A CASE STUDY ON THE TRAINING OF PELVIC FLOOR MUSCLE FOLLOWING HYSTERECTOMY TO IMPROVE THE QUALITY OF LIFE

Neha N. Bhagdewani, Tejaswini B Fating*, Shruti Deshpande, Pratik Phansopkar, Om C. Wadhokar, Chaitanya A. Kulkarni, Waqar M. Naqvi

Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

ABSTRACT

Now a day’s abnormal uterine bleeding in premenopausal women is the most common indication of hysterectomy which usually results from myomas and adenomyosis. In this case study, a 38-year-old female, with a complaint of abnormally heavy bleeding with menstrual cycle irregularity and discomfort for 15 days each month with dysmenorrhoea. She was diagnosed for large fibroid deposition at the posterior wall of the uterus and extroverted in the position. So, she was prescribed for vaginal Hysterectomy by a gynecologist further investigation, she underwent a vaginal hysterectomy, post-operatively patient was complaining about lower abdominal pain and difficulty in bed mobility activities. There was weakness in pelvic floor muscles after the surgery, due to which she had worried about overweight, physical health, and her quality of life. So she approached the physiotherapist, where she had trained for pelvic floor muscle training two-three sessions per day for two weeks with abdominal, back, and hip strengthening exercises with a home exercise program. VAS scale, Oxford grading system, PFIQ, QOL questionnaire was taken as outcome measure prior and after the intervention. The present case report emphasizes the effect of the combination of different exercises for pelvic floor muscles encasing the comprehensive rehabilitation plan including a home exercise regimen allowing the patient to recover early and return to daily activities.

Keywords:

Myomas, Adenomyosis, Vaginal hysterectomy, lower abdominal pain, Pelvic floor muscle weakness