These Kegel exercises can stop bladder leakage fast after prostate removal surgery. Pelvic Floor Physiotherapist Michelle guides you through Kegels for prostatectomy after catheter removal. Learn the best Kegels positions to start, the correct Kegel exercise technique and how many Kegels you need to do daily to overcome bladder leakage fast after prostatectomy surgery.

#prostateexercises #prostatectomyincontinence

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This is general information for overcoming bladder incontinence after prostate removal surgery through pelvic floor muscle training. Please follow the guidance of your medical professional after your surgery and consult with a pelvic floor physiotherapist for your post operative management.

This prostatectomy exercises video is an overview for initial pelvic floor training after surgery covering:
*When and best positions to start pelvic floor training
*How to do pelvic floor exercises for bladder control
*How to test your exercises
*How many exercises to do

1. When to Start Exercises and Best Training Positions
Most men start post operative pelvic floor training after their catheter has been removed and with their surgeon's approval. It's beneficial to start pelvic floor training before prostatectomy surgery.

Kegels positions:
*Lying down
*Semireclined
*Standing upright

How to do Pelvic Floor Exercises for Prostatectomy Incontinence
The pelvic floor muscles trained for bladder control sit at the base of the penis (bulbospongiosis) and deeper inside around the urine tube (striated urethral sphincter). There are 2 parts to Kegels after prostatectomy. The correct technique involves shortening the penis (retracting) and contracting as if to stop the flow of urine.

Start by relaxing your breathing, your buttocks and your belly. Breathe normally and keep your upper belly relaxed
Relax your pelvic floor muscles to resting after each exercise

Test Your Kegel Exercises

Test whether you're doing your pelvic exercises correctly by:
1. Stopping or slowing the flow of urine only once a week as a test not an exercise
2. Watching in the mirror to see your penis move slightly inwards towards your body

How Many Exercises to Start With
*Start with 23 second exercises
*Repeat these exercises gently 510 times
*At first try to do this routine 23 times a day.

To Progress your Exercises

Over the next 23 weeks progress your exercises by:
*Holding each exercise up to 10 seconds, breathing normally and keeping your upper belly relaxed
*Repeating these exercises gently up to 10 times in a row using correct Kegel technique

Try to do this Kegels routine 36 times a day to improve bladder control after prostate surgery.

References
1. Hodges, P., Stafford, R., Hall, L., Neumann, P., Morrison, S., Frawley, H., … Cameron, A. (2019). Reconsideration of pelvic floor muscle training to prevent and treat incontinence after radical prostatectomy. Urologic Oncology. https://doi.org/10.1016/j.urolonc.201...

2. Stafford RE, AshtonMillar JA, Constantinou C, Couglin C, Lutton NJ, Hodges P. Pattern of activation of pelvic floor muscles in men differs with verbal instructions. Neuro Urod. 2015. https://doi.org/10.1002/nau. 22745

3. Milios, J., Ackland, T., & Green, D. (2019). Pelvic floor muscle training in
radical prostatectomy: A randomized controlled trial of the impacts on pelvic floor muscle function and urinary incontinence. BMC Urology, 19(1), 116. https://doi.org/10.1186/s1289401905...

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The information provided in this video is intended as general information and not a substitute for individual medical advice regarding your medical condition. To the extent permitted by law, neither Healthy Fit Solutions Pty Ltd, as trustee for the P & M Kenway Family Trust (“we”), nor any of our officers, employees, agents or related bodies corporate will be liable in any way (including for negligence) for any loss, damage, costs or expenses suffered by you or claims made against you through your use of, or in connection with, this video or information supplied or offered to be supplied on this video. Although we use our best efforts to provide accurate information and other materials on this video, the video is provided “asis”. To the extent permitted by law, all warranties, conditions and representations provided about or by this video are excluded.