Abstract
Objective: To understand which physiotherapy strategies for pelvic health can be employed in the home environment for women in the postoperative period of hysterectomy for cervical cancer. Methods: This is an integrative review conducted in March 2026 in the PubMed, PEDro, and SciELO databases. The selection criteria were articles in Portuguese, English, and Spanish, from the last ten years, with a target population over 18 years of age. Physiotherapy interventions requiring professional equipment or continuous assistance were excluded. Results: 1155 studies were found overall, of which only 5 articles were eligible for the study. The most described approaches were pelvic floor muscle training, pelvic health education through leaflets and classes, and breathing exercises. Final considerations: It was found that the most frequently reported home-based physiotherapy strategies demonstrate positive effects on sexual function and self-esteem, symptom relief and urinary tract control, improved pelvic floor muscle strength, and quality of life. In addition, they help minimize the symptomatic side effects of cancer treatment.
References
ALVES MF, et al. Urinary symptoms and sexual function after hysterectomy secondary to cervical cancer: A prospective, cohort study. European Journal of Obstetrics & Gynaecology and Reproductive Biology, 2024; 296:208-214.
ANDRADE RL, et al. An education program about pelvic floor muscles improved women's knowledge but not pelvic floor muscle function, urinary incontinence or sexual function: a randomised trial. Journal of Physiotherapy, 2018; 64(2):91-96.
BAESSLER K., et al. Sexual, bladder and bowel function following different minimally invasive techniques of radical hysterectomy in patients with early-stage cervical cancer. Clinical and Translational Oncology, 2021;23(11):2335-2343.
BERG-POPPE P, et al. Pelvic Floor Muscle Resting Tone in Children With Dysfunctional Voiding Symptomology Following Simple Gross Motor Exercises. Pediatric Physical Therapy Journal, 2022; 34(1): 28–35.
BLANCHARD V, et al. Intérêt de l’éducation périnéale en rééducation périnéale chez la femme [Benefits of pelvic floor education in perineal re-education in women. Progrès en Urologie, 2020; 30(4):190-197.
BØ K, et al. Can you breathe yourself to a better pelvic floor? A systematic review. Neurourology and Urodynamics, 2023; 42(6):1261-1279.
BRASIL. Ministério da Saúde. Conselho Nacional de Saúde. Resolução nº 466, de 12 de dezembro de 2012, que aprova diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Brasília, DF: Diário Oficial da União, 12 dez. 2012.
BRASIL. Ministério da Saúde. Conselho Nacional de Saúde. Resolução CNS nº 580, de 22 de março de 2018, que estabelece que as especificidades éticas das pesquisas de interesse estratégico para o Sistema Único de Saúde (SUS). Brasília, DF: Diário Oficial da União, 22 mar. 2018.
BRENNEN R, et al. Natural history of pelvic floor disorders before and after hysterectomy for gynaecological cancer. International Journal of Obstetrics & Gynaecology, 2024; 131(11):1545-1554.
BURKHART R, et al. Pelvic floor dysfunction after childbirth: occupational impact and awareness of available treatment. Occupational Therapy Journal of Reserarch, 2020; 41(8): 108-115.
CIBULA D, et al. ESGO/ESTRO/ESP Guidelines for the management of patients with cervical cancer - Update 2023. International Journal of Gynecological Cancer, 2023;33(5):649-666.
DANTAS HLL, et al. Como elaborar uma revisão integrativa: sistematização do método científico. Revista Científica de Enfermagem, 2022; 12(37):334-345.
DAYICAN DK, et al. Exercise Position to Improve Synergy Between the Diaphragm and Pelvic Floor Muscles in Women With Pelvic Floor Dysfunction: A Cross Sectional Study. Journal of Manipulative and Physiological Therapeutics, 2023; 46(4):201-211.
DUMOULIN C, et al. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. The Cochrane Database of Systematic Reviews, 2018; 10(10): 1-155.
ERIKSEN MB, FRANDSEN TF. The impact of Patient, Intervention, Comparison, Outcome (PICO) as a search strategy tool on literature search quality: a systematic review. Journal of the Medical Library Association. 2018; 106(4):420-431.
FANTE JF, et al. Do Women have Adequate Knowledge about Pelvic Floor Dysfunctions? A Systematic Review. Revista Brasileira de Ginecologia e Obstetrícia, 2019; 41(8):508-519.
FIRMEZA MA, et al. The Effects of Hysterectomy on Urinary and Sexual Functions of Women with Cervical Cancer. Revista Brasileira de Ginecologia e Obstetrícia, 2022; 44(8): 790-796.
FRETTA TB, et al. Educational telerehabilitation program for women with pelvic floor dysfunctions after gynecological pelvic cancer treatment: protocol study for a randomized and controlled clinical trial. Trials. 2024; 25(1): 1-12.
