Pelvic floor physical therapy is an essential yet often overlooked part of recovery for men after prostate cancer removal (prostatectomy). The surgery, while lifesaving, directly affects the pelvic floor muscles that control bladder and bowel function and contribute to sexual health. When the prostate is removed, these muscles can become weakened, uncoordinated, or overly tense, leading to common postoperative issues such as urinary leakage, urgency, or difficulty emptying the bladder. Pelvic floor physical therapy helps retrain these muscles, restoring strength, coordination, and control in a way that general exercises or “just waiting it out” cannot.
One of the most impactful benefits of pelvic floor physical therapy is improved urinary continence. Many men are told that leakage is “normal” after surgery and will resolve on its own, but without proper rehabilitation, symptoms can linger for months or even years. A pelvic floor physical therapist provides individualized assessment and treatment, ensuring men are performing the correct muscles (not just repetitive Kegels) and addressing contributing factors like breathing patterns, posture, core strength, and scar tissue. Early intervention has been shown to speed recovery, reduce pad dependence, and help men regain confidence in daily activities, work, and exercise.
Beyond bladder control, pelvic floor physical therapy plays a vital role in sexual function and overall quality of life. Pelvic floor dysfunction can contribute to erectile difficulties, pelvic pain, and discomfort during intimacy. Therapy can improve blood flow, muscle coordination, and nerve recovery while also addressing emotional and psychological barriers that often accompany cancer treatment. By working with a pelvic floor physical therapist, men gain education, support, and practical tools to actively participate in their recovery—transforming postoperative healing from passive waiting into empowered rehabilitation.
Does this sound like you or someone you know?
Visit https://www.ptstreamline.com/ to schedule a consult call with Dr. Jake, who specializes in men’s pelvic health.