Post Pelvic Surgery

Pelvic floor physiotherapy plays a key role in recovery after pelvic surgery and childbirth. A pelvic floor physiotherapist can support rehabilitation following procedures such as prolapse repair, hysterectomy, Botox injections, endometriosis excision (laparoscopy), as well as after vaginal or caesarean birth.

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Common Symptoms or Concerns Post Pelvic Surgery

Pain

Increased abdominal ache/pain for more than 6 weeks following prostatectomy, hysterectomy, laparoscopy or post birth
Abdominal pain following prostatectomy, hysterectomy, laparoscopy or post birth with movement
Urethral stinging, burning pain with negative UTI (urinary tract infection) test
Intermittent anus spasm pain

Bladder and Bowel Dysfunction

Significant urinary incontinence following prostatectomy or childbirth
Reduced bladder sensation following prostatectomy, hysterectomy, laparoscopy or post birth.
Increased sensitivity of your urethra following prostatectomy, hysterectomy, laparoscopy or post birth.
Constipation following prostatectomy, hysterectomy, laparoscopy or post birth.
Increased bowel frequency with soft/wet stools following prostatectomy, hysterectomy, laparoscopy or post birth.
Reduce bowel urge/sensation

Pelvic Floor Muscle Dysfunction

Intermittent spasm of pelvic floor muscle when walking or sitting to standing
Hard to relax pelvic floor muscles
Unable to maintain a pelvic floor muscle contraction for very long (weakness or endurance).
Feeling of weakness or fatigue in your pelvic floor muscle.

Return to Activity

Unsure when to move your body after laparoscopy, hysterectomy, prostatectomy or C-section.
Returning to lifting weights including shopping, children or free weights at the gym
Return to sport including running, team sports and pilates

Managing urinary incontinence post prostatectomy

Recovery following a radical prostatectomy can be up to 12 months. Research published by Overgard at al., (2008) showed significant reduction in urinary incontinence 12 months post op (79% continent) compared to patients who did not complete pelvic floor exercise training with a physiotherapist (58% continent).