055 Pelvic Floor Treatment in a Female Transsexual Patient

Abstract

Demonstrate the importance of including a pelvic floor physical therapist in the treatment of Sex reassignment surgery. Female Transsexual patient consulting for impossibility of vaginal penetration after 3 years of Sex reassignment surgery. The method used for treatment, was pelvic floor muscle exercise to keep normal strength, tone and learn muscle control. Anatomical education and genitals self exploration to integrate her new vagina to her body scheme. Systematic desenzitation, to normalize genitals sensation. Vaginal miofascial massage, to keep vaginal elasticity. Dilators therapy, to avoid vaginal compression and keep the elasticity and learn coital ability. After 10 sessions of pelvic floor treatment, patient was able to connect with her vagina, localize the pelvic floor muscles, and learn how to relax them, loose the fear of vaginal penetration, and have intercourse without pain, without fear and with pleasure. Pelvic floor treatment done by a trained pelvic floor physical therapist, can be very useful and helpful to include in the treatment of the female transsexual patients.