The pelvic floor is more than just a set of muscles—it’s the foundation of power, confidence, and overall well-being. It plays a vital role in movement, digestion, bladder control, and intimacy, but its impact goes beyond the physical. A strong and well-functioning pelvic floor supports self-esteem and dignity, allowing people to move through life with confidence.
Men’s Pelvic Floor Health: Regaining Strength After Prostate Treatment
Prostate removal or radiation can have a significant impact on bladder control, core strength, and overall well-being.One of the biggest concerns after surgery is incontinence, which happens due to the removal of the internal sphincter—a key muscle in bladder control. However, men are not powerless in this process. The outer sphincter remains intact, and with the right approach, it can be trained to regain control.
Why Pelvic Floor Training Needs to Be Personalized
Not all exercises help—some can make symptoms worse. A “one-size-fits-all” approach to pelvic floor training can lead to overuse, tension, or further dysfunction. That’s why it’s essential to get a proper assessment before starting any exercise program.
Key Factors That Must Be Assessed
- Pelvic Floor Function
- Weakness or overactivity in the pelvic floor muscles can affect recovery.
- Training must be tailored to avoid excessive tension or ineffective contractions.
- Scars & Tissue Restrictions
- Post-surgical scars can create tension and restrictions in the abdominal or pelvic region, affecting function.
- Manual therapy and mobility work may be necessary before strengthening.
- Joint & Structural Mobility
- Hip, spine, and core movement directly impact pelvic floor performance.
- Poor mobility in these areas can lead to compensations and further dysfunction.
The Right Approach to Recovery
- Do not start random Kegels or online programs. These can worsen symptoms if not done correctly.
- Seek a professional pelvic floor assessment to determine what your body needs.
- Focus on the whole-body approach—bladder control isn’t just about the pelvic floor; posture, breathing, and core stability all play a role.
Regaining control after prostate treatment is possible, but the right strategy matters. With a proper assessment and a guided approach, men can restore strength, confidence, and quality of life.
Take Action—Leaking Is Not Normal
Many men are told that some amount of leaking after prostate removal or radiation is “normal.” But the reality is—NO amount of leakage is normal past 6-8 weeks post surgery. Waiting to see if it improves on its own can lead to long-term incontinence.
Start treatment before surgery. Preparing the pelvic floor, assessing mobility, and addressing any existing dysfunction can significantly improve recovery and bladder control. Early intervention is key.
If you or someone you know is facing prostate surgery or struggling with post-treatment incontinence, seek a specialized pelvic floor assessment as soon as possible. The right approach can restore confidence, and dignity.
Dr Daniela Moise, DPT
