Bladder Control & Prostate

Bladder Control & Prostate2018-07-27T22:18:01+00:00

WHAT HAPPENS AFTER A PROSTATECTOMY?

Following prostatectomy or TURP (transurethral resection of prostate) the pelvic floor musculature and nerve supply can be affected.

Symptoms
  • Urinary leakage during activities such as coughing, laughing, sneezing or during sporting activity.
  • Urinary leakage from sitting to standing.
  • Urge incontinence, an urgent need to pass urine, with leaking on the way to the toilet
  • Anal incontinence which is leakage of stool (faeces) or difficulty in controlling wind.
  • Post-micturition dribble (leakage of a few drops of urine after you have finished passing urine).
  • Erectile dysfunction (difficulty achieving and maintaining an erection).
  • Premature ejaculation.

HOW CAN YOU STRENGTHEN YOUR PELVIC FLOOR?

Through Exercise

Pelvic floor exercises may help symptoms after interventions for prostate cancer but ideally the exercises should be started before you have surgery and resumed after your operation, once the urinary catheter has been removed, NEVER while your catheter is still in place.

Refer to the pelvic floor release section first if you have pelvic pain.

Strengthening Exercises

These exercises are routine exercises to be done for muscle strengthening after prostate surgery.

You may benefit from going through the sections on this website of first releasing the pelvic floor and then strengthening if you do not feel the pelvic floor muscles contract. These steps will help you to isolate the pelvic floor muscles better.

PF MUSCLE STRENGTHENING EXERCISE

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RELAX

Before you start contracting the pelvic floor you must make sure it is first completely relaxed.
Look at the diagram here and see the difference between relaxed here and contracted below.

CONTRACT

Breathe (sigh) out before you start making sure that your lungs are completely empty

Squeeze the pelvic floor

    • Drawing up the back passage
    • Lifting up the scrotum
    • Pulling the penis back and in

Make sure you don’t lift your chest
Don’t brace your stomach
Don’t force downwards
Don’t move your pelvis

Keep holding this for 5 seconds

Then progress to breathing and holding for 10 seconds

Do a set of fast contractions ie pull up and drop back down quickly ten times