Prostate cancer, the second most common cancer among men, is expected to double in incidence by 2040. Despite the high survival rate—over 99% for most stages according to the American Cancer Society—many survivors face enduring physical effects from treatment, such as urinary leakage and erectile dysfunction. This underscores the importance of specialized post-treatment care, including pelvic floor physical therapy.

Understanding Prostatectomy

Table of Contents

1. Understanding Prostatectomy

2. Role of Pelvic Floor PT in Recovery

3. Preventive Measures and Prehab with Pelvic PT

What happens during a prostatectomy?

A prostatectomy involves the surgical removal of the prostate gland and potentially some surrounding tissues, such as the seminal vesicles and lymph nodes. This procedure can be performed using various surgical techniques, either laparoscopically with small incisions or through larger abdominal cuts. While surgeons aim to minimize damage to nearby nerves and muscles, complications such as urinary sphincter or nerve damage can occur, leading to significant side effects like urinary incontinence and erectile dysfunction. Knowing these risks and the surgical process is crucial for patients undergoing this procedure.

Role of Pelvic Floor PT in Recovery

How does Pelvic Floor PT aid recovery before and after surgery?

Pelvic Floor Physical Therapy is integral both before and after prostatectomy. Prior to surgery, PT involves strengthening the pelvic muscles, which enhances bladder control and reduces the risk of post-operative incontinence—a common issue following prostate surgeries. This pre-surgical preparation, known as prehab, helps patients better withstand the stress of surgery and recover faster.

Post-surgery, Pelvic Floor PT becomes crucial in managing the side effects commonly experienced by patients. The therapy focuses on restoring the strength and functionality of the pelvic floor muscles, improving bladder control, and reducing the incidence of urinary leakage. Additionally, PT can address erectile dysfunction by improving blood flow and nerve function in the pelvic region. Regular sessions can also mitigate other forms of discomfort, such as pelvic pain and bowel issues, enhancing overall quality of life after prostatectomy.

Preventive Measures and Prehab

Can pre-surgery exercises help? Absolutely. Engaging in prehabilitation, or prehab, before undergoing a prostatectomy can significantly improve post-surgical outcomes. Strengthening the pelvic floor muscles prior to surgery not only helps in quicker recovery but also reduces the severity of symptoms such as ejaculating urine and severe urinary leakage post-procedure. Prehab exercises, guided by a trained pelvic floor physical therapist, prepare the body for the physical trauma of surgery, enhancing the patient's resilience and facilitating a smoother, faster return to normal activities.

Prostatectomy, while highly effective for treating prostate cancer, comes with its set of challenges, particularly concerning a man's pelvic health. Pelvic Floor Physical Therapy plays a pivotal role in both preparing for and recovering from this significant surgical procedure. For individuals undergoing or recovering from a prostatectomy, engaging with specialized physical therapy at Chicago Pelvic Health can make a substantial difference in their recovery trajectory.

Written by:

Dr. Jana Richardson, PT, DPT, WCS, PRPC, CIDN
Dual Board Certified Pelvic Floor Therapist and Owner of Chicago Pelvic Health

Dr. Jana Richardson is a highly accomplished pelvic floor therapist with dual board certifications and extensive experience in treating complex pelvic floor dysfunctions. As the owner of Chicago Pelvic Health, Dr. Richardson is dedicated to providing personalized and effective care for her patients. With a Doctorate in Physical Therapy, and specialized certifications in Women’s Health and Pelvic Rehabilitation, Dr. Richardson is a leading expert in her field. She is also certified in Integrative Dry Needling, further enhancing her ability to offer comprehensive treatment plans. Dr. Richardson’s commitment to patient-centered care and her passion for helping individuals achieve optimal pelvic health make her an invaluable asset to the community.

Contact Information

By addressing specific conditions related to the pelvic floor muscles, pelvic floor PT empowers men to regain control, improve their quality of life, and overcome the challenges associated with pelvic floor dysfunction. Prioritizing pelvic floor health and seeking professional assistance can lead to a healthier, more comfortable, and fulfilling life for men of all ages. If you have any questions please reach out to our patient coordinator.