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Physio Pelvic Floor Pelvic Health Clinic
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Services / Pre & Post-Surgical Rehab
Specialist treatment

Pre & Post-Surgical Rehabilitation

Surgery is one part of the journey. Physiotherapy before and after pelvic surgery optimizes outcomes, reduces complications, and supports a confident return to full activity.

Pre and post-surgical rehabilitation

Why physiotherapy matters around pelvic surgery

Pelvic surgery, whether for prolapse repair, hysterectomy, prostatectomy, or other procedures, affects the pelvic floor muscles, connective tissue, nerves, and surrounding structures. Pre-operative preparation and structured post-operative rehabilitation consistently improve functional outcomes and quality of life.

Pre-operative (preparing your body before surgery)

Beginning physiotherapy before surgery improves your baseline pelvic floor function, which means better starting conditions for recovery.

  • Pelvic floor muscle training to optimize strength, coordination, and relaxation
  • Education on what to expect post-operatively and how to protect the surgical repair
  • Breathing and pressure management strategies for recovery
  • Bladder and bowel preparation to reduce post-operative complications

Post-operative rehabilitation

The timeline for post-operative physiotherapy varies by procedure and your surgeon's guidance. We work within those guidelines and progress systematically:

  • Early recovery, gentle breathing, circulation, and low-load pelvic floor activation. Scar awareness and wound care guidance.
  • Scar mobilization, once healing permits, restoring mobility to surgical scars to prevent adhesion, sensitivity, and restricted tissue planes.
  • Pelvic floor re-education, rebuilding coordinated pelvic floor function that may have been disrupted by the procedure.
  • Core and hip rehabilitation, progressive strengthening of the surrounding structures that support pelvic floor function.
  • Return to activity, staged return to exercise, lifting, and sexual activity with appropriate loading and monitoring.

Surgeries we commonly support

  • Bladder neck procedures and surgical procedures for incontinence
  • Radical prostatectomy, after prostate surgery incontinence is highly responsive to pelvic floor physiotherapy
  • Colorectal surgery affecting bowel function
  • Endometriosis excision surgery
  • Hysterectomy (all types)
  • Pelvic organ prolapse repair (native tissue and mesh)
We collaborate closely with your surgical team. If your surgeon has not discussed physiotherapy as part of your surgical pathway, we encourage you to raise it, or contact our clinic directly for guidance on appropriate timing.

After prostate surgery incontinence

Urinary leakage following prostate surgery is extremely common, but highly responsive to pelvic floor physiotherapy. Evidence strongly supports beginning pelvic floor exercises before surgery and continuing post-operatively. Most men see significant improvement within 3 months, many achieve full continence.

Timing your appointment

Ideally, your first preparing your body before surgery appointment is 4–6 weeks before surgery. Post-operatively, contact us once your surgeon has confirmed you are cleared for physiotherapy, typically 6–8 weeks after most pelvic procedures, though this varies.

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