Physio following anterior repair
Posted , 6 users are following.
I was referred to physio following a prolapse repair that has left me leaking urine when I move. Don't know if it's just me had such high hopes for this surgeon said said lets really go for the physio to see if it fixes it. Well going for it meant the physio inserting finger into vagina whilst I attempted pelvic flor exercises. She then said muscles working albeit weak only able to hold for 4 seconds. Her advice see you in a month keep doing exercises five times a day. I sake about the machines you can buy but she said lets wait and see. I am relieved I am at least able to perform pelvic floor at all but just feel deflated. Surely going for it might have meant more than that. Does anyone have a similar experience if so what happened to you. Would it be safe to use the electronic machines as I'm 8 weeks post op. Thanks x
0 likes, 9 replies
Kegel8Stephanie Maisiemugwump
Posted
Hi Maisie
Great that you are looking to start your exercises that will have a really positive outcome on your surgery, by making it last longer and helping you to regain control of your bladder.
Manual or machine - We regularly have this debate with Physios - a Physiotherapist knows that with correct pelvic floor exercises a woman or man will get strong again. However, we are human. When we don’t 'feel' our muscles it is demoralising and it is easy to develop poor technique, or just forget. That will benefit no one!
I use this analogy to Physios, that if I want to eat homemade bread - how do I do it? Well I could do the 'hand' method, knead, and rise and all that stuff (i.e. manual pelvic floor exercises)- it would make a lovely loaf of bread, and one that they would prefer. However if I was short of time, needed to do other things, or not sure about all the stages I could use a bread maker (electronic pelvic exerciser). The end result would be a loaf of homemade bread (stronger pelvic floor) - which is just what I wanted.
Rehab has to fit into our life - if you;'ve had surgery, chances are you’ve been through Physiotherapy before, so a home use exerciser can only be a good thing surely?
I make no apologies for writing from a biased point of view, but I hope you have found this helpful. It’s your pelvic floor - make it as strong as possible, you are rebuilding your own foundations - make them good!
All the best.
PS My old mantra of:
Weight - watch it, lose 10% of your bodyweight will regain 50% more strength in your pelvic floor muscles
Vit D - take this supplement - it helps with the pelvic floor, clinically proven!
Posture - Sit up straight. BBC - bum at the back of the chair. Sit on your sitz bones not your tail bone!
Constipation - Use a toilet stool, raise your feet it opens the bowels and prevents straining, a killer for the pelvic floor (repaired or not)
And of course Pelvic Floor Exercise.
If you don’t look after your teeth they fall out – same goes with looking after your pelvic floor.
?S
Maisiemugwump Kegel8Stephanie
Posted
Thank you so much for taking the time to reply I do appreciate your advise. I have been taking Vit D as I had rad it helped and had lost weight before the op. Have downloaded the squeezy ap but am also asking the surgeons advise with regards the machines. I just want to be back to normal it's so great to have a support network on here that have such good advise.
Jan999 Maisiemugwump
Posted
The advice I give to ladies is not to use the machine until you are properly healed and 8 weeks is too early. The best person to advise you is the consultant who performed your surgery, he knows how many and what type if sutures he used. I'm sorry you're still having problems following your operation but it's still early days and hopefully the physio will help. Just to add the pelvic toners aren't a quick fix solution and are really best used before we have problems so think very carefully before spending your money. x
Maisiemugwump Jan999
Posted
Thanks Matron have contacted the surgeon secretary for advise on these type of machines. I know I am being impatient it's hard when you didn't have this problem beforehand and off course my return to work is on my mind. I just couldn't contemplate it leaking the way I am at the moment. Many thanks for your advise it's valued and much appreciated x
jill2310 Maisiemugwump
Posted
Hi I was in the same boat as you. Had A & P repair plus vaginal hysterectomy 5 months ago (5th Feb) A few ups and downs with bowls and slower than anticipated recovery but generally doing well and so glad had the surgery. I was also refered to physio from my surgeon for weak pelvic floor and stress incontinence (had hoped the surgery would of fixed this problem or at least helped it but apparantly not)!!!!
Saw the physio twice (4 weeks apart) she also confirmed I had very weak pelvic floor and sent me away with loads of pelvic floor excercises to do 4 times a day. She reccomened a really good app called 'squeezy'. You can set it to remind you when to do the excercises and it keeps a log of them.
Not really made much difference tbh so I've now started with the stimulation.
It's a small probe they insert into the vagina which sends An electrical current through the probe, which helps to strengthen your pelvic floor muscles. You can actually borrow the machines on the NHS to use at home. My phsio suggested I buy one to start using straight away. It's the TensCare itouch Sure Pelvic Floor Exerciser from Argos/Amazon £49.99. I've only been using it every other day for 10 minutes on a low level and WOW I can't believe the difference already. The reviews are really good on this device so I am hope full in a few months I will have really benefitted. Just ask your surgeon or physio about it 1st. Hope this helps, good luck with the rest of your recovery xxx
Maisiemugwump jill2310
Posted
Hi Jilly it's great to hear from people who are in the same boat then I don't feel so alone. I have download the Squeezy app and have also contacted the surgeons secretary for some advise on machines and if they are safe to use in my stage of recovery. You ladies give me hope the support on thus site is amazing don't know what I'd do without it. Fingers crossed it will fix itself sooner rather than later hope you continue to feel the benefit of the machine xx
judyp65 Maisiemugwump
Posted
Hi Maisie I have the same problem had a prolapse and a overactive bladder before (this is my 2nd prolapse operation within 18 months ) this time they lifted my prolapse and also put some stitches in my bladder (uretha buttress) I'm just over 8 weeks and my bladder issues are worse than before I feel like it isn't working and am trying to do my pelvic floor ( never know if I'm doing them correct ) they say when you need to go try and wait a little longer but you can guarantee when I go I will leak, I have to wear a pad everyday. I am off to my physio on the 2nd August ( my 2nd visit ) on a one to one so pray she can give some advice, Like Jill I have bought the tens care itouch sure too and am hoping to give it a try after 3 months on top of trying to do my pelvic floor, Maybe we are being impatient but I feel worse than before as far as my bladder control goes?? And just hope we can get it sorted in the end. Good luck and let me know how you get on ??
Maisiemugwump judyp65
Posted
Hi Judy. I know how you feel with the loss of control. On my worst days I leak like a sieve the new one being when coming down stairs. I felt yesterday as though I was once again left to my own devices. Ok she checked I was doing the pelvic floor exercises then but what if I lapse into bad habits or get lazy how can I be sure its still working the muscle. Have contacted the surgeons secretary to ask for advise. Fingers crossed just want to do all I can to aid my recovery. I never had physio at any stage if the diagnosis maybe if I had wouldn't be so unsure now. Will keep everyone informed and thanks for your advise it really helps me x
Kegel8Stephanie Maisiemugwump
Posted
The scariest thing for me is when I diary exercise. Then I'll think to myself, 'Oh I've not exercised this week' then when I check back to find its been weeks, if not months since I exercised! That s why apps like Squeezy are really good. Also there should be an annual check up, or for women with surgery etc, 6 monthly strength check ups, to keep us all motivated, measured and monitored! That would save a fortune and improve the failure rate surely...
I know, it all takes money, and we know that the NHS is treating more people but with less funds, but it would be so refershing to have money spent on prevention...
S