Question
Dr.
Hou: Hello, are the pelvic floor tightening exercises the same as Kegel exercises? I have a history of colon polyp removal; how long should I wait before undergoing another colonoscopy? Thank you.
nini, 60~69 year old female. Ask Date: 2008/03/08
Dr. Hou Yongji reply Surgery
1.
The pelvic floor contraction exercises are indeed similar to Kegel exercises, both aimed at strengthening the supportive muscles of the pelvic floor.
2.
Typically, after the first colon polyp removal, it is recommended to undergo a follow-up colonoscopy in 6 to 12 months.
If it is confirmed that the colon polyps have been completely removed, a follow-up colonoscopy can be performed every 3 to 5 years.
Wishing you good health.
Reply Date: 2008/03/08
More Info
Understanding pelvic floor tightening and Kegel exercises after surgery is crucial for recovery and overall pelvic health. Kegel exercises, named after Dr. Arnold Kegel, are designed to strengthen the pelvic floor muscles, which support the bladder, uterus, and rectum. These exercises involve contracting and relaxing the pelvic floor muscles, similar to the actions of stopping urination midstream.
After surgeries such as hysterectomy or pelvic organ prolapse repair, many women experience changes in their pelvic floor function. This can lead to issues such as urinary incontinence, pelvic organ prolapse, or sexual dysfunction. Engaging in Kegel exercises post-surgery can help restore muscle tone and improve pelvic floor strength, which may alleviate some of these complications.
Kegel Exercises: How to Perform Them
1. Identify the Right Muscles: The first step is to locate your pelvic floor muscles. One way to do this is to try to stop urination midstream. The muscles you use for this action are your pelvic floor muscles.
2. Practice the Contraction: Once you’ve identified the muscles, you can practice contracting them. Squeeze the muscles for about 5 seconds, then relax for 5 seconds. Aim for 10 repetitions, three times a day.
3. Increase Duration: As your muscles get stronger, gradually increase the duration of the contractions to 10 seconds, followed by a 10-second rest.
4. Avoid Other Muscles: Focus on only the pelvic floor muscles. Avoid tightening your abdomen, thighs, or buttocks during the exercise.
5. Consistency is Key: Regular practice is essential for effectiveness. Aim to incorporate Kegel exercises into your daily routine.
Incorporating Smart Balls
Using vaginal smart balls or weights can enhance the effectiveness of Kegel exercises. These devices can provide resistance, which may help strengthen the pelvic floor muscles further. However, it is essential to consult with your healthcare provider before using them, especially after surgery. They can guide you on when it is safe to start using these devices and how to incorporate them into your routine effectively.
Potential Concerns Post-Surgery
After surgery, it’s common to experience some discomfort or unusual sensations in the pelvic area, especially when starting new exercises. If you notice pain during Kegel exercises or if you experience any unusual symptoms such as increased vaginal discharge, it’s crucial to consult your healthcare provider. They may recommend an evaluation to rule out any complications, such as infection or improper healing.
Differences Between Pelvic Floor Tightening and Kegel Exercises
While pelvic floor tightening and Kegel exercises are often used interchangeably, there are subtle differences. Pelvic floor tightening can refer to a broader range of exercises aimed at strengthening the pelvic floor, including various movements and techniques beyond Kegels. Kegel exercises specifically focus on the contraction and relaxation of the pelvic floor muscles.
Conclusion
In summary, Kegel exercises are a vital component of pelvic floor rehabilitation after surgery. They can help improve muscle strength, reduce the risk of incontinence, and enhance overall pelvic health. Incorporating smart balls can further enhance these exercises, but always seek professional advice before starting any new regimen post-surgery. Regular practice, patience, and proper technique are essential for achieving the best results. If you have any concerns or experience discomfort, do not hesitate to reach out to your healthcare provider for guidance.
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