Prostatectomy Kegel Exercises for Men | Physiotherapy Real Time Radical Prostatectomy Workout

Prostatectomy Kegel exercises Physiotherapy routine for fastest recovery after radical prostatectomy and preoperative preparation (pelvic floor muscle strength and bladder leakage).
Research-based radical prostatectomy recovery exercises with Physiotherapist Michelle Kenway prepare you and optimise fastest recovery from urinary incontinence (bladder leakage) after radical prostatectomy. Physical therapy guided exercises suit beginners, intermediate and more advanced kegel exercises for men to optimize prostatectomy recovery.

Timestamps Real Time Kegel Exercises for Prostate Surgery

0:37 Best position for Kegel exercises
0:51 Kegel exercises technique for beginners
1:17 5 Kegel exercises for endurance and strength
4:04 5 Kegel exercises for power
5:05 5 Kegel exercises for endurance and strength
8:06 5 Kegel exercises for power
9:05 When to start Kegel exercises preoperatively
9:11 When to recommence Kegels after prostatectomy

Kegel Exercises Technique for Prostatectomy (Beginners)
The correct Kegels technique to use for pelvic floor muscle strength and endurance for radical prostatectomy:
*Shorten or retract the penis
*Contract and tighten as if stopping the flow of urine

Best Position for Kegel Exercises
The best position for kegel exercises for prostatectomy is standing (1). This position is the most effective position for pelvic floor muscle strengthening because the pelvic floor muscles work hard against the downward force of gravity. Standing is the position where most men experience bladder incontinence after radical prostatectomy. Standing Kegels optimize pelvic floor muscle strengthening and restore bladder control.

Long Kegel Exercises
Long contraction Kegel exercises train the slow twitch (endurance) muscle fibers in the pelvic floor. These long sustained Kegel exercises train the pelvic floor muscles for lasting longer and for bladder control during bladder filling.

Aim to perform 10 long (10 second contractions) 3 times daily.

Short Kegel Exercises
Short fast Kegels train the fast twitch pelvic floor muscle fibers for power for stress incontinence ie incontinence coughing, lifting, sneezing, standing and/or walking.

Aim to perform 10 fast (1 second contractions) 3 times daily.

Preoperative Prostatectomy Kegel Exercises
Kegel exercises start at least 5 weeks prior to radical prostatectomy. Prehab pelvic floor exercises strengthen the pelvic floor muscles so they are working optimally before radical prostatectomy. Postoperatively the pelvic floor muscles have improved strength and endurance.

Postoperative Prostatectomy Kegel Exercises
Kegel exercises are recommenced postop when the catheter is removed, usually 1 week after surgery. The same preoperative Kegel exercise training protocol is resumed. Postoperative Kegels are performed standing upright.

Research: Pelvic floor Muscle Training in Radical Prostatectomy

Milios et al (2019) implemented this high volume pelvic floor training protocol in radical prostatectomy patients. Researchers compared low volume (LV) pelvic floor exercises performed 3 times daily with high volume (HV) pelvic floor exercises performed 6 times daily. The LV group trained lying, sitting and standing, The HV group performed all exercises standing. Both groups commenced pelvic floor muscle training exercises 5 weeks prior to radical prostatectomy and resumed exercises postoperatively following catheter removal. Milios et al (2019) reported faster return to bladder continence and improved pelvic floor muscle function with HV training.

Prostatectomy Kegel exercises Physiotherapy routine for fastest recovery after radical prostatectomy and preoperative preparation facilitates fastest recovery from urinary incontinence after radical prostatectomy.

#kegelexercisesformen #prostatectomy #physicaltherapy

Reference
Milios, J., et al. Pelvic floor muscle training in radical prostatectomy: a randomized controlled trial of the impacts on pelvic floor muscle function and urinary incontinence. BMC Urology. 2019, 19(1), 1-10. PMID 31729959.
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Disclaimer
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 “as-is”. To the extent permitted by law, all warranties, conditions and representations provided about or by this video are excluded.

