Supporting Gender-Affirming Vaginoplasty with Pelvic Floor Physical Therapy
At Pelvic Path, we proudly support all genders, including those undergoing gender-affirming vaginoplasty. Pelvic floor physical therapy is an essential component of preparing for and recovering from this transformative procedure.
Pre-Op Considerations
Research underscores the importance of pre-operative pelvic floor physical therapy. Studies show that many individuals have pre-existing pelvic floor dysfunctions before vaginoplasty (Manrique 2019). Combining pre- and post-operative physical therapy visits has been linked to higher dilation success rates and reduced pelvic floor dysfunction compared to post-op visits alone (Jiang 2019).
Before surgery, we focus on:
- Pelvic Floor Health: We address dysfunctions to optimize bowel, bladder, and sexual health.
- Mobility Assessments: We evaluate the spine, hips, shoulders, and hands. Any restrictions are treated with manual therapy or exercises to improve mobility and aid post-op recovery.
- Strength and Fitness: Customized programs build strength and resilience, preparing the body for post-op bed rest and promoting healing.
- Pelvic Floor Control: We assess your ability to contract, relax, and lengthen pelvic floor muscles. Relaxation is vital for post-op dilation, while learning to contract helps manage swelling.
Post-Op Considerations
After surgery, we focus on:
- Wound Healing: Gentle, progressive manual therapy improves scar tissue mobility, respecting tissue healing timelines.
- Dilation Training: We guide you through transitioning dilator sizes safely, using proper positioning, breathing, and relaxation techniques to reduce stress on healing tissues. For significant pain during dilation, we offer pain management strategies like TENS therapy.
- Managing Complications: We address issues like urinary retention or incomplete bladder emptying by teaching toilet strategies, such as forward-leaning positions or using auditory cues like running water.
Conclusion
Pelvic floor physical therapy provides holistic support before and after vaginoplasty, improving outcomes and enhancing quality of life. Ready to prepare for your journey? Schedule a consultation with us today!
[Citation]
Jiang, D. D., Gallagher, S., Burchill, L., Berli, J., & Dugi, D., 3rd (2019). Implementation of a Pelvic Floor Physical Therapy Program for Transgender Women Undergoing Gender-Affirming Vaginoplasty. Obstetrics and gynecology, 133(5), 1003–1011. https://doi.org/10.1097/AOG.0000000000003236
Manrique, O. J., Adabi, K., Huang, T. C., Jorge-Martinez, J., Meihofer, L. E., Brassard, P., & Galan, R. (2019). Assessment of Pelvic Floor Anatomy for Male-to-Female Vaginoplasty and the Role of Physical Therapy on Functional and Patient-Reported Outcomes. Annals of plastic surgery, 82(6), 661–666. https://doi.org/10.1097/SAP.0000000000001680
