Pelvic health physiotherapy after prostate cancer surgery
One of the most common and troublesome side effects after prostate cancer surgery is urinary incontinence. This can range from mild leakage requiring temporary use of pads to more severe cases that last longer. The other main side effect for many is a loss of erections. Fortunately, help is available – physiotherapy after prostate cancer surgery is one of the most effective ways to reduce urinary incontinence and speed up recovery.
What are pelvic floor muscles?
The pelvic floor muscles form a supportive hammock-like structure that stretches from the tailbone to the pubic bone. These muscles play a crucial role in controlling bladder and bowel function, supporting pelvic organs, and contributing to sexual health.
Why train the pelvic floor muscles after prostate cancer surgery?
Studies indicate that 80% of men experience some degree of urinary leakage following radical prostatectomy. Training the pelvic floor muscles before and after surgery can significantly improve recovery outcomes. Research has shown that pelvic floor muscle training helps:
- Improve pelvic floor muscle function
- Reduce the severity and duration of urinary incontinence
- Enhance quality of life by reducing the impact of leakage
In fact, pelvic floor muscle training is even more effective when started 4-6 weeks before surgery.
The role of the physiotherapist in rehabilitation after prostate cancer surgery
Because the pelvic floor muscles are located inside the body, it can be difficult to identify and train them correctly on their own. This is where a physiotherapist specialising in pelvic health comes in. Working with a physiotherapist ensures that the training protocol is tailored to the individual’s needs, and done correctly.
During pre-surgery rehabilitation, a physiotherapist will:
- Assess your current pelvic floor function.
- Discuss your symptoms and concerns, helping you understand what to expect post-surgery.
- Teach you proper pelvic floor exercises to strengthen the muscles, which can reduce the severity of incontinence.
- Provide advice on lifestyle factors like diet, posture, and weight management to promote faster recovery.
Physiotherapists also guide you on when to resume pelvic floor exercises post-surgery and when to follow up for progress assessments. They can also help with return of erectile function. (click here for more information).
Exercise and prostate cancer recovery
Physical activity plays an essential role in overall recovery and long-term health after prostate surgery. Research shows that regular exercise is not only safe but beneficial for men with prostate cancer. It helps improve aerobic fitness and muscle strength, and helps combat fatigue.
While rest is important in the initial recovery phase after surgery, your doctor and physiotherapist will guide you on when it’s safe to resume exercise, ensuring you rebuild strength while minimising strain on healing tissues.
Whether starting before or after surgery, physiotherapy after prostate cancer can make all the difference in achieving a successful outcome.
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Further information and access to support groups, and free exercise classes is available here.