Most men, within their lifespans, will have to monitor a growing or changing prostate gland and some will hear that they have a diagnosis of Prostate Cancer. Treatment of this condition involves a complex series of decisions best made between yourself and your oncologist or urologist.
One of the treatment options available is a Radical Prostatectomy Surgery where the Prostate Gland and surrounding tissues are removed. When this occurs a man’s urological system, the system for filling and emptying the bladder, are changed. This often results in urinary incontinence, or leaking urine when you don’t want to.
I help provide men information about their anatomy – how it functions normally and how it will function after removal of the Prostate Gland. I help men to learn to optimally contract and relax their pelvic floor muscles (the specific muscles that help all humans to control urine) and give them a strengthening program to optimize the function of this muscle group. These exercises will involve specific pelvic floor muscle exercises, specifically called Kegels, in conjunction with exercises to address your unique Driver Profile.
The pelvic floor, responsible for so many functions integral to social acceptance, sexual identity, safety and cleanliness, is a fascinating muscle group that works within the whole of your body. As such, a pelvic floor exam in isolation is not enough to understand all the factors at play. I will look at your pelvic floor in the context of your Whole Body, only after we have completed a Whole Body assessment and understand your unique Driver Profile. Then, when I assess the pelvic floor, I can determine the most efficient pathway for optimal performance of this area – perhaps with direct pelvic floor therapies (like Kegels) or perhaps with treatment of a different region of your body in dysfunction that is creating an atmosphere whereby your pelvic floor cannot function optimally. This can mean that a pelvic floor exam involving internal palpation will only occur after the Whole Body Assessment, usually on your second appointment.
I recommend booking an initial 60 minute appointment at Canopy Integrated Health Clinic in Lynn Valley, followed by 3 follow up appointments, either once or twice a week in the initial month of treatment. This way we have a period of time already established to get to know you and how you respond to treatment.
For an overview of physiotherapy for optimizing recovery after Prostate Cancer surgery check out the podcast episode #4, “Recovery From Prostate Surgery” with Sam Hughes, PT.