Removal of part or all of the prostate gland is termed a prostatectomy.
Studies are now showing that men benefit greatly from working on pelvic floor strengthening prior to this procedure. A visit to a physical therapist specializing in pelvic floor exercises should include use of EMG or biofeedback assisted instruction in proper techniques to use for ultimate pelvic floor strengthening. The protocol is to work on this during the 4 weeks or so prior to the scheduled surgery. Testimonials from past patients attending pre-operative visits at Midwest Physical Therapy revealed some men able to prevent need for use of diapers/pads following surgery.
Some urinary incontinence (leakage) is common immediately after surgery, however for some men the leakage persists beyond the 90 day recovery time and treatment becomes necessary.
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Some common treatment approaches in the clinic setting may include:
- Biofeedback training to help learn to locate and use the pelvic floor muscles correctly.
- Electrical stimulation to improve muscle function.
- Instruction in a home exercise program to improve pelvic floor function.
- Bladder training to help the bladder return to normal function.
- Instructions in how to brace pelvic floor muscles during coughing, sneezing, laughing, etc.
- Suggesting lifestyle changes which may affect the bladder.