Men's Pelvic Health

Prostate Surgery

Did you know that urinary leakage is common after prostate surgery?
Are you aware that pelvic floor exercises can help you recover?
Did you know that starting these exercises before surgery is most effective?

Prostate cancer and surgery can be a difficult journey both emotionally and physically for men and their family. Loss of bladder control is to be expected after prostate surgery and is distressing.  Fortunately we know that bladder control will improve over time and with physiotherapy.

During removal of the prostate your main control mechanism may be impaired, leading to bladder leakage. The pelvic floor, which is part of your bladder control mechanism, will need to play a greater role to compensate for this. Ideally pelvic floor exercises are commenced before surgery but they can also help afterwards.  

Urine may leak unexpectedly after surgery, especially with physical activity, coughing or sneezing. How much urine leaks and how long this incontinence lasts is hard to predict however it can be reduced by learning how to use the pelvic floor muscles correctly.

Common Symptoms:

    Leaking urine when you cough, sneeze or laugh
    Urine loss when moving from sitting to standing, walking or exercising
    Leaking urine on the way to the toilet
    Going to the toilet frequently

Possible Causes Of Bladder Problems:

    Radical Prostatectomy Surgery
    Bladder problems before prostate surgery
    Constipation and straining
    Poor pelvic floor muscle function

How We Can Help:

Evidence shows that pelvic floor muscle training reduces urinary leakage after prostate surgery. Research has also shown that when this training is commenced before surgery, the severity of bladder leakage and the time it takes to restore bladder control are both reduced.  At Women’s & Men’s Health Physiotherapy we specialise in designing a personalised pelvic health program exclusively for you. We have many years of experience working with and supporting men and their partners before and after prostate surgery. We work closely with your urologist, urology nurse and you to achieve the best possible outcome.

What To Expect:

    A thorough assessment to establish your goals, pelvic floor requirements and treatment plan
    Design of a personalised pelvic floor muscle exercise program
    Progression of your program and application to daily activities and exercise
    Advice about lifestyle modifications for the post op period and guidance for return to normal activity

Did You Know



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What Is Pelvic Floor Physiotherapy?

The pelvic floor muscles are at the base of the pelvis and attach from the pubic bone at the front to the tail bone at the back. They are like a hammock and support the bladder, uterus and bowel. They also help control the bladder and bowel and play a role in sexual function.

If the pelvic floor muscles are weak, they can contribute to poor bladder and bowel control and pelvic organ prolapse. If you are unable to relax your pelvic floor you may have problems with bladder and bowel emptying or sexual and pelvic pain.

Our specifically trained Physiotherapists will evaluate the function of your pelvic floor muscles and assess your ability to contract and relax these muscles. Pelvic floor muscle training under the guidance of a Pelvic Floor Physiotherapist is recognised as an effective treatment for these problems.

See what's new at WMHP

Real Time Ultrasound – A Useful Tool

We’re up to date with the latest technology which includes Real Time Ultrasound. 
This is an imaging technology that shows contraction and relaxation of deep muscles in real time and allows us to give you a more accurate assessment if required.


Uses Of Real Time Ultrasound

•  Your Physiotherapist may make use of ultrasound as part of your pelvic floor and abdominal assessment to ensure you’re activating and relaxing your muscles correctly

•  It may be used as a teaching tool to provide you with immediate visual feedback to improve learning and performance

•  Real Time Ultrasound can be used as a bladder scanner to assess bladder emptying



549 Burke Rd, Camberwell VIC 3124
F: 03 8823 8399