2026 August - October Physiotherapy in Urology, Gynecology, and Obstetrics A - C parts (in total 12 days)

Course Title: Physiotherapy in Urology, Gynecology, and Obstetrics

Lecturer: Prof. et doc. PhDr. Magdaléna Hagovská, PhD., MPH University Profile

MPH, Mgr. Zuzana Woleková - Certified physiotherapist pelvic floor physiotherapist, author of the holistic postpartum rehabilitation

system POSTNATAL, and founder of GYNFYZIO koncept of physiotherapy in urology, gynecology and

obstetrics, Bratislava, https://gynfyzio.sk/

Bc. et Bc. Dott. Martina Hojčková - Certified pelvic floor physiotherapist, GYNFYZIO physiocenter in urology, gynecology and obstetrics,

https://gynfyzio.sk/

Course venue: Atmodas iela 19, Jelgava, LV-3007, 2.floor, room 245

Price: will be specified. The price includes printed prepared scripts - presentation and individual positions with descriptions, coffee, tea, refreshments, certificate.

Credits: will be specified  

Language: English

Number of days of the course: course consist of 3 parts - A, B, C part. Each part takes 4 days. Total Hours: 128 hours, 3 blocks of 4 days each

Maximum number of participants: 16(REGISTRATION ONLY FOR WHOLE COURSE)

Course dates: Part A - August, 20 - 23, 2026, Part B - September , 17 - 20, 2026, Part C - October, 12 - 15, 2026.

Course annotation and programme

PART A

Day 1

9:00 – 9:30

Orientation and introductions, creating a safe space for intimate work

9:30 – 10:00

Evaluation of the effectiveness of gynecological-urological physiotherapy methods based on EBM (Evidence-Based Medicine)

10:00 – 13:00

Anatomy, physiology, and pathophysiology of the genitourinary system, interconnections with functional disorders of the musculoskeletal system. Specifics of male and female anatomy and physiology.

Interactive lecture

13:00 – 14:00

LUNCH BREAK

14:00 – 16:00

Demonstration – Comprehensive pelvic floor muscle examination per vaginam – inspection, palpation, functional tests, PERFECT scale.

Practical demonstration

16:00 – 18:00

The most common urogynecological pathologies (SUI, OAB, POP), their diagnosis and connection with physiotherapy practice.

Lecture (Woleková, Hojčková)

Day 2

9:00 – 11:00

Comprehensive pelvic floor muscle examination per vaginam – inspection, palpation, functional tests, PERFECT scale.

Hands-on participant practice, documentation in protocol

11:00 – 13:00

Pelvic floor muscle examination using ultrasound

Hands-on participant practice

13:00 – 14:00

LUNCH BREAK

14:00 – 16:00

Discussion on comprehensive pelvic floor examination per vaginam, comparison and review of findings.

Discussion

16:00 – 18:00

Repetition of comprehensive examination considering findings and new insights from the discussion.

Hands-on participant practice, documentation in protocol.

Day 3

9:00 – 10:00

Comprehensive patient examination from the perspective of diagnosing and treating functional disorders including pelvic floor assessment.

Case study

10:00 – 11:00

Patient discussion.

Group Discussion

11:00 – 12:00

Comprehensive patient examination from the perspective of diagnosing and treating functional disorders including pelvic floor assessment.

Case study (Hojčková)

12:00 – 13:00

Patient discussion.

Group Discussion (Hojčková)

13:00 – 14:00

LUNCH BREAK

14:00 – 16:00

Introduction to pelvic floor treatment – techniques, involved structures, most commonly treated pathologies (scars, trigger points). Manual treatment of the uterus per vaginam.

16:00 – 18:00

Practical training – pelvic floor treatment.

Hands-on participant practice

Day 4

9:00 – 12:00

Pelvic floor stimulation – electrostimulation, electromagnetic stimulation, reflex stimulation, biofeedback (Perifit, Femfit).

Lectures + practical demonstrations + participant practice

12:00 – 13:00

Exercise equipment, theory of Pelvic Floor Muscle Training (PFMT)

Lecture

13:00 – 14:00

LUNCH BREAK

14:00 – 16:00

PFMT – practical exercise session

Practical activity

! After the first block, course participants are required to prepare a case study and meet in small groups based on their place of residence for supervision. A WhatsApp group will be created where participants are invited to share their observations and request supervision and guidance from the instructors

PART B

Day 1

9:00 – 11:00

Case study review – supervisions

Supervision session

11:00 – 13:00

Medical treatment of the most common urogynecological pathologies (SUI, OAB, POP).

Incontinence in athletes, seniors, neurogenic incontinence, and pelvic organ prolapse. An overview of pharmacological and surgical treatment options and their integration with physiotherapy practice.

13:00 – 14:00

LUNCH BREAK

14:00 – 16:00

Systematic physiotherapy approach to the above-mentioned diagnoses. Manual therapy. Exercises.

