronic pelvic pain, for example, due to structural irritation (such as pudendal neuralgia) or endometriosis. The program is also intended for women and men who experience pain during sexual intercourse or suffer from sexual dysfunction resulting from surgery – most commonly in connection with oncological treatment.
