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Preparing for a Hysterectomy: Pelvic Floor Therapy

By Emily Henneberg, PT, DPT

Facing a hysterectomy can bring about a mix of emotions, from relief to anxiety. This major surgical procedure entails the removal of the uterus and sometimes other reproductive organs, offering relief from a range of health concerns. While the focus is often on the surgery itself, there’s an aspect that’s gaining increasing attention in pre-operative preparation: pelvic floor therapy. In this article, we delve into the reasons why pelvic floor therapy before a hysterectomy can be a game-changer for your overall well-being.

Understanding the Pelvic Floor’s Role

The pelvic floor is a group of muscles, ligaments, and tissues located at the base of the pelvis, providing essential support to organs like the bladder, uterus, and rectum. A strong and healthy pelvic floor contributes to proper bladder and bowel control, stability, posture, and even sexual function. Given its integral role in daily functioning, maintaining pelvic floor health is crucial.

Benefits of Pelvic Floor Therapy Before a Hysterectomy

  1. Optimizing Surgical Outcomes: Strengthening and coordinating the pelvic floor muscles before a hysterectomy can contribute to better post-operative outcomes. A coordinated and strong pelvic floor may aid in quicker recovery, reduce the risk of complications, and potentially help in minimizing post-operative discomfort.
  2. Enhancing Muscle Tone: Just as athletes train their muscles before an event, pelvic floor therapy can help women prepare their pelvic floor muscles for the upcoming surgery. Strengthening these muscles prior to surgery can potentially lead to quicker muscle recovery post-surgery.
  3. Supporting Bladder and Bowel Function: Pelvic floor therapy can help women establish better control over their bladder and bowel functions, which can be particularly beneficial after a hysterectomy when these functions might be temporarily compromised.
  4. Reducing the Risk of Incontinence: One of the common concerns post-hysterectomy is urinary incontinence. Pelvic floor therapy can help strengthen and coordinate the muscles that control urinary function, potentially reducing the risk of post-operative incontinence.
  5. Fostering a Positive Mind-Body Connection: Pelvic floor therapy is not just about physical exercises; it also involves awareness of the pelvic floor and relaxation techniques. Engaging in these practices before surgery can help women foster a positive mind-body connection, which can be invaluable during the recovery process.
  6. Addressing Pre-existing Conditions: For women with pre-existing pelvic floor issues such as pelvic pain, endometriosis, or discomfort during intercourse, pelvic floor therapy can provide relief and potentially improve their overall well-being before surgery.
  7. Individualized Preparation: Just as each woman’s body is unique, their preparation for surgery should be tailored to their specific needs. Pelvic floor therapy offers personalized treatment plans based on individual concerns and goals, ensuring a comprehensive approach to preparing for surgery.


Preparing for a hysterectomy involves more than just the surgical procedure itself. The health and strength of the pelvic floor muscles play a pivotal role in a woman’s overall recovery and well-being. Engaging in pelvic floor therapy before a hysterectomy can offer a multitude of benefits, from optimizing surgical outcomes and enhancing muscle tone to promoting better bladder and bowel control. By focusing on the holistic health of the pelvic floor, women can approach their surgery with a sense of empowerment, knowing that they’ve taken steps to support their body’s healing journey. If you’re considering a hysterectomy, don’t overlook the potential advantages of incorporating pelvic floor therapy into your pre-operative preparations. Your pelvic floor’s health matters, and it can make a significant difference in your overall recovery experience. Reach out to Magic City Physical Therapy today to work with a skilled therapist who is trained to assist with your recovery.

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