15 FAQs About Pelvic Surgeries and Physical Therapy

1. What is pelvic floor physical therapy?
   Pelvic floor physical therapy focuses on strengthening and relaxing the muscles of the pelvic region, improving bladder, bowel, and sexual function, and addressing pelvic pain or discomfort.
   

2. How long after surgery should I wait to start physical therapy?
   It depends on the type of surgery and your individual recovery. Generally, your doctor will provide guidelines, but many patients begin pelvic floor physical therapy 6-8 weeks after surgery, once they’ve healed sufficiently.

3. Is pelvic floor physical therapy painful?
   While some exercises may feel uncomfortable, especially if you have pain or tightness in the pelvic region, PT should not be painful. A skilled therapist will adjust exercises to avoid exacerbating any discomfort.
   

4. Can physical therapy help with incontinence after a prostatectomy?
   Yes, physical therapy can help men regain control of their bladder function by strengthening the pelvic floor muscles and retraining the body to respond properly to urges.
   

5. How can PT help after a hysterectomy?
   Pelvic floor therapy can help restore muscle strength, reduce pelvic pain, improve urinary and bowel control, and enhance sexual function after a hysterectomy.
   

6. Will physical therapy cure my pelvic prolapse?
   Physical therapy cannot reverse prolapse, but it can help improve symptoms by strengthening the pelvic floor muscles, providing support, and preventing the condition from worsening.
   

7. What types of exercises are included in pelvic floor therapy?
   PT may involve exercises like Kegels (pelvic floor contractions), relaxation techniques, posture correction, manual therapy, and specific strengthening exercises targeting the pelvic region.
   

8. Can pelvic physical therapy help with pain after C-section?
   Yes, pelvic physical therapy can address both abdominal and pelvic floor recovery after a C-section, helping to alleviate pain, restore core strength, and improve pelvic floor function.
   

9. How does physical therapy help with sexual dysfunction after surgery?
   Pelvic physical therapy can address muscle tension, improve coordination of pelvic floor muscles, and increase blood flow to the area, all of which can support sexual function.
   

10. Are there any risks associated with pelvic floor physical therapy?
    When performed by a licensed and trained professional, pelvic floor therapy is generally safe. It’s important to follow your therapist’s guidance to avoid overexerting muscles or exacerbating pain.
    

11. How often should I go to physical therapy after pelvic surgery?
    The frequency of PT sessions will depend on your specific surgery and recovery. Most patients begin with 1-2 sessions per week and gradually decrease as they progress.
    

12. Can I perform pelvic exercises on my own at home?
    Yes, after learning proper techniques from your physical therapist, you can typically continue exercises at home. However, guidance is crucial initially to ensure you’re performing them correctly.
    

13. How long does it take to see results from pelvic floor therapy?
    Results vary by individual and surgery type, but many people notice improvements within a few weeks of starting physical therapy. Full recovery may take several months.
    

14. Does insurance cover pelvic floor physical therapy?
    Many insurance plans cover pelvic floor therapy, especially if it’s prescribed by a doctor. It’s a good idea to check with your insurance provider beforehand to confirm coverage.
    

15. What should I expect during my first pelvic floor physical therapy session?
    Your first session will likely involve a thorough evaluation where the therapist asks about your medical history, symptoms, and goals. They may also assess posture, muscle strength, and range of motion. Based on this, a personalized treatment plan will be developed.

Pelvic surgeries can be life-changing, but with the right post-operative care, including pelvic floor physical therapy, recovery can be faster, more effective, and more comfortable. Whether you’ve had a hysterectomy, prostatectomy, or another pelvic procedure, incorporating physical therapy into your recovery plan can greatly improve your long-term pelvic health, reduce pain, and restore normal function.