Urinary Rehabilitation Program
As the muscle that provides us with urinary control will need to gain strength following any prostate surgery, we have created a program to help speed the return of urinary control and resume normal activities as quickly as possible after the catheter has been removed. Recovery of urinary control relies mainly on the strength of the pelvic floor muscles. As with any exercise program, training before the event is as necessary as after the surgery. The exercises to increase the strength of the pelvic floor muscles are called Kegels.
Kegel Muscle Exercises
- This program depends solely on you, the patient. I would encourage you to assume the role of an athlete in training. You will need to build strength and endurance of these pelvic floor muscles. As you are the only one that can speed urinary control recovery, this will require your commitment to these exercises on a daily level.
- It is HIGHLY recommended that you start these Kegel exercises at least 4 weeks prior to surgery
- To locate the pelvic floor muscles that you will need to exercise, try to slow or stop your urinary stream without using your hands or muscles of the buttocks, legs or abdomen. This is very important in order to determine the exact muscles that you need to target. Once you are able to slow or stop the stream, you have correctly found the muscles to workout in order to speed urinary control recovery. The muscles are similar to the ones you use to hold back from passing gas if that helps you localize them.
- After you have located the correct muscles, I recommend you make the time to perform them 4 times a day (perhaps after each meal and prior to bedtime).
- Squeeze these muscles and hold them tight for 10 seconds and then relax them slowly. Perform this cycle 10 times with each session. This may be increased to 20 seconds for 20 times as your strength returns.
- If you cannot hold the contraction for 10 seconds, then start of easier and build yourself up. This is done by holding for 3-5 seconds and gradually increasing the time as your strength increases. If you are unsure whether or not you have found the exact muscles to exercise, please call and arrange an appointment for more one-on-one instruction as needed.
- These exercises will be needed for the rest of your life and help improve many functions of the pelvic, including orgasmic function as well as bladder and bowel control.