Physiotherapy Intervention in Post Hysterectomy Patient with Urinary Incontinence: A Case Report
Gunjan Ingale
Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.
Shubhangi Patil *
Department of Community Health Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medial Sciences, Wardha, Maharashtra, India.
Rupali Thorat
Department of Community Health Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medial Sciences, Wardha, Maharashtra, India.
*Author to whom correspondence should be addressed.
Abstract
The uterus and cervix are removed during a total abdominal hysterectomy. The majority of hysterectomies are performed to address fibroids, endometriosis, adenomyosis, pelvic organ prolapse, and malignancy. The second most common procedure on the female genital system is hysterectomy. Patients who have this treatment are at risk for problems that can be avoided with preventative interventions such as physiotherapy. A 48 year old who had undergone total abdominal hysterectomy with bilateral salphingo opherectomy was referred for physiotherapy. Patient complained of pain in lower abdomen and difficulty in bed mobility and constant dripping of urine. Apart from medicinal intervention, physiotherapy was given for six days a week along with pain management activities, respiratory exercises, home exercise program and ergonomic advice for 4 weeks. A comprehensive rehabilitation plan including home exercise regimen can help in early recovery and restoration of daily activities rapidly and improve the quality of life of the patient.
Keywords: Urinary incontinence, hysterectomy, physical therapy, case report