Insights from leading pelvic health physiotherapist, Sue Croft OAM
Pelvic floor disorders such as pelvic organ prolapse (POP) and stress urinary incontinence (SUI) are common and can have a significant impact on a woman’s quality of life. For many, these conditions arise after childbirth or as part of the natural ageing process.
In an article published in RANZCOG’s O&G Magazine August 2024 issue – Optomising Surgical Outcomes, physiotherapist Sue Croft OAM explores how targeted pelvic health physiotherapy supports women before and after gynaecological surgery. Drawing on more than three decades of clinical experience, she highlights how evidence-based physiotherapy can help women prepare for surgery, recover confidently, and maintain lifelong pelvic health.
Why conservative care matters
The article reinforces the importance of conservative treatment — including pelvic health physiotherapy, lifestyle modification, and pessary fitting — as the recommended first-line approach for women with POP or SUI. This aligns with current Australian treatment guidelines, which advocate exploring non-surgical strategies before considering surgical repair.
Pelvic health physiotherapy is far more than pelvic floor muscle exercises. It encompasses education about posture, breathing techniques, toileting habits, pressure management, and safe return to physical activity. Many women also benefit from learning techniques to protect the pelvic floor during daily activities such as lifting, coughing or sneezing.
These approaches can reduce symptoms, build confidence, and, for some, delay or even avoid the need for surgery.
Physiotherapy before and after surgery
For those who do require surgery, individualised pre- and post-operative physiotherapy plays an essential role. Pre-surgical sessions focus on improving pelvic floor strength, understanding the procedure, and preparing mentally and physically for recovery.
Following surgery, physiotherapists assist women to safely resume movement, manage issues such as constipation or bladder dysfunction, and support tissue healing. This one-on-one care helps women feel informed, capable and confident in returning to exercise, intimacy, and everyday life.
The article also highlights the importance of addressing the psychological and emotional dimensions of recovery. Many women experience anxiety or apprehension around surgery, or carry residual trauma from previous birth injuries. A trauma-informed, compassionate approach helps ensure that recovery encompasses both body and mind.
A holistic path to long-term pelvic health
Overall, the piece emphasises that successful surgical recovery extends beyond anatomy alone. A collaborative approach, with physiotherapists working alongside surgeons, provides the best support for women’s physical, emotional and functional wellbeing.
When patients are well-prepared, well-supported and well-informed, outcomes are improved, recovery is smoother, and confidence is restored.
Learn more
View Sue Croft’s profile here on the Active Women’s Health website.
To read the full article in the OG Magazine, visit: A physiotherapy perspective
Support for your pelvic floor recovery
At Active Women’s Health, our experienced pelvic health physiotherapists provide evidence-based, individualised care before and after gynaecological surgery. Whether you’re preparing for an operation, managing prolapse symptoms, or rebuilding confidence after recovery, our team is here to support you every step of the way.
👉 Learn more about pelvic health physiotherapy or book an appointment at our Toowong or Highgate Hill clinics.