[michellephysio]

**Recent research has shown this exact Kegels routine improves recovery speed, overcomes bladder leakage and improves strength and endurance fastest after radical prostatectomy (ref. Milios et al 2019)

[hughjones]

Brilliant, thank you, I am post radical prostatectomy and wish I had found this earlier, this is ideal and well explained and demonstrated 👍

[jimgreene]

Michelle
You are wonderful. Thank you for all your videos.
One year after my surgery I feel great and it’s largely because of you and your videos

[peterbayley]

You have been essential to my motivation both pre and post surgery. Thank you for your wonderful videos.

[ronaldolamont]

Being about 8 days post prostatectomy surgery, this is a great video for me! Thank you! Consider me a new subscriber!😀

[roba]

I can't thank you enough! I am a 72-years old and 4-weeks post-op today from a radical robotic prostatectomy. Your video has really empowered and encouraged me during my recovery! Urinary continence is going so well - thanks to you!

[srinivasam]

I had Robotic Radical Prostatectomy here in Bangalore, India, about 2 months back,
Thereafter I had lot of incontinence,
Then as per your guidance, I started doing Kegel exercises and within 20 days, it’s gradually reducing day by day,
Thank you many times,
With best wishes always 🙏🙏

[Sludge]

Started kegels with you middle of June. About 2 months into this and definite improvement with incontinence. Thanks for your great video!

[Batteredhoop]

I contributed again because in the week that I have been doing the exercises, my continence has improved, great instruction even though you do 5 long lifts and then 6 long lifts.Thanks Michelle

[cliveeverett]

Hi Michelle, thanks for your videos. I had a radical prostatectomy 2 1/2 months ago. Prior to surgery I was advised to perform these exercises using the NHS Sqeezy app as a guide and reminder but it was never fully explained how. Luckily I found out about your videos and have been following your advice. Once I'd had the surgery and had the catheter removed I continued and am now almost dry and in control.

[fredherzner]

I took her advice and had very good results. She knows what she is talking about!

[NoJacks]

Wish I would have found this sooner. Did not start until more than 2 months after surgery. Have been doing these exercises the past 30 days and have seen marked improvement in my incontinence. Very please with my progress. Thank you.

[EricZiegler-minx]

Michelle - Your video "Prostatectomy Kegel Exercises for Men - Physiotherapy Real Time Daily Recovery Workout" has been a tremendous help to me over the last 5 months since my prostatectomy. The video does a GREAT job of walking through the Kegel Exercises, and very importantly through the relaxation of the pelvic floor after the exercises! With your MOST EXCELLENT HELP I have been able to train my pelvic floor muscles and have pretty much eliminated the urinary urgency and frequency incontinence effects that I was experiencing after my surgery. Thank you very much for this excellent video and your other helpful videos. - Eric Ziegler

[pwsalem]

You are a lifesaver! I deeply appreciate your thoughts on the Kegel exercises. Peace.

[Earl]

Thank you, I do wish I had seen this before surgery. I think that the standing is more effective then sitting or laying

[GetInspiredMedia]

Thank you Michelle, this was the best on the subject that I have found. I am 21/2 weeks post-radical prostatectomy and I needed something I could work with.This nailed thank you. D

[luisrivera]

Thank you Ms kenway for your support .it has really helped me and it makes a difference. Luis

[neilobrien]

Thanks Michelle! Your videos have offered me great support pre and post prostatectomy. I appreciate your channel and will continue to learn and develop my body safely and steadily with you. Cheers!

[vickpersaud]

Thank you for sharing this information. i have ED and i have been doing your real time work out, i have since notice some improvement . However can you please do an updated video for real time work out specifically for ED ?

[CarlosFleming-wvgf]

I love your coached timed Kegel exercises. I have found that your coaching is what I needed to progress. Keep up the good work!
Thanks for helping in my rehab program.