15 FAQs How Pelvic Floor Therapy Improves Post-Surgical Function and Quality of Life

1. What is pelvic floor therapy?

Pelvic floor therapy is a specialized form of physical therapy focused on the muscles, ligaments, and tissues that support the bladder, uterus, rectum, and pelvic floor. It addresses weakness, tension, pain, or dysfunction in this region—especially after surgery.

2. Why is pelvic floor therapy recommended after pelvic or abdominal surgery?

Surgery can disrupt muscle function, create scar tissue, and change how your pelvic organs and muscles work together. Therapy helps restore function, reduce pain, and support full-body healing.

3. Which types of surgery benefit from pelvic floor therapy?

Common surgeries include:

• Hysterectomy

• C-section

• Prolapse repair

• Endometriosis or fibroid surgery

• Bladder sling or incontinence procedures

• Gender-affirming surgeries

4. How soon after surgery can I start pelvic floor therapy?

Most people begin 4–6 weeks after surgery, once cleared by their doctor. However, some benefit from pre-surgical therapy (prehab) or early-stage support focused on breathing and mobility.

5. Is it normal to still have symptoms like leaking or pressure after surgery?

Yes, and they’re often related to pelvic floor dysfunction. Therapy can help address these lingering symptoms by retraining the muscles and restoring proper coordination.

6. Does pelvic floor therapy help with scar tissue and adhesions?

Absolutely. Therapists often use manual therapy, soft tissue work, and stretching techniques to reduce scar sensitivity and improve tissue mobility around the incision site.

7. Will therapy be painful?

Pelvic floor therapy is typically gentle and personalized. You’re in control, and your therapist will prioritize your comfort, offering modifications if anything feels uncomfortable.

8. Can therapy improve my posture and core strength after surgery?

Yes. The pelvic floor is part of your core, and therapy often includes core retraining, breathing work, and posture corrections to support full-body function

9. I’ve had surgery years ago—can pelvic floor therapy still help me?

Yes. Many people find therapy helpful months or even years later, especially if symptoms have persisted or worsened over time.

10. Will pelvic floor therapy help with intimacy or painful intercourse after surgery?

Yes. Many post-surgical patients experience dyspareunia (pain with sex) due to muscle tension, nerve irritation, or scar tissue. Therapy can help restore comfort and confidence.

11. How many sessions will I need?

It varies. Some people feel improvement after 3–4 sessions, while others may benefit from ongoing care over several months depending on their condition and goals.

12. Is internal treatment required?

Not always. Internal work is one option, but many pelvic floor therapists offer external techniques and always work with your consent and comfort in mind.

13. Can pelvic floor therapy help with emotional trauma or anxiety linked to surgery?

Yes. The pelvic floor holds emotional tension. Many patients report a deep sense of release and healing, both physically and emotionally, through this therapeutic process.

14. Will insurance cover pelvic floor therapy?

Coverage varies by country and provider. It’s often covered under physical therapy benefits with a referral. Check with your insurance to confirm.

15. Where can I find a qualified pelvic floor therapist?

Ask your surgeon, OB/GYN, or GP for referrals. You can also search directories like:

• APTA Pelvic Health (U.S.)

• POGP (UK)

• Pelvic Health Europe

• Local hospital networks or physiotherapy clinics