With regards to pelvic floor surgery, the surgical procedure corrects the anatomical abnormality, physiotherapy corrects the functional abnormality. The combination of good anatomical positioning as well as optimal functioning enhances patient outcomes post operatively and ultimately preventing the need for repeated corrective procedures.
Assessment of pelvic floor functioning may be indicated in some of the following procedures:
- Any prolapse surgery
- Any incontinence surgery
- Any pelvic floor repairs
- Surgery for haemorrhoids or anal fissures
Assessment would include pelvic floor function, bladder, bowel, sexual functioning, scar tissue mobilisation as well as any associated concerns. Constipation and poor toileting can adversely affect any pelvic floor surgery.