Why Am I Leaking After Prostate Surgery?
Added 2025-07-29 14:46:31 +0000 UTCToday’s video answers a great question from one of our members about pelvic floor therapy after prostatectomy.
Hey friends,
Today’s video answers a great question from one of our members about pelvic floor therapy after prostatectomy.
I’ll break down what a prostatectomy is (and why it’s done), why urinary leakage is so common after surgery, and what pelvic floor therapy actually looks like to help you regain bladder control and confidence.
We’ll talk about:
Why the prostate plays a role in continence
What happens to your urinary system after it’s removed
What pelvic floor therapy entails (hint: it’s not just Kegels)
What recovery can realistically look like
Whether you’ve had a radical prostatectomy or are considering one, this video will give you a clearer picture of what’s going on down there, and what to expect.
Here's my favorite urinary incontinence penile clamp to recommend: Pacey Cuff
P.S. A comprehensive guided exercise routine is coming your way in the fall...stay tuned!
Disclaimer: This content is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider before beginning any pelvic floor therapy program.
Comments
Having chosen to have radiation treatment, I also ask why men opt for surgery. The common comment is "I just want to get the cancer out." Surgery is as much art as science though and outcome depends on the surgeon and his/her knowledge of your individual anatomy. For instance, I had an angiogram. The doctor inserted the tube into my wrist, but then had to withdraw the tube and insert it though my groin. My arteries did not run in the "normal" pathway and my heart could not be reached via the artery in my wrist. In order to reduce/eliminate erectile disfunction, the surgeon must take care not to damage the two neurovascular bundles that run down the sides of the prostate. Usually they are at least "shocked" by the surgery and take some time to recover, other times damage may be unavoidable or beyond the skills of a given surgeon. Other side effects often include a shortened penis. A section of the full length of the urethra is removed along with prostate and the remaining urethra is pulled up to and attached to the bladder area. My urologist laughed this off, but this is a common complaint. Before opting for any procedure we need to make sure that we have information on how the procedure will affect us as individuals based on our physical condition, age and so on. Doctors usually give us only generalized information that may or may not apply to us. I pushed for information, got second opinions and read through studies at pubmed.gov before consenting to treatment. Oncologist Dr. Mark Shollz of Prostate Cancer Research Institute has posted a series of excellent videos on Youtube that provide the most current information with little of the bias we see with other medical providers.
Guy (works)
2025-07-29 20:45:30 +0000 UTCHope I never have to experience that surgery, got enough problems to deal with. Seams like a lot of men get that surgery, why is that? As you said Doc., the prostate has neurovascular structures, the nerves that supply the erectile tissue. My DPT has worked around that area at like 11-1 o'clock (which I wouldn't have known without your teaching) since I started with her. After nearly eight months treatment, she seams to hang out there longer with her trigger point release. I'm noticing a lose of unwanted erections for a few days after, during the start of manual treatment on my scar tissue, they are dissipating, I did stay erect until the end of sessions. Could she have triggered unwanted erections when she started briefly working that area of the prostate. Six months ago is when they started after 2 months of treatment. At that time I could get erect but couldn't maintain, then all the sudden 5+ unwanted daily erections then went down to 3+ daily, now for those few days after it's just in the morning. Unwanted ones were painful most of the time and the morning one felt normal or pleasurable. I'm going every 2 weeks now because insurance thinks the relief I get with manual therapy is to close to massage therapy and they won't pay for that. So could that have caused those embarrassing unwanted erections, working that area, and now correcting it?
RJ S
2025-07-29 18:23:17 +0000 UTC
