When facing a prostatectomy—surgical removal of the prostate gland—it’s natural to focus on the procedure itself and what comes after. But there’s one crucial step many men overlook that can make a significant difference in recovery: starting pelvic floor physical therapy before surgery.
Let’s explore why this proactive approach can help you regain bladder control, sexual function, and overall quality of life faster and more effectively.
What Is the Pelvic Floor and Why Does It Matter?
The pelvic floor is a group of muscles that support the pelvic organs including the bladder, rectum and the prostate. These muscles play a key role in urinary control, bowel function, and sexual health. During a prostatectomy, the nerves and tissues around the prostate can be disrupted, weakening the pelvic floor and affecting these vital functions.
By training the pelvic floor muscles before surgery, you’re essentially giving them a “head start” on recovery.
Common Post-Prostatectomy Challenges
After surgery, many men experience:
- Urinary incontinence (especially stress incontinence)
- Erectile dysfunction
- Pelvic pain or discomfort
Pelvic floor therapy before surgery can reduce the severity of these symptoms and help you feel more confident about your recovery process.
Benefits of Pre-Surgical Pelvic Floor Therapy
- Faster return of bladder control
Men who begin pelvic floor exercises (kegels) before surgery often regain urinary control sooner than those who start postoperatively. - Better understanding of your pelvic muscles
It’s not always intuitive to find or activate the right muscles. A pelvic floor physical therapist helps you learn proper technique and avoid common mistakes—like using your glutes or abdominal muscles instead. - Improved sexual function
Strengthening these muscles has been linked to improved erectile function and blood flow, which can support recovery of sexual health after surgery. - Reduced anxiety and greater confidence
Knowing what to expect and having an action plan for recovery puts you in a proactive mindset, which can ease fear and uncertainty before the procedure.
What to Expect in a Pre-Prostatectomy PT Session
During your first visit, your pelvic floor physical therapist will:
- Assess your current pelvic floor strength and function
- Teach you how to correctly perform pelvic floor muscle contractions
- Provide a personalized exercise plan tailored to your surgery timeline
- Educate you on positioning, breathing, and techniques to help post-surgery recovery
The number of sessions varies, but even 3 visits before surgery can have a big impact.
When Should You Start?
Ideally, start 3–4 weeks before your scheduled prostatectomy. This gives your body time to learn and begin strengthening the pelvic floor muscles before surgery.
Ready to take the next step?
Pelvic floor physical therapy is not just a post-operative tool—it’s a preparation strategy. By investing in your pelvic health now, you’re taking control of your recovery and increasing your chances of getting back to normal activities sooner.
If you or a loved one is scheduled for a prostatectomy, talk to your urologist about a referral to a pelvic floor physical therapist—or reach out to our clinic directly 484-841-6154. We’re here to support you every step of the way.