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International Journal of Science, Strategic Management and Technology

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THE ROLE OF PELVIC FLOOR REHABILITATION AFTER SURGICAL INTERVENTION: PER VAGINUM AND PER RECTUM APPROACHES

AUTHORS:
Dr Mamta Upadhyay
Dr Nidhi Verma
Mentor
Dr B. Swapna,Dr K. Bharathi
Affiliation
Department of Shalya Tantra, National Institute of Ayurveda (NIA), Jaipur, Rajasthan, India.
DOI: 10.55041/ijsmt.v2i5.461
CC BY 4.0 License:
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Abstract

After pelvic reconstructive, colorectal, and gynaecological procedures, pelvic floor dysfunction severely affects urinary, bowel, and sexual functions, often leading to poorer postoperative quality of life. After per vaginum and per rectum surgeries, pelvic floor rehabilitation (PFR) is an essential part of functional recovery. This study reviews available data on multimodal postoperative rehabilitation techniques, including neuromuscular re-education, biofeedback therapy, and pelvic floor muscle training (PFMT). Recent research in urogynecology, colorectal surgery, and physiotherapy shows that structured rehabilitation regimens significantly improve anorectal coordination, pelvic organ support, continence, and overall functional outcomes. Additionally, a multimodal care approach, early postoperative physical therapy, and individualised treatment plans are linked to improved long-term recovery and reduced symptom recurrence.

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PUBLICATION DETAILS
Review Type:
Double-Blind Peer Review
License:
CC BY-NC 4.0
Volume/Issue:
Volume 02, Issue 05
Review Rounds:
2
Article Type:
Research Article
Publication Date:
May 28 2026
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Upadhyay, D. M. & Verma, D. N. (2026). The Role of Pelvic Floor Rehabilitation After Surgical Intervention: Per Vaginum and Per Rectum Approaches. International Journal of Science, Strategic Management and Technology, 02(05). https://doi.org/10.55041/ijsmt.v2i5.461

Upadhyay, Dr, and Dr Verma. "The Role of Pelvic Floor Rehabilitation After Surgical Intervention: Per Vaginum and Per Rectum Approaches." International Journal of Science, Strategic Management and Technology, vol. 02, no. 05, 2026, pp. . doi:https://doi.org/10.55041/ijsmt.v2i5.461.

Upadhyay, Dr, and Dr Verma. "The Role of Pelvic Floor Rehabilitation After Surgical Intervention: Per Vaginum and Per Rectum Approaches." International Journal of Science, Strategic Management and Technology 02, no. 05 (2026). https://doi.org/https://doi.org/10.55041/ijsmt.v2i5.461.

References
1.van der Heijden, J. A. G., Kalkdijk-Dijkstra, A. J., Pierie, J. P. E. N., et al. (2022). Pelvic floor rehabilitation after rectal cancer surgery: A multicenter randomized clinical trial. Annals of Surgery, 276(1), 38-45.

2.Bosch, N. M., Kalkdijk-Dijkstra, A. J., van Westreenen, H. L., et al. (2025). Pelvic floor rehabilitation after rectal cancer surgery: One-year follow-up of a multicenter randomized clinical trial (FORCE trial). Annals of Surgery, 281(2), 235-242.

3.McClurg, D., Hilton, P., Dolan, L., et al. (2014). Pelvic floor muscle training as an adjunct to prolapse surgery: A randomised feasibility study. International Urogynecology Journal, 25(7), 883-891.

4.Espiño-Albela, A., Castaño-García, C., Díaz-Mohedo, E., & Ibáñez-Vera, A. J. (2022). Effects of pelvic-floor muscle training in patients with pelvic organ prolapse approached with surgery versus conservative treatment: A systematic review. Journal of Personalized Medicine, 12(5), 806.

5.Hagen, S., Glazener, C., McClurg, D., et al. (2017). Pelvic floor muscle training for secondary prevention of pelvic organ prolapse (PREVPROL): A multicentre randomised controlled trial. Lancet, 389(10067), 393-402.

6.Hagen, S., Stark, D., Glazener, C., et al. (2014). Individualised pelvic floor muscle training in women with pelvic organ prolapse (POPPY): A multicentre randomised controlled trial. Lancet, 383(9919), 796-806.

7.Nyhus, M., Mathew, S., Salvesen, K., Stafne, S. N., & Volløyhaug, I. (2020). Effect of preoperative pelvic floor muscle training on pelvic floor muscle contraction and symptomatic and anatomical pelvic organ prolapse after surgery: Randomized controlled trial. Ultrasound in Obstetrics & Gynecology, 56(1), 28-36.

8.Mathew, S., Nyhus, M., Salvesen, K., et al. (2021). The effect of preoperative pelvic floor muscle training on urinary and colorectal-anal distress in women undergoing pelvic organ prolapse surgery: A randomized controlled trial. International Urogynecology Journal, 32(10), 2787-2794.

9.Pauls, R. N., Crisp, C. C., Novicki, K., Fellner, A. N., & Kleeman, S. D. (2014). Pelvic floor physical therapy: Impact on quality of life 6 months after vaginal reconstructive surgery. Female Pelvic Medicine & Reconstructive Surgery, 20(6), 334-341.

10.Visser, W. S., Te Riele, W. W., Boerma, D., et al. (2014). Pelvic floor rehabilitation to improve functional outcome after a low anterior resection: A systematic review. Annals of Coloproctology, 30(3), 109-114.
Ethics and Compliance
✓ All ethical standards met
This article has undergone plagiarism screening and double-blind peer review. Editorial policies have been followed. Authors retain copyright under CC BY-NC 4.0 license. The research complies with ethical standards and institutional guidelines.
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