A prostatectomy (surgical removal of the prostate gland) is a common treatment for prostate cancer. While surgery can be highly effective in treating cancer, it can also affect the muscles and structures involved in bladder control and sexual function.
Many men experience changes after prostate surgery, particularly urinary leakage, reduced bladder control, and changes in sexual function. These symptoms are common during recovery, but they can often be improved with the right rehabilitation and support.
Pelvic health physiotherapy plays an important role in helping men regain confidence, improve continence, and return to normal activities following prostate surgery.
The prostate sits close to important muscles and nerves involved in bladder control and erections. Removing the prostate can temporarily affect how these systems work.
Common symptoms after surgery include:
The extent and duration of symptoms vary between individuals. Factors such as age, fitness level, prostate health, and pelvic floor muscle function can all influence recovery.
The pelvic floor muscles are a key part of the urinary continence system. They support the bladder and help control the release of urine.
Before and after prostate surgery, pelvic health physiotherapy can help men understand how to correctly activate and strengthen these muscles.
Treatment may include:
A physiotherapist can assess whether your pelvic floor muscles are:
Many men are advised to perform pelvic floor exercises after prostate surgery, but doing them correctly is essential. Overworking or incorrectly activating these muscles may not provide the improvement expected.
Your physiotherapist can provide strategies to help manage leakage and improve bladder confidence, including:
Many men want to return to the activities they enjoy after treatment. A tailored rehabilitation programme can help you safely rebuild strength and confidence.
Advice may include:
Recovery after prostate surgery is different for everyone. Some men notice improvements within weeks, while others require a longer rehabilitation programme.
The aim of physiotherapy is to help you:
Early support and correct technique can improve the recovery process.
Pelvic health physiotherapy may be beneficial if you:
You do not need to wait months or years before seeking help.
Pelvic health is an important part of men’s overall health, fitness, and confidence. A specialist pelvic health physiotherapist provides a confidential, one-to-one assessment designed specifically around your symptoms and goals.
Whether you are preparing for surgery, recovering afterwards, or dealing with persistent symptoms, tailored rehabilitation can help you regain control and move forward with confidence.