Pre and Post-Prostatectomy

What is a prostatectomy?

 

Prostatectomy is a procedure done to partially or completely remove the prostate gland. Prostate removal is used in the case of prostate cancer or with benign prostatic hyperplasia (enlarged prostate). A prostatectomy is typically performed laparoscopically (through small incisions in the abdomen and/or pelvis). A transurethral resection of the prostate (TURP) can also be done if the prostate is non-cancerous. Due to the anatomy of the pelvic floor, removal of the prostate often includes removal of a portion of the male urethra and either a portion of the entirety of the internal urethral sphincter. Since this procedure impacts the sphincter muscles around the urethra, it can lead to impaired contractions, thus causing urinary leakage. Other common symptoms are decreased urge to urinate, erectile dysfunction, and pelvic pain. 

​

How can pelvic floor physical therapy help?

​

Pre-prostatectomy: Pelvic floor therapy can be done to assess the health and strength of the pelvic floor muscles. An individualized therapy plan to help improve range and strength of the pelvic floor muscles prior to surgery can decrease recovery time and urinary leakage.

Post-prostatectomy: Often, one of the main issues following a prostatectomy is increased urinary leakage. Pelvic floor therapy can be done to improve strength and control of the pelvic floor muscles as well as improve core strength and control to decrease and prevent urinary leakage. Additionally, pelvic floor PT can help decrease scar tissue adhesion, improve blood flow, and improve strength of surrounding musculature to lead to an overall better recovery.