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Pelvic Floor muscle training post-prostatectomy

Prostate Cancer | Last Active: Apr 5 8:35am | Replies (19)
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@edinmaryland

Thanks so much
I am mainly focusing on incontinence.
I am seeing my pelvic floor therapist tomorrow. My big deal is that for pretty much 6 weeks I have the constant urge/feeling that I need to urinate even after just emptying. This is very difficult as I am thinking about it all the time. I also have stress incontinence so getting up sometimes just walking causes leakage. So I have to think about leaking and I have to try not to think about emptying my bladder. The stress incontinence many times compromises my bladder training. I am supposed to shoot for every two hours, however if I am moving around some days, my bladder is not even getting partially full
My urologist prescribed gemtesa to help and I sure hope it does. Meanwhile, I will stay with the program and hope I can turn a corner in the weeks ahead.
I had the robotic assisted prostratectomy so hopefully I am one of the ones that gains continence but it just takes time. Being over 70 means things take a bit longer to heal I would rather have a broken leg but the good news is that this is better than cancer spreading

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Replies to "Thanks so much I am mainly focusing on incontinence. I am seeing my pelvic floor therapist..."
survivor5280 | @survivor5280 | Mar 13 5:24pm

I'm sure age plays a big factor in regaining continence, and pelvic floor therapy will help with stress incontinence as well. My therapist had me proactively train myself to engage my floor when standing from a seated position and when sitting from a standing position since those are the most frequent things we do and in doing that regularly we start to train our body to engage automatically for things like sneezing or lifting too.

Regarding the bladder urgency, I was prescribed oxybutynin as a short term solution and mostly as a preventative measure since most men experience this to some degree right after RARP. This was mostly to overcome the changes to your body that cause this right after surgery and I was warned to wean off them as soon as possible as your body can become reliant upon them to prevent urgency. I got off them after a couple days because I feared this side effect but it might be something worth exploring as a short term relief as you train your body to deal with the new normal - or at least a discussion to have with your urologist.

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