Your pelvic floor

Men

The pelvic floor and prostate surgery

Back to articles

Bladder weakness often occurs after prostate surgery and can be one of the biggest challenges to overcome during the recovery process.

This is because in men involuntary contraction of the smooth muscles in the prostate and around the bladder neck (the bladder neck sphincter) contributes to bladder control. Once it is removed the pelvic floor muscles, which support the external sphincter, are relied on to maintain control and prevent urine leaks.

Prior to surgery, it is recommended to complete pelvic floor exercises (or Kegels) in order to strengthen the muscles and be more successful in contracting them after surgery. If you want to do these exercises, imagine that you’re preventing yourself from passing wind by squeezing inside and pulling upwards. Once you’ve got this, tighten and draw in the muscles around the anus and the urethra all at once. Lift them up inside and hold this position for 5 seconds then release the muscles slowly repeating up to 20 squeezes. Repeat this routine 3-4 times every day. 

Following surgery, the symptoms can be severe. This in turn makes if more difficult to return to work and can have an impact on personal relationships and confidence. The majority of patients can regain urinary control after a radical prostatectomy, with improvement usually seen after the catheter is removed. However complete bladder control can take up to eighteen months to achieve and a small percentage of patients experience ongoing permanent incontinence. 

Innovotherapy is proven to help strengthen the pelvic floor muscles, significantly reducing and even stopping leaks all together. It is recommended to start Innovotherapy 3 months after surgery, however please consult your health care professional before commencing the programme.

 

 

 

 

Following prostate surgery, the symptoms can be severe. This in turn makes if more difficult to return to work and can have an impact on personal relationships and confidence.

Related articles