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Clinical Consultation Guide: Pelvic Floor Prehabilitation
Eileen V Johnson1, Kelsie Kaiser1
1Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, USA.
Pelvic floor muscle (PFM) training, alongside other exercises and education, can benefit patients undergoing urologic surgery. A comprehensive, individualized care plan involving PFM exercises is recommended for better surgical outcomes.
Area of Science:
- Urology
- Rehabilitation Medicine
- Surgical Patient Care
Background:
- Prehabilitation programs are increasingly recognized for improving surgical outcomes.
- Pelvic floor muscle dysfunction can impact recovery after urologic procedures.
- Multimodal approaches are often necessary for optimal patient benefit.
Purpose of the Study:
- To evaluate the benefits of pelvic floor muscle (PFM) training within a prehabilitation program for patients undergoing urologic surgery.
- To emphasize the importance of a holistic and personalized care plan for surgical recovery.
Main Methods:
- The study involved a multimodal prehabilitation program incorporating cardiovascular and hip strengthening exercises.
- Patient education was a key component of the intervention.
- Pelvic floor muscle training was integrated into the prehabilitation strategy.
Main Results:
- Integration of PFM training into a multimodal prehabilitation program demonstrated patient benefits post-urologic surgery.
- A personalized, multifaceted, and holistic care approach, including PFM training, is suggested.
- Further investigation is warranted to fully elucidate the impact of PFM prehabilitation on diverse urologic and surgical outcomes.
Conclusions:
- Pelvic floor muscle training, as part of a comprehensive prehabilitation strategy, offers significant advantages for patients undergoing urologic surgery.
- Interdisciplinary collaboration is crucial for developing effective, individualized care plans that incorporate PFM training.
- Continued research is essential to define the full scope of PFM prehabilitation's influence on surgical results.
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