The training in Polyvagal Urogenital Manual Therapy (PVMTU) It consists of three structured and sequential modules, specifically designed for manual therapists specializing in urogenital and pelvic floor rehabilitation. This program offers a unique, practical, and advanced approach to treating both male and female patients, addressing the complex interrelationships between the body, mind, and autonomic nervous system.

Our primary goal is to integrate comprehensive and precise manual knowledge into urogenital practice, enabling therapists to balance the pelvic autonomic nervous system and its connection with the cranial nervous system. This balance not only regulates physical wellbeing but also positively impacts patients' mental and emotional health.

In our daily practice, we observe that physical and functional suffering is often deeply connected to emotional pain. Thanks to scientific research in neurology, we know this division is invalid: body and mind are intrinsically linked. For this reason, the PVMTU program addresses human beings holistically, with a specific and respectful focus on their physical, emotional, and spiritual integrity.

The three modules of this training provide practical and theoretical tools for therapists to:

• Identify areas of dysfunction in the body.
• Apply advanced manual techniques that restore balance and functionality.
• Understand and respect the mind-body connection to offer holistic treatment.

The core of this training is to help patients with urogenital issues regain a homeostatic physiological state, fostering their overall wellbeing. By rebalancing the pelvic autonomic nervous system and enhancing its connections with the cranial system, this therapy offers benefits beyond the physical, providing space for emotional and mental regulation.

Polyvagal Urogenital Manual Therapy not only alleviates symptoms but promotes a full and balanced life in all aspects of human experience. In this journey, therapists not only acquire technical skills but also develop a deeper understanding of the human body's capacity to heal, integrate, and live in harmony.

• Advanced treatment of urogenital dysfunctions in men and women.
• Rebalancing of the pelvic and cranial autonomic nervous systems.
• Integration of global and specific manual knowledge.
• Holistic and scientific approach to physical and emotional pain.
• Promotion of a homeostatic physiological state that fosters a full and balanced life.

Theoretical Topics:

1. The autonomic nervous system:
   • Components and functions in the urogenital system.
2. Polyvagal Theory:
   • Applications in the pelvic system and its regulation.
3. Regulation of physiological states:
   • How to facilitate the transition between dysregulation and homeostasis.
4. The stress mechanism:
   • Impact on the pelvic system and management strategies.
5. Pelvic pain:
   • Pathophysiology, diagnosis, and therapeutic approach.
6. The pressure system in the human body:
   • Its influence on pelvic system balance.
7. The enteric system and its connection to the pelvis:
   • Key role in autonomic regulation.
8. The perineal myofascial system:
   • Specific techniques to release accumulated tension.
9. Pathophysiology of the pelvic system:
   • Main dysfunctions and their relationship with the nervous system.

Differential Diagnosis:

1. Differential listening of abdominal and pelvic arteries.
2. Differential listening of fascial tissues.

Treatment Techniques:

1. Jugular and nodose ganglia (X).
2. Key nerves and plexuses:
   • Vagus nerve.
   • Pudendal nerve.
   • Cluneal, intercostal, and cutaneous nerves.
   • Lumbar and sacral plexuses.
   • Superior and inferior hypogastric plexuses.
   • Aorticorenal plexus.
   • Mesenteric and splanchnic plexuses (superior, inferior, and sacral).
   • Vesical, prostatic, uterine, rectal, urethral, and vaginal plexuses.
3. Sympathetic nervous system:
   • Least and lumbar splanchnic nerves.
4. Inguinal canal:
   • Comprehensive evaluation and treatment.