Prevention and treatment of erectile dysfunction and urinary incontinence related to prostatectomy
You are going to undergo or have undergone prostate surgery. An appointment in perineal physiotherapy will allow you to put into practice several tips, exercises, and techniques to improve urinary and sexual function. The main side effects of the surgery are erectile dysfunction and urinary incontinence, but know that most problems improve over time.
Post-surgical impacts
Preoperative physiotherapy is recommended so that you can, from the announcement of the surgery, increase your muscle strength, develop techniques to prevent urine leakage, and learn the exercises/tips that should be applied immediately after the removal of the urinary catheter.
The most common side effects of the operation are:
- More than a third of men will suffer from urinary incontinence after the surgery. This condition is caused by the loss of some of the structures involved in continence (e.g. prostate).
- Upon removal of the catheter, urinary leaks during urges and certain efforts (standing up, coughing, walking, etc.) are normal. They will significantly decrease in the following days/months. However, to ensure a quicker return to optimal continence, perineal physiotherapy BEFORE and after the surgery is highly recommended.
- Postoperative physiotherapy sessions should take place very quickly after the removal of the catheter to adjust the strengthening exercises and to teach various techniques and tips to reduce urine leakage. You’ll develop the ability to use your muscles effectively in challenging situations, and will significantly boost your strength and endurance to help you reduce your symptoms, no matter your age.
Get ready for your surgery!
In collaboration with PROCURE, discover the numerous informative and preparatory video capsules for your procedure, as well as for your recovery. Also find expert advice to promote better recovery.
Among the videos:
- Prostatectomy and short-term recovery
- Postoperative erectile rehabilitation
- Understanding the role and importance of the pelvic floor
- Why include a physiotherapist in your care pathway?
- Practical tips for managing constipation
- Managing your fluids after a prostatectomy
- Techniques for urinating after a prostatectomy
Postoperative erectile rehabilitation
Sexual stimulation to regain erection should be resumed promptly within a few weeks of surgery. Physical therapy strengthening exercises will help increase the stiffness of the erection when it is partial.
Your physiotherapist can also help you better understand the complementary options available: penis pumps, penile rings and intra-cavernous injections.