Prostate surgery ( e.g radical prostatectomy or TURP) and Radiation Therapy can contribute to the development of Urinary incontinence.
This potentially debilitating side effect can occur immediately after a radical prostatectomy ( after urinary catheter is removed) or quite a delayed consequence of
radiation therapy .
Prostate Cancer Treatments
Following prostate cancer surgery the majority of men may lose some or all control over the
passing of urine. This is not permanent. This reduction in control is called Incontinence.
What is incontinence?
Incontinence is the accidental leakage of urine and can occur following prostate cancer
surgery. Activities that may contribute to leakage include: coughing, sneezing, laughing,
passing wind, lifting, walking or bending, moving from lying to sitting or sitting to standing
positions. Leakage can also occur during every day activities that include; gardening,
washing the car, mowing the lawn or playing golf or bowls.
All these activities that can contribute to incontinence increase the pressure inside the
abdomen and push down on the bladder. Incontinence may result if the pelvic floor muscles
and external sphincter are not working well enough to support these increases in downward
How long will it last?
What can I do about it?
Exercising the muscles of the pelvic floor has helped most men with their bladder training
program before after prostate cancer surgery.
What are the pelvic floor muscles?
The floor of the pelvis is made up of layers of muscle and other tissues. These layers stretch like a hammock from the tailbone at the back, to the pubic bone in front. A man’s pelvic floor muscles support his bladder and bowel (colon). The urine tube and the back passage pass through the pelvic floor muscles. Your pelvic floor muscles help you to control your bladder and bowel. They also help sexual function. It is vital to keep your pelvic floor muscles strong.
Why should I do pelvic floor muscle training?
Men of all ages need to have strong pelvic floor muscles.
Pelvic floor muscles can be made weaker by:
Men with stress incontinence – that is, men who wet themselves when they cough, sneeze or are active – will find pelvic floor muscle training can help in getting over this problem. Pelvic floor muscle training may also be of use for men who have an urgent need to pass
urine more often (called urge incontinence).
Men who have problems with bowel control might find pelvic floor muscle training can help the muscle that closes the back passage. This muscle is one of the pelvic floor muscles.
Where are my pelvic floor muscles?
The first this to do is to find out which muscles you need to train.
How do I do pelvic floor muscle training?
While doing your pelvic floor muscle training:
How do I know my incontinence is improving?
Other things you can do to help your pelvic floor muscles are:
Erectile Dysfunction ( ED) or the inability to obtain and maintain an erection adequate for penetration is one of the potentially debilitating side effects that can result of having prostate cancer treated. These treatments include; surgery ( Prostatectomy), radiation therapy and hormone therapy or ADT ( Androgen Deprivation Therapy)
Who can get ED
Causes of ED
Treatments of ED
Pelvic pain in men isn’t often spoken about. It can include discomfort in the vicinity of the bladder, penis, testicles, perineum, anus or around your sacrum (tailbone) or coccyx. Symptoms can also include tingling, numbness or burning among others. The causes of these symptoms can be complex and varied.and a thorough assessment is necessary before any treatment can commence. It is important that you consult with an experienced healthcare practitioner familiar with dealing with such issues to conduct a thorough assessment prior to commencing any treatment.
More common causes of pelvic pain in men include irritation of the pudendal nerve or even abdominal nerves, referred pain from lower back conditions, sacroiliac joint (SIJ) dysfunction, hernias (which can compress certain nerves) and visceral pain (this is referred pain from one of you internal organs – in relation to pelvic pain this could be one of your kidneys). It is also possible to experience pelvic or back pain following vasectomy or other abdominal or pelvic surgery.
Physiotherapy can be used to successfully treat or manage many of these conditions. Techniques used may include manual therapy, pelvic floor or abdominal
muscle strengthening, individualised exercise prescription and postural advice or training.
Referral to a Sexual Health Therapist is also recommended. www.femtherapy.com.au
What is Peyronie’s disease?
Not all curved erections or penile bumps are caused by Peyronie’s disease. It is imperative that all men consult a health care provider to obtain an accurate diagnosis. Peyronie’s disease is a condition in which a males penis while erect can develop a curve which may or may not be painful. The curve is caused by a non-elastic plaque that develops in the penile tissues. A Peyronie’s plaque is non- cancerous and benign. However the diagnosis needs to be made by a health care professional usually via an ultrasound.
What causes Peyronie’s disease?
The cause is unclear. Some health care professionals believe that trauma to the penis during sexual activity resulting in abnormal scarring may contribute- however this is most definitely not always the case.
Impact of Peyronie’s disease
A diagnosis of Peyronie’s disease can impact men in many ways including; physically, sexually, psychologically, and socially
Can Peyronies disease get worse over time?
The natural history of Peyronie’s disease – 1/3 improve, 1/3 remain stable and 1/3 may deteriorate over 12-18 months. However we at Sans Souci Physiotherapy Centre have seen some complete resolution of symptoms after more than 4 years since symptoms first began
How do you treat Peyronies disease at Sans Souci Physiotherapy Centre?
We use ultrasound therapy and vacuum pump devices in addition to a referral to a men’s health psychologist.
Monday to Friday 8.00am – 7.00pm
Saturday 8.00am – 12.00noon
Beverley Park NSW 2217
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