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Pelvic Floor muscle training post-prostatectomy

Prostate Cancer | Last Active: Apr 5 8:35am | Replies (19)
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@survivor5280

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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Replies to "I'm sure age plays a big factor in regaining continence, and pelvic floor therapy will help..."
edinmaryland | @edinmaryland | Mar 13 6:22pm

Re bladder urgency this is exactly one of my concerns about gentesa. I do not want a medication taking care of my bladder when time and healing should be doing that. I am hopeful that the Gentesa will help act as a bridge, maybe give me a little relief as I work on pelvic floor training and bladder training , I am right with you I want off of it as soon as possible. I want my system to be as close to it how it was prior to surgery. I guess this is uncharted territory as there are many factors ( how really close the surgery stayed to the prostrate, how I heal given my age, ) on top of that use of Gentesa is relatively new- it is approved by the FDA but there do not seem to be any studies for post-prostratectomy incontinence treatment. I was hesitant to take it but I need to get my bladder trained

I appreciate the tips about getting up out of chair and I am working on that. These little tips help.I know one thing I was doing wrong was holding my breath when there are problems which is the opposite of what I need to do with pelvic muscles, I need to relax and exhale as I get out of chair or lift something. Prior to surgery, I was climbing on roofs, going for two hour walks, riding an exercise bike every day,playing with lots of grandchildren, working fie days a week now I am just trying to get back to something like my old normal

I am optimistic as it seems many males start to turn a corner around the three and four month mark which for me, is April-May
thanks survivor

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