Pelvic cancer

Pelvic cancers may include: ovarian, endometrial, vulvar, cervical, prostate, colorectal, and others.  Treatment for these cancers may impact the pelvic floor muscles and surrounding structures.  This can lead to issues of urinary and fecal incontinence, urinary urgency and frequency, pelvic pain, dyspareunia (painful intercourse), and sexual dysfunction.  These are deeply personal issues, and are often overlooked during the course of cancer treatment. Many people are hesitant to seek help for these problems, and may not even know that treatment exists.  Physical therapy can be highly effective in the treatment and cancer-related pelvic floor dysfunction.  Treatment may involve scar tissue management, pelvic floor and core strengthening, myofascial release for the pelvic floor and surrounding muscles, exercise, dietary advice, and behavioral modifications.  Removal of lymph nodes in the pelvis following cancer may also lead to lymphedema in the legs, genitals, and abdomen.  Complete Decongestive Therapy is a highly effective treatment to decrease swelling, infection risk, and mobility.