The Importance of Pelvic Health Physiotherapy Before Prostatectomy
Undergoing a prostatectomy, the surgical removal of the prostate, is a significant medical procedure often recommended for men with prostate cancer. While this surgery can be life-saving, it also comes with potential side effects that can greatly affect a patient’s quality of life. One often overlooked yet crucial aspect of preparing for this surgery is pelvic health physiotherapy. This specialised form of therapy focuses on the muscles, nerves, and connective tissues in the pelvic region, playing a pivotal role in pre-operative preparation and post-operative recovery.
Understanding Prostatectomy and Its Impacts
A prostatectomy can be a daunting procedure. The removal of the prostate can lead to common side effects such as urinary incontinence and erectile dysfunction. These side effects can be distressing and impact a patient’s physical and emotional well-being.
The Role of Pelvic Health Physiotherapy
Pelvic health physiotherapy involves exercises and treatments that strengthen the pelvic floor muscles, improve bladder control, and enhance overall pelvic function. Here’s why incorporating this therapy before a prostatectomy is so important:
Strengthening Pelvic Floor Muscles: Pelvic floor muscles support the bladder and bowel, and play a key role in urinary continence. It can sometimes be difficult to learn how to work these muscles and so by learning before surgery it improves your awareness of what to expect after surgery. Addressing any underlying pelvic floor issues can hopefully lead to an improvement and strength in this muscle group to help improve function following.
Improving Bladder Control: Learning and practicing techniques to control the bladder can make a significant difference in the recovery process. It is not uncommon for men to present to physiotherapy prior to surgery with bladder urgency, erectile dysfunction and voiding issues. By addressing lifestyle factors and pelvic floor strength prior to surgery we hope to optimise what we can before the operation.
Enhancing Post-Surgical Recovery: Patients who engage in pre-operative pelvic health physiotherapy often experience a smoother recovery. Part of this is due to awareness of good bladder and bowel habits and pelvic floor strength before the operation.
Reducing Worry Before the Operation: The prospect of surgery can be anxiety-inducing. Engaging in physiotherapy provides patients with a proactive approach to their health, empowering them with tools and exercises that can alleviate concern. Understanding what to expect following surgery can lead to less worry in the post-operative period.
Personalised Treatment Plans: A men’s health physiotherapist creates a tailored plan that addresses each patient’s unique needs and concerns. This personalised approach ensures that the exercises and techniques are specifically designed to provide the maximum benefit for each individual, considering their overall health and specific surgical plan.
What to Expect from Pelvic Health Physiotherapy Sessions
During the initial assessment, the physiotherapist will discuss your bladder and bowel habits, sexual function, general health and current exercise levels as well as assessing pelvic floor if you are comfortable. We will provide education about the different pelvic floor muscles and their function. As well as education regarding good bladder and bowel habits as well as what to epect in the post-operative period.
Common exercises include pelivc floor exercises as well as general strength exercises as our muscles do not work in isolation. By keeping the pelvis strong in general we can optimise pelvic floor function.
Conclusion
Pelvic health physiotherapy is a vital component of pre-operative care for men undergoing prostatectomy. By focusing on strengthening the pelvic floor muscles, improving bladder control, and providing personalised care, this therapy can significantly enhance the patient’s surgical outcome and overall quality of life. If you or a loved one are facing a prostatectomy, consider consulting with a pelvic health physiotherapist to take proactive steps towards a smoother and more successful recovery.
