Pelvic Floor Therapy to Improve Bowel Continence & Function

Pelvic floor therapy is often recommended for patients who experience bowel control issues after colorectal surgery, including ostomy reversal.

The pelvic floor muscles play an important role in supporting the rectum and controlling bowel movements. When these muscles become weak, uncoordinated, or strained during surgery and recovery, patients may experience symptoms such as urgency, difficulty holding stool, or incomplete evacuation.

A specialized pelvic floor physical therapist can help retrain these muscles through targeted exercises and techniques. Therapy often includes pelvic floor strengthening exercises, coordination training, and biofeedback therapy, which uses sensors to help patients learn how to properly contract and relax the muscles involved in bowel control. These techniques help improve muscle strength, timing, and awareness.

Pelvic floor therapy is noninvasive and tailored to each patient’s needs. With consistent practice, many individuals see improvements in bowel control, reduced urgency, and greater confidence in daily activities as their body continues to recover from surgery.

Before or After Surgery?

The standard protocol is to have PFT after surgery. But, it can be an advantage to have it before, so that your pelvic floor is in the best condition possible when your ostomy is reversed. Speak with your surgeon about the possibilities.