Post Prostatectomy Incontinence

The prostate is a small walnut sized organ located just below the bladder. The urethra runs right through this organ. The prostate itself and 2 additional sphincters provide urinary control in men. When the prostate is removed surgically (usually due to cancer) both the prostate and one of the 2 sphincters (valves) that control urine flow are also removed. Essentially men go from having 3 mechanisms of urinary control to only 1! Your pelvic floor muscles become even more important as they reinforce the remaining sphincter..

When the prostate is removed it affects bladder control significantly. Typically a catheter is in place for about 2 weeks after surgery. When this is removed there is very little bladder control and most men will use multiple pads per day. Many experience urinary incontinence (involuntary loss of urine) or change with bladder urge sensation. These symptoms affect each individual with different severity and the duration of recovery time varies. It is not unusual to have some amount of leakage for up to a year or more. Radiation and hormone therapy treatments can also exacerbate the symptoms..

At Pouzol Physical Therapy we offer pelvic floor physical therapy which can help you regain bladder control and optimize healing. So many men are frustrated because they don’t receive a lot of information about what to expect after surgery. As pelvic floor physical therapists we understand how the muscles work and can offer strategies and muscle training to replace the mechanisms compromised by the surgery. Our goal is to help you understand the healing process and establish realistic expectations for recovery. .

If you would like to learn more about how pelvic floor physical therapy can help you please call our office at 207.990.2050.

"For a sophisticated and finest physical therapy and for the warmest and most effective encouragement you can't find a better guidance then at Pouzol Physical Therapy. "

- Ansley Throckmorton

"I highly recommend Teri Carr, PT. She is an extraordinary physical therapist and care giver. Her years of experience and constant continued learning make her an absolute expert. She is such a caring person and very effective. She works with her patients to find a plan that will work for them. She focuses on pelvic floor issues – including nerves in the pelvis. She is the only expert listed for the state of Maine for pudendal neuralgia. I am so lucky to have her as my therapist.

The staff here is also excellent. Everyone is upbeat and helpful, from the owner (Doug) to the support staff (Katie). I’ll never go anywhere else for physical therapy! "

- Robin T.

"Teri Carr and the crew at Pouzol's Physical Therapy have been extremely helpful with dealing with my health issues. The Pelvic Floor therapy for my abdominal pain has increased my quality of life twofold and when I had back issues last year Teri helped me with pre and post surgery pain and recovery. The atmosphere there is a place of healing and the people are all very friendly and I consider them as friends. I would recommend them to everyone and come to think of it I have. "

- Tammy Light

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