The benefits of pelvic floor exercises post prostatectomy should not be ignored. Urinary incontinence is a significant side effect in a number of men post radical robotic prostatectomy but it has been proven that pelvic floor exercises can greatly improve voiding and sexual function.

Studies have now shown that patients who carried out pelvic floor exercises prior to and following surgery had significantly better continence three months after surgery.

The pelvic floor muscles begin from the front pubic bone and lengthen to the spine. They are situated underneath the bladder. These muscles are similar to a sling and they control urination and bowel emptying. The correct releasing and tightening of these muscles are known as pelvic floor or kegel exercises.

Pelvic floor exercises help to strengthen the muscles in the bladder which are weaker following surgery and therefore can cause urinary leakage. It is important that these exercises are taught by a specialist doctor/nurse as they can be performed incorrectly without correct instruction and hence this will often affect the recovery of urinary incontinence. It can also be difficult for individuals to locate the correct pelvic floor muscles so correct instruction is important.

It is also recommended that pelvic floor exercises are performed regularly to strengthen the muscles over time but they should not be overdone as like with all muscles over strengthening could over tire them. The general advice is to perform pelvic floor exercises a few times a day post surgery following the removal of the catheter.

If the pelvic floor muscles are stronger this will help with urinary incontinence, urinary stress incontinence brought on by coughing, sneezing etc, urgency and urge incontinence (sudden onset needing to urinate), urinary frequency and nocturia (waking during the night to urinate).

Pelvic floor exercises can also help with the recovery of erectile function, sustaining an erection, ability to orgasm and can also help with bowel and bladder problems.

benefits of pelvic floor exercises post prostatectomy

3 Step Prostate Health – Action You Can Take Today To Improve Your Prostate Health

Step 1. Review Your Diet
Step 2. Manage Your Stress Levels
Step 3. Undertake Specific Exercises


Over 200 million men are affected by benign prostatic enlargement worldwide but there are some simple dietary and lifestyle changes that can help alleviate the lower urinary tract symptoms that accompany benign prostatic enlargement (BPH).

Healthy Diet – A healthy balanced diet rich in fruits, vegetables, and healthy fats is thought to protect the prostate. There are specific foods known to benefit the prostate such as: salmon, berries, tomatoes, onions, garlic, nuts, broccoli and citrus fruit. It is the combination of antioxidants such as lycopene in tomatoes, omega-3 fatty acids in salmon and sulforaphane in dark green leafy vegetables that protect the prostate by decreasing inflammation and balancing the hormones.

There are certain foods which should be avoided or cut out of your diet completely as they can irritate the prostate and increase symptoms of BPH. The foods to avoid:

Red meat – daily meat consumption is believed to almost triple your risk of prostate enlargement.

Dairy – similarly to meat, dairy is also linked to prostatic enlargement and reducing consumption should help reduce BPH symptoms

Caffeine – acts as a diuretic and may aggravate BPH symptoms by increasing urgency to urinate – consumption should by reduced.

Alcohol – stimulates urine production possibly making BPH symptoms worse. Reducing alcohol can help improve symptoms.

There is anecdotal evidence that taking a Saw Palmetto supplement can alleviate lower urinary tract symptoms. It is thought that Saw Palmetto can improve patient’s symptoms who have BPH by blocking DHT production. Although DHT plays a vital role in prostate health it can lead to enlargement of the gland.

Stress can worsen symptoms of benign prostatic hyperplasia (BPH) and this is caused by shifts in hormone levels or the involvement of the sympathetic nervous system. Stress management techniques such as exercise, breathing focus and proper nutrition may ease symptoms of BPH.

Pelvic floor exercises can help improve a whole range of urinary tract symptoms – ‘Pelvic floor exercises can help improve a whole range of urinary tract symptoms – we will soon be posting a step-by-step guide on how to perform these.’

Simple lifestyle changes such as avoiding fluids in the evening to reduce night time urination, emptying the bladder completely when urinating and limiting fluid intake to 2 litres of liquids each day can be effective in improving your lower urinary tract symptoms.

Following this 3 step prostate health mini-guide will help but if you have any doubts seek qualified medical help as soon as possible. You can read more about Prostate Treatment here

Prostate Cancer Symptoms – Three Signs You Should Never Ignore

Are you worried that something may not be quite right?

Prostate cancer symptoms usually develop slowly over time but there are early signs that the size of your prostate is increasing and putting pressure on the bladder and urethra and affecting how you urinate.

The three symptoms you may notice:
1.  increased frequency to urinate,
2.  difficulty or straining to urinate and
3.  incomplete bladder emptying or a feeling after urinating that your bladder is not empty.
Another common symptom is increased nocturia, the need to get up during the night to urinate and a weak flow.  An enlarged prostate can be an entirely benign condition known as benign prostatic hyperplasia (BPH) and does not increase your risk of getting prostate cancer but if you are suddenly presenting these symptoms it is worth a visit to your urologist for a prostate examination.
Simple lifestyle changes can help with BPH such as reducing your alcohol intake, limiting intake of artificial sweeteners, exercising regularly and drinking less in the evening.  For severe symptoms a urologist can prescribe you medication that will reduce the size of your prostate gland and help relax the bladder.  Surgery is only recommended for those that fail to respond to medication.

It is important not to delay getting checked out - it may be nothing to worry about at all and seeking early reassurance will reduce your stress levels. And if there is something that requires further investigation the sooner you talk to a specialist who will provide an expert opinion, the higher the chances of successful treatment. In many instances, surgery is not appropriate but delays in diagnosis could potentially reduce the option of alternative treatment.

Book an appointment today to see one of our London Urologists and see NHS prostate cancer webpage for more information.