EFFECTIVENESS OF PELVIC FLOOR EXERCISES AFTER SUBTOTAL HYSTERECTOMY AND HAEMATOMETRA IN A 39-YEAR-OLD FEMALE WITH URINARY INCONTINENCE: A CASE STUDY

Akshaya V. Saklecha, Tejaswini B Fating*, Shruti Deshpande, Pratik Phansopkar, Waqar M. Naqvi, Om C. Wadhokar, Chaitanya A Kulkarni

Ravi Nair Physiotherapy College, DattaMeghe Institute of Medical Sciences, Wardha, Maharashtra, India.

ABSTRACT

Hematometra is a rare condition that involves blood accumulation or retention in the uterus; caused by a structural obstruction of the cervical canal, which may be congenital or acquired. Amenorrhea or dysmenorrhoea in premenopausal women, pelvic pain, and urinary incontinence are common symptoms associated with this condition. In this study, a 39-year-old woman presented with a hematometra complaint associated with lower abdominal pain and urinary incontinence. After more USG and MRI studies, she underwent subtotal hysterectomy and hematometra draining, but after surgery, she started to feel pain in her left lower abdomen and urinary incontinence. The patient attended 12 days of therapy over the course of two weeks. Physical therapy including Kegel’s exercises, breathing exercises, and instruction in relaxation techniques, postural advice, gait training, and a home program to training for the activity of daily living activities. The patient reported reductions in symptoms in the Pelvic Floor Impact Questionnaire (PFIQ-7) at the time of her physical therapy discharge, and was able to resume activities that she had not previously tolerated due to abdominal pain and urinary incontinence.

Keywords:

Hematometra, subtotal hysterectomy, urinary incontinence, kegel exercise, knack technique