Pre-/Post-Prostatectomy

• ​It is extensively demonstrated in the research that pelvic floor muscle (PFM) training improves continence dramatically post-prostatectomy

• It has also been shown that the most effective time to start learning about and training your PFM is before your surgery

• Ideally you come in for your first appointment a few weeks before your surgery to allow you time to 'get to know' your PFM and start a training regime.  This is not always possible if your surgery is scheduled quickly after your diagnosis but even if you can come in a couple of days before, it will be easier to train the muscles afterwards as you will already know what they feel like. 

• At this initial assessment we also teach you a basic post-operative training regime, including pad weight testing and fluid manipulation  

• After your surgery, you wait until the catheter has been removed before starting PFM training again. 

• Your post-operative assessment is approximately 1 week after the catheter is removed, to assess your symptoms (specifically urinary leakage, frequency, urgency and/or pain) and set up a tailored programme specific to your needs.  

• How often, and how many treatment sessions you need post-operatively is dependent upon the severity of your symptoms and speed of progress

• My top tip to you is to do your exercises diligently then you'll see much less of us! 

• Throughout this process we communicate closely with your Urologist

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Urgency/OAB

• This can occur at any age, but is especially common in older gentlemen especially those with a history of previous radiotherapy of the prostate 

• It is very treatable with physiotherapy

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Urinary Leakage

• This problem is talked about even less by men than women but treatment is available and effective

• There is more information about bladder and bowel on their dedicated pages

 

Pain

• Pelvic pain in men is most prevalent, and most under-treated, in the 20-40yr age group

• Symptoms include testicular pain, groin pain, hip pain, pain with passing urine, deep posterior hip pain amongst others

• Pelvic Health Physios have undergone specialised training to treat these issues and have a different approach to 'normal' Physio's 

• If your pain is not responding to standard treatment (Physio, Osteo, Chiro, Doctor) it is often the case that approaching it from a pelvic health perspective finds the missing link

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For more information about the male pelvic floor please read our blog

and our Pelvic Floor page