Prostate Cancer and Your Pelvic Floor

Yes, men do have a pelvic floor too! It is mostly believed that only women experience pelvic floor issues following childbirth. However, men can be affected by pelvic floor conditions as well, most commonly incontinence. It is reported that more than two thirds of men do not discuss the issue of incontinence with their GP with more than 30 per cent of them affected.

According to the Prostate Cancer Foundation of Australia, prostate cancer is the most common cancer in men with over 20 000 new cases diagnosed nationally per year. Following prostate surgery (prostatectomy or TURP) urinary incontinence, or bladder weakness is one of the most common symptoms men have due to the removal of the prostate. During the recovery process men often find this the biggest challenge to cope with.

Full bladder control gradually returns over time and most men usually fully recover within six to twelve months, in conjunction with using specific pelvic floor exercises. Ideally pelvic floor exercises should be started four to six weeks before surgery and continue post surgery under the care of a Pelvic Health Physiotherapist.

Common problems affecting men that could be successfully treated by a Pelvic Health Physiotherapist includes:

- Incontinence following prostate surgery
- Erectile dysfunction after prostate surgery
- After dribble
- Peyronie's disease
- Bowel conditions
- Pelvic floor muscles and pelvic pain

If you are having prostate surgery or do have any questions, please make an appointment to see a Pelvic Health Physiotherapist.

Resources:

1. https://www.continence.org.au

2. http://www.prostate.org.au

3. https://www.physiotherapy.asn.au/APAWCM/Advocacy/Campaigns/APA_Mens_Health.aspx