Prostatectomy Program

dph-team

According to the Canadian Cancer Society, Prostate Cancer is:

  • Most common cancer among men
  • Third leading cause of death from cancer
  • 21,300 men are diagnosed (21% of all new cancers in men)
  • 58 Canadian men diagnosed each day
  • Post pelvic cancer treatment

What does the research say?

Research shows that having an assessment with a pelvic physiotherapist before your surgery can help with making sure you know how to activate those pelvic floor muscles independently and with your other core muscles functionally. We can address any other musculoskeletal issues such as pelvic mobility, lower back function, posture and positioning.

Scholarly research, ​Sacco E et al., states, “The adoption of an early periprostatectomy supervised pelvic floor muscle training is effective in improving the recovery of continence, even using a less intensive but more affordable program requiring only a monthly supervised session.”

Research has supported pelvic health physiotherapy for men after prostatectomy surgery. Although there is no gold standard protocol for treatment, pelvic floor physiotherapy can be helpful with addressing dysfunctions of the pelvic floor.

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The human body has been designed to resist an infinite number of changes and attacks brought about by its environment. The secret of good health lies in successful adjustment to changing stresses on the body.

– Harry J. Johnson

Prostatectomy Program of Care includes the following:

A)  Initial Visit Pre- Surgery 2-6 weeks before surgery

  • Education on the anatomy of the prostate and pelvic floor muscles that support the organs
  • Discuss hydration, nutrition, bladder irritants, baseline bladder diary
  • Review kegel exercises and reverse kegels
  • Discuss bowel movements
  • Review post operative considerations, exercises to do
  • Discuss what can be done while catheter in, what to expect, etc

B)  2nd visit- 2 weeks post surgery once catheter is removed

  • Review key points for first 8 weeks after surgery
  • Retrain bladder
  • Teach and review kegel contractions focusing on strength and endurance, review reverse kegels
  • Review hydration, food intake, bladder function
  • Pad protocol
  • Review body mechanics, posture, functional movements

C)  Weekly visits as required and will include the following:

  • Progress pad protocol weekly
  • Review kegel strengthening protocol weekly progressions
  • Progress/add weekly exercises
  • Review amount of leakage, etc
  • Introduce core exercises, functional movements, etc
  • Return to pre-operative exercises

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Joanne Johnson
Joanne Johnson
2024-03-15
I have been to Durham pelvic health for 2 different health issues. The staff are amazing and treat, listen and educate you in whatever your personal needs may be. They helped treat my fibromyalgia and then with my pregnancy pain. I Would highly recommend them!
Diana Sarnovsky
Diana Sarnovsky
2024-03-14
Amanda was incredible for my pregnancy and post natal pelvic floor health for both of my pregnancies. I cannot thank her enough for providing me with the tools to keep my pelvic floor healthy and working as it should during and after having my children.
Candicia John
Candicia John
2024-03-14
This clinic is amazing! Very friendly customer service and the care I get from Kowndiya has helped me so much.
Larry Cadwell
Larry Cadwell
2024-03-13
Very informative in a comfortable atmosphere to make you feel relaxed and at ease.
Anna Bragg
Anna Bragg
2024-03-13
Went to Durham Pelvic Health excellent very satisfied
Dione Cory
Dione Cory
2024-03-07
This clinic is fantastic! From the receptionists to the physiotherapists, everyone is extremely kind and caring. Manu and Ana are very knowledgeable and truly care about their patients. I highly recommend!
Oshawa Local
Oshawa Local
2024-02-29
I don't usually take the time to write reviews... but it is well deserved!! I have been to both locations Newcastle and Whitby. Kowndiya Amirthalingam shows exceptional professional behavior and knowledge. She genuinely cares for her patients and displays keen interest in my recovery. She is very kind and understanding and explains the process and everything she does beforehand and during, which really put me at great ease. I knew I was in good hands with her care and thoughtfulness. .She gives exercises to do at home so I progressed steadily and been seeing positive results. Been to countless hospital visits not sure what wrong. The progression been having with only a few sessions has put me back in a positive mindset that I can reach my goals and going back to a normal life style.
Jessica Hoang
Jessica Hoang
2024-02-19
I'm incredibly grateful for Kowndiya’s support and expertise. Her deep knowledge, professionalism, and compassion made for a comfortable environment throughout my prenatal and postpartum journeys. She provided invaluable guidance, equipping me with information and practical exercises that not only prepared me for delivery but also empowered me to navigate my recovery with confidence.
Dukesika Chandrakumar
Dukesika Chandrakumar
2024-02-13
Kowndiya was so pleasant and explained everything so thoroughly. She was so great to work with and resolved all of my issues!