Dott.ssa Fabbri Silvia

Clinical expertise and treatments

• Functional assessment of the pelvic floor

  Examination of the perineal muscles (strength, endurance, ability to relax), useful for the early identification of hypotonia, hypertonia or muscle asymmetries and for setting up the rehabilitation protocol.

• Urogynaecological rehabilitation for urinary incontinence

  Treatment of involuntary urine leakage, both stress-related (coughing, sneezing, lifting, sport) and urgency-related (overactive bladder).

• Postpartum protocols (perineal and abdominal recovery)

  Personalised programmes starting 6-8 weeks after vaginal or caesarean birth, to tone the pelvic muscles, treat the after-effects of episiotomies or painful tears and prevent future prolapse.

• Chronic pelvic pain and hypertonia

  Manual therapy and biofeedback aimed at relaxing the pelvic muscles in cases of chronic contracture (hypertonia), vulvodynia, dyspareunia (pain during intercourse) and endometriosis.

• Menopause support

  Preventive programmes to counter vulvo-vaginal atrophy and tissue laxity caused by hormonal decline, preserving continence and the support of the pelvic organs (uterus, bladder, rectum).

• Hypopressive abdominal exercise

  Therapeutic exercise based on a specific expiratory-apnoea breathing technique, which strengthens the deep abdominal wall and core without increasing pressure on the bladder and perineum; also indicated for rectus abdominis diastasis.

• •Degree in Midwifery, qualifying for the practice of the midwifery profession
• •Registered with the Professional Register of Midwives of the relevant territorial Order
• •Master’s and advanced training courses in pelvic floor re-education and rehabilitation, with skills in urogynaecological manual and physical therapies
• •Continuing professional education (CME) on female perineal health and prolapse prevention