Prostate Surgery

Preparing for Surgery: Why Pelvic Physiotherapy Matters

Pelvic health physiotherapy plays a crucial role in your preparation for prostate surgery and recovery afterward. Strengthening your pelvic floor muscles pre-surgery has been shown to significantly reduce the duration and severity of urinary incontinence and help optimise recovery.

The pelvic floor and urethral sphincter muscles work together to control bladder and bowel function. These muscles may weaken due to surgery, straining, heavy lifting, or other lifestyle factors. Pre-surgery, your pelvic health physiotherapist will guide you through a personalised exercise program to activate and strengthen these muscles. Regular practice improves their coordination and prepares your body for the challenges of recovery.

Benefits of Pre-Surgical Conditioning:

•      Improves bladder control post-surgery.

•      Enhances your ability to activate pelvic floor muscles during daily activities.

•      Supports general physical fitness, which research shows leads to better surgical outcomes.

Post-Surgery: Steps Toward Recovery

After surgery, the body needs time to heal. Following a structured recovery plan, including rest, light activity, and gradual progression of pelvic floor exercises, will help you regain strength and function.

1. Initial Recovery:

After your surgery, you will have a urinary catheter in place for 7–14 days. During this time, pelvic floor exercises should be avoided to allow internal tissues to heal. Once the catheter is removed, your physiotherapist will guide you in safely resuming pelvic floor exercises, starting with gentle contractions in lying or seated positions.

2. Bladder Health:

Leakage is common initially, but training your bladder to hold larger amounts of urine gradually helps restore normal function. Avoid the urge to void frequently, and aim to stay hydrated with at least 1–1.5 liters of water daily, limiting caffeine and alcohol.

3. Bowel Health:

To avoid straining, follow a high-fiber diet, stay hydrated, and use stool softeners if needed. Proper posture on the toilet and relaxation techniques reduce pressure on your pelvic floor during bowel movements.