A prostatectomy is a common procedure for treating prostate cancer and involves the removal of the prostate gland. This can bring significant changes to a man's pelvic health. Post-surgical challenges often include urinary incontinence, erectile dysfunction, and pelvic pain which all significantly impact quality of life. Pelvic floor physical therapy (PFPT) has emerged as a key rehabilitation tool to help men regain control, restore function, and improve overall well-being after this procedure. Here are 4 major benefits of PFPT post-prostatectomy.
The Benefits of Pelvic Floor Physical Therapy Post-Prostatectomy
Reduction in Urinary Incontinence
Urinary incontinence is one of the most common post-prostatectomy side effects, with incidence ranging from 67-92.4%. PFPT provides targeted exercises that strengthen the pelvic floor muscles, which are crucial for urinary control. Studies have shown that men who engage in PFPT often regain urinary continence faster than those who don’t.Benefits Include:
Improved continence rates: Studies indicate faster recovery times for continence in men who engage in PFPT.
Better muscle control: By learning to activate and coordinate pelvic muscles, men can reduce episodes of incontinence.
Enhanced confidence and independence: Improved continence allows patients to resume social and work activities sooner without anxiety over leakage.
Enhanced Sexual Function
Post-prostatectomy erectile dysfunction (ED) can occur due to nerve disruption. PFPT includes strategies that may support improved blood flow, muscle tone, and coordination of the pelvic floor muscles. Pelvic floor exercises can complement other ED treatments, such as medications or devices, potentially enhancing the effectiveness of these approaches.Benefits Include:
Improved muscle support for erections: Stronger pelvic floor muscles can aid in erectile rigidity and function.
Boosted sexual confidence: PFPT's physical benefits, combined with support, help men regain confidence and satisfaction in their sexual lives.
Potential reduction in ED recovery time: Some studies suggest that PFPT may accelerate recovery of erectile function when combined with medical treatments.
Pain Reduction and Improved Comfort
Some men experience pelvic pain, including discomfort in the perineum or lower abdomen, due to scar tissue or muscle tension after surgery. PFPT addresses this pain through manual therapy, myofascial release, and stretching exercises, helping patients find relief.Benefits Include:
Reduced pain and tension: By targeting tight muscles, PFPT can alleviate pain in the pelvis, lower back, and even hips.
Enhanced mobility: Pain relief and muscle relaxation improve overall physical comfort, allowing men to resume activities with less restriction.
Better sleep and reduced anxiety: Decreasing pelvic pain contributes to better rest and alleviates the stress related to chronic discomfort.
Faster Return to Daily Activities
Physical recovery after a prostatectomy can take time. PFPT helps patients gradually restore their strength, stability, and function so they can return to their daily routines more quickly. Exercises designed to activate and strengthen core and pelvic floor muscles support functional movements and prevent further injury.Benefits Include:
Improved mobility and strength: Core and pelvic exercises support a range of functional activities.
Enhanced quality of life: Returning to hobbies, exercise, and social activities promotes mental well-being and a sense of normalcy.
Reduced risk of re-injury: With guided PT exercises, men learn safer ways to lift, move, and exercise, reducing strain on the pelvic area.
When Should Men Begin Pelvic Floor Physical Therapy?
It’s generally recommended to start PFPT as early as possible both pre and post-operatively. Pre-operative therapy can help to get a baseline of pelvic floor muscle tone, strength, coordination and function. Even if therapy begins post-operatively, the benefits are profound.
Pelvic floor physical therapy is an essential aspect of recovery for men following a prostatectomy. From improving urinary control and sexual function to reducing pain and restoring daily activity, PFPT offers a comprehensive approach to post-surgical rehabilitation. Through personalized treatment plans, men can regain autonomy, comfort, and quality of life—reaffirming the crucial role of PFPT in post-prostatectomy care.
Health & Happiness,
Dr. Jessie
Gacci M, De Nunzio C, Sakalis V, Rieken M, Cornu JN, Gravas S. Latest Evidence on Post-Prostatectomy Urinary Incontinence. J Clin Med. 2023 Feb 2;12(3):1190. doi: 10.3390/jcm12031190. PMID: 36769855; PMCID: PMC9917389.
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