Prostatectomy Kegel exercises Physiotherapy routine for fastest recovery after radical prostatectomy and preoperative preparation (pelvic floor muscle strength and bladder leakage).
Research-based radical prostatectomy recovery exercises with Physiotherapist Michelle Kenway prepare you and optimise fastest recovery from urinary incontinence (bladder leakage) after radical prostatectomy. Physical therapy guided exercises suit beginners, intermediate and more advanced kegel exercises for men to optimize prostatectomy recovery.
Timestamps Real Time Kegel Exercises for Prostate Surgery
0:37 Best position for Kegel exercises
0:51 Kegel exercises technique for beginners
1:17 5 Kegel exercises for endurance and strength
4:04 5 Kegel exercises for power
5:05 5 Kegel exercises for endurance and strength
8:06 5 Kegel exercises for power
9:05 When to start Kegel exercises preoperatively
9:11 When to recommence Kegels after prostatectomy
Kegel Exercises Technique for Prostatectomy (Beginners)
The correct Kegels technique to use for pelvic floor muscle strength and endurance for radical prostatectomy:
*Shorten or retract the penis
*Contract and tighten as if stopping the flow of urine
Best Position for Kegel Exercises
The best position for kegel exercises for prostatectomy is standing (1). This position is the most effective position for pelvic floor muscle strengthening because the pelvic floor muscles work hard against the downward force of gravity. Standing is the position where most men experience bladder incontinence after radical prostatectomy. Standing Kegels optimize pelvic floor muscle strengthening and restore bladder control.
Long Kegel Exercises
Long contraction Kegel exercises train the slow twitch (endurance) muscle fibers in the pelvic floor. These long sustained Kegel exercises train the pelvic floor muscles for lasting longer and for bladder control during bladder filling.
Aim to perform 10 long (10 second contractions) 3 times daily.
Short Kegel Exercises
Short fast Kegels train the fast twitch pelvic floor muscle fibers for power for stress incontinence ie incontinence coughing, lifting, sneezing, standing and/or walking.
Aim to perform 10 fast (1 second contractions) 3 times daily.
Preoperative Prostatectomy Kegel Exercises
Kegel exercises start at least 5 weeks prior to radical prostatectomy. Prehab pelvic floor exercises strengthen the pelvic floor muscles so they are working optimally before radical prostatectomy. Postoperatively the pelvic floor muscles have improved strength and endurance.
Postoperative Prostatectomy Kegel Exercises
Kegel exercises are recommenced postop when the catheter is removed, usually 1 week after surgery. The same preoperative Kegel exercise training protocol is resumed. Postoperative Kegels are performed standing upright.
Research: Pelvic floor Muscle Training in Radical Prostatectomy
Milios et al (2019) implemented this high volume pelvic floor training protocol in radical prostatectomy patients. Researchers compared low volume (LV) pelvic floor exercises performed 3 times daily with high volume (HV) pelvic floor exercises performed 6 times daily. The LV group trained lying, sitting and standing, The HV group performed all exercises standing. Both groups commenced pelvic floor muscle training exercises 5 weeks prior to radical prostatectomy and resumed exercises postoperatively following catheter removal. Milios et al (2019) reported faster return to bladder continence and improved pelvic floor muscle function with HV training.
Prostatectomy Kegel exercises Physiotherapy routine for fastest recovery after radical prostatectomy and preoperative preparation facilitates fastest recovery from urinary incontinence after radical prostatectomy.
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Reference
Milios, J., et al. Pelvic floor muscle training in radical prostatectomy: a randomized controlled trial of the impacts on pelvic floor muscle function and urinary incontinence. BMC Urology. 2019, 19(1), 1-10. PMID 31729959.
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