Pelvic Floor Considerations in COVID-19

Area of Science:

• Physical Therapy
• Pulmonology
• Urology

Background:

• COVID-19 research primarily focuses on respiratory symptoms.
• Respiratory dysfunction and hospitalization impact pelvic floor function.
• Long-term COVID-19 effects on the pelvic floor require clinical attention.

Purpose of the Study:

• To provide context on how long-term COVID-19 affects pelvic floor function.
• To outline generalized treatment considerations for pelvic floor therapists.

Main Methods:

• Clinical commentary synthesizing current understanding.
• Discussion of the interplay between respiratory and pelvic floor function.

Main Results:

• COVID-19 survivors may experience respiratory diaphragm dysfunction.
• This dysfunction can lead to overactive or underactive pelvic floor issues.
• Prolonged hospitalization can cause long-term bladder and bowel dysfunction.

Conclusions:

• Pelvic floor dysfunction (incontinence, retention, constipation) is a potential long-term consequence of COVID-19.
• Therapists must adapt evaluations and treatments for COVID-19 survivors.
• Pelvic floor physical therapists should be integrated into the rehabilitation team for medically stable patients.