Lectures + practical demonstrations + participant practice

16:00 – 18:00

Overview of current research (SUI, OAB, POP, athletes, seniors, devices – Femfit, imaging techniques – 3D ultrasound). Physiotherapy for pelvic floor dysfunctions in men – diagnosis, assessment, treatment, and research findings.

Day 2

9:00 – 10:00

Pregnancy – physiology, complications, and changes in the body's biomechanics, feet during pregnancy, pelvic floor in pregnancy.

10:00 – 13:00

Selected functional disorders during pregnancy – comprehensive diagnostics and therapy (kinesiotaping, belly wrapping, manual techniques, integration exercises, exercise with equipment).

Lectures + practical demonstrations + participant practice

13:00 – 14:00

LUNCH BREAK

14:00 – 16:00

Diastasis recti during and after pregnancy – development, etiology, examination, ultrasound, measurement.

16:00 – 18:00

Diastasis recti during and after pregnancy – treatment, exercise.

Hands-on participant practice

Day 3

9:00 – 11:00

Examination and treatment of the pelvic floor muscles, coccyx, hip joints, and sacroiliac joint per rectum.

11:00 – 13:00

Training in per rectum examination and treatment.

Participant practice

13:00 – 14:00

LUNCH BREAK

14:00 – 16:00

Pain syndromes during and after pregnancy – Pelvic Girdle Pain, Lower Back Pain

Lectures + demonstrations + exercises

16:00 – 18:00

Examination and treatment of the birth canal and preparation for childbirth. Biomechanics and physiology of childbirth explained, pelvic movements, and the baby's progression through the birth canal. Positioning during labor and delivery. Vaginal steaming, essential oils, other equipment.

Day 4

9:00 – 10:00

Childbirth and postpartum – physiology and changes in the body's biomechanics.Most common complications – birth injuries, operative deliveries (CS, VE, forceps, episiotomy), avulsion injuries, pelvic organ prolapse, rectal dysfunctions.

10:00 – 12:00

Postpartum trauma or other psychological disorders – how to distinguish them, communication, role of physiotherapy in their treatment.

Lecture, discussion, demonstrations.

12:00 – 13:00

Physiotherapy during the postpartum period (puerperium).

Lecture, demonstrations.

13:00 – 14:00

LUNCH BREAK

14:00 – 16:00

Specifics of physiotherapy and systematic work with women after childbirth (post-puerperium and beyond) – comprehensive physiotherapy. Step-by-step treatment of pelvic floor scars. Step-by-step treatment of cesarean section scars.

Lectures + demonstrations + participant practice.

PART C

Day 1

9:00 – 11:00

Case study review – supervision session

Supervision session

11:00 – 13:00

Hypertonicity of pelvic floor muscles. Types of hypertonus. Vaginismus, vulvodynia, dyspareunia, painful menstruation. Chronic pelvic pain.

Interactive lecture

13:00 – 14:00

LUNCH BREAK

14:00 – 18:00

Regulation of the nervous system of both therapist and patient. Communication in urogynecological physiotherapy. Ethical issues in urogynecological physiotherapy.

Lectures + practical demonstrations + participant training.

Day 2

9:00 – 11:00

Endometriosis, cysts, polycystic ovaries, and abdominal adhesions from a medical perspective. Oncological diseases of the pelvis. Gender-specific aspects of these conditions. Surgical and pharmacological treatment options and their connection to physiotherapy practice.

Lecture (Woleková, Hojčková)

11:00 – 13:00

A systematic approach to physiotherapy for the above-mentioned diagnoses. Manual therapy. Exercise.

Lectures + practical demonstrations + participant training (Woleková, Hojčková)

13:00 – 14:00

LUNCH BREAK

14:00 – 15:00

Specifics of pelvic floor physiotherapy in men.

15:00 – 16:00

Specifics of physiotherapy in menopause.

16:00 – 18:00

Relaxation techniques.

Practical demonstrations + participant practice.

Day 3

9:00 – 13:00

Review and application of learned methods in practice. Work in small groups: comprehensive examination and therapy. Defining physiotherapy goals, plans, and procedures. The activity is supervised by instructors and may include group discussion.

Practical activity, supervision session, discussion.

13:00 – 14:00

LUNCH BREAK

14:00 – 18:00

Discussion about patient cases and alternative approaches in urogynecological physiotherapy. Reflection on individual patients. Mutual inspiration, support, discussion, and enrichment through each therapist’s unique perspective.

Open discussion

Day 4

9:00 – 13:00

Final exam – participants answer questions, may consult with each other and use literature. Group review of test answers – each participant corrects their own mistakes. Reflection and summary of key challenges.

Practical activity, discussion (Woleková, Hojčková)

13:00 – 14:00

LUNCH BREAK

14:00 – 15:00

Ceremonial certificate presentation.