New holistic and multidisciplinary approach

Our team

With state-of-the-art equipment, access to the most advanced diagnostic and surgical techniques and solid specialized training of our multidisciplinary team, we are confident we can offer medical attention of the highest quality.

Our holistic and comprehensive approach allows us to successfully treat with great results most problems related to the pelvic floor.

The team is led by Dr. Joan Meléndez Muñoz LMS MRCOG FRANZCOG a recognized specialist in Gynecology and pelvic floor dysfunctions. He is well known for his knowledge in urinary incontinence, uterovaginal prolapse, 3D / 4D ultrasound of the pelvic floor and reconstructive surgery both vaginally and laparoscopically.

Dr. Meléndez Muñoz graduated in medicine in 2004 from the Autonomous University of Barcelona. He is a specialist in Gynecology and Obstetrics at the Royal College of Obstetricians and Gynecologists (RCOG) in the United Kingdom, of which he has been a member since 2013.

In 2015 he undertook a 2-year fellowship in the pelvic floor unit of Monash Health, Melbourne (Australia), to do the subspecialty of urogynecology. There he devoted himself almost exclusively to treating patients with problems related to pelvic floor dysfunction, especially urinary incontinence, prolapse, and problems related to obstetric injuries. In 2017 the Royal Australian and New Zealand College of Obstetricians and Gynecologists (RANZCOG) elevated to the category of Fellow Dr. Meléndez Muñoz for his work, experience and contribution to the specialty during his time in Australia.

Dr. Meléndez Muñoz is currently the head of the Pelvic Floor Unit of the Gynecology and Obstetrics service of the University Hospital Dr. Josep Trueta in Girona, where apart from his clinical work, he plays an important role in both training and research projects.

He is a member of the Terminology and Standardization Committee of the International UroGynaecology Association (IUGA) and the Terminology Committee of the International Continence Society (ICS). He is also involved in the development of international guidelines and consensus document

He has presented research papers at numerous international conferences, has been invited as a tutor and moderator in international pelvic floor surgery courses and has published extensively in the field of Gynecology and Obstetrics.

At CATSP Dr. Meléndez Muñoz can dedicates his time and knowledge exclusively to patients suffering from pelvic floor dysfunction and related problems.

Our team includes: 

  • Urogynaecologist - Dr. Joan Meléndez Muñoz LMS MRCOG FRANZCOG
  • Clinical Specialist Nurse specialized in pelvic floor dysfunction.
  • Auxiliar especializada en disfunciones del suelo pélvico. 
  • Physiotherapist
Problems we offer treatment for

There are many different symptoms related to pelvic floor disorders. Some of the most frequent symptoms are:

  • Incontinence of urine 
  • Uterino- vaginal prolapse
  • Overactive  bladder
  • Recurrent urinary infections
  • Nocturia
  • Interstitial cystitis - Painful bladder syndrome
  • Acute urinary retention
  • Dyspareunia
  • Hypertonic levator muscles
  • Underactive bladder - difficulty voiding  / chronic urinary retention
  • Obstetric Anal Sphincter Injuries (OASI)
  • Mild to moderate faecal incontinence
  • Treatment of vesico-vaginal, utero-vaginal and recto-vaginal fistula
  • Perineal pain
  • Urethral diverticulum
Our treatments

Treatment options for pelvic floor problems are usually divided into conservative (without surgery) or surgical, but many scientific studies have shown that the best approach is a combination of both, since the two treatment modalities are often complementary .

  • Medical / conservative treatment for urinary incontinence
  • Medical / conservative treatment for uterovaginal prolapse
  • Medical / conservative treatment for overactive bladder or voiding dysfunction
  • Medical / conservative treatment of recurrent urinary tract infections
  • Treatment for overactive bladder secondary to Detrusor overactivity
  • Treatment of perineal pain and muscle hypertension
  • Surgery for prolapse treatment
  • Surgery for the treatment of urinary incontinence
  • Neuromodulation