GARCÍA-LARIA R, et al. Effects of pelvic floor muscle training on sexual function of postmenopausal women. A systematic review and meta-analysis. The Journal of Sexual Medicine, 2025;13(4): qfaf067.
GHETTI CS, et al. The emotional burden of pelvic organ prolapse in women seeking treatment: a qualitative study. Female Pelvic Medicine and Reconstructive Surgery, 2015; 21: 332-338.
GIARDULLI B, et al. Pelvic Floor Muscle Training strategies to empower patients: a critical Incident qualitative study. European Journal of Physiotherapy, 2025; 27(6), 388–401.
INSTITUTO NACIONAL DO CÂNCER. Estimativa 2026: incidência de câncer no Brasil. Rio de Janeiro: INCA, 2026.
LAI YT, et al. Perceptions of pelvic floor dysfunction and rehabilitation care amongst women in southeast China after radical hysterectomy: a qualitative study. BMC Women’s Health, 2022; 22(108):1-8.
LI X, et al. Analysis of the effectiveness of the application of pelvic floor rehabilitation exercise and the factors influencing its self-efficacy in postoperative patients with cervical cancer. Frontiers in Oncology, 2023; 13: 1-10.
LIU G, et al. Effect of Pelvic Floor Function Exercises Based on the ERAS Concept on Lower Urinary Tract Symptoms after Radical Hysterectomy for Cervical Cancer: A Retrospective Cohort Study. Archivos Españoles de Urología, 2024; 77(4):426-432.
MENDES KDS, et al. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & Contexto Enfermagem, 2008;17(4): 758-764.
NASCIMENTO FC, et al. A physical therapy program to treat late-effect vaginal stenosis in gynecological cancer survivors: An interventional study. Support Care Cancer, 2024;32(12):839.
NINOMIYA S, et al. Effects of Unsupervised Gluteal Muscle Contraction Versus Unsupervised Pelvic Floor Muscle Training in Women with Symptoms of Stress Urinary Incontinence: A Randomized Controlled Trial. International Urogynecology Journal, 2024;35(9):1829-1837.
OUZZANI M, et al. Rayyan—a web and mobile app for systematic reviews. Systematic reviews, 2016; 5(210):1-10.
PARK H, HAN D. The effect of the correlation between the contraction of the pelvic floor muscles and diaphragmatic motion during breathing. The Journal of Physical Therapy Science, 2015;27(7): 2113-2115
.
PLANTE M, et al. Simple versus Radical Hysterectomy in Women with Low-Risk Cervical Cancer. The New England Journal of Medicine, 2024; 390(9):819-829.
STAMOS D, et al. Female Sexual Function and Pelvic Floor Muscle Training: A Narrative Review. Cureus Jounal of Medical Science, 2025;17(6):e85751.
TABATABAIE NS, et al. The Effect of Yoga and Pelvic Floor Muscle Exercise on Sexual Function and Sexual Self-esteem of Reproductive-age Women: A Randomized Clinical Trial. International Journal of Community Based Nursing & Midwifery, 2024;12(3):188-198.
TORONTO CE. Overview of the integrative review. In: TORONTO C, REMINGTON R. A step-by-step guide to conducting an integrative review. Cham: Springer, 2020.
WAGHE VR, ATHAWALE V. Physiotherapeutic Approach in Enhancing Recovery and Quality of Life After Vaginal Hysterectomy: A Case Report. Cureus, 2024;12;16(3):e56057.
WORLD HEALTH ORGANIZATION. Cervical Cancer. 2024. Disponível em: https://www.who.int/news-room/fact-sheets/detail/cervical-cancer. Acesso em: 21 abr. 2026.
WORLD HEALTH ORGANIZATION. Global strategy to accelerate the elimination of cervical cancer as a public health problem. Geneva: World Health Organization; 2020. Licence: CC BY-NC-SA 3.0 IGO.
ZHANG J, et al. The Impact of Early Postoperative Pelvic Floor Muscle Exercise on Urinary Retention and Urodynamics after Radical Hysterectomy for Cervical Cancer. Archivos Españoles de Urología, 2025; 78(5):579-587.
ZHANG M, et al. Effects of Kegel exercise combined with rational emotive behavior therapy on pelvic floor muscle function and sexual life quality in patients with total hysterectomy: A retrospective study. Medicine, 2023;102(52):e36222.
ZONG J, et al. Effect of Kegel Pelvic Floor Muscle Exercise Combined with Clean Intermittent Self-catheterization on urinary retention after radical hysterectomy for cervical cancer. Pakistan Journal of Medical Sciences, 2022; 38(3): 462-468.
