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Physical injury caused by surgery may result in a too strong and permanent contraction of pelvic floor muscles and pressure on nerves.In consequence, the sphincter-bladder system will not work properly.This is why patients who had their prostate surgically removed (prostatectomy) need therapy to reduce tension more often than to increase it. Accordingly, Kegel exercises have little effect in this group.
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The indications for pelvic floor physiotherapy are: dysfunctions of bladder (various kinds of incontinence), bowel (constipation, faecal incontinence), disorders of intimate sensations (low, lack of feeling, pain); in women – menstrual or ovulation pains, some cycle disorders, vaginal or cervical prolapse; in men –pain or disorders after prostatectomy. In many cases there is more than one dysfunction. Disorders may change in time – one disappears, but another appears.
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...or foreign body in the vagina. In more severe situations it will be a visible protrusion of vaginal walls. More Postnatal rehabilitation: perineal pain, haemorrhoids Intervention treatment at mum’s home on the first days after childbirth – strong pain of the perineum, sacrum or pubic symphysis, urinary or faecal incontinence. More Physiotherapy after prostatectomy Men who have undergone prostatectomy often have no symptoms of urinary incontinence. However, if such symptoms appear, they will usually not stop themselves. More
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