The Effects of Pelvic Floor Rehabilitation on a Male Patient With Colostomy: A Case Report

Abstract

The aim of this study was to investigate the effects of pelvic floor muscle training, consisting of pelvic floor muscle exercises and extracorporeal magnetic innervation, on a male patient with colostomy during the preclosure period. A male patient with colostomy (age: 23 years, body mass index: 24.21 kg/m2) was evaluated. The demographic characteristics and medical history of the patient were recorded. Pelvic floor muscle strength and endurance were assessed with anal perineometric sensor. Subjective perception of improvement was assessed with a Likert-type scale and quality of life was assessed with Visual Analog Scale. All assessments were performed before treatment, during the fourth week of treatment, immediately after treatment at 10 weeks, and at 6 weeks postclosure of the colostomy. Pelvic floor muscle exercises and extracorporeal magnetic innervation were applied for 10 weeks. Subjective perception of improvement, pelvic floor muscle strength, and endurance were enhanced but there was no improvement in quality of life from preclosure to the postclosure period. Pelvic floor muscle exercises and extracorporeal magnetic innervation are effective treatments for increasing the pelvic floor muscle strength and endurance and the subjective perception of healing in a patient with colostomy during the preclosure and postclosure periods. There is a need for randomized controlled studies on this subject with larger samples.